Our Services

Mr.Pillai offers a complete diagnostic and treatment service for most urological conditions in men and women.

Urological cancers

These include cancer of the prostate, bladder, kidney, penis and testis.
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BPH (Benign prostatic hypertrophy)

Benign prostatic hypertrophy(BPH) is benign enlargement of the prostate gland.

BPH is benign enlargement of the prostate gland. The prostate gland is a walnut shaped gland lying just below the male urinary bladder (picture). The water pipe (male urethra) traverses through the prostate and can get squeezed with prostate enlargement causing symptoms of BPH. These are poor urinary flow, weak urinary stream, hesitancy, dribbling, urinary frequency, urinary urgency and occasionally urinary incontinence. Patients experiencing these symptoms should consult a urologist for assessment of their symptoms and examination of the prostate. They might need further tests based on their initial assessment and these include urinary flow rate study, PSA, Ultrasound scan of kidneys, cystoscopy or bladder pressure studies

Urinary tract infections

Approximately 150 million people develop urinary tract infection each year

They are more common in women than men. They are the most common cause of bacterial infection in women, frequently occurring in younger women between 16 to 35 years. The causes are mutlifactorial in men such as prostate enlargement, urinary stones, congenital anomalies of urinary tract, narrowing of water pipe (urethral stricture), prostate infections (prostatitis), diabetes mellitus etc. In women, recurrent urinary tract infections are not uncommon without any predisposing cause, especially in post menopausal women. However they do need investigating to rule out a predisposing factors such as stones , poor bladder emptying or very rarely urinary malignancy. Often these patients need basic diagnostic tests such as cystoscopy and imaging of the kidneys.

Urinary stones

Urinary stone can affect 1 to 20% of the population and Stone incidence depends on geographical, climatic, ethnic, dietary and genetic factors.

They are commonly seen in kidneys, ureters, urinary bladder and uncommonly within prostate and urethra (water pipe). More common in men than women. Commonest symptom is pain which can often be excruciating, often considered worse than labour pains. Diagnostic tests include blood, urine investigations as well as imaging such as plain x-ray, ultrasound and CT scan. Treatment will depend on the stone size, stone location, patients symptoms, signs of urinary infection and kidney function. These include conservative or medical treatment, shock wave treatment, endoscopic/laser treatment and minimally invasive surgery.

Urinary bleeding

Urinary bleeding can sometimes be a sign of a serious underlying urological condition.

This can be presence of frank urinary bleeding or microscopic bleeding diagnosed with urinary dipstick testing. Often they need urgent referral to a urologist for a complete evaluation including a wide array of blood, urine and radio-logical investigations. Some of the common causes of urinary bleeding are urological cancers, urinary tract infection, urinary stones, medical kidney diseases etc.

Andrology

Relates to men’s health and usually involves conditions related to male reproductive system or urological conditions in men.

This relates to men’s health and usually involves conditions related to male reproductive system or urological conditions in men. These include premature ejaculation, impotency, foreskin problems, penile disorders, prostate problems, testis related disorders, infertility and scrotal diseases.

Infertility

Inability to conceive and can be secondary to male or female causes or combination of both.

50% of infertility cases are secondary to male causes. These often need a thorough evaluation by a urologist including a battery of tests such as male hormonal assay, karyotyping, semen analysis, ultrasound scans and testicular biopsies.

Prostatectomy

Involves partial or complete removal of the prostate gland.

Prostatectomy is the surgical removal of prostate gland. This can be partial or incomplete removal using a minimally invasive endoscopic technique such as TURP (usually done for benign prostatic enlargement). Complete removal of the prostate gland or radical prostatectomy is usually done for prostate cancer as a curative treatment. Mr. Pillai is the lead pelvic cancer surgeon for the mid Essex population and runs specialist cancer clinics at Colchester General Hospital, Broomfield hospital, Oaks hospital and Baddow hospital. He performs most of these operations laparoscopically and currently does 50-60 operations approximately every year.

Cystectomy

Is surgical removal of the male or female urinary bladder, usually for invasive cancer.

It involves removal of bladder, prostate, urethra and lymph nodes in men. In females, it involves removal of bladder, urethra, cuff of vagina, uterus, ovaries, fallopian tubes and lymph nodes. Mr. Pillai is currently the only surgeon in Essex who offers a minimally invasive or laparoscopic procedure for this condition. Laparosopic surgery has the advantage of faster recovery, minimal pain, less blood loss and early return to work.

Nephrectomy

Is surgical removal of part or complete kidney.

Nephrectomy is removal of the kidney usually for cancer but sometimes can be done for poorly functioning or dead kidneys. They can be partial removal of the kidney with tumour (partial nephrectomy) or complete removal (total nephrectomy). Mr. Pillai currently offers both open and laparoscopic procedure for these conditions.