NHS Urology Consultant with Private Practice
I am a dedicated NHS and Private urologist covering Brighton, Hove, Haywards heath, Crawley, Maidstone, Tunbridge Wells, Eastbourne, and Hastings in England and various hospitals/ clinics in Malta.
To become the best urologist in UK one needs to be humble and recognise that to achieve this one needs to look what is happening throughout the world and be ready to always learn. Many patients seek a second opinion through online consultations as one of my strengths is the explanation of the disease/treatment in a way for every individual to understand , it's all about patient empowerment.
My Latest Robotic Pelvic & Surgery Developments
I have developed a revolutionary robotic technique called Extended Maximum Urethral Length Preservation (EMULP). The aim is to increase the dryness for patients with prostate cancer that undergo robotic prostatectomy. The aim is to surpass the current retzius sparing technique dryness outcome. The project is in its infancy but the results are very promising as all patients operated by this technique are dry when their catheter was removed.
I am one of the few robotic surgeons in UK who can operate at the lowest intra-abdominal pressure of 6mmHg (Ultra low) and this ensures the patient a more speedy recovery and minimises anaesthetic and surgical complications.
Curently I am utilising fitness trackers to assess patient mobility after major prostate cancer robotic surgery and bladder cancer robotic surgery in order to develop targeted enhanced recovery protocols that would lead to faster recovery and reduce complications.
Areas Of Expertise
Mr Calleja is an innovative consultant that throughout the last years has subspecialised in the management of complex issues of the prostate (benign prostatic enlargement, bladder outflow obstruction, prostatitis, prostate cancer) and bladder ( overactive bladder, urinary tract infections, non muscle invasive bladder cancer, muscle invasive bladder cancer) .
Mr Calleja has honed techniques in Robotic Pelvic Surgery (prostate cancer robotic surgery and bladder cancer robotic surgery) based on national and international developments and keeps abreast with the latest updates.
Mr Calleja works in the Sussex Regional Centre for prostate and bladder cancer surgery. He collaborates with other various healthcare professionals to provide comprehensive treatment profile to our cancer patients with access to radiotherapy and brachytherapy .
Prostate Conditions
Prostate Cancer
Benign Prostatic Enlargement
Benign Prostatic Enlargement
In the UK, about 1 in 8 men will be diagnosed with prostate cancer in their lifetime. Many advances have happened at all stages of the disease.
Prostate cancer in its early phase does not cause any symptoms.
Symptoms of advanced or metastatic (when cancer spread) prostate cancer can be:
- Dull pain in the lower pelvis
- Frequent passing of urin
In the UK, about 1 in 8 men will be diagnosed with prostate cancer in their lifetime. Many advances have happened at all stages of the disease.
Prostate cancer in its early phase does not cause any symptoms.
Symptoms of advanced or metastatic (when cancer spread) prostate cancer can be:
- Dull pain in the lower pelvis
- Frequent passing of urine
- Difficulty to empty the bladder
- Blood in the urine (Haematuria)
- Painful ejaculation / orgasm
- Pain in the bones (back/pelvis/thighs)
- Loss of appetite
- Loss of weight
- Bone pain
Many men explore natural options to prevent prostate cancer or slow its growth,
I have dedicated my life to help, guide and support prostate cancer patients. As an NHS Consultant dedicated to prostate and bladder cancer I am continuously developing news skills for prostate cancer robotic surgery, developing enhanced recovery protocols and survivorship programme to address the unmet needs of men living with prostate cancer.
Benign Prostatic Enlargement
Benign Prostatic Enlargement
Benign Prostatic Enlargement
Prostate enlargement starts at the age of 25 years, and typically men experience waterwork trouble at the age of 50 and above with an impact on one's quality of life.
If you have mild symptoms, you will be asked to perform lifestyle changes;
- drinking less alcohol, caffeine, fizzy drinks and certain juices.
- restrict intake of artificial swee
Prostate enlargement starts at the age of 25 years, and typically men experience waterwork trouble at the age of 50 and above with an impact on one's quality of life.
If you have mild symptoms, you will be asked to perform lifestyle changes;
- drinking less alcohol, caffeine, fizzy drinks and certain juices.
- restrict intake of artificial sweeteners
- exercising regularly
- last drink should be three hours before sleep time, and no drinking during the night
Medicine can be prescribed to shrink the prostate and relax your bladder neck to help you empty the bladder better.
Surgery is only indicated when you have not responded to medical treatment.
There are various treatment options for benign prostate enlargement (BPE or BPH). Depending on the size of your prostate and medical conditions treatment needs to be tailore accordingly. Discuss with your NHS consultant, or private urologist to guide you in your options.
Prostatitis
Benign Prostatic Enlargement
Prostatitis
Inflammation of the prostate that can happen once or becomes recurrent with detrimental impact on a man's quality of life.
There are 2 main types of prostatitis:
- acute prostatitis – where the symptoms come on suddenly and are severe. These include:
- pain (genitals, anus, pelvis, lower abdomen or lower back)
- difficulty to empty the bladder,
Inflammation of the prostate that can happen once or becomes recurrent with detrimental impact on a man's quality of life.
There are 2 main types of prostatitis:
- acute prostatitis – where the symptoms come on suddenly and are severe. These include:
- pain (genitals, anus, pelvis, lower abdomen or lower back)
- difficulty to empty the bladder, frequent urinary voiding, pain when passing urine, blood with urine
- fever, chills and rigors, running a temperature
- feeling weak and tired
- chronic prostatitis – on and off symptoms over several months that can lead to poor quality of life and distress. In most cases, they'll slowly resolve with time and treatment.
Your NHS Consultant or private urologist will run tests and explore different treatment options.
The road to resolution of chronic prostatitis is not a straight path and one needs to be prepared of failure and recurrence.
Bladder Conditions
Bladder Cancer
Urinary tract Infections (UTIs)
Urinary tract Infections (UTIs)
Known as the Cinderella Cancer as it does not receive the merited attention yet it is one of the most aggressive cancers.
Multiple factors increase your risk of developing bladder cancer. Smoking is one of the main causes. Exposure to chemicals like petroleum, dyes, rubbers, paints, plastics, sieasel fumes and leather tanning are the se
Known as the Cinderella Cancer as it does not receive the merited attention yet it is one of the most aggressive cancers.
Multiple factors increase your risk of developing bladder cancer. Smoking is one of the main causes. Exposure to chemicals like petroleum, dyes, rubbers, paints, plastics, sieasel fumes and leather tanning are the second leading cause of bladder cancer. Chronic urinary tract infections (UTIs), long term catheter, diabetes, bladder stones and bilharzia are other contributing factors.
If you experience recurrent UTI, bleeding with urine (haeamaturia) or experience painful emptying of the bladder seek medical attention.
Your NHS urologist, or nurse specialist will organise a camera test (flexible cystoscopy) and CT scan.
If caught early there are multiple treatments available; transurethral resection of bladder tumour (TURBT), chemotherapy /immunotherapy instilled in the bladder, robotic surgery for bladder cancer or radiotherapy.
Urinary tract Infections (UTIs)
Urinary tract Infections (UTIs)
Urinary tract Infections (UTIs)
30% to 50% of adult women will suffer with a urinary infection in their lifetime.
Of these 25% of women will have a second infection within 6 months.
Around 2.5% of women will have recurrent urinary infections .
How do I know that I have a urinary tract infection (UTI)?
- pain or a burning feeling when passing urine
- frequent emptying of th
30% to 50% of adult women will suffer with a urinary infection in their lifetime.
Of these 25% of women will have a second infection within 6 months.
Around 2.5% of women will have recurrent urinary infections .
How do I know that I have a urinary tract infection (UTI)?
- pain or a burning feeling when passing urine
- frequent emptying of the bladder
- Murky or cloudy urine that often smells
- inability to hold the urine and when passing urine only few drops pass
- blood in your urine
- fever, chills and rigors, or high temperatures
- feeling weak or tired
Traditionally antibiotics have been the only answer, today there is so much more. Speak to your UtI NHS consultant or private urologist.
Nocturia
Urinary tract Infections (UTIs)
Nocturia
Waking up at night to empty bladder can make one's life miserable.
What causes nocturia?
- Hormonal changes
- Prostate problems (benign prostatic enlargement)
- Bladder problems (overactive bladder)
- Bladder infections.
- Medical issues (heart problems, diabetes, kidney failure)
- Drinking excessive fluids
Your HHS Consultant will ask you to fill a
Waking up at night to empty bladder can make one's life miserable.
What causes nocturia?
- Hormonal changes
- Prostate problems (benign prostatic enlargement)
- Bladder problems (overactive bladder)
- Bladder infections.
- Medical issues (heart problems, diabetes, kidney failure)
- Drinking excessive fluids
Your HHS Consultant will ask you to fill a frequency volume chart to see your drinking habits and volumes and as well how much you empty your bladder. Blood tests and urine tests may be ordered.
Disturbed sleep leads to many underlying problems like fatigue, falls, anxiety, and more. There are simple life adjustments that one can adopt to improve this.