I am a Consultant Urological Surgeon seeing private patients at The Shelburne Hospital in High Wycombe, Buckinghamshire.

I assess men and women with a wide range of urological problems, including raised PSA, prostate cancer, urinary symptoms, blood in the urine, recurrent urinary infections, kidney stones and other general urological conditions.

I have practised as a consultant since 2005 and have particular expertise in prostate cancer and uro-oncology.

My Shelburne clinic provides a convenient local consultation option for patients from High Wycombe, Marlow, Beaconsfield, Bourne End, Hazlemere, Princes Risborough and the surrounding areas of Buckinghamshire.

Where further investigations or treatment are required, I can arrange these at the most appropriate hospital within my wider private practice while continuing to oversee your urological care.

At a glance

Hospital	The Shelburne Hospital
Location	High Wycombe, Buckinghamshire
Consultant	Mr Neil Haldar, Consultant Urological Surgeon
Specialist interests	Prostate cancer, raised PSA, uro-oncology and general urology
Clinic role	Consultations, assessment, review and follow-up
Further investigations/treatment	Arranged at an appropriate full-service site where required
Appointments	Private medical insurance and self-pay
Private secretary	Emma Stacey — 07841 048975

Private urology consultations in High Wycombe

The Shelburne Hospital provides private urology services on the Wycombe Hospital site in central High Wycombe.

My practice at Shelburne is primarily consultation-focused.

This means you can see me locally for an initial assessment, review of previous investigations, a second opinion or follow-up without necessarily having to travel to one of my larger operating centres.

If you require an investigation or procedure that is not undertaken as part of my Shelburne clinic — such as specialist prostate imaging, cystoscopy, prostate biopsy or surgery — I can arrange this at an appropriate hospital within my practice.

I continue to review the results and oversee your care, so you don’t start again with a different consultant simply because part of your treatment takes place elsewhere.

Conditions I see at The Shelburne Hospital

I see patients in High Wycombe with a broad range of adult urological conditions, including:

• 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)
• difficulty passing urine
• benign enlargement of the prostate
• urinary frequency and urgency
• recurrent urinary tract infections
• kidney and ureteric stones
• bladder problems
• erectile dysfunction
• scrotal and testicular problems
• suspected kidney or bladder cancer
• other general adult urological problems

The first step is usually to understand the problem clearly and determine whether any further investigation is actually necessary.

Raised PSA assessment in High Wycombe

A raised PSA is a common reason for men to arrange a urology consultation.

Importantly, a raised PSA does not automatically mean prostate cancer.

PSA can also be affected by benign enlargement of the prostate, inflammation, infection and several other factors.

During your consultation, I can review:

• your current PSA
• previous PSA results and the pattern over time
• your age
• family history of prostate cancer
• urinary symptoms
• prostate size where known
• previous MRI or biopsy results
• your general health

We can then decide whether further investigation is appropriate.

This may involve a multiparametric prostate MRI and, in selected men, prostate biopsy.

If these investigations are required, I can arrange them through an appropriate diagnostic centre within my practice and then review the results with you.

You can read more about the assessment process on my Raised PSA Clinic page.

Prostate cancer consultations and second opinions

I also see men at The Shelburne Hospital who have already been diagnosed with prostate cancer.

You may have recently received your biopsy result, have been advised to consider treatment or simply want another specialist opinion before deciding what to do.

A second-opinion consultation may be particularly helpful if you are deciding between:

• active surveillance
• radical prostatectomy
• radiotherapy
• other treatment options

I can review your PSA history, MRI, biopsy and pathology results, staging investigations where relevant, prostate anatomy, urinary and sexual function and your general health.

The aim is to explain the options as they apply to you personally, including the advantages, disadvantages and likely consequences of each reasonable approach.

Multidisciplinary cancer care

All newly diagnosed urological cancer cases under my care are discussed through an appropriate multidisciplinary team meeting, or MDT.

The MDT brings together specialists involved in cancer diagnosis and treatment, which may include urologists, radiologists, pathologists, oncologists and specialist nurses.

The relevant imaging, pathology and clinical information can therefore be considered from several specialist perspectives.

I then discuss the MDT recommendations and treatment options with you.

The MDT does not replace an individual consultation or your own preferences. Its role is to help ensure that the available treatment options have been considered appropriately before you make an important decision.

If you need further investigations

Not every patient needs extensive testing.

Where investigations are appropriate, these might include:

• blood tests
• urine testing
• ultrasound
• CT or MRI
• prostate MRI
• urinary flow studies
• flexible cystoscopy
• prostate biopsy

Because my Shelburne practice is consultation-focused, I arrange some of these investigations at another appropriate centre within my private practice.

My secretary can help coordinate the appointments, and I review the results with you once they are available.

For many patients this provides a useful combination: a convenient local consultation in High Wycombe with access to the wider diagnostic and treatment facilities of my practice when needed.

If you need surgery or other treatment

If your assessment shows that an operation or other procedure is appropriate, I will discuss the available options with you and arrange treatment at a hospital with the facilities required for that particular procedure.

For example, if a man with prostate cancer decides to undergo robotic-assisted radical prostatectomy, the operation would be arranged at one of the hospitals within my practice where robotic surgery is available.

You remain under my care throughout this process.

The hospital at which you first see me therefore does not determine which treatments are available to you.

Urinary symptoms and enlarged prostate

Problems passing urine become increasingly common with age, particularly in men with benign enlargement of the prostate.

Symptoms can include:

• a slow urinary stream
• hesitancy
• difficulty emptying the bladder
• passing urine frequently
• needing to get up repeatedly during the night
• urinary urgency
• episodes of retention

Several possible causes exist, and not everyone with urinary symptoms requires surgery.

Treatment may involve observation, medication or a procedure depending on the cause and severity of the symptoms.

I can assess these problems at The Shelburne Hospital and arrange further tests when useful.

Blood in the urine

Visible blood in the urine — haematuria — should normally be investigated.

Possible causes include urinary infection, kidney stones, prostate problems and conditions affecting the kidneys or bladder.

Occasionally, haematuria can be the first sign of a urological cancer, which is why it is important not to assume the bleeding has come from an infection.

I can assess patients with haematuria at Shelburne and arrange the appropriate imaging or bladder examination where necessary.

You can find further information on my Rapid Access Haematuria Clinic page.

My approach

I believe the purpose of a specialist consultation is not simply to recommend a test or operation.

My approach is to explain:

• what is likely to be causing the problem
• what we know from the investigations already performed
• what remains uncertain
• whether further tests are genuinely necessary
• the reasonable treatment options
• the advantages and disadvantages of those options
• what may happen if no treatment is undertaken

Where treatment is needed, I aim to tailor it to the individual patient rather than simply to a scan result or diagnosis.

You can read more about my training, experience and specialist practice on my About Mr Neil Haldar page.

Getting to The Shelburne Hospital

The Shelburne Hospital
Queen Alexandra Road
High Wycombe
Buckinghamshire
HP11 2TR

The hospital is located within the Wycombe Hospital site in central High Wycombe.

It is particularly convenient for patients travelling from High Wycombe, Hazlemere, Hughenden Valley, Marlow, Bourne End, Beaconsfield, Princes Risborough and the surrounding areas.

By train

High Wycombe railway station is approximately a ten-minute walk from the hospital, or a short taxi journey.

The station has regular Chiltern Railways services towards London Marylebone, Beaconsfield, Princes Risborough and Aylesbury.

By car

You can reach the hospital from the M40, including Junctions 3 and 4, and from the A404.

Complimentary parking is available for patients and visitors, with 59 parking spaces listed by the hospital.

Arranging an appointment

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

Contact my private secretary

Emma Stacey
Telephone: 07841 048975

Emma can help arrange your appointment and advise which previous results, scans or correspondence it would be useful to bring.

If another clinic location would allow an investigation to be performed more conveniently at the same visit, she can also advise you about the available options.

If you are using private medical insurance, please check whether your insurer requires a GP referral or authorisation number before attending.

Self-funding patients are welcome and can contact my practice directly.

Further information is available on my Fees and Insurance page.

Book a private urology consultation in High Wycombe

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

Call Emma on 07841 048975

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Frequently asked questions