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Mr Sudhanshu Chitale

Mr Sudhanshu Chitale
Urology
Central London


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Mr Sudhanshu Chitale

FRCS(Urol) FEBU DNB(Urol) Diploma Urol(LON) FRCS(Eng) FICS MS(Gen Surg) MBBS

Urology
London


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Mr Sudhanshu Chitale areas of expertise:

  • Endoscopy
  • Endourology
  • Male infertility
  • Paediatric urology
  • Phimosis
  • Varicocele

Professional statement

Mr Sudhanshu Chitale is a highly-skilled urological surgeon based in London. He has a wealth of experience having performed over 20,000 urological operations and has special expertise in procedures involving the lower urinary tract, including renal prostatic, bladder, penile, testicular and urethral surgery. Outside of his clinic Mr Chitale also serves as an Honorary Senior Lecturer at University College London Medical School and has a strong interest in research with over 90 publications to his name. In addition, he was the principal author of the first ever randomised controlled trial (RCT) on shock wave therapy (SWT) for Peyronie's disease. He operates from a number of prominent medical institutions in the capital, such as the London Clinic, Princess Grace Hospital, the Harley Street Clinic. The Whittington Health NHS Trust is his NHS base.


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 Credentials

GMC: 4133915

 Professional experience

• More than 30 years of experience
• Consultant Urological Surgeon, Whittington Health NHS Trust, London (2011 - present)
• Consultant Urological Surgeon, The London Clinic (present)
• Consultant Urological Surgeon, Princess Grace Hospital (present)
• Consultant Urological Surgeon, 9 Harley Street (present)

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 Sub-specialties

• Urology
• Andrology
• Endourology
• Uro-oncology
• Paediatric urology
• Male infertility

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 Teaching posts

• Honorary Senior Lecturer, University College London (2011 - present)

 Education

• FRCS (Urol) at RCSE, London (2006)
• FEBU in Urology, EBU (2004)
• FRCS(Eng) in General Surgery, Royal College of Surgeons of England, London (1997 - 1998)
• Diplomat National Board (Urology), Bombay Hospital Institute of Postgraduate Education & Medical research, India (1988 - 1991)
• MBBS, MS (General Surgery), VMMC, India (1978 - 1986)

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 Publications and conferences

• Has been published widely in peer-reviewed journals with around 90 publications
• Has given several presentations at national and international meetings
• A referee to many scientific journals and a guest editor for a web based journal

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 Prizes and awards

• Received several awards for academic achievements during his training
• Awarded 'Top Teacher Award' by UCL medical school students (2014 - 2015)
• Awarded Excellence in Medical Education Award (EMEA) UCL (2016)

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Languages spoken

  • English
  • Hindi

Diseases, Medical Tests and Treatments

Endoscopy

An endoscopy is a procedure in which the inside of the body is examined using a device called an endoscope, which is a narrow, flexible tube with a ca ...

Endourology

Endourology is the a set of techniques used in minimally invasive surgery implemented through the urinary tract. Techniques that can be used are: urol ...

Male infertility

Infertility is the inability to have children after having unprotected sex for a period of 12 months or more. This term should be distinguished from s ...

Paediatric urology

Pediatric urology and pediatric urology is the subspecialty within urology dedicated to the prevention, diagnosis and treatment of congenital malforma ...

Phimosis

Phimosis is a disorder in which there is congenital or accidental narrowing of the preputial ring of the penis, which prevents it from being withdrawn to show the glans. It is common in children and may occasionally be caused by forced retractions of the foreskin at an early age. It can also be caused by an infection or by the scars that form after an injury. Phimosis can be corrected by a simple surgical procedure called circumcision, which involves removing excess skin surrounding the glans, leaving it permanently exposed. On the other hand, paraphimosis is when the foreskin cannot be placed above the glans. Generally, it causes pain and a little swelling, and usually occurs in children or elderly people who have not been circumcised. ...

Varicocele

A varicocele is a varicose vein tumour formed by an (unusually swollen vein) or a group of varices, usually located in the scrotum or in the spermatic cord. It usually develops during the course of puberty, most often on the left side of the scrotum, and although it is usually not harmful, in some people it can damage the testicles or decrease sperm production. If testicular varicocele causes infertility, surgery, called varicocelectomy, which involves cutting the affected veins for blood flow is performed. An alternative to surgery is varicocele embolisation, which makes a much smaller incision and involves placing a catheter into the vein. ...

Adult circumcision

Circumcision is the surgical removal of the foreskin of the penis (the fold of skin that covers the tip of the penis). It involves cutting a portion of the foreskin covering the glands, leaving it permanently exposed. In the case of adults, it is usually performed for medical reasons, primarily as a treatment for phimosis and paraphimosis although there are cases of adult circumcision carried out for religious reasons.  ...

Balanitis

Balanitis is an inflammatory disease that occurs on the surface of the glans and foreskin. The causes can be bacterial infection or irritation. The most common symptoms are: swelling; itching; erythema; pain; irritation; presence of vesicles; narrowing of the foreskin (phimosis); difficulty urinating; bleeding. Treatment usually includes topical antimicrobials or creams containing cortisone. In particularly severe cases, the patient will have to undergo circumcision surgery. ...

Cholecystitis

Cholecystitis is the inflammation of the gallbladder. It may be acute or chronic and is usually caused by the presence of stones. It occurs because the bile gets trapped in the gallbladder irritating it....

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. ...

Cystectomy (bladder removal)

Cystectomy is the removal of the bladder. If the reason for the operation is bladder cancer, the bladder and all the surrounding tissue is removed. If the reason is a benign disease, only a portion is removed ...

Cystitis

Cystitis is the inflammation of the bladder. It can be infected or not. Its main symptoms are burning sensation during urination, a strong urge to urinate, blood in urine and discomfort in the pelvic area. Cystitis caused by a bacterial infection is usually treated with antibiotics. Cystitis is more prevalent in women because they have shorter urethra and is closer to the anus....

Cystocele

The cystocele is a protrusion or hernia in the bladder into the vaginal canal. It occurs when the muscle wall supporting the bladder is so weak that it is unable to hold it in its normal position, so the bladder tends to move downward. This weakness can cause urine to escape from the bladder when abdominal pressure increases, which is what happens when coughing or sneezing, for example. Cystocele is a relatively common disorder in women over the age of 40, and the likelihood increases with age, during menopause, after a particularly difficult birth and when there is obesity, among other reasons. In mild cases, the treatment consists of performing Kegel exercises, which strengthen the muscles of the pelvic floor. Surgery is needed in severe cases or when such exercises fail. ...

Endoscopic surgery

Endoscopic surgery is the type of surgery in which a flexible tube (endoscope) with a light source and a camera is inserted into the body through the natural orifices or small incisions, as in hysteroscopy and laparoscopy. The camera is connected to a TV screen, where the images can be seen. Gynaecological endoscopic surgery allows diagnosis and treatment of some diseases that affect the reproductive system. It is a minimally invasive surgery that offers more benefits compared to traditional open surgery, because it is a much more reliable and accurate technique, the recovery period is much shorter and the aesthetic results are better. ...

Erectile dysfunction

Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection that will result in a successful sexual intercourse. It is also known as impotence, but this term is not used in the medical field anymore. It affects many men and increases with age, but to consider it an alteration, it is necessary that it happens persistently. The most common causes of erectile dysfunction can be both physical and psychological, or a combination of both. They can be of vascular type: men with high cholesterol, smoking, diabetes or who have been treated with radiotherapy. Neurological disorders (Alzheimer’s, for example) and hormonal (by utilising medication) in a lesser extent. There may also be effective causes: patients with severe depression or anxiety often have erectile dysfunction. The treatments besides medication, usually include changes in lifestyle, such as quitting smoking and exercising regularly. ...

Genital prolapse

Genital prolapse or uterine prolapse is the descent of the vaginal walls and the pelvic viscera.

Holmium laser

Holmium laser treatment for Hypertrophy or Benign Prostatic Hyperplasia uses laser energy to remove prostate tissue causing the blockage. Since the holmium laser penetrates superficially, thermal damage to adjacent tissue is avoided. This way the treatment provides the patient with an immediate relief of his symptoms and improves his quality of life. It is usually performed under epidural anaesthesia in an outpatient or short hospital stay process. Furthermore, the fact that is a process with laser makes it a procedure in which there is virtually no blood loss. Also, the holmium laser produces less pain in the genitourinary tract and fewer postoperative symptoms (incontinence, urgency, nocturnal enuresis) in addition to not affecting the sexual function. The holmium laser technique is as effective as open surgery, with the advantage of not making incisions, no bleeding, being a less invasive treatment with fewer side effects and very short hospitalization....

Interstitial cystitis

Cystitis is inflammation of the bladder. The term interstitial cystitis is used when the disease is chronic. It is much more common in women than in men, and the cause is unknown, although it is known to be not caused by bacterial or viral infections. People affected by this type of cystitis have a completely inflamed and painful bladder wall, which causes scars on the bladder or causes stiffness, which causes the inability to expand as it fills with urine. Symptoms vary widely, but often include impulses to urinate urgently, frequent urinating, and even pain during sexual intercourse. There is no definitive cure for interstitial cystitis, so treatments are usually focused on improving symptoms, and may include: diet, exercise to control the bladder, medications, physical therapy, etc. ...

Kidney cancer

Kidney cancer is a malignant tumour that involves the uncontrolled spread of cancer cells in the renal tubules. It is a disorder that affects, above all, adults over 50 and generally men. The most common risk factors are smoking, haemodialysis and other genetic reasons (the exact causes are unknown). The symptoms of a kidney tumour are usually the appearance of blood in the urine, pain in the lower back (near the diseased kidney), weight loss and gain of abdominal mass. However, most kidney tumours are asymptomatic, and are usually detected at random from an X-ray test performed for other reasons. It is a cancer that if detected in time can be cured, because of the body's ability to continue as normal with a single kidney, so the removal of the damaged organ will stop the cancer. However, in case of metastases (tumour spread to other organs), other specific treatments must be performed to halt the spread of cancer cells. ...

Kidney infection

Pyelonephritis is a kidney inflammation that affects the renal parenchyma, renal pelvis and calyces. The symptoms include back pain, fever and chill although only 60% of the people who have these symptoms checked are confirmed to suffer from pyelonephritis. In addition, cystitis and kidney stones can also be a cause. The main cause of pyelonephritis is the passing of microorganisms through the ureters from the faecal flora....

Laser lithotripsy

  Laser lithotripsy is a novel technique that allows the fragmentation and removal of stones from the urinary tract in a single surgical procedure. It has important advantages compared to traditional techniques, such as extracorporeal lithotripsy, since it is less invasive, and can treat all types of stones from the kidney, ureter, bladder or urethra. ...

Lichen sclerosus

Lichen sclerosis is a disease that affects the skin of the genital and anal area. It is more common in women, especially after menopause. The disease initially manifests with small white pustules, which tend to grow over time. Circumcision is recommended for men, while for women it is recommended to apply topical creams that contain cortisone. Lichen sclerosis is not contagious. ...

Nephrectomy (kidney removal)

Kidney removal surgery or nephrectomy is the procedure to remove all or part of a kidney. This surgery is done in the hospital under general anaesthesia and is pain-free. The procedure can take 3 hours or more. ...

No-scalpel vasectomy

No-scalpel vasectomy is an intervention without surgical incision to perform the partial removal of the vas deferens, which are the tubes that carry sperm in the testes. It is one of the most simple and effective contraceptive methods. Unlike a traditional vasectomy, in which a scalpel is used, this technique is performed with collets, causing the opening of the skin separating the fibres, not by cutting. The advantage is that patients have less pain and bleeding during surgery and less bruising, less risk of infections and other possible postoperative complications. In addition, there is no scarring. ...

Pelvic floor

The pelvic floor is the set of muscles and ligaments that surround all the pelvic organs (bladder and urethra, uterus and vagina, and rectum) and ensure their normal operation. When the pelvic floor is weakened, it can cause problems such as urine leakage, discomfort, pain and even the collapse of abdominal organs. ...

Penile Prosthesis

A prosthesis is a device specially designed to replace a missing part of the body or to make it work better. In the case of penile prosthesis it straightens the organ and also helps erections last longer. When other medical treatments for impotence have not proven to be satisfactory or comfortable, a penile prosthesis is often a good option. There are two main groups: flexible and inflatable.  ...

Peyronie

Peyronie's disease (also known as Peyronie's syndrome) occurs when a zone of fibrosis (scar) forms in the corpus cavernosum of the penis. This area loses elasticity, and by not stretching when the corpora cavernosa is filled in erection, the penis bends in the direction of the scar. This curvature can become painful and even prevent sexual intercourse. Although the average age of affected men is at 50 years, it can also occur in young people. The exact cause of this disease is unknown, but may be the result of a trauma when the penis is erect, such as during intercourse. There are studies that relate the Peyronie's syndrome to an alteration in the human immune system. In an early stage, the treatment involves taking medication, but if the disease progresses and the penis curvature continues, surgery may be necessary. ...

Premature ejaculation

Early or premature ejaculation is a dysfunction, the premature expulsion of semen during intercourse. It occurs when there has been very little sexual stimulation or when the person cannot keep control to maintain vaginal penetration for the desired time. It is relatively common and the causes are usually psychological, rather than physical: such as stress, depression, lack of confidence with a sexual partner, nervousness, excessive excitement, etc. Physical causes may originate in a low amount of serotonin. In this case, drugs that regulate the production of this substance in the brain are used. But usually the treatment involves psychological therapy. ...

Priapism

Priapism is a prolonged and painful erection of the penis that can last from hours to several days. It occurs when the penis begins to fill with blood, as in a normal erection, but blood does not drain properly. It may be a result of an illness or a traumatic spinal cord injury or injury in the nerve centres, or leukaemia, or inflammation of the urethra.  ...

Prostate biopsy

A prostate biopsy is a test to determine prostate cancer. Small samples of the prostrate are examined to see if there is benign or malignant growth. During the procedure, the doctor inserts a needle through the wall of the rectum and into the prostate. When removing the needle, a small cylinder of prostatic tissue is removed. The test lasts only 10 minutes and the patient will be prescribed antibiotics for before and after the operation to avoid a possible infection. ...

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 responsible for producing seminal fluid. It is one of the most common cancers in men, and the chances of getting it increase with age. In its initial stage, it presents symptoms such as: difficulties and pain when urinating, frequent urination, inability to urinate, blood in the urine, painful ejaculation, pain in the lower back and pelvis that does not disappear over time, involuntary weight loss, etc. Treatment options depend on the stage of the cancer and the patient's health, but usually include surgery, chemotherapy, and radiation therapy. ...

Prostatitis

Prostatitis is the inflammation of the prostate, a male gland below the bladder that helps in the production of semen. It is one of the most common disorders of the male genitourinary system, caused, in most cases, by bacterial infection, either chronic or acute. Other inflammatory conditions of the prostate may be chronic nonbacterial prostatitis (producing perineal or pelvic pain) and asymptomatic inflammatory prostatitis (the symptoms are not obvious). The most common symptoms that can lead us to think that there is an inflammation of the prostate are associated with urinary disorders. When the cause is an infection, it is treated with antibiotics for several weeks to remove bacteria from the prostate. ...

Short frenulum

The frenulum of prepuce of penis is the fold of the skin in charge of attaching the underside of the glans with the inner surface of the foreskin. Its function is to help to contract the prepuce on the glans. Short frenulum is when the frenulum is so short that it restricts the movement of the foreskin, which causes discomfort during sexual activity. One of the consequences is that it can get torn, causing pain and some bleeding, which is not a medical emergency, but if it gets complicated it requires medical treatment. There are different methods for this: from the use of creams with corticosteroids and exercise for the manual extension of the frenulum, to repair plastic surgery (fenuloplasty), elimination (fraenectomy) or circumcision. ...

Testicular biopsy

Testicular biopsy is a surgical technique which is used to obtain a sample of testicular tissue through an incision in the scrotum. The objective of this procedure is to diagnose a type of disease, or be a therapy for assisted reproduction. In the former case a sample of testicular pulp is taken to assess testicular function and to discover if testicular tissue produces spermatozoids or not. It can also be done for a genetic study or meiosis. Regarding the therapeutic objective, the biopsy is carried out to extract immature spermatozoa, if any, for assisted reproduction and freezing of a spare sample for subsequent reproduction cycles. Before carrying out the biopsy, the man undergoes both a physical examination and a hormonal analysis, to establish if this test is required. ...

Testicular cancers

Testicular cancer occurs when cancer cells form in the testes. Symptoms of testicular tumors are: a lump in the testicles or groin, and pain and tenderness. The main causes of the appearance of testicular cancer are genetic, because the testicle has not moved properly from the abdomen into the scrotum during their development. If found early, testicular cancer can be treated with chemotherapy, radiotherapy, and surgery.    ...

Ultrasound

Ultrasound is a diagnostic imaging procedure that allows you to view organs and soft structures within the body. It is made using high-frequency sound waves that are emitted by a transducer that captures the echo of different amplitudes which occurs when bouncing off the organs. These signals, when processed by a computer, give a series of images of the tissues examined. Today ultrasounds can be two-dimensional, three-dimensional or 4-dimensional images. Ultrasound is a non-invasive technique, in which no radiation is used so can be used to visualise foetuses that are being formed. This procedure can differentiate clearly the shape and size of each structure within the body. In medicine, it is used to see the heart, kidneys, liver and blood vessels, among other organs. ...

Urethra surgery

Urethra surgery involves removing the affected area, followed by a reconstruction of the urethra. Results vary depending on the size and location of the stenosis, and the surgeon’s experience. In cases of acute urinary retention, a super-pubic catheter can be used as emergency treatment. This allows the bladder to drain through the abdomen. There is currently no drug treatment for the disease. If no other treatment works, the surgeon can perform a urinary diversion, called appendicovesicostomy (Mitrofanoff procedure). This allows the patient to empty the bladder through the abdominal wall via a catheter. ...

Urethral stricture

Urethral stricture is a narrowing of the tube that carries urine out of the body. It is common in men because their urethra is longer. It can be produced by inflammation, disease or injury. ...

Urethritis

Urethritis is inflammation of the urethra, the tube through which urine is eliminated. Usually it causes an infection by germs that are spread through sexual contact. Some of its symptoms are burning, painful urination and purulent discharge. It can last a few weeks or even months, and is also called urethral syndrome....

Urinary incontinence

Urinary incontinence is the inability to control the bladder, which means that you can not always hold urine. It can affect anyone, but is most common in people over 50 years. Most control problems occur because the muscles that keep the bladder are too weak or too active. If they are weak, small amounts of urine to perform actions such as laughing or coughing are lost, which is known as stress incontinence. On the contrary, if they are too active, you can have an urgent need to go to the bathroom while having little urine in the bladder (urge incontinence or overactive bladder). Other causes include prostate problems and neurological damage. The treatment of urinary incontinence depends on the cause and type, but in general usually includes simple exercises, medicines and special devices. Surgery may be helpful at times. ...

Uroflowmetry

Flowmetry is a test that records the duration of urination, the speed thereof, i.e. the amount of urine per unit time (ml / s), and the total volume of urine. It is performed on patients who have certain problems with urination....

Urogenital injuries

A trauma is an injury to an organ or tissue due to external actions or causes. Urogenital traumatisms refer to lesions produced in the genital and or urinary tract. In this case, the organ that is most frequently damaged is the kidney, followed by the bladder, urethra, testicles and ureters. In addition, there are two types of urogenital trauma. On the one hand, there are the so-called closed traumas, which are the most common, and include injuries caused by falls from heights, traffic accidents, sports injuries and direct blows on the external genitalia. On the other hand, open traumas, which are caused mainly by stab wounds, gunshot or fire injuries and by abdominal surgery. ...

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. ...

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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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