Contact
Mr Richard Lodge

Mr Richard Lodge

Consultant Urologist
MBCH B, BSC, FRCS(ENG), FRCS(UROL)

Practising at

Spire Wellesley Hospital

Back to top

Treatment information

Some of the principal treatments carried out by Mr Richard Lodge at Spire include:

Urology

Other treatments

Oncology: Bladder cancer Kidney cancer Prostate cancer Urology: Andrology Benign prostate diseases Bladder / kidney stone disease Bladder cancer Erectile dysfunction Incontinence Kidney Cancer Prostate cancer Sexual dysfunction Subfertility Urinary tract infections Urological cancers Urological pathology Special clinical interests: Prostate cancer diagnosis and treatment, including brachytherapy and transperineal template guided prostate biopsies.

My specialities are:

Urology
Prostate cancer
PSA screening
Diagnosis and treatment of prostate cancer
Transperineal ultrasound guided prostate biopsies
Prostate brachytherapy – LDR and HDR
Hormone treatment (androgen deprivation therapy)
Referral for radical prostatectomy, robotic prostatectomy, laparoscopic radical prostatectomy or Radiotherapy via MDT pathways 

Prostate problems
Benign prostatic hyperplasia
Investigation and treatment of urinary symptoms in men
Medical (tablet) treatment of prostate problems
Laser treatment (HoLEP – holmium laser enucleation of prostate)             

Haematuria (blood in urine)
I
nvestigation of blood in the urine (haematuria)
Cystoscopy
Flexible cystoscopy                 

Bladder Cancer
Diagnosis
Transurethral resection of bladder tumour (TURBT)
Referral for cystectomy, laparoscopic cystectomy via MDT pathways

Kidney cancer
Diagnosis of kidney cancer
Laparoscopic (keyhole) surgery
Radical nephrectomy – open and laparoscopic
Partial nephrectomy – open and laparoscopic
Referral for oncology treatment, including tyrosine kinase inhibitor therapy      

Bladder problems
Incontinence – investigation, including urodynamics
Nocturnal polyuria
Urinary frequency and urgency
Incomplete bladder emptying
Painful bladder/interstitial cystitis assessment                 

Urinary infections
Recurrent urinary tract infections      

Kidney stones
Investigation and diagnosis of kidney stones
Treatment of simple distal ureteric or bladder stones – ureteroscopy, ureteric stenting, laser ablation of distal ureteric calculi (stones) or bladder calculi (stones)
Referral of complex renal calculi (stones) for extracorporeal shock wave lithotripsy (ESWL), flexible ureteroscopy and laser ablation of stone (FURS) or percutaneous nephrolithotomy (PCNL)      

Men’s health
Investigation and management of Erectile dysfunction
Referral for infertility issues
Counselling, investigation and discussion of male hormonal issues/”male menopause”            

Urological cancers (uro-oncology)
As listed above individually                 

Penile problems
Phimosis and balanitis
Circumcision
Peyronnies disease      

Scrotal problems
Hydrocele repair
Varicocoele repair or embolization
Epididymal cyst removal
Epididymo-orchitis management
Testicular tumours (cancer) 

 

 

 

Back to top

Professional profile

I have worked at Southend University Hospital Foundation NHS Trust since 2000. I was appointed with a specialist interest in Uro-oncology, in addition to being fully trained as a general urologist. My interest in urological cancers has led to me undertaking further sub-specialist training. Together with my colleagues they now offer state-of-the-art treatments for prostate, bladder and kidney cancers.

Specialising specifically in kidney, adrenal and retroperitoneal cancers I undertake open and laparoscopic (keyhole) surgery for these diseases, including complex kidney preserving surgery (partial nephrectomy -laparoscopic and open). The outcome of my surgical work were published in the individual surgeon outcomes programme in 2013 and compared most favourably with national figures and norms.

I led the formation of the regional prostate brachytherapy service, which treated its first patients in Dec. 2002. This service has expanded into a major UK centre for provision of prostate brachytherapy for both high and low risk patients, delivering both LDR (seeds) and HDR brachytherapy. The template biopsy service for the diagnosis of prostate cancer developed from the brachytherapy service and has progressed to the provision of cutting edge prostate cancer diagnostic pathways. These involve pre-biopsy MRI scans with subsequent targeted transperineal template guided biopsies, in appropriate patients. This exciting new development could lead to a revolution in the diagnosis and management of patients with prostate cancer, potentially increasing the number of patients who can be safely managed with surveillance, thus avoiding any of the complications associated with radical curative therapies. Having had experience of laser prostatic surgery during my training I was keen to continue this association. To this end I now perform Holmium laser enucleation (HoLEP) of the prostate. This has resulted in shorter length of stay, decreased transfusion rates and less discomfort for patients undergoing prostatic surgery. Most patients are safely discharged within 24 to 36 hours of their surgery. My work in this respect was published in the Annals of the Royal College of Surgeons in 2013. I champion the provision of multi-disciplinary, evidence based care to ensure that patients receive the highest possible management and treatments in a holistic and compassionate manner.


Clinical Interests


Prostate cancer diagnosis and treatment, including brachytherapy and transperineal template guided prostate biopsies, prostate problems, kidney cancer, laparoscopic (keyhole) and complex renal (kidney) surgery, laser surgery, including holmium laser enucleation of prostate (HoLEP) and men's health.

Private contact details

Telephone Private appointments: 01702 447 921
Private secretary Lynne Richards
Private secretary telephone 01245 400 993
Private secretary fax 01245 400 764
Back to top

Qualification and professional memberships

Professional memberships

Fellow of the Royal College of Surgeons of England (FRCS) and (FRCS(Urol)
BAUS Section of Oncology
European Association of Urological Surgeons
Holmium User Group (HUG)
UK and Ireland Prostate Brachytherapy Group

Back to top

Current NHS posts

Southend University Hospital NHS Foundation Trust

Back to top