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Urology

There are 4 consultant paediatric urologists in Nottingham, supported by a specialist paediatric urology registrar and a general surgical registrar. Nottingham is one of the few centres in the country recognized for subspecialty training in Paediatric Urology.

More information about the consultants and their particular areas of interest can be found here.  There is close co-operation on a daily basis with the Department of Paediatric Nephrology.  

There are 3 clinical nurse specialists in paediatric urology who carry out complex assessments of bladder function and teach parents to manage children with abnormalities of bladder drainage.  More about the paediatric urology nursing service is available below

Much of the perinatal nephrourology is managed jointly by the urology and nephrology, together with cross-city fetomaternal medicine consultants. 

All aspects of paediatric urology are catered for at Nottingham Children's Hospital including:
  • Antenatal counselling for paediatric urology conditions
  • Hypospadias
  • Laparoscopic surgery
  • Upper and lower tract reconstruction
  • DSD (Disorders of Sexual Differentiation)
  • Stone surgery (minimal access and open) jointly with Adult Urology at Nottingham City Hospital
  • Transplantation including transplant urology
  • Dialysis access

Clinics:


In Nottingham, the following clinics take place:
  • Paediatric Urology Clinics shared with the Paediatric Nephrologists weekly
  • Specialist Neuropathic Bladder Clinics monthly
  • Paediatric urology-endocrinology clinic for children with disorders of sex development is held every 3 months.
The Young Persons Urology Clinic caters for adolescents and adults and takes place at Nottingham City Hospital Campus of NUH

Regional clinics take place in Derby, Chesterfield, Mansfield and Lincoln

The Paediatric Urology/Continence Nursing team are based on ward E17 the regional nephrourology unit for the East Midlands.  There are separate urology nursing teams for Sheffield, Leicester and Cambridge.  We have 4 part time urology nurse specialists who offer a comprehensive service for children with urological and continence needs.

Contact us on 0115 970 9408

All of the urology nurses have a specific qualification in paediatric continence having been obtained at degree level: the NBB-B73 Care of the Child with Bladder and Bowel Dysfunction.

Chris



Chris Rhodes is the senior clinical nurse specialist.







Gill




Gill Young has been working as a paediatric urology nurse specialist for over 10 years. 






Caroline




Caroline Ward has responsibility for the nurse-led nocturnal enuresis clinic.



 

 

 

Emma

 

Emma Gamble

 

 

 

 

 

We see children with continence problems ranging from children with nocturnal enuresis to children with complex neuropathic bladders requiring intermittent catheterisation and bladder reconstructive surgery.

Over the years we have increasingly been involved with children who have chronic kidney disease and requiring transplantation, working with the child and family to ensure that they have a safe bladder before undergoing transplantation.

We are able to offer a variety of investigations including:

  • non-invasive bladder assessment
  • urine flow measurements
  • standard video urodynamics
  • ambulatory urodynamics 
  • EMG Pelvic floor biofeedback


Children with Day Time Wetting

We accept referrals from all consultants within the hospital who have a child with daytime enuresis.

nurse-led clinicNurse-led clinics are held on alternate Wednesday afternoons. Children are given 15 minutes consultation time, the nurse as the facility to carry out pre and post void ultrasound scans and urine flow rates. This enables the nurse to make a clear diagnosis and plan a management programme.

For children requiring a more comprehensive investigation into their condition we are able to offer a 3-4 hour non-invasive bladder assessment, which involves scanning the child on 3 separate occasions both pre and post void together with obtaining a urine flow measurement. This enables the nurse to plan a management programme that will suit each individual child and family.

Information booklets have been written by our team to reinforce the verbal advice given.  These are available in the patient information section.
biofeedback
Telephone supported is offered and children are seen in the clinic regularly until they have made significant improvements in their condition.

In January 2013 we were only the fourth hospital in the country to offer pelvic floor bio-feedback to our children with overactive pelvic floors.

We also offer TENS treatment for overactive bladders.

Children with Night Time Wetting

One of our newest developments is the re-introduction of the nurse-led enuresis service which had previously been under the management of our Children’s Outpatients Department. We accept referrals from all consultants within the hospital who have a child with night time enuresis.

The clinic is held on the 1st, 3rd and the 5th Wednesday of each month. Children are given 30 minute consultation time, as with the day time enuresis service the nurse as the facility to carry out pre- and post-void ultrasound scans and urine flow rates. This enables the nurse to make a clear diagnosis and plan a management programme.

Bladder scan
For children requiring a more comprehensive investigation into their condition we are able to offer a 3-4 hour non-invasive bladder assessment, which involves scanning the child on 3 separate occasions both pre- and post-void together with obtaining a urine flow measurement which will be carried out on Wednesday mornings.

As per NICE guidelines we offer a choice of enuresis alarms together with practical advice.

If thought to be necessary we will organise for medications to be prescribed for the child.


Information booklets have been written by to reinforce the verbal advice given and are available in the patient information section.

Parents are given the teams direct line telephone number should they require further advice once home or before their next appointment. Regular telephone consultations we hope will reduce the need for the child and family to make regular visits to the hospital.

Children are seen in the clinic regularly until they have made significant improvements in their condition.

Children with Neuropathic Bladders.

All children with complex bladders are managed by a consultant paediatric urologist.

We offer training for children requiring clean intermittent catheterisation which we instigate from the age of 3 months. We then teach/support and advice the child’s school at the appropriate time on how to care and manage the child once at school age.

Children requiring reconstructive bladder surgery are given advice and support prior to admission in order that the child and parents can make an informed decision regarding their care together with ongoing support advice and care following surgery.

Information booklets have been written in all aspects of our care to reinforce the verbal advice given and are available here.

Children requiring video urodynamics are offered support/advice and play preparation prior to the investigation. We offer the child and family the investigation with the use of Entonox or to have a supra-pubic catheter inserted in theatre the day before. Again advice booklets and leaflets have been written to help reinforce the information given verbally.

Please do not hesitate to contact us should you have a urological or continence query about a child within your care, ward or department.