Category: Consultants’ blog

What is the new UroLift for benign prostatic hyperplasia?

Earlier this year, a new approach to benign prostatic hyperplasia (BPH) received approval for use in the NHS. The new approach is called UroLift and is designed to alleviate the symptoms of BPH without cutting or vaporising the surplus prostate tissue. To understand this new treatment, we need to start by looking at what happens […]

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How to choose between different types of prostate cancer surgery?

I frequently see patients who have been diagnosed with prostate cancer, have decided on surgery, but are struggling with the choice of different types of surgery. Increasingly, there can be a choice, especially if patients seek opinions from two or three different urologists (which we certainly support). A common scenario might be: the patient sees […]

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The BPC response to the ban on synthetic (TVT) based slings and vaginal meshes in Scotland

For some time, there have been very serious concerns about whether vaginal slings and meshes constructed from synthetic material are safe. This week there was a significant and unexpected new development when the Scottish Health Minister issued a ban on all synthetic sling and vaginal mesh procedures while further investigations were carried out. Although the […]

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Robotic surgery – the future for prostatectomy ?

Since the start of 2014, I have been carrying out prostatectomies using the robotic da Vinci system at the Queen Elizabeth Hospital. Robot-assisted surgery is the norm in America and in the UK, where a growing number of hospitals are investing in the da Vinci, many see it as the future and “gold standard”. My […]

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The Questions For Your Consultant Urologist

Treatment for prostate cancer is one of the most rapidly developing areas in medicine, providing men with a wide and sometimes confusing range of treatment options. While our scientific understanding of the disease is marching forward, the culture of the doctor/patient relationship in the UK is changing more slowly. Some patients remain reluctant to ask […]

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Choosing between different treatments for prostate cancer?

For men with organ-confined early stage disease, there is a wider range of different treatments for prostate cancer than any other type of cancer. Mr Alan Doherty, consultant urologist at the Birmingham Prostate Clinic, discusses the relative merits and disadvantages of the different types of treatment, answering the questions patients most commonly ask in clinic. […]

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Why pelvic floor exercises benefit men as well as women

The benefits of pelvic floor exercises for women, particularly after childbirth, are well established. However these simple exercises are also very valuable for men following prostatectomy (the removal of the prostate due to a diagnosis of cancer). During the first few weeks after a prostatectomy, almost all patients experience some urinary incontinence. This is because […]

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The benefits of nerve-sparing prostatectomy

When facing the diagnosis of prostate cancer, for most patients, the overwhelming focus is on eradicating the disease. However once the cancer has been successfully treated, the side-effects of treatment can have a major impact on quality of life. I have seen many patients following a prostatectomy who are very distressed by their inability to […]

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