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Monday 21 May 2012
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Urology Services

About the Service:

Urology Centre at Broomfield Hospital

 

Urology is a surgical speciality, covering the diagnosis and treatment of disorders of the kidneys, ureters, bladder, prostate and reproductive organs.

 

This page provides information contact information for patients and healthcare professionals, and also about activity within the department of urology.

 

Some of the sub-specialties we offer are: 

 

  • Stone disease

  • Kidney cancer

  • Robotic surgery

  • Laser surgery

  • Bladder cancer

  • Prostate cancer and PSA testing

  • Incontinence including Botulinum Toxin treatment and sling surgery

  • Prostate disease

  • Erectile dysfunction

  • Andrology

 

Referrals

 

Referrals are accepted from GPs and other hospital consultants. Our local catchment area is from Mid Essex, but we also accept tertiary referrals for some of the sub-specialist services we provide.


Please Click Here for Urology Patient Information Leaflets


 

About our Staff

 

Our unit is staffed by a large team of doctors, nurses, therapists and support staff. You are likely to meet many of these throughout your encounter with our department.

 

There are four consultant urological surgeons in our department.

 

Consultant Urological Surgeons

 

Mr Giulio Garaffa 

 

Secretary: Madelyn Cox
Tel:  01245 514021
Email: madelyn.cox@meht.nhs.uk

 

Mr Bill McAllister

 

Secretary: Julia Dover
Tel: 01245 514096
Email: Julia.dover@meht.nhs.uk

 

Mr Martin Nuttall

 

Secretary: Madelyn Cox
Tel:  01245 514021
Email: madelyn.cox@meht.nhs.uk

 

Mr Ranjan Thilagarajah - Clinical Lead

 

Secretary: Tudor Davis
Tel: 01245 514637
Email: tudor.davis@meht.nhs.uk

 

Other Medical Staff - Urology Specialists

 

Neeta Huddy - Associate Specialist
Rebecca Dale - Specialist Registrar North Thames Training Rotation
James Henderson - Staff Grade Registrar
Muhammed Farjad - Staff Grade Registrar

 

Clinical Nurse Specialists

 

Jo Cook - Lead Nurse for Urology
Amanda Hammond - Clinical Nurse Specialist
Lorraine Simpson - Urology Nurse Practitioner
Chris Stubbings - Uro-Oncology Nurse Specialist
Claire Turner - Uro-Oncology Nurse Specialist

 

Other Consultant Specialists

 

We rely on colleagues in other specialties, particularly Radiology, Pathology and Anaesthetics and we are fortunate that in each of these areas we work closely with Consultants who have dedicated interests in Urological Disease.

 

Urology Centre - Location of the Service and Contact Details

 

About the Department

 

Our department in based in our new Urology Centre in the South Wing of Broomfield Hospital.  Most of our out-patient consultations and diagnostic tests take place here.  We have found huge benefits in the co-location of our out-patient consulting rooms, diagnostic rooms and offices in one area.

 

The Urology Service
Level 4 South Wing (Zone B4)
Broomfield Hospital,
Broomfield,
Chelmsford,
Essex CM1 7ET. 

 

Tel: +44(0)1245 513818
Fax: +44(0)1245 513817   

 

The location is Destination 446, Zone B4 (4th floor South wing) on the new wayfinding system. 

 

We also provide urology out-patient consultations at St Peter's Hospital in Maldon and at Braintree Community Hospital.


Please Click Here to download a copy of the wayfinding information leaflet


 

Outpatient Reception
Telephone: 01245 513818
Fax: 01245 513817


Please Click Here for Urology Patient Information Leaflets


 

Clinic Times and Details

 

We hold clinics every day.  Our main out patient clinics are as follows:

 

Mr McAllister - Monday morning
Mr Garaffa - Wednesday Afternoon
Mr Nuttall - Thursday Afternoon
Mr Thilagarajah - Friday morning

 

Our main uro-oncology clinic is on Tuesday mornings.

 

Other clinics occur throughout the week including

 

  • Prostate Biopsy

  • Flexible Cystoscopy

  • Urodynamics and Continence (including video Urodynamics)

  • Botulinum Toxin

  • Catheter Care

  • Prostate Biopsy

  • Lower Urinary Tract Symptoms

  • Raised PSA

  • Intravesical Therapy Clinic (Mitomycin, BCG, Cystistat, Ialuril)

 

Pre-Assessment Clinics

 

We work very closely with our anaesthetic colleagues and if you are advised to have an operation you will also be seen in the anaesthetic pre-operative assessment unit.  They have taken forward the use of cardiopulmonary exercise testing as a way of improving peri-operative care in major surgery.

 

New for 2011-2012

 

Following the move into our Urology Centre, in 2011 we launched dedicated one stop urology clinics.  The aim of these is to conduct as many investigations as possible during the same visit as the initial out-patient consultation.  This is more efficient and saves multiple visits to the hospital for our patients.  This sometimes requires a visit to the department lasting several hours whilst we conduct tests and investigations including:

 

  • Urine Tests

  • Blood Tests

  • X-rays

  • A Urinary Flow Rate Evaluation

  • An Ultrasound Scan of the Urinary Tract

  • Flexible Cystoscopy

  • CT Scans for Stones

 

We may ask you to have some tests performed before coming to the clinic.  If so, we will send you information on this before your appointment.

 

At the end of the visit, most patients will have received a diagnosis and had their treatment options discussed with them.  If you need surgery you will meet our admissions officer before leaving the centre. 

 

Following feedback from our patients we now try to offer patients seen in our one stop clinics the opportunity to leave the hospital with a copy of the clinic letter sent to their GP, if they wish.

 

Later in 2011 we plan to launch new services for recurrent superficial bladder tumours whereby these tumours are treated with a laser in outpatients, thus avoiding the need for hospital admission.

 

We are also developing an Information Hub area in our Urology Centre for patients to learn more about urological conditions.

The Urology Department is also contributing to the team developing Enhanced Recovery Programmes after major surgery at Broomfield Hospital.


Please Click Here for Urology Patient Information Leaflets


 

Compliments, Suggestions, Concerns

 

We are very keen to hear about your experiences.  Please feel free to contact us or the Patient Advice and Liaison Service (PALS)

 

Further Information

 

The British Association of Urological Surgeons

 

Training and Research and Audit

 

The Urology Department at Broomfield Hospital is part of the training rotation for Specialist Registrars in the London Deanery.  Urologists in training spend one year with us as part of the North Thames Training Scheme.  Other doctors in training, including those on the Foundation Training Scheme after leaving Medical School spend time with us and also doctors in Basic Surgical Training Programmes (CT).

 

In addition, we offer specially designed study modules (SSMs) for medical students who wish to gain additional exposure and experience of Urology.

 

Patient Support Groups

 

In 2010 we established a Prostate Cancer Support group.

 

This group meets every last Monday of the month in the Medical Academic Unit at Broomfield Hospital, theatre 2 at 18:30hrs -20:30hrs.

 

We have had very positive feedback from the participants and are looking to establish other groups relating to other urological diseases.

 

Come and have a chat and refeshments, partners also welcome.


If you would like to contact the Patient Information Group, please contact Chris Stubbings, Urology Nurse Practitioner.

 

Tel: 01245 514499  Pager: #6555 2516

 

Our Wards

 

Most of our in-patient care is on Rayne Ward (telephone number is 01245 513919). Patients who are coming to Broomfield for Day Surgery Operations may be admitted to the Theatre Assessment Unit.

 

Rayne ward visiting is from 14:00 to 20:00 and visitors are advised to contact with the nurse in charge if they are unable to visit out of these times - we always welcome visitors who wish to come in and help relatives with food or bring in alternative diet and fluids.


Please Click Here for the Rayne Ward Information leaflet


 

For Heybridge Ward, where some of our patients will be staying, visiting times are: 1500-1600hrs and 1830 - 2000hrs seven days a week.  The visiting times are restricted to these times as many patients having surgery get tired easily. If these times are not suitable , please contact the ward sister to arrange visiting outside of these hours. The protected meal time is from 17.30 - 18-30hrs to allow the patients to eat their meals without being disturbed .  Doctors' ward rounds are usually in the morning at about 08.00hrs each day

 

Clinical Trials

 

We are actively participating in a number of National Clinical Trials studying urological diseases and we will discuss with eligible patients whether or not they would like to participate.  These trials include:

 

  • Familial Prostate Cancer Study

  • STAMPEDE study for prostate cancer

  • LAMB study for upper urinary tract transitional cell carcinoma

  • SORCE study for kidney cancer

  • RADICALS study for prostate cancer

 

Clinical Audit

 

At any one time we will also be conducting audits assessing various aspects of our service to help us to check the quality of care we provide and improve care for the future.