Mr Sarb Sandhu

Mr Sarb Sandhu
Urology
South London


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Mr Sarb Sandhu

Urologist in
London

BSc(Hons) MBBS(Lon) MD(Lon) FRCS(Eng)

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Mr Sarb Sandhu areas of expertise:

Professional statement

Mr Sarb Sandhu is a leading urologist treating prostate, kidney and bladder pathologies. He is lead clinician for cancer at Kingston Hospital, as well as clinician at a number of leading London clinics. He is involved in oncology treatment and research, and teaches undergraduate surgical training. Mr Sandhu is a point of reference in his field, and member and fellow of many boards and associations, including the Royal College of surgeons and a member of the British Association of Urological Surgeons.

 Doctor's articles

bladder cancer
TURBT: The gold standard operation for ...

 Credentials

GMC: ‍3554935

 Professional experience

• More than 25 years of experience
• Clinician, The New Malden Diagnostic Centre
• Clinician, The New Victoria Hospital
• Clinician, Parkside Hospital
• Clinician, BMI Coombe
• Clinician, BMI Syon Clinic
• Lead Clinician for Cancer Services and Urological Services at Kingston Hospital
• Runs General Urology Clinics for St Georges Hospital and Kingston Hospital (at Queen Mary's Hospital)
• Runs Oncology Clinics in the Sir William Rous Unit at Kingston Hospital

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 Sub-specialties

• Prostate assessment surgery

 Teaching posts

• Responsible for Undergraduate Surgical Training, Kingston Hospital

 Education

• MD degree on research into Prostate Cancer
• Higher surgical training in the North Thames Region and the Royal Marsden Hospital
• Trained at the Royal Free Hospital in London

 ...

 Publications and conferences

• Has undertaken periods of elective training, in Boston, Egypt, and Belgium

 Professional membership

• Fellow of the Royal College of Surgeons of England
• Member of the British Association of Urological Surgeons
• Member of the European Association of Urological Surgeons
• Member of the British Medical Association

 ...

Languages spoken

  • English
  • Punjabi

Patient reviews for Dr. Sarb Sandhu

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Patient reviews

Verified Patient
27/12/2017

Would you recommend this doctor?

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  • Friendliness of the staff
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Diseases, Medical Tests and Treatments

Bladder cancer

What is bladder cancer? Bladder cancer is a relatively common type of cancer, which involves the growth of abnormal tissue (a tumour) in the bl ...

Bladder problems

Bladder problems can include urinary incontinence, infection, or more serious conditions like cancer.

Prostate

What is the prostate? The prostate is a gland of the male urinary and reproductive system a little larger than a walnut. It is located between ...

Prostate cancer

Prostate cancer occurs when abnormal cells grow in the prostate, the male sex gland that lies beneath the bladder, and above the rectum, and is the re ...

Vasectomy

Vasectomy is the total or partial removal of the man's vas deferens, which are the tubes that carry the sperm out of the testicles. What it does is obstruct the sperm canal, and therefore prevent sperm from coming out of the testicles. That is why it is an effective method for birth control, since women cannot get pregnant, but it is not recommended in the short term, because for a time there is still sperm stored. It is a simple ambulatory surgical procedure, in most cases, and local anaesthesia is used. Recovery takes less than a week. After a vasectomy, the man can continue to have orgasms or ejaculate semen. ...

Vasovasostomy (vasectomy reversal)

What is a vasovasostomy? A vasovasostomy is a microsurgical procedure to reverse a vasectomy. A vasectomy is a permanent method of contraception. It is a surgical procedure to prevent sperm from travelling from the man’s testicles to his penis, making it impossible for sperm to enter a woman during intercourse, thereby preventing any potential pregnancy from occurring. This is achieved by cutting, blocking, or tying the vas deferens – the tubes that carry sperm out of the testicles where they are made. A vasovasostomy reverses this process by reconnecting or unblocking the vas deferens to once again allow sperm to pass through.   Why is a vasovasostomy done? Vasovasostomies are performed to try to restore fertility. While the original vasectomy may have been performed because the man and his partner wanted to avoid any future pregnancies, a vasovasostomy may be an option for those men who change their minds, either because they and their partner now want a child, or because the man has since entered into a different relationship and he and his new partner want to start a family.   What does a vasovasostomy involve? Before a vasovasostomy is performed, the surgeon first examines the vas fluid under a microscope to check that it is good quality. This is apparent if it is clear and contains completely formed, healthy sperm. If the sperm are observed to be motile, this gives the procedure a better chance of restoring fertility. The patient is put under general anaesthetic. In some cases, the procedure may be performed with local anaesthetic such as an epidural. The urological surgeon then enters the scrotum and reconnects the severed ends of the vas deferens, taking care to ensure a good blood supply and watertight sutures. If the sutures are too large and the connection is not watertight, the vasovasostomy can fail.   How successful are vasovasostomies? Vasovasostomies can restore fertility in some cases, but not all. The longer the time between the vasectomy and the reversal procedure, the lower the chance of success. This is because the body tends to develop anti-sperm antibodies after a vasectomy, which are thought to lower sperm motility. Other potential obstacles to achieving pregnancy after a vasectomy and subsequent vasovasostomy include blockages in the vas deferens and factors with the female partner.   Alternatives to this treatment Another type of vasectomy reversal procedure is a vasoepididymostomy, which is more technically demanding than a vasovasostomy and involves connecting the severed vas deferens directly to the epididymis (the tube connecting the testicle to the vas deferens, where immature sperm are stored until they develop the ability to swim and fertilise an egg). ...

Circumcision

Circumcision is the total or partial removal of the foreskin, which is the skin that covers the tip of the penis, by a surgical procedure. It is effective to correct disorders such as phimosis (which prevents the foreskin from being pulled back to uncover the glans) and paraphimosis (most often due to an inflammation of the foreskin). Circumcision is widespread universally, and many parents prefer to perform it on new-borns, not as prescription, but for cultural reasons. It is a very simple operation, which lasts only a few minutes, and does not require general anaesthesia. The recovery of the patient is also very fast, within a few days they can go back to their normal routine. ...

Prostate biopsy

What is a prostate biopsy? A prostate biopsy is a test which is done in order to take small samples of tissue from the prostate, which are then looked at in more detail and analysed. What does it involve? There are generally two types of prostate biopsy. The first is called TRUS (trans-rectal ultrasound) guided biopsy. First, an ultrasound probe is inserted into the rectum, to allow imaging of the prostate. After this, a biopsy needle is inserted and samples are taken. On average, around ten samples are taken using this method. The second type of prostate biopsy is called a transperineal (template) biopsy. In this method, more samples are taken from different areas of the prostate. Around thirty to fifty samples may be taken using template biopsy. An ultrasound probe is inserted into the rectum, and imagine is used to correctly guide the needle. In template biopsy, the needle is inserted into the prostate through the skin between the testicles and perineum. Why is it done? Prostate biopsies are done in order to check for the presence of prostate cancer. Template biopsy is typically performed in those who have health concerns which do not permit a TRUS biopsy, or if a TRUS biopsy has been taken but the doctor suspects that prostate cancer is still present. Preparation for a prostate biopsy There is no specific preparation needed, but as a template biopsy is performed under general anaesthetic, making arrangements for someone to take you home after the procedure is advised. What does it feel like during the test? If you are having a TRUS biopsy, local anaesthetic is used, meaning the area is numbed. The procedure may feel a little uncomfortable despite this, as you lie on your side with your knees raised towards your chest. A gel is used while inserting the probe in order to make the process easier. The procedure only takes around 10-15 minutes. You may feel some discomfort in your rectum after the procedure and in the days directly afterwards. In a template biopsy, general anaesthetic is used, meaning you will not be conscious for the test itself. The test takes around 20-40 minutes, and you will have to stay at the clinic for a few hours afterwards to recuperate from the anaesthetic. What do the results mean? After the biopsy, the samples will be sent off to be studied. Each sample will be analysed to see if they contain cancer, and how much cancer is present in each one. If cancer is found, your doctor will be able to tell you how aggressive the cancer is, and if it is likely to spread. They will also be able to tell you the type of cancer, if it is present. If cancer is found, your doctor will explain to you what the results mean, and what the next steps are for treatment. If cancer is not found, but your doctor suspects that prostate cancer is present, they may order further tests or another biopsy. Advances in prostate biopsies Developments in medicine mean that biopsies become more targeted, and the need for frequent biopsies is greatly reduced. Prostate MRI can be used in order to detect prostate cancer, and if a biopsy is necessary, a more accurate type of biopsy can be offered. This biopsy is called a transperineal MRI-ultrasound fusion biopsy. In this test, the needle is inserted through the perineum rather than the rectum. ...

Prostatectomy (prostate removal)

What is a prostatectomy? A prostatectomy is a surgery to remove all or part of the prostate. The prostate is a walnut-sized gland only found in men located between the bladder and the penis. It can be afflicted by a number of conditions, including prostate cancer. A simple prostatectomy only removes part of the prostate. A radical prostatectomy involves removing the entire prostate, along with the seminal vesicles and vas deferens. It is usually only used to treat malignant prostate cancer.   Why is it done? Several conditions can be treated with a prostatectomy. Simple prostatectomies are generally only performed for benign conditions, while radical prostatectomies are performed for more serious benign conditions and malignant cancer. Your doctor may recommend a prostatectomy for the following conditions: Benign prostatic hypertrophy (BPH) Acute urinary retention Recurrent urinary tract infections (UTIs) Prostate cancer The patient may know if something is wrong with his prostate if he suffers from the following symptoms: Frequent urination with little urine Urgent need to urinate during the night (nocturia) Difficulty starting to urinate Low urine flow Dripping at the end of urination Sensation that the bladder hasn’t fully emptied even if it has urinated   What does prostatectomy consist of? Prostatectomy can be performed in one of a few different ways: Open surgery – the surgeon makes a large incision in the patient’s abdomen, allowing him to reach the prostate in order to cut it (or part of it) out. Keyhole surgery – a minimally invasive approach, this involves cutting 5-6 small incisions in the patient’s abdomen, through which surgical tools can be passed, including a tiny light and camera so that the surgery can be performed without cutting the patient open. This can be done by hand or the surgeon may control a robot that holds the tools (robotic assisted surgery).   Preparation for prostatectomy Prostatectomy does not usually require any special preparation. However, it is possible that the urologist will ask the patient to not drink any fluid in the hours leading up to the surgery. The patient will be given a general anaesthetic prior to the procedure.   Care after the intervention After prostatectomy, the patient usually stays in the hospital for 7-10 days. The total recovery will take a few weeks. While in the hospital, the patient is given pain medication and a catheter is passed up the penis to allow urine to pass out of the bladder and into a bag that can be carried round. The catheter stays in place while the area heals, with most patients keeping it in while they go home and having it removed a few weeks later. The patient will be encouraged to walk around the hospital to prevent blood clots. The team of doctors and nurses will advise them on what to eat and drink, as well as how to look after their catheter. The patient may experience fatigue, constipation, and an inability to get an erection while they recover. Any unexpected consequences of the surgery or any doubts should be reported to the doctor. ...

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Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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    First consultation: £200
    Follow-up consultation: £150

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