Expert urology, from first diagnosis to long-term prevention.
Each service group below shows how Mr Sanjith Gnanappiragasam manages stones, prostate, bladder, incontinence, male health, and diagnostics — with minimally invasive and robotic options wherever clinically appropriate.
Kidney Stone Disease & Endourology
Comprehensive evaluation, keyhole and robotic treatments, and prevention for kidney and ureteric stones.
- Kidney stone assessment & metabolic work-up with prevention plan
- Extracorporeal Shock Wave Lithotripsy (ESWL)
- Ureteroscopy with laser fragmentation (flexible & rigid)
- Percutaneous nephrolithotomy (PCNL) including day-case mini PCNL
- Roboflex robotic stone surgery (first in UK)
- Dedicated metabolic stone clinic and lifestyle guidance
- Kidney stone prevention with tailored medical and dietary advice
Prostate Conditions
One-stop BPH assessment plus modern, minimally invasive and oncologic prostate care.
- Benign Prostatic Hyperplasia (BPH) assessment and treatment
- TURP, GreenLight laser, HoLEP, Rezum water vapour therapy, UroLift
- MRI-led diagnostics with PSA testing and fusion transperineal biopsy
- Prostate MRI for detailed staging and cancer assessment
Bladder Conditions
Diagnostics and treatments for haematuria, bladder tumours, overactive bladder, and voiding issues.
- Cystoscopy (flexible/rigid) including blue-light cystoscopy
- Transurethral resection of bladder tumour (TURBT)
- Bladder Botox injections
- Bladder instillation therapies
- Bladder neck incision for improved flow
- Urodynamics for incontinence and voiding difficulties
Urinary Incontinence & Female Urology
Personalised pathways for stress, urge, and mixed incontinence with surgical and non-surgical options.
- Urinary incontinence assessment and management (stress/urge/mixed)
- Autologous fascial sling surgery
- Urethral bulking injections
- Pessary fitting for prolapse and incontinence
- Urge bladder suppression and bladder retraining programmes
Male Health & Andrology
Full-spectrum andrology covering erectile function, fertility, and penile health.
- Erectile dysfunction assessment and shockwave therapy
- Shockwave therapy for Peyronie’s disease
- Testosterone assessment and replacement (TRT)
- Vasectomy and vasectomy reversal
- Testicular sperm extraction (TESE)
- Hydrocelectomy and orchidopexy
- Circumcision, revision, and frenuloplasty
Diagnostics & Virtual Care
Fast diagnostics and convenient access to expert advice in person or remotely.
- Transrectal ultrasound (TRUS) for sizing and biopsy guidance
- PSA testing and prostate health screening
- Video consultations for remote reviews and second opinions