Urology Service

The NRH Urology Service strives to deliver patient focused, quality care which has been shaped around our commitment to best practice. The service is available to both Inpatients and Outpatients from each of the Rehabilitation Programmes at the NRH. The majority of referrals continue to come from the Spinal Cord System of Care. NRH urology clinics are listed below:

Consultant Clinic:  Consultant Urologist, Professor Robert Flynn attends for two clinics per week and sees both inpatients and outpatients, with procedures running in parallel with these clinics.

Nurse Led Urology Clinic:  The Nurse Led Urology Clinic is a lifelong service for most of our patients with spinal cord injury who attend on an annual or bi-annual basis. The clinic includes a comprehensive assessment, phlebotomy, urine culture, renal ultra sound and KUB (kidney, ureter and bladder X-ray) if deemed necessary. The Urology Clinic works very closely with the Radiology Department to provide this service. Patients present with various needs to the Nurse-Led Urology Clinic and often require referral to the Rehabilitation Consultants, other NRH Clinics, Liaison Service, Sexual Wellbeing Service, Public Health Nurses or General Practitioner (GP).

Urodynamics Clinic:  The urodynamics clinic operates one morning per week for outpatients, with inpatient clinics scheduled as required.

Endoscopy Service:

The Endoscopy Service includes Flexible Cystoscopy and Suprapubic Catheter (SPC) Insertion:

Flexible Cystoscopy:  This procedure is done at the NRH for diagnostic purposes, for the removal of small bladder stones, for urethral dilatation and on initial insertion of SPC. It is a very valuable service for our patients, as procedures can be done in a timely manner under local anaesthetic.

Suprapubic Catheter (SPC) Insertions:  This involves the insertion of a catheter into the bladder via the abdominal wall under local anaesthetic. We carry out the 1^st change of SPC and also provide education and training to patients, family members, carers and healthcare professional on the routine change of a SPC, catheter care and management.  See educational video.

Education:  Education is provided at each clinic and on an individual basis depending on patient requirements. We also facilitate education with families, carers and healthcare professionals by appointment.

Telephone Support: Telephone communication is vital in providing information, support and advice to our patients, their families and healthcare professionals. It is also important to help prevent complications and is used to triage patients for review.

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Urology is the branch of healthcare that deals with the diagnosis and treatment of conditions related to the male and female urinary tract. This includes the kidneys, ureters, bladder and urethra. Urology also deals with the male reproductive organs (penis, testes, scrotum and prostate)

The NRH Urology Service is patient focused – we are committed to best practice and high quality care. The service is available to both Inpatients and Outpatients from each of the Rehabilitation Programmes at the NRH. Depending on your needs, you may be referred to one of the Urology clinics or services listed below:

Consultant Clinic:  Consultant Urologist, Professor Robert Flynn attends for two clinics per week.

Nurse Led Urology Clinic:  This Nurse-led service includes a full assessment which will be explained to you in detail by the urology nurse.  Depending on your clinical needs, the Nurse Led Urology Clinic may refer you to the Rehabilitation Consultant, other NRH Clinics, Liaison Service, Sexual Wellbeing Service, Public Health Nurses or GP.  The Urology Clinic works very closely with the Radiology Department to provide this service.

Radiology investigations:  An ultrasound and, or x-ray of the kidneys, ureters and bladder may be performed to evaluate the urinary tract and aid diagnosis

Urodynamics Clinic:  Urodynamics is an assessment of how well the bladder is working. It can help explain symptoms such as: incontinence, or the need to urinate often and with urgency.

Flexible Cystoscopy:  A flexible cystoscopy is an examination of the bladder using a fine, soft tube with a telescopic camera. It can help diagnose certain conditions.

Suprapubic Catheter (SPC) Insertions:  A supra-pubic catheter is a hollow flexible tube inserted into the bladder through the abdomen and is used to drain urine.  If you have an SPC, you will receive education and training on catheter care. Family members, carers and healthcare professionals will also receive education and training as required.

Education:  Education is provided at each clinic and on an individual basis depending on your requirements. We also facilitate education with families, carers and healthcare professionals by appointment.

Telephone Support:  Telephone communication is vital in providing support and advice to patients, families and healthcare professionals.

You can contact the Urology Clinic with questions or concerns you may have on: Tel: 01 235 5140

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