Male Urology | Boston West Hospital

Male Urology

Male urology is a specialty which covers the diagnosis and treatment of disorders of the male urinary system and reproductive organs including your: kidneys, ureters, adrenal glands, bladder, urethra, prostate, testes, epididymis, vas deferens, seminal vesicles and penis.

At Boston West Hospital our team of expert consultant urologists offer convenient appointments for male urology services to diagnose and, offer a wide range of effective treatment options for, urology disorders.

They provide minor urology treatments at Boston West Hospital and more major and complex surgery at our nearby sister hospital, Fitzwilliam. 
Procedures our consultant urologists regularly perform include: cystoscopy and urethrotomy, urodynamic tests, prostate screening, TURP, adult circumcision, vasectomy and its reversal, stress incontinence treatments and, benign scrotal lump surgery.

If you are experiencing or concerned about urinary system or reproductive tracts symptoms, call us on 01205 591860 or contact us to book an appointment for an early diagnosis.

Male urology services we provide

Cystoscopy

Cystoscopy examines your bladder and urinary system. It involves inserting a thin tube with a light and a camera at one end, called a cystoscope, into your urethra and bladder.

There are two types of cystoscope:

  • flexible cystoscope – a flexible fibre-optic telescope tube that allows your urologist to see inside your bladder.
  • rigid cystoscope –  a thin, rigid fibre-optic telescope that allows your urologist to pass small surgical instruments into your bladder and obtain a tissue sample or perform treatment.

A cystoscopy investigates urination problems such as: incontinence, blood in your urine, pain when you urinate, needing to urinate frequently, inability to urinate or intermittent urination and, an inability to fully empty your bladder when going to the toilet.

A narrowed or blocked urethra, urinary tract infections, polyps (non-cancerous growths), enlarged prostate gland, bladder stones, ureter problems and, urinary tract cancers can be detected and monitored using a cystoscope.

Urethrotomy

Urethrotomy widens a narrowed urethra (the tube that takes urine from your bladder to your penis).

A narrowed urethra usually happens due to scar tissue forming after an infection, injury or inflammation and can cause urine to flow slowly and, often with dribbling, pain, bleeding and infection.

A urethrotomy is performed as a simple day case procedure under a general or spinal anaesthetic. A rigid cystoscope is passed into your urethra so that your surgeon can cut the scar tissue and make your urethra wider.

Urodynamic tests

Your urologist may recommend urodynamic tests to check the function of your bladder and urethra and to investigate the cause of urinary incontinence.

These tests are usually performed in the diagnostic services department. Your amount and flow of your urine will be measured as you empty your bladder into a special toilet called a flowmeter. An ultrasound test afterwards will show how empty your bladder is.

Catheters will then be used to run fluid into your bladder at a controlled rate and to test how your bladder works as it fills up and the pressure inside and outside your bladder. When your bladder is full, you may be asked to cough and we will take some X-rays of your bladder. You will then empty your bladder into the flowmeter again with the catheters still in place.

Prostate screening

PSA tests, prostate biopsies and rectal examinations are available at Boston West Hospital to investigate prostate cancer.

PSA, a prostate specific antigen blood test detects high levels of PSA and this can be a sign of cancer. PSA level can be raised in prostate conditions that are non-cancerous and, a biopsy is required to make a diagnosis.

TURP (prostate surgery)

Transurethral resection of the prostate, TURP, is the removal of part of your prostate gland.

It is performed is you’ve an enlarged prostate that is affecting your urination due to pressure on your bladder and urethra.

TURP is performed under general or spinal anaesthesia and a thin metal tube with a light source, camera and loop of wire is passed along your urethra to your prostate. The loop of wire heats up when in your prostate and is used to cut part of it.

Adult circumcision

Adult circumcision is an operation to remove the foreskin from your penis. It’s a simple day case procedure performed for religious, cultural and medical reasons.

An adult circumcision can medically treat:

  • phimosis - a tight foreskin.
  • recurrent balantis – foreskin and head of your penis are recurrently affected by inflammation and infection.
  • balanitis xerotica obliterans (BXO) - dermatological penis condition that can cause phimosis and an inflamed penis head.
  • paraphimosis - penis head becomes swollen and painful as foreskin won’t go back to its original position.
  • penile cancer.

Initially conservative treatments may be offered such as gels and creams before considering circumcision surgery. There are restrictions and waiting lists for circumcision surgery on the NHS. We offer adult circumcision without restrictions or waiting.

Vasectomy

A vasectomy is a minor operation that offers a man permanent contraception through sterilisation.

It involves sealing your vas deferens tubes to prevent sperm entering your semen. We offer both conventional and no-scalpel types of vasectomy. For a conventional vasectomy your surgeon uses a scalpel to cut the skin on each side of your scrotum and your tubes. For the no-scalpel option your surgeon makes a tiny puncture hole in the skin of your scrotum to reach the tubes. The type of vasectomy will be discussed in detail between you and your urologist.

If you have a vasectomy on the NHS you will most likely have to wait. We can offer vasectomies without waiting.

Vasectomy reversal

Vasectomy reversal is an operation to reverse your male sterilisation. During the procedure your surgeon will reconnect your vas deferens tubes that have been sealed when you had the vasectomy. There is a greater chance of the vasectomy reversal working if you have it soon after your vasectomy.

A vasectomy reversal isn't usually available on the NHS as a vasectomy is seen as permanent. We understand your situation and that decisions may change and, offer a vasectomy reversal if required.

Benign scrotal lump surgery

Benign scrotal lump surgery is a day case procedure to remove a lump in your scrotum that is not due to cancer. You will usually have a general anaesthetic and then your surgeon will make a small cut in your scrotum.

There are two types of benign lump:

  • a hydrocele – when fluid collects in the thin sheath surrounding your testicle. Your surgeon will remove the fluid from the sheath and then either remove the sheath or stitch it together.
  • an epididymal cyst - when fluid collects in your epididymis, a tube-like sperm store. Your surgeon will either totally remove the cyst or cut the top of it and drain the fluid out.

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