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    Mr Jai Seth

    Urological Procedures & Treatments

    Mr Jai Seth performs a wide range of urological procedures, including minimally invasive laser prostate surgery (HoLEP), intravesical botulinum toxin injections (bladder Botox), sacral nerve stimulation, robotic colposuspension, urethral bulking injections, and urethral sphincter surgery.

    Choosing the right procedure depends on your individual diagnosis, anatomy, and previous treatment response, so a consultation is the most reliable way to decide what suits you. Most major insurers are accepted alongside self-pay options.

    If you have urgent symptoms such as visible blood in urine, severe pain, fever with urinary symptoms, or sudden inability to pass urine, contact your GP or NHS 111 the same day rather than waiting. For non-urgent questions about a specific procedure, a consultation is the most direct route.

    Bladder Botox

    Bladder Botox (intravesical onabotulinumtoxinA) for overactive bladder and urge incontinence, day-case procedure with Mr Jai Seth in London.

    Percutaneous Tibial Nerve Stimulation

    PTNS for overactive bladder, twelve-week course of weekly nerve-stimulation sessions in clinic. NICE-recommended option with Mr Jai Seth, London.

    Sacral Neuromodulation

    Sacral neuromodulation for OAB and urge incontinence, two-stage procedure with a test phase before permanent implant. With Mr Jai Seth in London.

    TURP

    TURP (Transurethral Resection of the Prostate) for benign prostatic enlargement, performed at Nuffield Health Parkside in Wimbledon by Mr Jai Seth using the bipolar variant.

    HoLEP

    Holmium Laser Enucleation of the Prostate (HoLEP) removes obstructing prostate tissue as a single piece using a laser inside the gland. Suitable for prostates of any size, including very large ones. Mr Seth leads the HoLEP programme at St George's and Kingston Hospitals.

    UroLift

    UroLift uses small implants to hold the prostate lobes apart, opening the urethra without removing tissue. Day case, preserves antegrade ejaculation in most men, suitable for smaller-to-moderate prostates without a significant median lobe.

    Rezum

    Rezum treats benign prostate enlargement using short, targeted pulses of water vapour that shrink obstructing tissue over the following weeks. Day case, preserves ejaculation in many men.

    Aquablation

    Aquablation uses a high-pressure water jet, guided by real-time ultrasound, to remove prostate tissue. A relatively newer technique suitable for moderate-to-large prostates.

    Bladder Neck Incision

    A small targeted procedure for primary bladder neck obstruction or small obstructive prostates, where a precise cut opens the bladder outlet without removing significant tissue.

    Bladder Outflow Obstruction Treatment

    Bladder outflow obstruction (also called bladder outlet obstruction) means the bladder cannot empty normally because of resistance at the outlet. Treatment depends on cause — most often enlarged prostate, less commonly bladder neck obstruction or a urethral stricture.

    Robotic Colposuspension

    Robotic colposuspension is a minimally invasive surgical option for female stress urinary incontinence, performed with robotic assistance for precision. Mr Seth led the team that pioneered this approach in the UK.

    Colposuspension

    Colposuspension (Burch procedure) lifts and supports the bladder neck to treat female stress urinary incontinence. Performed open, laparoscopically, or with robotic assistance — each approach has its place depending on anatomy and prior surgery.

    Urethral Bulking

    Urethral bulking is a minimally invasive procedure for stress urinary incontinence in which a gel-like material is injected around the urethra to improve closure. Often a local-anaesthetic option, useful where surgery is unsuitable or preferred to be deferred.

    Cystocele Repair

    Cystocele repair (anterior repair, anterior colporrhaphy) addresses the prolapse of the front wall of the vagina with the bladder, restoring support and function. The right approach depends on prolapse severity, symptoms and the broader pelvic floor picture.

    Autologous Fascial Sling

    An autologous fascial sling uses the patient's own tissue (typically rectus fascia) to create a supportive sling under the urethra for stress incontinence. A non-mesh option where mesh is unsuitable or unwanted.

    Artificial Urinary Sphincter

    An artificial urinary sphincter is an implantable device that restores continence in men with severe stress incontinence — most often after prostate cancer surgery. Operated by the patient via a pump in the scrotum.

    Male Sling

    A male sling supports the urethra to reduce stress urinary incontinence after prostate surgery. Indicated for milder-to-moderate post-prostatectomy incontinence where an artificial urinary sphincter may not yet be needed.

    Urethroplasty

    Urethroplasty is the open surgical repair of a urethral stricture. Indicated for longer or recurrent strictures where less invasive options have not given a durable result.

    Optical Urethrotomy

    Optical urethrotomy is an endoscopic procedure to cut and open a urethral stricture under direct vision. Suitable for short, first-presentation strictures; recurrence is possible and may then warrant urethroplasty.

    Prostatectomy

    Prostatectomy is the surgical removal of the prostate gland, performed for prostate cancer rather than for benign enlargement. Robotic-assisted radical prostatectomy is the most common approach. Mr Seth is part of the Royal Marsden cancer-survivorship team for men managing urinary symptoms after this surgery.

    GreenLight Laser Prostate Surgery

    GreenLight laser prostatectomy uses laser energy to vaporise obstructing prostate tissue. One of several minimally invasive options for benign prostate enlargement, with a recovery profile typically faster than open surgery.