Open, laparoscopic, robotic and endoscopic — selected on what suits your anatomy and disease.
A donor kidney is placed in the iliac fossa and joined to the pelvic blood vessels and the bladder. The graft usually begins working on the operating table. Live-related, blood group–incompatible, swap, deceased donor and repeat transplants are all performed.
The donor kidney is removed through keyhole incisions, which means less pain and a faster return to work for the donor. Donor safety governs every decision — a donor is a healthy person who gains nothing physically from the operation.
The surgeon operates from a console driving four boom-mounted arms carrying wristed instruments and a magnified three-dimensional camera. It is used where precision in a confined space changes the outcome — around the prostate's nerves, inside the kidney, in redo reconstruction.
Keyhole surgery through 5–12 mm ports, with a camera and long instruments. A laparoscopy-first approach is used wherever it is clinically appropriate, backed by formal minimal access fellowship training.
A fine flexible scope is passed up the natural passage into the kidney and the stone is broken down with a laser. There is no cut in the skin at all. It suits small and medium stones and patients who cannot stop blood thinners.
A narrow tract is made through the flank directly into the kidney, allowing large stones to be removed in one sitting. This is the workhorse operation for staghorn and high-volume stone burdens, including multi-tract and combined ECIRS approaches.
For a stone stuck in the ureter, a semi-rigid scope is passed to the stone and the stone is dusted with a laser. It is the standard treatment when a stone is not going to pass on its own.
Obstructing prostate tissue is removed from inside the urethra, leaving a wide channel for urine to flow. It remains one of the most reliably effective operations in urology for men whose symptoms have stopped responding to medication.
A bladder tumour is resected through a scope, both to remove it and to establish its stage and grade. Including detrusor muscle in the specimen is what makes the staging reliable, and it determines everything that follows.
A narrowed segment of the urethra is incised endoscopically under direct vision, through the natural passage and with no external cut. It relieves the obstruction quickly and suits a first, short stricture. It is offered with a frank account of what it can and cannot achieve: the scar often re-forms, and repeated urethrotomy makes a later reconstruction harder rather than easier. Where the stricture is long, dense or has already recurred, urethroplasty is the more durable operation and is discussed from the outset.
The definitive repair for a urethral stricture. Short narrowings are excised and the healthy ends joined; longer ones are widened with a graft. Durability is far better than repeated dilatation or internal urethrotomy.
An abnormal connection between the urinary tract and the vagina or bowel is excised and closed in layers, with healthy tissue interposed to keep the repair separated. Timing and route are planned case by case.
For stress incontinence that has not settled with supervised pelvic floor training, a mid-urethral tape restores support under the urethra. It is a short operation with a quick recovery, and it is offered only after the type of incontinence has been confirmed.
A hydrocele is a collection of fluid around the testis. It is not dangerous in itself, but it can grow large enough to be uncomfortable or awkward. Repair is a short day-care operation through a small incision, and it deals with the sac rather than simply draining it — drainage alone almost always refills.
A varicocele is a set of dilated veins draining the testis, most often on the left. It is treated when it causes a dragging ache, when the testis is shrinking, or when it is contributing to abnormal semen parameters — not simply because it is present.
A permanent method of male contraception, done under local anaesthetic as a day-care procedure. It is quick and reliable, but it should be treated as permanent — reversal is possible but is neither guaranteed nor simple.
Minimal access is the default, not the goal. A keyhole operation that leaves disease behind is worse than an open one that does not.
A full history and examination, a review of everything you already have, and an honest account of what the findings do and do not tell us.
Only the imaging and tests that will change the plan — ultrasound, CT urography, MRI, urodynamics, cystoscopy or biopsy as indicated.
Cancer and complex transplant cases are discussed at a multidisciplinary tumour board before any recommendation is made.
Open, laparoscopic or robot-assisted, selected on what suits your anatomy and disease — not on what is fashionable.
The same surgeon reviews your recovery, and transplant recipients are followed for the long term rather than handed on.
Send your imaging and reports before the appointment and the consultation starts from the findings rather than from scratch.