Urology

Policies

Botulinum toxin A injections into the bladder wall Circumcision Cystoscopy for uncomplicated lower urinary tract symptoms Gamete harvesting and storage (cryopreservation) Hydrocele correction (including hydrocelectomy, ligation of patent processus vaginalis and sclerotherapy) Percutaneous tibial nerve stimulation (PTNS) for urinary incontinence Reversal of sterilisation (not routinely commissioned) Sacral nerve stimulation (neuromodulation) for idiopathic chronic urinary retention in men and women Vasectomy

Pathways

Erectile dysfunction (impotence) Female urinary incontinence service Haematospermia (at any age) Lower urinary tract symptoms in men (LUTS) Management of raised PSA in suspected or diagnosed prostate cancer (following secondary care assessment) Management of suspected prostate cancer in primary care (before referral for secondary care assessment) Nocturnal enuresis Non-visible haematuria Recurrent UTI’s in women (non-pregnant) Urinary tract infections in children Uro-gynaecology (including urinary incontinence) Urological cancer

Additional information

Vasectomy Services

  • Haxby Group Practice provide vasectomy services under LA for Vale of York CCG patients.
    • information on service
    • To refer: please send the following signed proforma directly to Haxby Group Practice and not through the RSS. They will be contacted directly by the practice with an appointment. The estimated wait time at Haxby Group Practice is 8 – 10 months
  • Marie Stopes International (MSI) provides vasectomy services in Leeds and Wakefield for Vale of York CCG patients.
    • additional information
    • patient information page 
    • pdf booklet
    • To refer: please send the following signed proforma via the RSS. They will be contacted directly by the service with an appointment.
    • Marie Stopes do not have a BMI limit but they do have weight limits for their equipment. In Leeds the limit is 25 stone and in Wakefield the limit is 20 stone. The decision to undertake any operation is that of the surgeon on the day. The current estimated wait time is approximately 9 months
  • See the full Vasectomy Commissioning Statement.