Urology

We provide outpatient, day case and inpatient urology services at Queen Elizabeth Hospital and University Hospital Lewisham.


Outpatient Clinics

Our outpatient clinics are held at the Queen Elizabeth Hospital in outpatient area C, which is located in the main outpatient department on the ground floor.

Map of Outpatients at QEH

Patients with suspected urological malignancies, urinary stones, lower urinary tract symptoms (including haematuria), recurrent urinary tract infections and testicular, scrotal and penile disorders are seen in these clinics.

Flow tests, urodynamic studies, some flexible cystoscopy lists as well as local anaesthetic transperineal prostate biopsies are also carried out in the outpatient department.

Specialised clinics have been developed in the field of andrology, female urology, male lower urinary tract symptoms and stone disease.  These clinics are well supported by our specialist nurses.

Patients with newly diagnosed urological malignancies are seen jointly by a senior clinician as well as a specialist nurse. The latter acts as the key-worker who then provides support and serves as a point of contact throughout the patient's care pathway.

 

Day Case Surgery

Our elective day case patients are admitted to a dedicated day care ward at the Queen Elizabeth Hospital where routine day cases and minor surgical procedures are carried out. There are also facilities for an overnight stay if needed. 

The day care unit also has an endoscopy suite where flexible cystoscopies are also carried out.  We have a one-stop haematuria clinic, where patients who have been found to have blood in their urine undergo a full urological assessment in one visit including an ultrasound scan if needed.


Inpatient Services

The urological surgeons in our department carry out elective as well as emergency surgical procedures. Our emergency services are provided at Queen Elizabeth Hospital.

We provide 24/7 adult and paediatric (from the age of 13 and above) emergency urology service at the Queen Elizabeth Hospital. There is a daily consultant-led ward round and 24/7 middle grade cover for urology, ensuring early senior review and decision-making. We are working towards establishing a comprehensive stone service to minimise pain, sepsis and stent-related side-effects for renal colic patients.

Our elective inpatient work is carried out at University Hospital Lewisham, where procedures such as transurethral resection of prostate (TURP) and transurethral resection of bladder tumour (TURBT) are performed. Patients are then admitted to Cedar ward.

The department also has strong links with the Department of Urology at Guy's and St Thomas's Hospitals NHS Trust, where some of our patients are referred for complex surgical and cancer procedures.

 

Specialist Clinics

A wide variety of specialist clinics are run in the outpatient department the Queen Elizabeth Hospital. Our unit is a tertiary referral centre for posterior tibial nerve stimulation (PTNS) in South East London. The full range of specialist clinics include:

  • Andrology clinic – erectile dysfunction, male factor infertility
  • Active Surveillance clinic for prostate cancer
  • Continence clinic – urodynamics, PTNS, intravesical Botox
  • General urology clinic
  • Intravesical therapy clinic (for instillation of Mitomycin, BCG, iAluril into the bladder)
  • One-stop haematuria clinic
  • Specialist Benign Prostatic Hyperplasia (BPH) clinic – for consideration of HoLEP or minimally invasive procedures
  • Stone clinic