We provide inpatient and outpatient care for benign (non-cancerous) and cancerous urological conditions, and manage paediatric genito-urinary conditions, including emergency services to the population of North Central London.
We have dedicated clinics for our haematuria and prostate cancers, our paediatric patients and stone patients. We also have nurse-led clinics with our PTNS clinic being the nationally leading service.
We offer a comprehensive Stone service, offering patients with stone disease, a complete package of treatment procedures that includes Percutaneous Nephrolithotomy-PCNL( keyhole surgery to remove kidney stones), Ureteroscopy and Laser treatment (minimally invasive fragmentation and removal of stones) and Extra-corporeal Shock Wave Lithotripsy-ESWL( non-invasive treatment to break stones without surgery). These minimally invasive procedures enable patients to recover quicker and return to active life sooner.
There are unique stone MDT (Multi-disciplinary Team) meetings to discuss cases and plan patient care. We also run a specialist Stone clinic in conjunction with a renal physician to evaluate medical causes for stone disease and offer advice to patients on prevention.
We offer rapid diagnostic pathways for suspected cancer patients that include straight-to-test and one-stop clinics, leading to faster diagnosis and early treatment.
The North Mid Rapid Assessment Prostate Pathway (NM-RAPP) is a Consultant led pathway where patients can have MRI (magnetic resonance imaging) of their prostate prior to having a transperineal prostate biopsy under local anaesthesia. The results will be available within 14 days of referral and a decision about further treatment can be made.
The One-Stop Haematuria and Bladder Cancer service is a Consultant led pathway where patients can have ultrasonography or CT scan and flexible cystoscopy the same day with immediate results made available to them at the end of the day.
As we are a part of the North Central London (NCL) cancer collaborative group, we are in close relationship with the Royal Free and University College London Hospitals to provide world class treatments for patients diagnosed with Prostate, Bladder, Penile and Kidney cancer.
We are part of the Royal Free Hospital Specialist MDT (Multi-Disciplinary Team) for Renal cancer and UCLH for other tumour sites.
At the North Middlesex site, we offer state of the art radiotherapy and chemotherapy treatments with an excellent oncology team. We also provide follow-up care for cancer patients who have had their surgery at UCLH and Royal Free Hospital.
We also have a team of experienced clinical nurse specialists, who support patients throughout their diagnostic and treatment journey along cancer pathways.
We offer assessment for children of all ages, review of complex conditions in joint paediatric urology specialty clinics and when necessary, onward referrals to specialist teams.
Children three years and older are offered surgical procedures such as circumcision (for medical reasons), hydrocele repair and orchidopexy
We offer nurse-led clinics within our Urology Suite and Cystoscopy Unit to support in the diagnoses and treatment of benign and cancerous urological conditions.
Some of these specialised clinics include:
- Urological tests (Uroflowmetry and urodynamics).
- Catheter clinics (trial without catheter and changes of catheter)
- Surveillance clinics for patients with diagnosed prostate cancer
- Injections for prostate cancers.
- Bladder cancer treatments (intra-vesical BCG and Mitomycin C)
- Erectile dysfunction
- Incontinence treatments, including Biofeedback, PFME and PTNS
- Diagnostic and surveillance cystoscopy using Flexible Cystoscope
- Removal of Ureteric Stents using a Flexible Cystoscope
- Flexible Cystoscope guided change of catheters
We are the nationally leading service for PTNS (Percutaneous Tibial Nerve Stimuation) treatments. PTNS is a low-risk, non-surgical treatment to improve patient’s bladder and pelvic floor function using gentle electrical impulses. This treatment has been shown to improve symptoms for those with overactive bladders and bowels.
We provide 24/7 adult and paediatric emergency urological care to the population of North Central London. Our emergency department is one of the busiest in London with more than 500 attendances every day. There is a daily consultant led ward round and 24/7 middle grade cover for urology, ensuring early senior review and decision-making. The department also performs emergency operations such as ureteric stenting, primary ureteroscopy and scrotal explorations. We operate an average of 2 emergency cases a day. We are working towards providing an emergency stone service through already established hot lists.
To find out more information please contact us.