Specialist in microsurgical reversal of vasectomy and pelvic surgery including major pelvic cancer surgery, female urology (incontinence surgery), urodynamics and Botox® for bladder overactivity.
Mr Michael Swinn is Consultant Urological Surgeon and Lead Clinician at the Surrey and Sussex Hospitals NHS Trust and consults privately at Spire Gatwick Park Hospital and North Downs Hospital (see contact details below).
His main interests are in pelvic surgery and reversal of vasectomy. As one of the nominated pelvic cancer surgeons for the cancer network he carries out radical prostatectomies and radical cystectomies. Apart from general urology including benign enlargement of the prostate, other key interests include female urology / urodynamics, microsurgical reversal of vasectomy, prostate cancer, bladder cancer and Botox® .
Mr Swinn's intention is to use the very latest surgical techniques to achieve the best possible outcomes. Information regarding the procedures he performs is available on his website, together with links to other websites which may be of interest.
Research interests and publications
Mr Swinn has published many papers, especially on female bladder dysfunction, and has written various abstracts and contributed to a number of books. One of Mr Swinn's special research interests is sacral neuromodulation.
He also gives a variety of presentations and talks. More information can be found on his website.
Treatments available
Around 4% of men undergoing a vasectomy subsequently need for it to be reversed. The reversal operation involves finding the site of the previous vasectomy on both sides, removing any scar tissue and delicately joining the two cut ends together. Using a microscope to achieve a microsurgical anastomosis and spending 2 and a half hours to achieve the best possible join has resulted in a 90% success rate in Mr Swinn's series (with success being defined as the presence of viable spermatozoa in a postoperative semen sample). Mr Swinn was formerly trained in microsurgical techniques during a fellowship year in Australia where he carried out a great many microsurgical reversal of vasectomies.
In recent years physicians in both Europe and America have reported the successful use of Botox® in the treatment of bladder overactivity, which is one of the commonest causes of urinary incontinence.
Studies suggest that about 20% of prostate cancer cases have a familial component and this is commonly due to the inheritance of faulty tumour suppressor genes such as p53. The majority of cases, however, are environmental in origin, due to exposure of the body over long periods of time to elements which can cause damage, such as a high fat diet.
This operation involves the removal of the entire prostate gland together with the tissue immediately surrounding it. It is usually done retropubically, ie through an incision in the lower part of the abdomen.
This is leakage of urine due to an increase in abdominal pressure, for example coughing or sneezing. It has to be distinguished from leakage of urine due to an abnormal bladder contraction (detrusor overactivity) and sometimes pressure studies of the bladder (urodynamics) have to be performed in order to clarify the diagnosis. Treatment with techniques such as inserting a tension-free vaginal tape (TVT) are associated with a success rate of 85-90%.
The term urodynamics refers to the study of pressure and flow in the bladder and urethra. It helps to diagnose problems of the bladder by measuring the pressure within the bladder during filling and emptying.
Where can I get private treatment?
Contact details
Mr Swinn's secretary can be contacted on 01737 212346
Email: michael.swinn@yahoo.co.uk
Website: www.surreyurologist.co.uk
GMC Number: 3612842 Check this doctor's GMC registration
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