Functional, Reconstructive and Adolescent Urology

The female, functional and restorative (FFR) urology service at UCLH is a highly specialist tertiary service. Due to the current demands, the FFR unit has temporarily closed to routine GP referrals and has become a tertiary referral service only until further notice. We will continue to review referrals where the patient has already been assessed by a urologist in secondary care.

We hope to ensure that those patients who require the specialist input of this service are able to access the service in a timely manner and that those patient whose condition could be managed locally in secondary care do not experience undue delay.

The accepted referral criteria will include the following conditions/procedures:

• Urinary tract fistulae
• Urethral and bladder diverticulum
• Ureteric stricture/obstruction requiring formal reconstruction
• Male and female urethral stricture
• Recurrent/persistent female stress urinary incontinence following at least one previous stress incontinence surgery that has failed to respond to three months of primary stress urinary continence (PFMT) which has failed to response to conservative therapy including three months of pelvic floor exercises and the patient wants surgical intervention.
• Recurrent/persistent female prolapse following one previous prolapse surgery that is unsuitable for management by vaginal pessary
• Male urinary incontinence following treatment for prostate cancer that has failed to respond to three months of PFMT
• Recurrent/persistent urge urinary incontinence following failure of medical and behavioural treatment that wish to consider botulinum toxin, sacral neuromodulator or clam cystoplasty
• Female urinary retention that may benefit from intraurethral botulinum toxin or sacral neuromodulation
• Complex urinary incontinence/functional problems seeking cystectomy and neobladder +/- Mitrofanoff reconstruction
• Congenital course of urinary incontinence requiring surgical correction
• Synthetic mesh and tape complications

We are unable to accept investigation only referrals or requests.