Treatments provided by Jeremy Ockrim

Mr Ockrim provides a wide variety of modern urology treatments to private patients across London. His initial consultation fee ranges from £280 to £350 depending on the patients requirements. Follow-up consultations are £200 to £250.

Treatments, operations and tests

Cystoscopy is endoscopy of the urinary bladder via the urethra. It is carried out with a cystoscope.The urethra is the tube that carries urine from the bladder to the outside of the body. The cystoscope has lenses like a telescope or microscope. These lenses let the doctor focus on the inner surfaces of the urinary tract. Some cystoscopes use optical fibres (flexible glass fibres) that carry an image from the tip of the instrument to a viewing piece at the other end. Cystoscopes range from between the thickness of a pencil, up to approximately 9mm and have a light at the tip.
Urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests help your doctor or nurse see how well your bladder and sphincter muscles work and can help explain symptoms such as * incontinence * frequent urination * sudden, strong urges to urinate * problems starting a urine stream * painful urination * problems emptying your bladder completely * recurrent urinary tract infections These tests may be as simple as urinating behind a curtain while a doctor or nurse listens or more complicated.
Used to treat non-muscle-invasive bladder cancer, transurethral resection of a bladder tumour is a surgical procedure used to remove tumours from the lining of the bladder. This surgery is performed under a general anaesthetic, a cystoscope is used to locate tumours, cut them away from the lining and cauterise the excision with a mild electrical current.
Circumcision is an operation to remove the foreskin that normally covers the glans (head) of the penis. Circumcision is primarily carried out for cultural or religious reasons. Medical grounds for circumcision may include a reduced risk of urinary tract infection, a reduced risk of penile cancer, a reduced risk of cervical cancer in partners and a reduced risk of sexually transmitted disease
Circumcision is an operation to remove the foreskin that normally covers the glans (head) of the penis. Circumcision is primarily carried out for cultural or religious reasons. Medical grounds for circumcision may include a reduced risk of urinary tract infection, a reduced risk of penile cancer, a reduced risk of cervical cancer in partners and a reduced risk of sexually transmitted disease
The surgical removal of all or part of the urinary bladder, or under some circumstances a cyst or the gallbladder. This procedure is generally performed as a response to bladder cancer.
Epididymal cyst removal Epididymal cyst removal (spermatocele) is a procedure to remove cysts (fluid-filled sacs under the skin) from the testicular region. An alternative to the surgery is to drain the fluid with a needle; however, the fluid usually refills the cyst after a month or two.The surgeon makes an incision in the area, removes the cyst, and sutures the opening shut. Although they are typically benign, the surgeon might have the cyst and fluid examined. Epididymal cyst removal is fairly quick, and most patients are able to go home after a few hours of recovery in the hospital.
Transurethral Resection of the Prostate is a procedure to alleviate a enlarged prostate gland. An endoscope is inserted into the urethra to localise the blockage, a resectoscope is used to cut out the centre of the enlarged prostate, and finally a catheter is used to drain the bladder. The procedure will take about one hour and is usually performed as a outpatient procedure.
Prostatectomy is the surgical removal of all or part of the prostate gland. This operation can be performed for a variety of reasons, but often as a response to urinary retention or certain cancers, and the amount removed can be from trivial quantities of tissue to total/radical excision. A number of different surgical techniques, such as open or robotic-assisted surgery are possible, depending on the needs of the surgery.
Varicocelectomy, the surgical correction of a varicocele, is performed on an outpatient basis. The three most common approaches are inguinal (groin), retroperitoneal (abdominal), and infrainguinal/subinguinal (below the groin). Various other techniques may be used such as Radiological embolisation.
A vasectomy (male sterilisation) operation involves the cutting or sealing of the vas deferens which carries sperm from the testes to the penis. After a vasectomy procedure the semen which is produced at ejaculation is normal but does not contain any sperm. Sterilisation by vasectomy is a minor surgical procedure which can be carried out under a local anaesthetic, and takes about 10 minutes to perform.