Suffolk Urology

Typical Conditions

Cystitis

“Cystitis” means inflammation or irritation of the bladder and causes symptoms like needing to go too frequently, tummy pain and burning urine.

Treatment options

It can often be managed satisfactorily by increasing your fluid intake and taking treatments available from the chemist, or is otherwise usually cured by a short course of antibiotics. A few people go on to develop troublesome recurrent urine infections which will require more tests and a number of different types of treatment to bring them under control.

Interstitial Cystitis (IC) / Bladdar Pain Syndrome

IC often called Bladdar Pain Syndrome is characterised by symptoms including urinary urgency and frequency and, especially, lower abdominal discomfort when the bladder is full, with some relief of pain on passing urine. The cause of IC is not fully understood but contributory factors may include dietary triggers, problems with the normal lining of the bladder, changes in nerves within the bladder and abnormal function of the immune system.

Treatment options

In some people the symptoms are quite minor, in others they are much more severe and debilitating, and in others they can fluctuate between extremes. There are many effective treatments available, ranging from lifestyle and dietary advice, to medications (some taken by mouth and some put into the bladder), to bladder Botox injections. Occasionally, more invasive treatments and operations are required.

It is important for these symptoms to be assessed and addressed early on. People often respond differently to the various treatments so it is important for management to be individualised.

Overactive bladder

Overactive bladder symptoms include the sudden urge to pass urine, going too often, urinary leakage after a sudden urge and getting up frequently at night to go to the toilet.

This is a very common condition which can have a significant impact on day-to-day activities, work and quality of life. There are a variety of effective treatment options for this including bladder retraining, drug treatment and bladder Botox injections. More invasive surgical treatment is now rarely required.

Bladder Botox injections

The detrusor is a layer of muscle wrapped around the bladder which contracts to empty the bladder when you pass urine. Overactive bladder symptoms are often caused by overactivity of this muscle (“detrusor overactivity” – DO). DO is sometimes caused by neurological problems but more often no cause is identified. Bladder Botox injections treat DO by partially paralysing the detrusor muscle and by interfering with the sensitivity of the bladder.

This treatment can also be helpful in Bladder Pain Syndrome. Bladder Botox injections can be given under general or local anaesthetic. A cystoscope (a fine telescope) is introduced down the water pipe into the bladder and dilute Botox is carefully injected into 20 areas spread throughout the bladder. The treatment drastically decreases urinary urgency, frequency and leakage but gradually wears off so repeat treatments are required every 12 months or so. Many people find repeat treatments under local anaesthetic more convenient.

Stress incontinence

This is leakage of urine on coughing, laughing or physical activity. It is due to weakness of the tissues supporting the base of the bladder.

Treatment options

It can usually be improved with treatment from a specialist physiotherapist. Some people require surgery, though, and there are several options here. Most patients’ symptoms are improved significantly by these procedures but it is important that the operation is performed a surgeon who has undergone specific training and has established experience in this area. Mr Yardy is a member of the United Kingdom Continence Society and has been performing surgery for incontinence since 2008.

Urethral bulking agents such as Bulkamid

This is a less invasive treatment for female stress urinary incontinence. It involves injections of polyacrylamide gel into the bladder neck to decrease leakage. This treatment is particularly appropriate for women who would prefer to avoid surgery with artificial mesh / tape, or who wish to consider future vaginal childbirth.

TESTIMONIALS

I was very satisfied with all aspects of the care I received from Mr Yardy and particularly appreciated his intervention on my behalf to secure a single room at the Ipswich Hospital in view of my being a covid 19 'high risk patient' . I was also grateful that he liaised with my Haematology consultant regarding my regular medication prior to and after surgery.

Calm clear and friendly advice. Yes the procedure was not great but I was ready for it! The important thing is that I am now back to my old self and I am very grateful.

He took great care in explaining both the the situation and the options in a positive way.

Absolutely no pressure to undertake surgery or be rushed to have it done immediately.Once a plan was agreed it all happened very efficiently.

At all times he made himself availably if further information or consultation was need.

Excellent service from initial consultation through to surgery and follow up consultation. Correspondence from Wendy Gudgin (Secretary) was also excellent and very efficient.

I was very satisfied with all aspects of the care I received from Mr Yardy and particularly appreciated his intervention on my behalf to secure a single room at the Ipswich Hospital in view of my being a covid 19 'high risk patient' . I was also grateful that he liaised with my Haematology consultant regarding my regular medication prior to and after surgery.

The proceedure was carried out on my Grandson who needed to be circumcised due to medical reasons. He was treated with great understanding [George is 12] and information on the operation was explained in a clear manner. George had every confidence that this was going to be a safe and necessary.

Utterly professional and exudes confidence. As a patient he comes across as a safe and experienced pair of hands which is most reassuring.

Mr Yardy clearly explained the procedure before my operation and answered all my questions afterwards.

Explanation of possible causes of the problem was so in-depth and expertly explained and extremely reassuring.

Mr Yardy has monitored my prostate ever since an enlargement was identified 3 years ago. His approach to analysis of data is extremely thorough and his explanations are clear and concise providing sufficient detail for a layman to understand the diagnosis.

I have a further MRI scan which I hope will provide the 'all clear' but nevertheless it is my intention to continue to have regular examinations by Mr Yardy as this will give me peace of mind.

Very professional with an empathetic approach. Always willing to take the time to explain in details such things as options and possible outcomes. I would have no problem in recommending his services.

Mr Yardy and his colleague did a great job of putting me at ease before the start of the procedure. He indicated what the experience would be like in realistic terms but not such as would cause anxiety. The start of the procedure was as described. The view from the cystoscope on screen was mesmerising. Mr Yardy gave a commentary as he proceeded which was most helpful. There were a few twinges of discomfort but nothing severe. After the procedure we had a full and very helpful discussion about options and homed in on what I think is the best course of action for me. This was my second visit to the urology assessment suite (first for cytoscopy) and I have found all the staff very friendly and helpful.

Mr Yardy is kind and considerate and explains things so that I can understand. It cannot be easy talking to an elderley lady (that's me!) about the problems I present with! I was made to feel valid rather than a bit of a nuisance!

Mr Yardy was an amazing consultant who asked every detailed until he got to the bottom of my problem. With his amazing knowledge he has made made me better and i’m very great full he was my consultant.

I found Mr Yardy to be very professional and able to explain and reassure me with the problems that I presented him with.

Fantastic doctor who i trust.

My son was welcomed by two very confident happy and professional Drs..they made him feel very comfortable and at ease for a very private matter for a nearly 15 yr old. He felt at ease and was explained at every point of consultation what was happening especially his examination.

I found Mr Yardy a very pleasant man who was able to explain very clearly to me the different stages of the procedure I was considering to have done.

I found Mr Yardy to be an excellent Consultant. His manner was calming and reassuring. He was very good at explaining the procedure I was having and the outcome.

Overall my Rezum treatment has been very successful with a huge improvement in the symptoms previously experienced.

I would not hesitate to recommend Mr Yardy and his support team for the consultation and procedure that i undertook.

Mr Yardy was recommended by my oncologist following my diagnosis with advanced prostrate cancer. He handled our appointment with sensitivity and a clear picture of how we would proceed with the investigation. It was a very calming and assuring appointment after the shock diagnosis.His secretary was most helpful in keeping the process and appointments on time.

I am very satisfied with the treatment a received from George Y his explanation of what my options were on my consultation and with what will happen when i went for the TURP surgery was all very clear and easily understood.

I had been in real prostrate trouble for some time and had the prospect of a very long wait and much uncertainty in resolving this. Mr Yardy gave me very clear information extremely helpful advice and the attention and time to discuss my concerns fully. When I went into surgery I felt well prepared for the procedure and confident in getting the best care. Not only has the procedure proved very successful but throughout I felt Mr Yardy gave me his full personal attention both during the process and in the post-op recuperation and follow-up. I am truly grateful for the professional service I received and the individual care and attention offered to me as an individual.

Mr Yardy has been honest understanding and approachable. He has emphasized his willingness to be contatcted if I have felt uncertainty. I am very grateful for his understanding.

I found Mr Yardy very approachable and knowledgeable. He explained things in a way I could understand. He even managed to make me smile during a not very comfortable (but not painful) procedure. A very gentle man.

Very pleased from my first appointment to my last one with Mr Yardy. He listened to me was genuinely interested in my health and made me feel at ease throughout my consultations. As a result of Mr Yardy's advice care and treatment I am now back to full health. Thank you.

I have always found Mr Yardy to be friendly polite and very knowledge in all aspects of my experience with him.

Very good at explaining to both adults and my son (11) what would be happening and possible outcomes etc. This made the whole experience a very calm and productive one. Surgery was an excellent experience for hearing and the final result. All in all excellent.

Mr Yardy was both friendly and professional at all times. The only problem was in the level of pain experienced with the procedure which far greater than I had expected but that was probably due to my condition.

A delightful person. His manner was reassuring and so gentle. I did not feel that I was wasting his time.

"I had a telephone conference with Mr Yardy due to the Corona Virus. He came up with a clear treatment plan which he implemented with a clear and concise letter sent to relevant individuals a copy of which was sent to me.

Very easy relationship providing great reassurance when having concern initially. Appropriate checks swiftly arranged and followed up. Great confidence in his knowledge and ability during continuing monitoring. Discussions conducted in easily understood form and questions fully answered. Very appreciative of care given.

Excellent intermittent catheter (which proved to be excellent advice) and to explain steaming.


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