LONDON UROLOGY PARTNERS
For a comprehensive elective and emergency urological service in London
 
 
CONTACT DETAILS
To contact Mr Barry Maraj Consultant Urologist
 
 
EDUCATIONAL BACKGROUND
summary of educational background and urological training
 
 
ACADEMIC BACKGROUND AND PUBLICATIONS
 
 
MEMBERSHIPS
Memberships to important medical associations
 
 
'KEY HOLE' SURGERY
Laparoscopic Urological Operations
 
 
BOTOX and BALDDER PROBLEMS
Botox injections for urinary frequency and urgency
 
 
HAVING A CYSTOSCOPY ?
What is cystoscopy
 
 
HAEMATURIA
Blood in your urine
 
 
HAVING A TURP
A guide for patients having a TURP
 
 
Photosensitive Vaporisation of the Prostate (Green Light)
A revolutionary new day surgery treatment for benign prostate enlargement
 
 
PSA
Prostate Specific Antigen and Prostate Cancer
 
 
Trans-rectal ultrasound (TRUS) guided biopsy of the prostate
Having a TRUS biopsy of your prostate?
 
 
MULTIDICIPLINARY TEAM MEMBERS
GYNAECOLOGISTS, GENERAL SURGEONS, GASTROENTEROLOGISTS, RELAXATION SPECIALISTS AND NUTRITIONISTS
 
 
NEED TO SEE A GP ?
Same day and Emergency call out GP service
 
 
ROBOTIC UROLOGICAL SURGERY
The Da Vinci si system is now widely used for a number of urologic disorders including prostate kidney nad bladder cancer and obstructed kidneys (UPJO)
 
 

HAVING A CYSTOSCOPY ?

Cystoscopy is the examination of the urethra and inside of the bladder (see diagrams below) using a telescope called cystoscope.
The cystoscope is slightly smaller than the diameter of an HB pencil which is passed along the urethra and then into the bladder.
There are two types of cystoscopes:
(1) Flexible
and
(2) Rigid

FLEXIBLE CYSTOSCOPY
A flexible cystoscopy can be utilised for both diagnostic and therapeutic reasons. It can be used to assess blood in the urine, urinary symptoms or to remove a DJ stent which has been left in the ureter after procedure such as stone lithoclasty/laser fragmentation.

RIGID CYSTOSCOPY
A rigid cystoscopy is the same examination as with a flexible scope but the instrument is larger and rigid.
It is usually performed under general or spinal anaesthesia.

How long does the procedure last?
The procedure takes around 5-15 minutes to complete. Once the local anaesthetic gel is inserted (as in the case with flexible cystoscopy, the procedure commences.
Using a camera system attached to the cystoscope, the urethra and bladder are assessed for narrowings, prostate and/or bladder neck enlargement, stones or bladder tumours. If, required, biopsies can be taken utilising small instruments that are passed through a small channel within the scope.

What happens after the procedure?
You may experience minor discomfort or occasional bleeding into the urine (generally this is very minor in which case the urine appears rose colour). This usually settles within 1-3 days. You should increase your fluid intake to two litres per day.

Complications?
Should you develop a temperature or symptoms of cystitis, this may indicate a urinary tract infection. This requires a course of antibiotics. You would normally be given three days worth of antibiotics as a routine to take home after the procedure. You must complete this course.

Illustration of female pelvic organs
Illustration of male pelvic organs
Illustration of the urinary tract
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