Urethral Strictures. An information guide
|
|
- Jack Carpenter
- 7 years ago
- Views:
Transcription
1 TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Urethral Strictures An information guide
2 hat is a urethra? he urethra is the tube or waterpipe through which urine flo rom the bladder to the outside of the body; the opening of he urethra Urethal is Strictures at the end of the penis in men and just above th aginal opening in women. What is a urethra? The urethra is the tube or waterpipe through which urine flows from the bladder to the outside of the body; the opening of the urethra is at the end of the penis in men and just above the vaginal opening in women. hat is a urethral stricture? stricture What is a is urethral a narrowing stricture? of the urethra, and can occur at any ection of the urethra. There is usually some scar tissue around A stricture is a narrowing of the urethra, and can occur at any he affected section of the part urethra. of the There urethra is usually that some causes scar tissue the narrowing. around the Th ength affected of the part strictures of the urethra can that vary, causes from the less narrowing. than 1cm The or length longer nd of they strictures are generally can vary, more from less common than 1cm in or men longer than and women. they are Th an generally occur at more any common age and in it men is possible than women. to They have can more occur than at anyone age and it is possible to have more than one stricture. tricture. 2 2
3 What causes a urethral stricture? injury or damage to the urethra is the most common cause of strictures. This can result in scar tissue forming at the site of the injury, resulting in a narrowing. For example an injury may occur during medical procedures to look into the bladder via the urethra; radiotherapy treatment may cause damage to the urethra; a fall astride onto the frame of a bike can cause damage a less common cause of urethral strictures is infection. This could include sexually transmitted infections such as gonorrhoea or chlamydia, or infection as a complication of long term use of a catheter to drain the bladder. Infection may cause inflammation in the tissues in and around the urethra which can result in scar tissue being formed at the site of the inflammation in the urethra, causing a stricture. What are the symptoms? The symptoms may be varied but can include the following:- reduced urine flow or straining to pass urine spraying of urine or a double stream dribbling of urine for a while after going to the toilet to pass urine needing to pass urine more often than normal mild pain on passing urine. 3
4 What are the possible complications? more pressure is required from the bladder muscle to squeeze the urine through the stricture, as it acts like a bottle neck incomplete bladder emptying resulting in pooling of urine within the bladder, making you more prone to waterworks infections rarely abscesses (balls of infection) can form above the stricture causing further damage to the urethra and tissues below the bladder cancer of the urethra is an extremely rare complication of a longstanding stricture. What tests are required? flow test You will be asked to pass urine into a special machine where the time it takes to pass urine is measured. The flow rate is much reduced if you have a stricture. Following this you will have a bladder ultrasound scan to check you are emptying your bladder well X-Ray A special x-ray may be required to determine how long the stricture is and how severe it is cystoscopy A look into the urethra by a special thin telescope may be needed to see if there is a stricture present. What is the treatment for urethral strictures? Treatment is usually advised to improve the flow of urine, ease symptoms and to prevent the occurrence of possible complications. A specialist surgeon called a urologist normally advises on the treatment required. The most common treatment options are urethral dilatation (widening of the stricture), or urethrotomy (cutting along the stricture), both of which will be discussed in greater detail. 4
5 Urethral dilatation What is a urethral dilatation? This is the most common form of treatment for a stricture along the waterpipe. This is generally done under a general anaesthetic and involves passing a thin plastic or metal rod into the urethra. Rods of increasing thickness are gently inserted to gradually widen the narrowed stricture. The aim is to stretch the stricture without causing any additional scarring. Once the urethra as been stretched the bladder is usually examined using a telescopic instrument. What are the benefits? It will help relieve a urinary obstruction due to a stricture and improve your urinary flow. Also it will result in complete bladder emptying, hence reducing the risk of urinary tract infections. What are the alternatives? observation by monitoring the patient s flow rate or their symptoms becoming worse an Optical Urethrotomy internal cutting of stricture (described on page 8) urethroplasty open repair of the stricture Possible risks All procedures carry some risks with this type of procedure you can experience:- passing urine more often (frequency) discomfort on passing urine slight blood in the urine urine infection recurrence of the stricture, requiring further procedures or a repeat incision. For this reason you may be taught to self-dilate the 5
6 stricture with a self-lubricated catheter. If the doctor feels that this is a suitable treatment you may be taught how to do this by a urology specialist nurse before/ after leaving hospital. Before the operation you will be asked to attend the Pre-operative clinic you will be advised when to stop eating and drinking before your operation if you are taking anti-coagulants (warfarin, aspirin, clopidogrel or sinthrone) please inform the Pre-op assessment staff you may be asked to sign your consent form after being fully informed about the procedure What happens on your operation day? you will be asked relevant information by the nurse and a doctor you may be seen by an anaesthetist your operation will be explained to you and you will be asked to sign a consent form, if you have not already done this. What happens after your operation? you may require oxygen following your operation your blood pressure, temperature, pulse and respiration rate will be recorded by the nurse you may experience some pain and discomfort after surgery. Pain relief will be provided by the nurses you should be able to eat and drink normally once the anaesthetic has worn off you may have a catheter in for a short time (usually 2-3 days).this is a tube which lies inside your bladder and drains your urine into a bag. 6
7 When you are ready to go home you may go home with a catheter in your bladder. You will be taught how to look after it and arrangements will be made for you to have it removed the nursing staff will make sure that you are passing adequate volumes of urine naturally after the operation. If you have had a catheter in, the doctors will decide when this is to be removed and you will be assessed for passing urine naturally prior to going home after its removal your doctor and nurse will discuss when they are happy for you to go home you may have been asked to stop taking some medication prior to your operation. If so, please ask your hospital doctor about restarting these before you can go home you may be referred to a urology specialist nurse to be taught the procedure of self-dilatation using catheters which will help in preventing the stricture from recurring ideally you need to avoid driving to start with and slowly build up your time and distance over the next few weeks returning to work depends upon the nature of your work. You will need to seek advice from your consultant s team of doctors if you require a sick note to cover your hospital stay, please ask the nurses on the ward appropriate arrangements will be made for your follow up If you are discharged on the day of your operation after having a general anaesthetic you are advised for the next 24 hours: not to return to work not to sign any important documents not to drive as your insurance will be invalid 7
8 you will need to have a responsible adult to look after you; they will also need to accompany you home after your operation. This will be discussed with you at the pre-operative assessment clinic If you are worried or have problems after your discharge, contact your GP or telephone the ward for advice. In an emergency, go to the nearest Accident & Emergency department. Optical urethrotomy What is an optical urethrotomy? An optical urethrotomy is a procedure for the opening up of a stricture (narrowing), which consists of scar tissue in the urethra (water pipe). This is cut internally, using a blade or laser, with the use of a special telescope which is passed down the penis. The operation is usually performed under a general anaesthetic. What are the benefits? It helps to relieve your urinary obstruction and improve your urinary flow. It will also help to improve bladder emptying, hence reducing the risk of urinary tract infection. What are the alternatives? observation by monitoring the patient s flow rate or worsening of symptoms urethral dilatation - widening of the water pipe urethroplasty open repair of the stricture Possible risks All procedures carry some risks with this type of procedure you can experience:- passing urine more often (Frequency) discomfort on passing urine slight blood in the urine 8
9 urine infection recurrence of the stricture, requiring further procedures or a repeat incision. For this reason you may be taught to self-dilate the stricture with a self-lubricated catheter. If the doctor feels that this is a suitable treatment you may be taught how to do this by a urology specialist nurse before/ after leaving hospital. Before the operation you will be asked to attend the Pre-operative clinic you will be advised when to stop eating and drinking before your operation if you are taking anti-coagulants (warfarin, aspirin, clopidogrel or sinthrone) please inform the Pre-op assessment staff you may be asked to sign your consent form after being fully informed about the procedure. What happens on your operation day? you will be asked relevant information by the nurse and a doctor you may be seen by an anaesthetist your operation will be explained to you and you will be asked to sign a consent form, if you have not already done this. What happens after your operation? you may require oxygen following your operation your blood pressure, temperature, pulse and respiration rate will be recorded by the nurse you may experience some pain and discomfort after surgery. Pain relief will be provided by the nurses you should be able to eat and drink normally once the anaesthetic has worn off 9
10 you may have a catheter in for a short time (usually 2-3 days).this is a tube which lies inside your bladder and drains your urine into a bag. When you are ready to go home you may go home with a catheter in your bladder. You will be taught how to look after it and arrangements will be made for you to have it removed the nursing staff will have to make sure that you are passing adequate volumes of urine naturally after the operation. If you have had a catheter in, the doctors will decide when this is to be removed and you will be assessed for passing urine naturally prior to going home after its removal your doctor and nurse will discuss when they are happy for you to go home you may have been asked to stop taking some medication prior to your operation. If so, please ask your hospital doctor about restarting these you may be referred to a urology nurse specialist to be taught the procedure of self-dilatation using catheters, which will help in preventing the stricture from recurring you need to avoid driving for one week you need to avoid heavy lifting for 2 weeks returning to work depends upon the nature of your work. You will need to seek advice from your consultant s team of doctors if you require a sick note to cover your hospital stay, please ask the nurses on the ward. Any further sick notes can be obtained from your GP appropriate arrangements will be made for your follow up 10
11 if you are discharged on the day of your operation after having a general anaesthetic you are advised for the next 24 hours; not to return to work not to sign any important documents not to drive as your insurance will be invalid you will need to have a responsible adult to look after you; they will also need to accompany you home after your operation. This will be discussed with you at the pre-operative assessment clinic If you are worried or have problems after your discharge, contact your GP or telephone the ward for advice. In an emergency, go to the nearest Accident & Emergency department. 11
12 If English is not your frst language and you need help, please contact the Ethnic Health Team on Jeżeli angielski nie jest twoim pierwszym językiem i potrzebujesz pomocy proszę skontaktować się z załogą Ethnic Health pod numerem telefonu For general enquiries please contact the Patient Advice and Liaison Service (PALS) on For enquiries regarding clinic appointments, clinical care and treatment please contact and the Switchboard Operator will put you through to the correct department / service Date of publication: December 2008 Date of review: February 2014 Date of next review: February 2017 Ref: PI_SU_499 The Pennine Acute Hospitals NHS Trust Wood pulp sourced from sustainable forests
Prostate Specific Antigen (PSA) Blood Test
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Prostate Specific Antigen (PSA) Blood Test An information guide Prostate Specific Antigen (PSA) Blood Test Prostate Specific Antigen (PSA)
More informationCommunity Stroke Rehabilitation Team. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Community Stroke Rehabilitation Team An information guide Community Stroke Rehabilitation Team Who are we? The community stroke rehabilitation
More informationGastroenterology Specialist Nurse Service. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Gastroenterology Specialist Nurse Service An information guide Gastroenterology Specialist Nurse Service What is the aim of the service?
More informationVasectomy. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Vasectomy An information guide Vasectomy What is a vasectomy? A vasectomy is the name for the division of Vas Deferens (a tube which transports
More informationMinor oral surgery under local anaesthetic. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Minor oral surgery under local anaesthetic An information guide Minor oral surgery under local anaesthetic Pre-operative advice Please ensure
More informationChildren needing glasses. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Children needing glasses An information guide Children needing glasses The voucher system Children are entitled to an allowance towards
More informationPelvic floor exercises for women. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Pelvic floor exercises for women An information guide Pelvic floor exercises for women Introduction Exercising the pelvic floor muscles
More informationLooking after your urinary catheter at home. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Looking after your urinary catheter at home An information guide Looking after your urinary catheter at home This leaflet is provided for
More informationAmbulance Community Care Plan. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Ambulance Community Care Plan An information guide Ambulance Community Care Plan The Pennine Acute Hospital Trust is working in partnership
More informationThyroid eye disease. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Thyroid eye disease An information guide Thyroid eye disease What is thyroid eye disease? The thyroid gland is located in the neck and produces
More informationTrans Urethral Resection of the Prostate (TURP) Trans Urethral Incision of the Prostate (TUIP) Department of Urology
Trans Urethral Resection of the Prostate (TURP) Trans Urethral Incision of the Prostate (TUIP) Department of Urology Where is the Prostate Gland? The prostate gland sits below the bladder which lies behind
More informationHow to Make a Complaint Easy Read Leaflet. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION How to Make a Complaint Easy Read Leaflet An information guide Make a Complaint How to Make a Complaint Are you unhappy about the way you
More informationWrist Supports. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Wrist Supports An information guide Wrist Supports What is this leaflet about and who is it for? This leaflet is produced for people who
More informationMacmillan Oldham Community Specialist Palliative Care Team. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Macmillan Oldham Community Specialist Palliative Care Team An information guide Macmillan Oldham Community Specialist Palliative Care Team
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationCompliments, Comments, Concerns or Complaints. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Compliments, Comments, Concerns or Complaints An information guide Compliments, Comments, Concerns or Complaints Commitment to quality At
More informationYour Upper GI cancer Multi-Disciplinary Team. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Your Upper GI cancer Multi-Disciplinary Team An information guide Your Upper GI cancer Multi-Disciplinary Team Upper Gastrointestinal (GI)
More informationMRSA Positive. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION MRSA Positive An information guide MRSA Positive What is MRSA? Staphylococcus aureus is a germ often found on the skin and up the nose of
More informationPreparing for your laparoscopic pyeloplasty
Preparing for your laparoscopic pyeloplasty Welcome We look forward to welcoming you to The Royal London Hospital. You have been referred to us for a laparoscopic pyeloplasty, which is an operation using
More informationVitreoretinal surgery and posturing Post-operative advice. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Vitreoretinal surgery and posturing Post-operative advice An information guide Vitreoretinal surgery and posturing Post-operative advice
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationVAGINAL TAPE PROCEDURES FOR THE TREATMENT OF STRESS INCONTINENCE
VAGINAL TAPE PROCEDURES FOR THE TREATMENT OF STRESS INCONTINENCE AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport: 0161 419 5698 Website: w w w. s t o c k p o r t. n h s. u k
More informationSUPRAPUBIC CATHETER INSERTION INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E-mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk INFORMATION
More informationTreating your enlarged prostate gland HoLEP (holmium laser enucleation of the prostate)
Treating your enlarged prostate gland HoLEP (holmium laser enucleation of the prostate) This leaflet is designed to answer any questions you may have about having holmium laser treatment for your enlarged
More informationFemoral Hernia Repair
Femoral Hernia Repair WHAT IS A FEMORAL HERNIA REPAIR? 2 WHAT CAUSES A FEMORAL HERNIA? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
More informationAn operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy Information For Patients 1 What is a prolapse? Prolapse is a bulge or lump
More informationBladder reconstruction (neo-bladder)
Bladder reconstruction (neo-bladder) We have written this leaflet to help you understand about your operation. It is designed to help you answer any questions you may have. The leaflet contains the following
More informationLaparoscopic Nephrectomy
Laparoscopic Nephrectomy Information for Patients This leaflet explains: What is a Nephrectomy?... 2 Why do I need a nephrectomy?... 3 What are the risks and side effects of laparoscopic nephrectomy?...
More informationAn operation for prolapse Colpocleisis
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging
More informationGreenLight laser prostatectomy
Ambulatory Care & Local Networks GreenLight laser prostatectomy Information for day surgery patients This information sheet answers some of the questions you may have about having a GreenLight laser prostatectomy.
More informationURETEROSCOPY (AND TREATMENT OF KIDNEY STONES)
URETEROSCOPY (AND TREATMENT OF KIDNEY STONES) AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport: 0161 419 5698 Website: w w w. s t o c k p o r t. n h s. u k Tameside: 0161 922
More informationTransobturator tape sling Female sling system
Transobturator tape sling Female sling system Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationPatient Information Sheet
TRANSURETHRAL RESECTION OF PROSTATE (TURP) Patient Information Sheet Department of Urology Homerton University Hospital NHS Foundation Trust Homerton Row, London, E9 6SR Reviewed: June 2012 Next date:
More informationTransurethral Resection of Bladder Tumour (T.U.R.B.T)
Transurethral Resection of Bladder Tumour (T.U.R.B.T) Patient Information Introduction This booklet has been written to help you understand the surgery you are about to undergo. It will give you information
More informationInguinal Hernia (Female)
Inguinal Hernia (Female) WHAT IS AN INGUINAL HERNIA? 2 WHAT CAUSES AN INGUINAL HERNIA? 2 WHAT DOES TREATMENT / MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
More informationIntermittent Self Dilatation (ISD) for Men
Welcome to Fittleworth Intermittent Self Dilatation (ISD) for Men Simply... a secure home delivery service Freephone Freephone National: National: 0800 378 0800 846 378 846 Freephone Freephone Scotland:
More informationHaving a tension-free vaginal tape (TVT) operation for stress urinary incontinence
Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and
More informationInformation for men considering a male sling procedure
Information for men considering a male sling procedure Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationPeriurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
More informationWhat should I expect before the procedure?
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationAMPUTATION OF THE PENIS (PARTIAL OR COMPLETE) FOR CANCER INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E-mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk AMPUTATION
More informationInformation for Patients
Notes Information for Patients Sling procedure for urinary stress incontinence Aysha Qureshi Version 1, June 2010 Review date June 2013 Date of publication: June 2010 Ref: RUH GYN/002 Royal United Hospital
More informationTreatment for bladder tumours - transurethral resection of a bladder tumour (TURBT)
Treatment for bladder tumours - transurethral resection of a bladder tumour (TURBT) You have had a cystoscopy or other examination that has shown that you have an abnormal area (tumour) in your bladder.
More informationGreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH)
GreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH) To learn about this procedure it helps to know these words: The prostate is the sexual gland that makes a fluid which helps sperm
More informationTRANSURETHRAL RESECTION OF A BLADDER TUMOUR (TURBT) PATIENT INFORMATION
TRANSURETHRAL RESECTION OF A BLADDER TUMOUR (TURBT) PATIENT INFORMATION ADHB Urology Department; Reviewed FEB 2005 Ubix code UPEB18 1 The information contained in this booklet is intended to assist you
More informationThe Children s Hospital Treatment for Hypospadias Information for parents
The Children s Hospital Treatment for Hypospadias Information for parents What is hypospadias and what is the cause? Hypospadias is a congenital (since birth) abnormality of a boy s penis. Hypospadias
More informationHaving a urinary catheter information for men
Having a urinary catheter information for men This leaflet explains what a catheter is, why you need it and how you should look after it. If you have any further questions, please contact your district
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as
More informationVaricose Veins Operation. Patient information Leaflet
Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the
More informationFemoral artery bypass graft (Including femoral crossover graft)
Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to
More informationExcision of Vaginal Mesh
What is excision of vaginal mesh? This procedure is done to remove mesh from the vagina. When is this surgery used? If mesh has eroded into the vagina, bladder, urethra, or bowel If there is pain associated
More informationAcute pelvic inflammatory disease: tests and treatment
Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory
More informationGuy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Maintenance BCG for nonmuscle invasive bladder cancer
Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Maintenance BCG for nonmuscle invasive bladder cancer This information sheet has been given to you to explain the use of maintenance
More informationHaving a circumcision information for men
Having a circumcision information for men This leaflet aims to answer your questions about having a circumcision. It explains the benefits, risks and alternatives, as well as what you can expect when you
More informationVesico-Vaginal Fistula
Saint Mary s Hospital The Warrell Unit Vesico-Vaginal Fistula Information For Patients Contents Page What is a vesico-vaginal fistula? 3 How does a fistula develop? 3 What tests will I need? 3 How can
More informationAn operation for prolapse Laparoscopic Sacrohysteropexy
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Laparoscopic Sacrohysteropexy Information for Patients What is a prolapse? Uterine prolapse is a bulge or lump in the vagina
More informationLearning Resource Guide. Understanding Incontinence. 2000 Prism Innovations, Inc. All Rights Reserved
Learning Resource Guide Understanding Incontinence 2000 Prism Innovations, Inc. All Rights Reserved ElderCare Online s Learning Resource Guide Understanding Incontinence Table of Contents Introduction
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationArthroscopic subacromial decompression and rotator cuff repair
Further sources of information http://www.patient.co.uk/showdoc/553/ http://www.shoulderdoc.co.uk/article.asp?section=11 http://www.medic8.com/healthguide/articles/painfulshoulder.html http://www.cks.nhs.uk/patientinformationleaflet/shoulderpainarc/st
More informationVaginal Repair- with Mesh A. Interpreter / cultural needs B. Condition and treatment C. Risks of a vaginal repair- with mesh
The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v2.00-03/2011 SW9226 Facility: A. Interpreter
More informationBotox treatment for an overactive bladder in women. Information for patients Gynaecology
Botox treatment for an overactive bladder in women Information for patients Gynaecology What is bladder overactivity (OAB)? Bladder overactivity is a common condition, affecting around one in five people.
More informationUCLH. Transurethral resection of bladder tumour (TURBT) Urology Directorate
UCLH Transurethral resection of bladder tumour (TURBT) Urology Directorate 2 3 If you require a large print, audio or translated version of this leaflet, please contact us on 0845 155 5000 ext 79280. We
More informationUniversity College Hospital at Westmoreland Street. Lithotripsy. Urology Directorate
University College Hospital at Westmoreland Street Lithotripsy Urology Directorate 2 3 If you require a large print, audio or translated version of this leaflet, please contact us on 020 3447 9179. We
More informationHaving a trans-urethral resection of the prostate (TURP)
Having a trans-urethral resection of the prostate (TURP) This leaflet gives you information about having a trans-urethral resection of your prostate (TURP), which is an operation to treat an enlarged prostate
More informationSELF-CATHETERISATION A Guide for Male Patients PATIENT EDUCATION
SELF-CATHETERISATION A Guide for Male Patients PATIENT EDUCATION ADHB Urology Department; Reviewed JULY 2005 Ubix code NPEB2 1 This booklet has been designed to help you learn how to perform self-catheterisation.
More informationHave a shower, rather than a bath to avoid exposing your genitals to the chemicals in your cleaning products for too long. Always empty your bladder
Cystitis, Avenue Medical Practice Neat Guideline Introduction Cystitis means 'inflammation of the bladder'. It causes: an urgent and frequent need to urinate, and Pain, or stinging, when passing urine.
More informationTotal Abdominal Hysterectomy
What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.
More informationREPAIR OF A URINARY VAGINAL FISTULA
Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of
More informationDacryocystorhinostomy (DCR)
Patient information Adnexal Dacryocystorhinostomy (DCR) Patient information about an operation to form a new tear drain between the eye and the nose when there has been a blockage What is dacryocystorhinostomy
More informationA Patient s Guide to TURP Your Prostate Operation
A Patient s Guide to TURP Your Prostate Operation Mr John Davies BSc FRCS(Urol) Mr Christopher Eden MS FRCS(Urol) Mr Simon Bott FRCS Professor Stephen Langley MS FRCS(Urol) Prostate Cancer Centre, Guildford
More informationPatient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5
Patient Information for Lumbar Spinal Fusion What is a lumbar spinal fusion? You have been offered surgery to the lumbar region of your spine, your lower back. The operation is called a lumbar spinal fusion.
More information150640_Brochure_B 4/12/07 2:58 PM Page 2. Patient Information. Freedom From an Enlarged Prostate
150640_Brochure_B 4/12/07 2:58 PM Page 2 Patient Information Freedom From an Enlarged Prostate 150640_Brochure_B 4/12/07 2:58 PM Page 3 GreenLight Laser Therapy 1 150640_Brochure_B 4/12/07 2:58 PM Page
More informationLaparoscopic Hysterectomy
Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering
More informationTotal Vaginal Hysterectomy with an Anterior and Posterior Repair
Total Vaginal Hysterectomy with an Anterior and Posterior Repair What is a total vaginal hysterectomy with an anterior and posterior repair? Total vaginal hysterectomy is the removal of the uterus and
More informationVAGINAL MESH FAQ. How do you decide who should get mesh as part of their repair?
VAGINAL MESH FAQ How do you decide who should get mesh as part of their repair? Each patient with pelvic organ prolapse (POP) is considered individually. In younger women, women with an uncomplicated prolapse
More informationWomen s Health. The TVT procedure. Information for patients
Women s Health The TVT procedure Information for patients What is a TVT procedure? A TVT (Tension-free Vaginal Tape) procedure is an operation to help women with stress incontinence the leakage of urine
More informationSurgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place.
What is an abdominal myomectomy? Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. When is this surgery used? Treatment
More informationThe main surgical options for treating early stage cervical cancer are:
INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet
More informationThe Child Development Centre
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION The Child Development Centre An information guide The print quality of this copy is not an accurate representation of the original. The
More informationIndwelling urinary catheter. Information for patients and carers. RDaSH. Doncaster Community Integrated Services
Indwelling urinary catheter Information for patients and carers RDaSH Doncaster Community Integrated Services What is a catheter? A catheter is a hollow flexible tube designed to drain urine from the bladder.
More informationHeadache after an epidural or spinal injection What you need to know. Patient information Leaflet
Headache after an epidural or spinal injection What you need to know Patient information Leaflet April 2015 We have produced this leaflet to give you general information about the headache that may develop
More informationMacroplastique injection for stress urinary incontinence
Macroplastique injection for stress urinary incontinence Information for patients This information sheet answers some of the questions you may have about having a Macroplastique injection. It explains
More informationAtrioventricular (AV) node ablation
Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationInfection Prevention & Control Team. Your urinary catheter & how to care for it 0151 430 2452 / 0151 430 1384. Patient Information Leaflet
Contact details Infection prevention team - 0151 430 2452 This leaflet can be made available in alternative languages/formats on request. Infection Prevention & Control Team 0151 430 2452 / 0151 430 1384
More informationUniversity College Hospital at Westmoreland Street. Mid urethral tension-free vaginal tape procedures
University College Hospital at Westmoreland Street Mid urethral tension-free vaginal tape procedures Urology Directorate for women 2 3 If you would like this document in another language or format, or
More informationSurgery for Stress Incontinence
Directorate of Women s Services Surgery for Stress Incontinence Tension Free Vaginal Tape Information for Patients Direct dial number Ward 40 0191 282 5640 Stress Incontinence Stress incontinence is a
More informationPatient Information:
Patient Information: Care of an indwelling Urinary Catheter What is a Urinary Catheter? A catheter is a hollow, flexible tube designed to drain urine from the bladder. Following insertion into the bladder,
More informationTotal Vaginal Hysterectomy
What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Removal of the ovaries and tubes depends on the patient. Why is this surgery used? To treat disease of
More informationEpigastric Hernia Repair
Epigastric Hernia Repair WHAT IS EPIGASTRIC HERNIA REPAIR? 2 WHAT CAUSES IT? 2 WHAT DOES TREATMENT/MANAGEMENT INVOLVE? 2 WHAT WOULD HAPPEN IF THE HERNIA WAS NOT TREATED? 3 EPIGASTRIC HERNIA REPAIR 3 WHAT
More informationonline version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help
When to call for help This will depend on the individual situation, but usually help should be sought if any of the following occurs: 1. The catheter does not start to drain, despite trying the problem
More informationContents. Overview. Removing the womb (hysterectomy) Overview
This information is an extract from the booklet Understanding womb (endometrial) cancer. You may find the full booklet helpful. We can send you a free copy see page 9. Overview Contents Overview Removing
More informationSpigelian Hernia Repair
Spigelian Hernia Repair WHAT IS A SPIGELIAN HERNIA? 2 WHAT CAUSES IT? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 2 WHAT WOULD HAPPEN IF THE HERNIA WAS NOT TREATED? 2 SPIGELIAN HERNIA REPAIR 3 WHAT ARE
More informationRecto-vaginal Fistula Repair
What is a recto-vaginal fistula repair? Rectovaginal fistula repair is a procedure in which the healthy tissue between the rectum and vagina is closed in multiple tissue layers. An incision is made either
More informationDo nothing Pelvic floor exercises (PFE Devices Urethral bulking agents
Stress incontinence is the leakage of urine usually caused by an increase in pressure in the abdomen (tummy) e.g. from coughing, sneezing or bending and is due to a weakness in the urethra (urine pipe),
More informationPalm Beach Obstetrics & Gynecology, PA
Palm Beach Obstetrics & Gynecology, PA 4671 S. Congress Avenue, Lake Worth, FL 33461 561.434.0111 4631 N. Congress Avenue, Suite 102, West Palm Beach, FL 33407 Urinary Tract Infection About one of every
More informationAn operation for stress incontinence Tension-free Vaginal Tape (TVT)
Saint Mary s Hospital The Warrell Unit An operation for stress incontinence Tension-free Vaginal Tape (TVT) Information for Patients 1 Stress Incontinence Stress incontinence is a leakage of urine occurring
More informationSYNTHETIC VAGINAL TAPES FOR STRESS INCONTINENCE INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E-mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk SYNTHETIC
More informationUniversity College Hospital. Prostate high dose rate (HDR) brachytherapy. Radiotherapy Department Patient information series
University College Hospital Prostate high dose rate (HDR) brachytherapy Radiotherapy Department Patient information series 18 2 If you need a large print, audio or translated copy of the document, please
More informationGuide to Abdominal or Gastroenterological Surgery Claims
What are the steps towards abdominal surgery? Investigation and Diagnosis It is very important that all necessary tests are undertaken to investigate the patient s symptoms appropriately and an accurate
More informationHaving a kidney biopsy
Having a kidney biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction
More information