Patient Information Guide to Urology and Andrology Procedures

Introduction

This guide provides information to support patients in making an informed choice prior to making a decision to undergo cosmetic surgery or medical aesthetic treatments. Whilst cosmetic surgery has many benefits and assists people in gaining more confidence regarding their appearance, it is important that patients are fully aware of the risks, limitations and complications of cosmetic procedures to ensure realistic expectations.

Our experienced Patient Coordinators, surgeons and registered nurses welcome your questions to assist you in making your decision to undergo cosmetic procedures. We recommend that you visit the following websites and read the cosmetic surgery sections:

▪              The Department of Health www.dh.gov.uk

▪              The General Medical Council www.gmc-uk.org

Summary of our Statement of Purpose

Our aim is to provide access to Urology and Andrology procedures to those patients who have been assessed as appropriate for such management. Our aim is to undertake consultations and treatments in a manner, which provides the highest quality of care at all times, and in accordance with current evidence based practice.

At the initial telephone or email enquiry, patients are given information relating to the services provided. If appropriate, a consultation is arranged with an independent Urologist who undertakes the process of informed consent prior to any admission to a provider hospital or clinic, it is important that patients appreciate that this consent cannot be changed within 48 hours of the admission to the hospital or clinic.

Our objective is to provide all patients with an outcome consistent with current best practice guidelines and each patient’s expectations. To assist in achieving this, we provide written information to all patients regarding the benefits, risks and limitations of the procedures provided. We actively encourage our patients to comment on the manner in which they have been cared for, so that any issues may be addressed immediately. In addition, regular audit of clinical and non-clinical practice/services and review/revision of policies and procedures is undertaken to ensure the quality of service delivered is in accordance with best practice and valid for our patient profile.

All surgical procedures are undertaken in hospitals that are registered with the Care Quality Commission. The role of the Care Quality Commission is to ensure all independent healthcare establishments are registered under the Care Standards Act (2000) and as amended by the Health and Social care Act (2009) and are compliant with the Private and Voluntary Healthcare (England) Regulations 2001 and the National Minimum Standards for Independent Healthcare.

Your first point of contact

A Patient Coordinator will be your first point of contact. The Patient coordinator who is a non-clinical professional will provide you with general information only. More detailed, specific, clinical information will be given to you when you attend a consultation with a Urologist. Your coordinator will:

▪              Advise on range of services offered inclusive of procedures & treatments, terms and conditions, fees and finance arrangements

▪              give an overview of this guide and the procedure you are interested in (specific clinical information is provided by the Urologist)

▪              ensure that you have completed your medical history for the Urologist

▪              help with finance applications if needed.

▪              provide details of the Urologists and hospitals available for your procedure

In preparation for your meeting with a Patient Coordinator, we have prepared some questions you may wish to consider asking:

The Urologists…

▪              Who will carry out the treatment?

▪              What qualifications do they have?

▪              How long have they been trained in this treatment?

▪              How frequently do they carry it out?

▪              Do they have professional indemnity insurance?

The cost…

▪              What will be the cost of the consultation with the surgeon?

▪              What will be the cost of the treatment, including any materials I may need after it?

▪              If there are any complications, will I have to pay to have them treated?

▪              If I change my mind and decide not to complete the treatment, do I still need to pay the full cost for the treatment?

The Record of treatment

               Will you keep a record of my treatment and what form will this take?

▪              Will my records or photographs be shown to anyone else for any reason?

▪              Will you ask my permission before releasing my records, including photographs, to anyone else?

▪              Can I get a copy of my records?

▪              How long does the clinic retain records after someone's treatment is completed?

Meeting your Urologist . . ..

If you wish to attend a consultation with an independent surgeon/Doctor/ your Patient Coordinator will arrange a suitable appointment. Our Medical Staff are independent and:

• are all registered with the General Medical Council (UK) and are accountable for his/her own practice; registration can be verified at www.gmc-uk.org/ or by phone 020 7915 3630
• have extensive experience, education and training in surgical aesthetic surgery and/or urology and andrology procedures.
• are all able to provide details of the number and type of procedures they have performed
• all Surgeons and Doctors have valid appraisals in accordance with GMC Surgeon Revalidation process

During your consultation with the Urologist you will have the opportunity to discuss your intended surgery or treatment in order that he/she can ascertain your expectations realistically as to what can actually be achieved. At this time, the risks and benefits of the procedure will be discussed. Your Urologist will wish to discuss all the aspects of your medical and family history in detail and may request pre-operative investigations/tests to be undertaken. Please ensure you advise your Clinician of all information (existing and past medical conditions, medications, diets, or remedies) even if you are unsure of its relevance. Be truthful about any health or lifestyle issues that the Clinician may query, as these could affect the outcome of your procedure and your terms and conditions including financial implications.

Your Clinician will undertake a physical examination and may take photographs of the area where you are considering surgery or treatment. Your consent will always be obtained for any intimate examinations or photographs. Please bring a relative or friend with you if you wish.

Surgical procedures are not normally carried out within 14 days of your consultation.

The consultation is designed to enable you to have the time you need to discuss all options regarding the procedure you have in mind. Please feel free to use this time to ask any questions you may have – it is very useful to make a note of any questions you may have before you come to the appointment to ensure all of your concerns are answered. Some questions to consider include:

Your treatment or surgery

▪              Is the treatment or surgery right for me?

▪              How long does the treatment or surgery take?

▪              Is the treatment or surgery painful and if so what form of anaesthesia is used?

▪              Is all equipment used sterile and used only for me?

▪              What are the risks involved/complications?

▪              Are there any other treatment options available for me to achieve the results I want?

▪              Can I speak to anyone else that you have treated or operated on?

▪              Will you want to inform my GP about my treatment?

After your treatment or surgery

▪              What type of care will I need after treatment or surgery?

▪              Will I need pain relief following treatment or surgery?

▪              Will I have swelling or bruising and can these be treated?

▪              How long will the effects of treatment or surgery keep me away from my usual activities?

▪              At what stage will I be able to judge the results of treatment or surgery?

▪              How long do the results last?

▪              If I need to see you in the period after treatment or surgery, will you be available?

▪              What will happen if I am unhappy with any aspect of the treatment or surgery?

▪              When can I return to work?

Your Urologist will explain the potential complications of any type of surgery or treatment and anaesthetic and then go on to explain the specific risks and complications relating to the procedure you wish to have done. The Urologist will also explain the pre and post-surgery / treatment care that will be required so that you will fully understand the processes involved. At the end of this discussion the Urologist will give you his or her opinion about whether or not it is in your best medical interest to proceed with the surgery/treatment. At this time you will be advised if additional pre-operative investigations are required e.g., ultrasound, blood tests, ECG etc. Please note that tests such as this, are the Patients’ responsibility as are any other related incurred costs. Similarly, if a letter is required from your GP or Specialist it is your responsibility to provide this.

Your Urologist will explain the potential complications of any type of surgery or treatment and anaesthetic and then go on to explain the specific risks and complications relating to the procedure you wish to have done. The Urologist will also explain the pre and post-surgery / treatment care that will be required so that you will fully understand the processes involved. At the end of this discussion the Urologist will give you his or her opinion about whether or not it is in your best medical interest to proceed with the surgery/treatment. At this time you will be advised if pre-operative investigations that may be required and any additional assessments.

Children in Clinics

We would like to bring to your attention that whilst children are usually welcome in reception areas of the hospitals generally, with a supervising adult (other than The Patient), it is not usually advised to bring them into any Clinical rooms.. We would like to clarify that if a patient attends a clinic with their children, in the absence of a supervising adult, you will be informed that your appointment will be rescheduled to an alternative time. As we provide surgery and treatment at a number of different medical facilities and locations , please check in advance with our administration team if you intend to bring children along with you.

NHS Number

You should be able to find your NHS Number on any letter or document you have received from the NHS, including prescriptions, test results, and hospital referral or appointment letters. If you have a medical card, your NHS number should be printed on it. If you cannot find your NHS Number at home, you can ask your GP practice to help you. They should be able to provide the number for you as long as you are registered with them. To protect your privacy, you may be asked to show a passport, driving license or some other proof of identity. If you are not registered with a GP practice, you should do so as soon as possible. They will be able to provide you with your NHS Number once you're registered.

Flying

Depending on your type of procedure, there may be restrictions in terms of flying both pre and post your procedure. Please be sure to check with your Urologist for specific advice.

Urology and Andrology surgery– the Benefits . . .

Every year in the UK many people undergo urological and andrological procedures. Many are medically required and some as more aesthetic procedures. Many of those who have undergone procedures comment that their self esteem and confidence have increased and that their outlook on life has improved. We consider that how a person feels about themselves is most important. It is however up to you as an individual, in conjunction with a qualified and experienced Urologist to make the decision as to whether or not the surgery/treatment is the right choice for you.

Preparing for your procedure

Booking your procedure date

Your procedure date will be booked in advance at a time that is mutually convenient for you and the availability of your Urologist. We suggest that you also consider the following:

▪              check with your Patient Coordinator about the time you need to have off work as this will vary considerably depending upon the type of procedure you will be having

▪              if you have young children or care for relatives you may need to arrange for help with their care during the time you are in hospital and during the recovery period, children are not permitted onsite in some hospitals

▪              the fees payable will need to be available on the date required ( typically 45 days ahead for surgical procedures); you may need to check that funds will be available when required as last minute delays may cause anxiety and possible cancellation/postponement of your procedure.

Pre-operative/treatment Investigations

As mentioned above, you may be required to have some investigations before your procedure. This could include certain blood tests, chest x-ray, ECG or ultrasound relating to pre-existing conditions – the investigations will depend on the procedure you have chosen. The cost of these investigations may not included in the fee structure - your Patient Coordinator will advise you of any extra fees incurred. All tests required must be paid for by the patient if they are not undertaken at your GP.

Transport & going home from the hospital

Please make sure that you arrange to be collected from the hospital if you are undertaking a surgical procedure. if you need assistance in arranging transport to and/or from the hospital please speak to your Patient Coordinator. A chaperone must be a responsible adult who is over the age of 18, they must stay with you for 24 hours after surgery and be available to accompany you on your discharge from hospital. It is recommended that they are present when the medical team are giving you your discharge advice to ensure that all advice is remembered and adhered to. You will not be able to drive home following your surgery regardless of the type of surgery you have undergone. It is also inappropriate for you to take public transport to get home following a Surgical procedure. You can arrange a taxi to take you home, but the driver must come to the hospital reception to collect you.

All patients who have undergone a general anaesthetic will stay a minimum of 2 hours post operatively and must meet specific criteria before they are discharged. For all patients who undergo a surgical procedure under local anaesthetic, you will be required to stay for a minimum of 2 hours post operatively. In the interests of your safety we may consider postponement or cancellation of your surgery if you are unable to arrange suitable travel home, and this will affect your terms and conditions.

What to pack for your hospital stay for a surgical procedure

You will need a small bag with some basic requirements including:

▪              toiletries

▪              nightwear ( if you are staying overnight in hospital )

▪              slippers or soft footwear

▪              any medicines you are currently taking

▪              loose comfortable clothing to wear on your journey home

▪              the instructions and information given to you by the patient bookings team.

▪              a book or magazine

Please note that neither we, nor the hospitals we use, are able to take any responsibility for your valuables or cash that you may take to the hospital. It is highly recommended that you ensure that any unnecessary items are left at your home. However, if you decide to take items of this nature with you please advise the hospital to arrange safe keeping.

Please also be aware that you might be asked to share a room if you are a day case patient, whilst most are individual, some hospital facilities maybe on a ward basis.

“IMPORTANT” - Preparation for your operation

Please note that your admission time is not your operation time, there will be a period of time from admission to your operation as the hospital undertakes a series of admission checks and tests before you can have your procedure, therefore you can have up to an 8 hour wait before your procedure takes place. It is vital that you do not expect to be operated on immediately.

For your wellbeing and safety during your operation or treatment it is important that you consider the following:

▪              DO NOT apply false tan or use a sunbed for a period of for 7 days prior to your operation

▪              DO NOT drink alcohol 48 hours minimum prior to your surgery or treatment (in the case of major procedures you will have more specific instructions). If you drink more than 2-3 drinks daily, you will need to abstain from alcohol for two weeks to reduce the risk of complications.

▪              PLEASE REMOVE all false eyelashes and/or nails, makeup and piercings before your admission to hospital

▪              Hair extensions will need removing if they contain any form of metal or copper

▪              DO NOT apply deodorant/moisturiser after your shower on the morning or night before your surgery to any part of your body

▪              PLEASE tie up your hair if it is long with a bobble that doesn’t contain metal

▪              PLEASE wear loose fitting clothes to the hospital or clinic

Advise your Urologist before your surgery if you are unwell

As your GP is responsible for your general healthcare it is advised that you inform your GP about any intended surgery. We will not operate on any patient who refuses to give us consent to inform their GP of a Surgical procedure.

Smoking and Use of Nicotine Patches

Smoking prior to your surgery can increase the risk of anaesthetic complications. Smoking both prior to and post surgery also increases the risk of wound infections. The chemicals found within a cigarette deplete the healing cells of oxygen leading to delayed and impaired wound healing. The chemicals found in Nicotine patches work similarly to those in cigarettes.

We strongly advise the cessation of smoking at least 2 weeks prior to surgical procedures including the use of nicotine patches, e-cigarettes and all nicotine based products. You are asked to continue smoking cessation until you are fully healed after your operation. Your Urologist or anaesthetist has the right to postpone or cancel your operation if this guidance is not followed. If your operation is a major operation, you may be asked to stop smoking for 1 month before. Failure to comply with all of the pre and post-surgical instructions provided by us and the Urologist is a breach of our terms and conditions.

Medication

Please disclose to the team if you are currently taking any medication as some medication may be required to stop pre-operatively. Please also take your medication with you to the hospital on the day of surgery. If you are taking any herbal remedies or vitamins, please stop these for 7 days prior to surgery or treatment.

Recreational Drug Usage

Please disclose to the Patient Coordinator, Nurse and Surgeon if you are currently taking or have recently taken any recreational drugs; all patients are required to refrain from drugs for a minimum of 6 weeks prior to surgery or treatments. It is extremely important for any use of such substances to be disclosed at the earliest possible opportunity ahead of surgery, this is for your health and safety to avoid any increased risks and complications which may occur as a result of recreational drugs. Please be aware that you might be asked to have a drugs test ahead of surgery for which the costs will not be covered by us.. Any patient who is discovered to have used recreational drugs inside the above timescales and have not disclosed this , and this is discovered by us prior to the procedure, this will be cancelled and no refund will be given.

Eating and Drinking ( Surgical procedures only )

▪              DO NOT have any food, milky drinks or chew gum 6 hours before your admission to the hospital

▪              You may drink small sips equivalent to 30mls per hour of still clear water up to 2 hours prior to your admission

▪              DO NOT drink water after the two hour limit

(In the interests of your safety your operation may need to be postponed if this guidance is not followed

After your surgery or treatment…

For your safety you will be asked to:

▪              attend all appointments made for you ( Remote appointments or in clinic )

▪              keep the post-operative/treatment information you have been given by us for reference following your procedure should you encounter any problems

▪              call us during office hours (9.30am to 5.30pm) if you have any concerns.

▪              outside office hours in the case of an emergency (bleeding, pain or any other major concern) please attend your local A and E department or dial 999 if your feel that your condition is life threatening

General Side Effects and Complications of Surgery and Anaesthesia

Side effects and complications can be separated into two areas; one relating to the procedure and the other one relating to the anaesthetic. The following information is for your guidance and further understanding – specific concerns/issues will be discussed with you by your Urologist or anaesthetist. If you have any questions relating to general anaesthesia we recommend that you ask the anaesthetist at the hospital.

Pain after Surgery

The majority of patients feel some pain or discomfort following surgery or treatment. The amount of pain or discomfort you may experience will depend upon several factors: the type of procedure; the incision ( in the case of a surgical procedure ) and your pain threshold. It is important that you are as pain free as possible to enable you to move around as soon as possible/appropriate, after your procedure. If you find that the pain relief you have been prescribed is insufficient inform us after your discharge. Your anaesthetist or Urologist will prescribe some painkillers for mild to moderate pain relief to take home with you. The hospital may give you your prescribed medicine before you leave the hospital and provide you with verbal and written instructions. Please ensure that you alert the hospital or Urologist if you have any allergies, or suffered any reactions to pain relief before.

Bruising, Swelling and Bleeding

All surgical procedures, and some non-surgical procedures, cause a varying amount of bruising and swelling around the treatment site ranging from quite light to quite severe. The outcome of your procedure may be difficult to establish for some time due to the swelling and bruising. Don’t hesitate to discuss the expected time for the swelling and bruising to disappear with your Urologist. Bleeding around the area of an operation is not uncommon. However, the amount of bleeding should not be so much as to make you concerned. During your initial post operative period, the hospital will check the operation site for any signs of bleeding and if this occurs will inform your surgeon immediately. If you find that bleeding continues/commences after you have gone home contact us immediately.

Infection

Any surgical or non-surgical procedure will include the risk of infection at the operation/treatment site. This infection may be due to the introduction of bacteria from your own skin during the procedure, or the surrounding environment. Following your procedure if any infection develops it would mean that you may experience: a high temperature; feel generally unwell;

tiredness/listlessness; redness and swelling around the incision or treatment site. Please contact us without delay if you feel you may have an infection. To promote wound healing, you are advised to maintain a healthy, high protein diet until your surgical wound is fully healed

Scarring

All surgical procedures, and some non surgical procedures, cause scarring to some degree. Clinicians strive to minimise the risk of visible scars. However, this is not always possible. Scars normally reduce in time. If they remain unsightly there is a possibility that they can be treated. People with darker skin tones have a tendency to form a thicker scar – something that you may have noticed in the past. If you feel that your skin does scar easily, please inform your Urologist of this at the time of your consultation. This is important.

Numbness or altered skin sensation

It is not uncommon for people to have numbness and altered sensation around the treatment site for some time after the procedure. This will normally subside in time. However, a small number of people continue to have a small area of numbness indefinitely.

Deep Vein Thrombosis and Pulmonary Embolism

All surgical procedures carry the risk of a rare but potentially dangerous complication known as Deep Vein Thrombosis (DVT). DVT involves the development of a blood clot, most commonly in the calf area. In a very small number of cases, the blood clot may move and enter either of the lungs which causes a severe and potentially life threatening blockage of blood supply to the lung/s. When you are being treated at the hospital additional measures are taken to reduce the risk to this condition - use of special tights and post operative exercise/s. You will be given information on the prevention of a DVT on discharge from the hospital. Take ad vide from your Urologist in respect of when it is safe to take a flight.

Anaesthesia

The type of anaesthesia you are given relates to the procedure you are having and the agreement that you make with the anaesthetist before your operation, in the event of a surgical procedure and your Urologist in the event of a non surgical procedure. . Modern anaesthetics mean that severe side effects and complications are rare. The medical team at the hospital have protocols in place to minimise any side effects or complications. However, it is important that you understand that some side effects may occur. The most common are listed below. If you have any questions, please do not hesitate to speak with your anaesthetist/Practitioner when he/she visits you in the hospital/clinic prior to your operation/procedure to examine you and to discuss your procedure, any previous anaesthetics you have had and the method of anaesthetic proposed for your procedure. The most common side effects and complications which may occur are listed relevant to which type of anaesthetic:

▪              General anaesthetic (GA)

▪              Local anaesthetic (LA)

Common side effects and complications of anaesthesia

Feeling sick and vomiting after surgery GA LA

Some operations and anaesthetic and pain-relieving drugs are more likely to cause sickness (nausea) than others. Sickness can be treated with anti-vomiting drugs (anti-emetics), but it may last from a few hours to several days.

Sore throat GA

If you have had a tube in your airway to help you breathe, it may give you a sore throat. The discomfort or pain lasts from a few hours to a few days. It can be alleviated by an increase in oral fluids and with pain-relieving lozenges.

Dizziness, blurred vision GA LA

Your anaesthetic or loss of fluids may lower your blood pressure and make you feel faint in the hospital. You may be given a drip to treat this, and it is also advisable to drink plenty post operatively.

Shivering GA LA

This may be due to you getting cold during the surgery, to some medications, or to stress. The hospital staff will ensure that you are kept warm if this occurs.

Headache GA LA

This may be due to the effects of the anaesthetic, to the surgery, to lack of fluids, or to anxiety. The headache usually gets better in a few hours and can be treated with analgesics.

Itching GA LA

This is a side effect of opiates (such as morphine) but can also happen as an allergic reaction to medications, sterilising fluids or stitches. If you have itchiness, it can be treated with other drugs. Itchiness can also be a sign of wound healing therefore you might get itching to the wound in the weeks following the surgery.

Aches, pains and backache GA LA

During your operation you may lie in the same position on a firm operating table for a long time. Great care is taken to position you, but some people still feel uncomfortable afterwards.

Pain during injection of drugs GA LA

Drugs used may cause some pain or discomfort when they are injected.

Bruising and soreness GA LA

This may be caused around injection and drip sites by a thin vein bursting, movement of a nearby joint, or infection. It normally settles without treatment, but if the area becomes uncomfortable, the position of the drip can be changed.

Confusion or memory loss GA

This is common among older people who have had an operation under general anaesthetic. It may be due to several causes. It is usually temporary, but may last a few days or weeks.

After an operation

Immediately following your operation you will be taken to the recovery room, where you will be woken up and you will spend some time being closely monitored until you are fully recovered from the anaesthetic. During this time your anaesthetist and the hospital recovery nursing team will ensure that you are comfortable and your pain is controlled before you are returned to your room. It is important that you let the team know if you feel that your pain is not well enough controlled. On your return to your room, you will be cared for by registered nurses and health care assistants experienced in caring for patients who have undergone cosmetic surgery. During this time, you will continue to be monitored closely and your surgical site will be monitored regularly.

The time that you are discharged from the hospital will depend upon the type of surgery you have undergone and the time of your procedure. Your Urologist or the hospital doctor/Nurse will visit you after the procedure and advise when you will be ready for discharge from hospital. You are generally required to stay for a minimum of 4 hours following a general anaesthetic and 2 hours following local and sedation before you are discharged from hospital.

You may also be given medications to take at home. The hospital nurse will give you the relevant instructions regarding how the medicines should be taken. It is very important that you attend the appointments with the nurse and/or surgeon so that you can be carefully monitored. A member of the Patient Care Team will call you after your surgery to check your condition. You are welcome to call your Patient Coordinator at any time during work hours if you have any queries.

Your recovery at home

Depending upon the type of procedure and anaesthesia you have had, you may feel tired and sore for some days after your discharge from hospital/clinic. – this is not unusual. However, it is important that you try to remain relatively active during this time. If you need to rest in the afternoon a nap should be sufficient. It is not recommended that you return to your bed. Gentle paced activity (to guard against DVT) and nourishing dietary intake/fluids will assist your recovery and wound healing. If at any time during your recovery you have any concerns at all, remember that your Patient Coordinator is available to: answer your questions; provide any further information you may need or we will contact your Urologist if necessary. If you have had a general anaesthetic you will need to have a responsible adult with you for 24 hours and refrain from driving and operating machinery and making important decisions for the recommended time.

Some additional points you may find helpful

Taking time

the decision to undergo a procedure hould never be taken lightly. Remember that the procedure is purely your choice. Everyone reacts differently to procedures and there are no guarantees of the results that you will have therefore it is important that your expectations are set correctly by the Urologist in your consultation so that you are aware of the results that are achievable for you. After receiving and reading all the relevant information regarding the procedure and its potential risks, limitations and complications, take your time to consider all the pros and cons. Surgery will normally not normally be carried out sooner than 14 days following the consultation with your Urologist

Consent

all surgical and non-surgical procedures require The Patient to provide ‘valid and informed consent’ prior to the procedure taking place. For consent to be valid, you need to be clearly informed by your Urologist about the limitations, potential risks and side effects of the procedure.

 

 

The expected outcome

your expectations of the outcome of your procedure need to be discussed clearly with your Urologist. Whilst the majority of patients are pleased with the results of their procedure, some patients may feel dissatisfied. It is important that you match your expectations with what your Urologist advises is achievable. If your expectations are unrealistic the procedure you request may be inappropriate for you. If you have any concerns or questions it is best that these are resolved prior to your procedure.

Getting advice after your procedure

At Moorgate Andrology we are constantly working on improving our service to Patients.

With this mind we have created a dedicated helpline number for Patients who have queries regarding their surgery.

This number is 01302 246131. The line is staffed from 9.00am to 5.00pm Monday to Friday by a member of the Moorgate Andrology team.

On this number you can do the following:

- Get help and advice on medical matters ( these will be referred to the medical team)

Please do not call or text the mobile number of your Patient Co-ordinator for medical advice. We have a patient care helpline, Monday to Friday 9.00am to 5.00pm

If you require general information regarding post operative care following your operation please refer to your post operative treatment sheet provided.

If you wish to speak to a member of our team please call between the hours as set out above.

If you require help outside these hours and you feel that your condition cannot wait, please go to your nearest accident and emergency department.

If you feel your condition is life threatening then please dial the emergency services on 999

Please note that our Patient Care team are not medically qualified. If you call for advice in relation to your procedure, your Urologist will be contacted to provide advice.

Our team will be able to help you directly with new appointments, confirmation of existing appointments and cancellations. The number to call for this is 01302 246131.