Private Urologist at The Chiltern Hospital, Great Missenden

I am a Consultant Urological Surgeon seeing private patients at The Chiltern Hospital in Great Missenden, Buckinghamshire.

I assess and treat a wide range of urological conditions, with particular interests in prostate cancer, raised PSA, bladder cancer and kidney cancer, prostate enlargement and general urology.

I have practised as a consultant since 2005 and have more than 20 years’ experience in urology. My specialist practice includes uro-oncology, prostate cancer surgery and minimally invasive surgery.

The Chiltern Hospital is one of my main private consultation and operating locations and is particularly convenient for patients from Great Missenden, Amersham, Chesham, Wendover, Aylesbury, Beaconsfield and the surrounding Chilterns.

At a glance

Hospital	The Chiltern Hospital
Location	Great Missenden, Buckinghamshire
Consultant	Mr Neil Haldar, Consultant Urological Surgeon
Specialist interests	Prostate cancer, raised PSA, uro-oncology and general urology
Appointments	Private medical insurance and self-pay
Private secretary	Emma Stacey — 07841 048975

Urology at The Chiltern Hospital

The Chiltern Hospital is a private hospital on London Road in Great Missenden offering outpatient consultations, diagnostic investigations and surgical treatment across a wide range of specialities.

For my urology patients, the hospital allows local coordination of consultations, investigations, treatment, and follow-up where appropriate.

The hospital has diagnostic imaging and laboratory services as well as operating theatres and inpatient facilities.

My aim is to provide patients with a clear diagnosis and an individual treatment plan rather than assuming that every patient with the same condition requires the same treatment.

Urological conditions I see in Great Missenden

I see patients with both newly diagnosed and longstanding urological problems.

These include:

• Raised or rising PSA
• Abnormal prostate MRI findings
• Suspected prostate cancer
• Newly diagnosed prostate cancer
• Second opinions about prostate cancer treatment
• Blood in the urine (haematuria)
• Bladder cancer
• Kidney cancer
• Testicular and scrotal problems
• Benign enlargement of the prostate (BPH)
• Difficulty passing urine and other lower urinary tract symptoms
• Recurrent urinary tract infections
• Kidney and ureteric stones
• Erectile dysfunction
• General urological problems

My clinical interests listed by The Chiltern Hospital also include prostate cancer, prostate assessment, haematuria, kidney stones, erectile dysfunction, urinary tract infection and raised PSA assessment.

Multidisciplinary cancer care

All newly diagnosed urological cancer cases under my care are discussed through an appropriate multidisciplinary team (MDT). This brings together specialists such as urologists, radiologists, pathologists, oncologists, and specialist nurses to review the diagnosis, imaging, and pathology and consider appropriate treatment options.

I then discuss the MDT recommendations with you in the context of your individual circumstances, priorities and preferences.

Raised PSA and prostate assessment

A raised PSA does not automatically mean prostate cancer.

PSA can be affected by several factors, including benign prostate enlargement, inflammation and infection, as well as prostate cancer.

If you have been found to have a raised or rising PSA, I can review your PSA history alongside your age, prostate examination, family history and any previous investigations.

Where appropriate, further assessment may include a multiparametric prostate MRI and, if required, prostate biopsy.

The aim is not simply to identify prostate cancer but also to avoid unnecessary investigations and treatment where possible.

You can read more in my detailed guide to raised PSA assessment.

Prostate cancer consultations

I see men at The Chiltern Hospital at several different stages of the prostate cancer pathway.

You may have:

• recently received an abnormal PSA result
• had an abnormal prostate MRI
• recently undergone a prostate biopsy
• been newly diagnosed with prostate cancer
• already discussed treatment elsewhere and want another opinion
• been advised to consider surgery
• been offered radiotherapy or active surveillance
• previously received treatment and require further advice

A prostate cancer consultation should take account not simply of the cancer itself, but also your age, general health, urinary and sexual function, prostate anatomy and your own priorities.

For detailed information about diagnosis and treatment options, please see my prostate cancer pages.

Prostate cancer second opinions

It is entirely reasonable to seek a second opinion before making an important decision about prostate cancer treatment.

Some prostate cancers are best monitored with active surveillance, while others require treatment.

Where treatment is appropriate, the options may include surgery, radiotherapy and, in selected circumstances, other approaches.

During a second-opinion consultation, I can review your:

• PSA history
• prostate MRI
• biopsy and pathology results
• grade and stage of the cancer
• any staging scans
• urinary symptoms
• sexual function
• previous abdominal or prostate surgery
• general health

We can then discuss the advantages and disadvantages of the appropriate options as they apply to you, rather than discussing treatment in purely general terms.

Prostate cancer surgery

Prostate cancer surgery has been a major part of my consultant practice throughout my career.

I have performed more than 1,000 radical prostatectomies and have experience with both robotic-assisted and open prostate cancer surgery.

At The Chiltern Hospital, I perform open radical prostatectomy where this is the appropriate surgical approach.

Robotic-assisted radical prostatectomy is also part of my wider private practice and can be arranged at one of the hospitals where I perform robotic surgery when this is more appropriate.

This allows the choice of surgical approach to be based on the individual patient, their cancer, anatomy and previous surgery rather than on the equipment available at a single hospital.

You can read more about robotic-assisted radical prostatectomy and open radical prostatectomy in my detailed treatment guides.

Enlarged prostate and urinary symptoms

Benign enlargement of the prostate becomes increasingly common with age and can cause symptoms including:

• a slow urinary stream
• difficulty starting urination
• needing to pass urine frequently
• getting up repeatedly at night
• urgency
• a feeling that the bladder has not emptied properly
• episodes of urinary retention

Not everyone with an enlarged prostate needs an operation.

Treatment may involve observation, medication or a procedure depending on the severity of the symptoms, prostate size and the effect on your quality of life.

I assess and treat men with prostate enlargement at The Chiltern Hospital and can discuss the available options after appropriate assessment.

Blood in the urine

Blood in the urine — haematuria — should usually be investigated, particularly when it is visible.

There are many possible causes, including infection, stones, benign prostate enlargement and conditions affecting the bladder or kidneys.

In some patients it can be the first sign of a urological cancer.

Assessment therefore aims to identify the cause rather than assuming blood in the urine comes from an infection or prostate problem.

You can read more about investigation through my rapid-access haematuria service.

Kidney, bladder and testicular conditions

My uro-oncology practice also includes cancers affecting the kidney, bladder and testis.

I have performed more than 600 laparoscopic kidney operations during my surgical career.

If a patient requires investigation or treatment better undertaken at another hospital within my practice, I can coordinate this while maintaining continuity of consultant care.

My approach

Urological conditions often have more than one reasonable treatment option.

My approach is to explain:

• what we know
• what we do not yet know
• whether further investigation is necessary
• the reasonable treatment alternatives
• the advantages and disadvantages of those treatments
• what may happen if no treatment is undertaken

I believe treatment should be tailored to the individual patient rather than simply to a scan result, PSA value or diagnosis.

You can find further information about my training, NHS and private practice and surgical experience on my About Mr Neil Haldar page.

Getting to The Chiltern Hospital

The Chiltern Hospital
London Road
Great Missenden
Buckinghamshire
HP16 0EN

The hospital is located just outside Great Missenden in the Chilterns.

It is particularly convenient for patients travelling from Great Missenden, Amersham, Chesham, Wendover, Aylesbury, Beaconsfield, Princes Risborough, High Wycombe, Tring and Berkhamsted, as well as the surrounding areas of Buckinghamshire and Hertfordshire.

By train

The nearest railway station is Great Missenden, on the Chiltern Railways line between London Marylebone and the Midlands.

By car

The hospital is readily accessible from the A413, with routes from Amersham and Beaconsfield to the south and Wendover and Aylesbury to the north.

Patients travelling from the Watford and Hemel Hempstead direction can approach via the A41 and Chesham. The hospital has 218 parking spaces for patients and visitors.

Arranging an appointment

You can arrange a private consultation at The Chiltern Hospital either through your medical insurer or by contacting my practice directly.

Contact my private secretary

Emma Stacey
Telephone: 07841 048975

Emma can arrange an appointment and advise what previous results, scans or correspondence it would be useful to bring.

If you are using private medical insurance, your insurer may require a GP referral or prior authorisation before your appointment.

Self-funding patients are also welcome.

Further information about consultation fees and medical insurance is available on my Fees and Insurance page.

Book a private urology consultation in Buckinghamshire

If you have a raised PSA, prostate cancer, urinary symptoms, blood in the urine or another urological concern, you are welcome to arrange an appointment at The Chiltern Hospital.

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Frequently asked questions