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 supported by Dr Kiren Gill in a consultant capacity and 3 other doctors.

​Miss Khasriya has been a member of The Royal College of Obstetrics and Gynaecology since 2012. She is a Consultant in Urogynaecology at the Whittington Hospital and UCLH and lead for the Lower Urinary Tract Symptoms Service at Whittington Health, a unique Tertiary centre for the treatment and study of chronic UTI, she has a special interest in Pelvic Pain and runs a Pelvic Pain clinic jointly with the Pain Management centre at University College Hospital London (UCLH).

Miss Khasriya has an academic appointment at University College London (UCL) and is the clinical principal investigator for the Bladder Infection Immunity Group (BIIG) at UCL. Her Clinical research interests lie in chronic UTI; diagnostic methods, pathophysiology and treatment. She frequently gives invited lectures on the topic of chronic UTI to many International and National Urogynaecology and Urology Conferences.

She completed her undergraduate studies at UCL and she went on to complete a PhD there in 2011. Her thesis: ‘The role of bacterial infection in the aetiology of the overactive bladder’ was completed under the supervision of the late Professor James Malone-Lee and Prof Mike Wilson of the Eastman Dental Institute, UCL. She completed Subspecialty Urogynaecology training at UCLH in 2018.

Miss Gill has an academic interest in recurrent & chronic UTI and is an associate Honorary Professor in the Institute of Women’s Health at University College London (UCL). Miss Gill is actively involved in research exploring the pathophysiology of Chronic UTI, treatment options and diagnostic methods and is also a member of the Bladder Infection Immunity Group (BIIG). She completed her MBBS and BSc at UCL and has been a member of the Royal College of Obstetricians and Gynaecologists since 2016. She completed her PHD at UCL supervised by the late Professor James Malone-Lee in the management of Chronic UTI.

In 2018, Dr Khasriya and Dr Gill in association with the late 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
Whittington Hospital
Magdala Avenue
London N19 5NF

Website Whittington.nhs.uk LUTS Service

Email address for appointments
outpatients.whitthealth@nhs.net

Clinician/Medical queries
lutscommunityadmin.whitthealth@nhs.net

Telephone +44 20 7288 3898
Clinic Co-ordinator: Caitlin Daly

Clinic times
Monday (in person and telephone consultations), Tuesday, Wednesday, Thursday and Friday mornings (telephone consultation appointments only).

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: outpatients.whitthealth@nhs.net. 
  • 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/Kiren Gill or a member of the team – GMLDM
Urinalysis without consultation – GMLUA
Telephone consultation – GMLTC
Nurse appointment – GMLRN