What does a Urologist do?
A Urological Surgeon is one who has developed specialized skills regarding problems of the urinary tract. This involves suspected cancers of the prostate, urinary bladder, testes and kidneys; as well as kidneys stones, urinary infections and water flow problems.
A Stone Specialist Urologist has developed expertise in the complex minimally invasive surgery and management of patients with stones such as ureteroscopy, percutaneous nephrolithotomy
Booking an appointment with Mr. Philip:
Please contact the receptionist at the Bristol Urology Associates on (Phone: 0117 980 4118) who will take your details including your GP as well as the details of any scans you may have had. If you are insured, the insurance details would be required. A convenient appointment can then be arranged.
For your appointment:
Mr. Philip allows ample time for both New and Follow-up appointments. Please bring a list of all your medication and well as the details of any recent pertinent surgery.
A GP referral is preferable but not necessary, especially if you are self paying. Most insurers require a GP referral before authorizing a consultation, investigation or treatment.
What can I expect during my appointment?
Mr. Philip will take a comprehensive history and undertake a thorough clinical examination. He will review the information that is available from both your doctor’s referral letter and any previous scans.
Further tests/scans maybe required which will be discussed with you, a treatment protocol planned and detailed discussion of any required surgery discussed. You will also be offered the opportunity to ask questions and discuss any queries that you may have.
Is private insurance required?
No, most patients being treated in the independent sector will have insurance cover. However, an increasing number are funding their own treatment. If this were the case, Mr. Philip’s administrative team will identify the best option for you.
Mr. Philip is recognized by all major insurance companies as a Consultant Urological Surgeon and is ‘fee assured’. This often implies no added charges for you to pay. Please discuss with your insurance provider the remit of your policy.
When will I be seen?
Mr. Philip consults at the Bristol Urology Associates. He has regular clinic times of Tuesday afternoons and Wednesday mornings. The receptionist will arrange a mutually convenient clinic slot for you expeditiously; and will endeavor to be flexible in consulting times. He operates mainly on Tuesday afternoons and sometimes on Thursday evenings.
How is Surgery arranged?
If surgery is required, a convenient time will be organized based on the complexity of the operation. You will need a pre-operative assessment and the surgery is carried out either at the Nuffield Health Bristol Hospital, The Chesterfield, or at Spire ‘The Glen ‘Hospital.
Operative procedures have identifier codes which insurers and hospitals use. This will be provided to you to obtain authorisation for the surgery number will be required beforehand if using insurance.
Do you see patients for second opinion?
Mr. Philip has the largest practice in the region for stone disease and is one of the very few laparoscopic surgeons who offers retro-peritoneal laparoscopic surgery for kidney diseases. He sees an increasing number of patients in the independent sector for this reason
How long will I be in hospital?
Most procedures are undertaken as day case while others require a period of in-hospital stay. Minimally invasive surgery, excellent anaesthesia and early mobilization enables early discharge. You will be discharged as soon as it is safe and you feel able.
After discharge from hospital:
You will be provided with a supply of pain relief tablets and anti-inflammatory medication. Other specialized medication such as alpha blockers (improve stone passage and reduce stent symptoms) and anti-cholinergics (reduce bladder irritability) may also be prescribed.
This will depend on the operation that you have had. If you have needed a stent, a flexible cystoscopy under local anaesthesia to evaluate your bladder and remove the stent will be arranged in 1-2 weeks. Alternatively, a follow up visit will be arranged to discuss the outcome of surgery including any outstanding results (such as stone analysis); further investigations required based on risk stratification for further stone formation and referral to nephrologists or chemical pathologists.
What should I do in an emergency?
The hospital will give you emergency contact details on discharge. Mr. Philip aims to provide a complete service and will arrange review expeditiously. However, if this is not feasible, he works closely with his urology consultant colleagues at the Bristol Urology associates who will evaluate your emergency. Rarely, (out-of-hours) you may need to attend the GP out of hours or the Emergency department.