Treatments provided by Jeremy Crew

Jeremy Crew provides general NHS and private urological services, with a specialist interest in urological cancers.

New consultation: £190 - £250

Follow-up consultation: £130 - £150 

Consultation times: 

Oxford Radcliffe Hospitals NHS Trust : Wednesday 11.00 to 15.00 pm

The Foscote Private Hospital: Wednesday 17.30 to 21.30 pm

Other times on Friday and Tuesday may be available on request 

Treatments, operations and tests

Bladder examination by camera (cystoscopy)

Cystoscopy is endoscopy of the urinary bladder via the urethra. It is carried out with a cystoscope.The urethra is the tube that carries urine from the bladder to the outside of the body. The cystoscope has lenses like a telescope or microscope. These lenses let the doctor focus on the inner surfaces of the urinary tract. Some cystoscopes use optical fibres (flexible glass fibres) that carry an image from the tip of the instrument to a viewing piece at the other end. Cystoscopes range from between the thickness of a pencil, up to approximately 9mm and have a light at the tip.

Bladder function study

Urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests help your doctor or nurse see how well your bladder and sphincter muscles work and can help explain symptoms such as * incontinence * frequent urination * sudden, strong urges to urinate * problems starting a urine stream * painful urination * problems emptying your bladder completely * recurrent urinary tract infections These tests may be as simple as urinating behind a curtain while a doctor or nurse listens or more complicated.

Bladder resection

Used to treat non-muscle-invasive bladder cancer, transurethral resection of a bladder tumour is a surgical procedure used to remove tumours from the lining of the bladder. This surgery is performed under a general anaesthetic, a cystoscope is used to locate tumours, cut them away from the lining and cauterise the excision with a mild electrical current.

Chemotherapy

Chemotherapy is a broad category of cancer treatments, covering the use of chemical substances as part of a therapeutic anti-cancer regime. Chemotherapy has a large range of possible treatment types and a great many treatment outcomes.

Circumcision (Adult)

Circumcision is an operation to remove the foreskin that normally covers the glans (head) of the penis. Circumcision is primarily carried out for cultural or religious reasons. Medical grounds for circumcision may include a reduced risk of urinary tract infection, a reduced risk of penile cancer, a reduced risk of cervical cancer in partners and a reduced risk of sexually transmitted disease

Cystectomy

The surgical removal of all or part of the urinary bladder, or under some circumstances a cyst or the gallbladder. This procedure is generally performed as a response to bladder cancer.

Cystoprostatectomy

A cystoprostatectomy or cysto-prostatectomy is a surgical procedure in which the urinary bladder and prostate gland are removed. The procedure combines a cystectomy and a prostatectomy.

Epididymal cyst removal

Epididymal cyst removal Epididymal cyst removal (spermatocele) is a procedure to remove cysts (fluid-filled sacs under the skin) from the testicular region. An alternative to the surgery is to drain the fluid with a needle; however, the fluid usually refills the cyst after a month or two.The surgeon makes an incision in the area, removes the cyst, and sutures the opening shut. Although they are typically benign, the surgeon might have the cyst and fluid examined. Epididymal cyst removal is fairly quick, and most patients are able to go home after a few hours of recovery in the hospital.

Extracorporeal shock wave lithotripsy (ESWL)

This procedure involves hiring shockwaves through the skin to break kidney stones into small enough fragments so that they can be passed naturally. The procedure is performed under X-Ray or ultrasound guidance.

Hydrocele (Scrotum fluid removal)

A hydrocele is a pocket of fluid that colects around the testicles. This procedure is performed under general anesthesia. The fluid is drained from the hydrocele and the sac repaired to prevent the fluid collecting there again. Absorbable stitches are used and the procedure normally only takes about 30 minutes.

Penis foreskin loosening

Frenuloplasty is the surgical alteration of a frenulum when its presence restricts range of motion between interconnected tissues. A frenulectomy is generally considered a minor procedure, and may be performed under local anaesthetic or general anesthesia if the resection is more extensive or if the patient is too young to cooperate as needed to perform the procedure. If the repair is extensive, it may require closure with absorbable sutures, which fall out in approximately 10 days - and the patient is usually put on a short course of analgesics to deal with the short lived discomfort.

Prostate artery embolisation (PAE)

PAE is a non-surgical way of treating an enlarged and troublesome prostate by blocking off the arteries that feed the gland and making it shrink. It is performed by an interventional radiologist, rather than a surgeon, and is an alternative to a TURP (trans urethral resection of prostate) operation. PAE was first performed in 2009, and since then over 200 men have had the procedure performed predominantly in Portugal and Brazil. The Procedure is normally carried out by an interventional radiologist after thorough discussion with your Urologist.

Prostate Resection (using Holmium Laser)

There are two types of minimally invasive prostate laser surgery to treat a benign enlarged prostate gland. The more established Laser prostatectomy uses focused light to destroy the tissue blocking the urethral opening, a fast and simple procedure that generally takes about one hour. Holmium laser prostate enucleation (HoLEP) is a newer procedure, which utilises the holmium laser as a precise cutting instrument to resect large pieces of prostate. The main advantage of HoLEP over other laser prostatectomy techniques is that it can rapidly create a large 'TURP-like' cavity, making it suitable for large prostate glands.

Prostate surgery (TURP)

Transurethral Resection of the Prostate is a procedure to alleviate a enlarged prostate gland. An endoscope is inserted into the urethra to localise the blockage, a resectoscope is used to cut out the centre of the enlarged prostate, and finally a catheter is used to drain the bladder. The procedure will take about one hour and is usually performed as a outpatient procedure.

Prostatectomy

Prostatectomy is the surgical removal of all or part of the prostate gland. This operation can be performed for a variety of reasons, but often as a response to urinary retention or certain cancers, and the amount removed can be from trivial quantities of tissue to total/radical excision. A number of different surgical techniques, such as open or robotic-assisted surgery are possible, depending on the needs of the surgery.

Twisted testis surgery

Surgery is performed when a male has sudden pain in the scrotum and testicular torsion cannot be ruled out. The pain is very commonly associated with nausea, and the testicle may lie in the scrotum in a higher and horizontal position with or without swelling of the scrotum. If a twisted testicle is found when the scrotum is opened, the problem will be repaired and the testicle anchored or removed.

Undescended testicle surgery

Orchidopexy is a procedure in which a surgeon fastens an undescended testicle inside the scrotum, usually with absorbable sutures. It is done most often in male infants or very young children to correct cryptorchidism, which is the medical term for undescended testicles. Orchiopexy is also occasionally performed in adolescents or adults, and may involve one or both testicles. In adults, orchiopexy is most often done to treat testicular torsion, which is a urologic emergency resulting from the testicle's twisting around the spermatic cord and losing its blood supply. It is normally carried out as day patient.

Ureter stone removal

Ureterolithotomy refers to the open or laparoscopic surgical removal of a stone from the ureter. Within the last decade, ureterolithotomy has become very rarely performed because of the advent of minimally invasive procedures for stone removal and fragmentation. Ureteroscopically, stone removal is performed via basket extraction under direct vision, while stone fragmentation is achieved with electrohydraulic lithotripsy (EHL), pneumatic contact lithotripsy (lithoclast), and pulsed dye and holmium laser lithotripsy.

Ureteroscopy and fragmentation of kidney stone using laser

A technique used to treat kidney stones in the urethra, Ureteroscopy inserts a long, rigid telescope into the upper urinary tract. The stone is then located by the surgeon and fractured by direct application of a laser, and removed. The surgery is performed under general anaesthetic, but takes just an hour and without serious side effects in the majority of cases.

Urethra examination

Ureteroscopy is an examination of the upper urinary tract, usually performed with an endoscope that is passed through the urethra, bladder, and then directly into the ureter. The procedure is useful in the diagnosis and the treatment of disorders such as kidney stones. The examination may be performed with either a flexible or a rigid fiberoptic device while the patient is under a general anesthetic. The patient is usually free to go home after the examination

Urodynamics study

Urodynamic studies assess the function of the bladder and urethra, they are used to diagnose problems with the lower urinary tract.

Varicocele surgery

Varicocelectomy, the surgical correction of a varicocele, is performed on an outpatient basis. The three most common approaches are inguinal (groin), retroperitoneal (abdominal), and infrainguinal/subinguinal (below the groin). Various other techniques may be used such as Radiological embolisation.

Vasectomy (male sterilisation)

A vasectomy (male sterilisation) operation involves the cutting or sealing of the vas deferens which carries sperm from the testes to the penis. After a vasectomy procedure the semen which is produced at ejaculation is normal but does not contain any sperm. Sterilisation by vasectomy is a minor surgical procedure which can be carried out under a local anaesthetic, and takes about 10 minutes to perform.

Vasectomy reversal

A vasectomy reversal operation involves the rejoining of the vas deferens, the tube which carries sperm from the testes to the penis, and which will have been cut in the original vasectomy operation. This operation is known as a vasovasostomy. In more difficult cases, a vasoepididymostomy may be carried out, where the vas deferens is connected to the epididymis. The success rate for pregnancy after vasectomy reversal depends to some extent on how long it has been since the vasectomy has been performed.

I specialise in...

  • General urology
  • Benign prostatic hyperplasia
  • Lower urinary tract symptoms
  • Haematuria
  • Prostate cancer
  • Bladder cancer
  • Renal cancer
  • Ureteric stone disease
  • Vasectomy and vasectomy reversal