4. Professor Francis Chinegwundoh MBE

Professor Francis Chinegwundoh MBE

Consultant Urological Surgeon

VISIT WEBSITE

Treatments provided by Professor Francis Chinegwundoh MBE

Initial consultation fee: £300

Follow-up consultation fee: £300

Video consultation fee: £300

Second optional meeting: £300

Professor Chinegwundoh offers specialist treatments for a range of health conditions in urology and andrology. He also performs specialist prostate examinations.

Conditions treated include:

  • Benign prostatic enlargement
  • Bladder cancer
  • Erectile problems
  • Haematuria
  • Kidney stones
  • Penile injury
  • Peyronie's disease
  • Priapism
  • Prostate cancer
  • Stone disease
  • Testicular cancer
  • Torsion of the testis
  • Urethral stricture
  • Urinary tract infection
  • Urological cancer
  • Varicocele

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
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.
This procedure involves hiring shockwaves through the skin to break kidney stones into small enough fragments so that they can be passed naturally. The procedure is performed under X-Ray or ultrasound guidance.
A hydrocele is a pocket of fluid that colects around the testicles. This procedure is performed under general anesthesia. The fluid is drained from the hydrocele and the sac repaired to prevent the fluid collecting there again. Absorbable stitches are used and the procedure normally only takes about 30 minutes.
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.
Surgery is performed when a male has sudden pain in the scrotum and testicular torsion cannot be ruled out. The pain is very commonly associated with nausea, and the testicle may lie in the scrotum in a higher and horizontal position with or without swelling of the scrotum. If a twisted testicle is found when the scrotum is opened, the problem will be repaired and the testicle anchored or removed.
Orchidopexy is a procedure in which a surgeon fastens an undescended testicle inside the scrotum, usually with absorbable sutures. It is done most often in male infants or very young children to correct cryptorchidism, which is the medical term for undescended testicles. Orchiopexy is also occasionally performed in adolescents or adults, and may involve one or both testicles. In adults, orchiopexy is most often done to treat testicular torsion, which is a urologic emergency resulting from the testicle's twisting around the spermatic cord and losing its blood supply. It is normally carried out as day patient.
Ureterolithotomy refers to the open or laparoscopic surgical removal of a stone from the ureter. Within the last decade, ureterolithotomy has become very rarely performed because of the advent of minimally invasive procedures for stone removal and fragmentation. Ureteroscopically, stone removal is performed via basket extraction under direct vision, while stone fragmentation is achieved with electrohydraulic lithotripsy (EHL), pneumatic contact lithotripsy (lithoclast), and pulsed dye and holmium laser lithotripsy.
A technique used to treat kidney stones in the urethra, Ureteroscopy inserts a long, rigid telescope into the upper urinary tract. The stone is then located by the surgeon and fractured by direct application of a laser, and removed. The surgery is performed under general anaesthetic, but takes just an hour and without serious side effects in the majority of cases.
Ureteroscopy is an examination of the upper urinary tract, usually performed with an endoscope that is passed through the urethra, bladder, and then directly into the ureter. The procedure is useful in the diagnosis and the treatment of disorders such as kidney stones. The examination may be performed with either a flexible or a rigid fiberoptic device while the patient is under a general anesthetic. The patient is usually free to go home after the examination
Urodynamic studies assess the function of the bladder and urethra, they are used to diagnose problems with the lower urinary tract.
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.
A vasectomy reversal operation involves the rejoining of the vas deferens, the tube which carries sperm from the testes to the penis, and which will have been cut in the original vasectomy operation. This operation is known as a vasovasostomy. In more difficult cases, a vasoepididymostomy may be carried out, where the vas deferens is connected to the epididymis. The success rate for pregnancy after vasectomy reversal depends to some extent on how long it has been since the vasectomy has been performed.