The Lower Urinary Tract Symptoms Clinic (LUTS), Whittington Hospital
Diagnostic method Urine microscopy
Treatment regime Antibiotics
Clinic location London
The Lower Urinary Tract Symptoms clinic (LUTS) at the NHS Whittington Hospital in North London is headed by Dr Rajvinder Khasriya. She qualified from University College London in 2001, completed her specialist training in Obstetrics and Gynaecology in 2016 and trained as a subspecialist in Urogynaecology at University College Hospital London (UCLH). Whilst undertaking her postgraduate training, she conducted research for a PhD with the late Professor James Malone-Lee from 2007-2010, investigating occult urine infection in patients diagnosed with overactive bladder. This work was done in collaboration with the Eastman Dental Institute. Dr Khasriya continued to maintain links with Professor Malone-Lee, the CUTI and LUTS service at Whittington Health and publish papers whilst she completed her training and sub-speciality programme in urogynaecology.
She is now a Consultant Urogynaecologist, working at the Whittington Hospital, London and University College Hospital London and has led the Chronic Lower Urinary Tract Symptoms (LUTS) service at the Whittington Hospital since November 2018. She is committed to expanding the collaborations with clinicians and researchers into chronic LUTS. An RCT of the treatment protocol at the Whittington LUTS clinic is currently being planned in collaboration with the Clinical Trials unit at UCL.
In 2018, Dr Khasriya in association with Professor James Malone-Lee and his research team published a 10 year patient research study carried out at the Lower Urinary Tract Symptoms clinic at the Whittington Hospital. Before starting the treatment, most of the patients had on average already suffered their symptoms for more than six years, with no treatment having brought relief. The patients were treated with a full dose of first-line, narrow spectrum oral antibiotics such as cefalexin, nitrofurantoin or trimethoprim, along with the urinary antiseptic Hiprex. All patients who had completed their treatment were also given back-up antibiotics to use at home at the first indication of their symptoms resurging. This approach was followed to prevent new infection becoming chronic because the bladders of patients who have suffered a lot of urinary tract infection are less able to fight off bacteria.
Overall, 64 percent of the 624 women who participated in the study reported that their symptoms were very much better, with another 20 percent reporting that they were much better. In many cases, it took more than a year (mean treatment length 383 days) and more than one cycle of treatment for patients’ symptoms to resolve, and before they could stop taking antibiotics completely. Checks for emergent antibiotic resistance were carried out but no increase was observed. Read the research study on Springer.
Lower Urinary Tract Symptoms (LUTS) Clinic
London N19 5NF
Website Whittington.nhs.uk LUTS Service
Email address for appointments
Telephone 020 7288 3898
Clinic Co-ordinators Carla Graham and Caitlin Daly
Monday (in person and telephone consultations), Tuesday, Wednesday, Thursday and Friday mornings (telephone consultation appointments only)
Dr Khasriya can also be seen in a private patient capacity as part of the team at 10 Harley Street, London. Please see the information about the Harley Street Clinc for appointment contact details. Be aware that she is unable to offer genital swabs, blood tests or pelvic exams in her private patient capacity.
Referral to the NHS LUTS Clinic
Please read the following when seeking a referral:
- The clinic can only accept patients who have been referred from an appropriate secondary consultant. Direct GP referrals will not be accepted.
- Referrals will only be accepted from an NHS consultant. It is not possible for private consultants to write a referral.
- Referrals cannot be sent by post to the clinic. Clinicians are asked to complete the “LUTS Clinic Referral Form” which can be downloaded from this page on the clinic website.
- Send the form and any accompanying referral letter to the Whittington Health Access Centre: firstname.lastname@example.org.
- If you would like to confirm that your referral has been received or have any appointment queries, please contact the Access Centre on: 020 7288 5511.
The clinic codes for NHS referral are:
Face to face appointment with Rajvinder Khasriya or a member of the team – GMLDM
Urinalysis without consultation – GMLUA
Telephone consultation – GMLTC
Nurse appointment – GMLRN