Transplant and highly specialised reconstruction
Tertiary oncological, transplant, reconstructive and genital procedures retained for completeness.
Adrenalectomy
Open and minimally invasive removal of an adrenal gland or selected lesion, with hormonal preparation, laterality and oncological exposure retained as distinct pathways.
Complex ureteric replacement
Tertiary reconstruction for long or multifocal ureteric loss using graft augmentation, appendix, bowel substitution or renal autotransplantation.
Continent cutaneous urinary diversion
Creation of a low-pressure internal bowel reservoir emptied by intermittent catheterisation through a continent abdominal stoma.
Deceased-donor kidney and multiorgan retrieval
Coordinated recovery, perfusion and packaging of kidneys from deceased donors, with brain-death, circulatory-death and en bloc graft pathways separated.
Focal ablation for localised prostate cancer
Image-planned focal or whole-gland energy treatment, with high-intensity focused ultrasound and cryotherapy retained as distinct modalities and surveillance treated as mandatory.
Gender-affirming feminising urogenital reconstruction
Creation of vulval and optional vaginal anatomy with urethral relocation, retaining penile-inversion, peritoneal and bowel substitution variants and their urinary risks.
Gender-affirming masculinising urogenital reconstruction
Multistage creation of a phallus, lengthened urethra and scrotum using metoidioplasty or flap phalloplasty, with prosthetic stages and urethral revision linked but distinct.
Inguinal and pelvic nodal surgery for penile cancer
Staging and therapeutic nodal procedures from sentinel-node biopsy to radical inguinal and pelvic dissection, with open and minimally invasive variants.
Kidney-sparing endoscopic treatment of upper-tract urothelial carcinoma
Ureteroscopic or percutaneous biopsy and ablation of selected upper-tract urothelial tumours within an intensive surveillance pathway.
Living-donor nephrectomy
Removal of a kidney from a healthy donor with maximal donor safety and graft vessel/ureter quality as coequal operative objectives.
Primary-tumour surgery for penile cancer
Organ-preserving and amputative treatment of penile malignancy, keeping resurfacing, glansectomy and penectomy outcomes distinct.
Prostatic artery embolisation pathway
Image-guided embolisation of prostatic arterial supply for selected benign prostatic obstruction, with urological selection and radiological technical risks combined in one pathway.
Recipient kidney transplantation
Implantation of a living- or deceased-donor kidney with vascular and ureteric reconstruction, including complex-vessel and intraperitoneal variants.
Renal allograft biopsy
Image-guided or open sampling of a transplanted kidney for graft dysfunction or protocol surveillance, with specimen triage integral to the procedure.
Renal autotransplantation and ex vivo repair
Nephrectomy, cold perfusion, bench reconstruction and iliac-fossa reimplantation for selected complex vascular, ureteric, tumour or pain indications.
Renal tumour ablation
Image-guided or laparoscopic destruction of a selected renal mass by cryothermal or heat-based energy, with biopsy and imaging follow-up as integral steps.
Renal vein and inferior vena cava tumour thrombectomy
Radical nephrectomy with renal-vein or caval tumour-thrombus removal, escalating through liver mobilisation, vascular isolation and cardiothoracic support by thrombus level.
Retroperitoneal lymph-node dissection
Template or mass-directed retroperitoneal dissection for testicular germ-cell tumour, separating primary from post-chemotherapy and open from minimally invasive pathways.
Salvage pelvic oncology and pelvic exenteration
En bloc salvage resection of recurrent or locally advanced pelvic malignancy, integrating urinary diversion, bowel reconstruction, vascular/sidewall resection and flap coverage.
Transplant nephrectomy
Removal of a failed, infected, bleeding or symptomatic renal allograft through subcapsular or extracapsular planes, with vascular-stump safety central.
Transplant ureteric reconstruction
Endourological, percutaneous and open/robotic repair of allograft ureteric leak, necrosis or stricture, using recipient urinary tract when direct reimplantation is insufficient.
Treatment of transplant lymphocele and perigraft collections
Diagnostic aspiration, image-guided drainage, sclerotherapy and surgical fenestration of collections compressing a renal allograft, ureter or iliac vessels.