Urinary and reproductive health
Treatment for lower urinary tract symptoms

We treat the following conditions
- Benign Prostatic Hyperplasia (BPH) – Non-cancerous prostate enlargement that leads to urinary difficulties.
- Lower Urinary Tract Symptoms (LUTS) – Including increased urgency, frequency, and nighttime urination, as well as weak urinary flow, difficulty starting urination, and the sensation of incomplete bladder emptying.
- Urinary Incontinence – Difficulty controlling urination, often linked with BPH.
- Prostatitis – Inflammation of the prostate, which can cause discomfort and urinary problems.
How we treat these conditions
At The Wye Clinic, our team of expert urologists offers a comprehensive approach to diagnosis and treatment, which may include:
- PSA Blood Testing – To assess prostate health and monitor any changes in PSA levels.
- Prostate and Bladder Scans – To evaluate the size and function of the prostate and bladder.
- Bladder Flow Rate Testing – To assess the effectiveness of your urinary flow and identify any obstructions.
- Physical Examination – Including a prostate exam to assess for any abnormalities.
- Cystoscopy (Camera Test) – A visual examination of the prostate and bladder to detect issues requiring treatment.

Treatment options
- Medications – To shrink the prostate or improve urinary flow.
- Minimally Invasive Procedures – Such as laser therapy or Transurethral Resection (TURP) for prostate reduction.
- Surgical Interventions – In cases where more advanced treatment is required.
- Lifestyle Recommendations – To manage symptoms and improve quality of life.
Please call 01432 802 600 to arrange an appointment or book online.
Meet our team
Your Doctors
The Wye Clinics’ expert team of doctors and support staff will put you at ease. From your initial consultation, to post-operative care – our team have a wealth of expertise and experience.

Mr Christian Nayar
Mr Christian Nayar is a Consultant Urological Surgeon with expertise in managing male Lower Urinary Tract Symptoms and prostate issues. He has worked at the County NHS Trust in Hereford since 2015 and is the Clinical Lead for Urology.
Christian graduated from St Andrews University (Scotland) and did his Clinical Studies in Manchester, graduating in 2001. He undertook his basic surgical training in Stoke-on –Trent.
He then underwent his Specialist Urological Training in the West Midlands Deanery, obtaining his Fellowship of the Royal College of Surgeons Edinburgh in 2013.
Following this, he completed a Fellowship Year at the prestigious Bristol Urological Institute in 2014, covering all aspects of Urology but with a particular interest in Urodynamics and Lower Urinary Tract Symptoms.
Christian is a Member of the Faculty of Surgical Trainers and regularly acts as an Examiner for the Royal College of Surgeons Examinations.

Mr. Wasim Mahmalji
Mr. Wasim Mahmalji is a Consultant Urological Surgeon at Wye Valley NHS Trust, UK. He completed his urological training in South London/Thames in 2015 and became one of the youngest consultants in the UK at age 34.
He specialises in stone disease, core urology, endourology, and education and has performed over 8,000 urological procedures. He was the first surgeon to offer the UroLift and Rezum procedures on the NHS in the West Midlands, and the first in the UK to use a deflectable access sheath.
Mr. Mahmalji is the Stone and Education Lead at his hospital and serves as the West Midlands Urology Audit Lead. He is actively involved in audit, research, teaching, and training for undergraduate and postgraduate students, and chairs the West Midlands Urology Audit and Research Meetings. He is also the Senior Academy Tutor for International Medical Education at the John Ross Postgraduate Medical Centre.
He has delivered multiple podium presentations at leading conferences, including the Royal Society of Medicine (RSM), the British Association of Urological Surgeons (BAUS), and the European Association of Urology (EAU). He has won and been shortlisted for multiple urological awards, conducted various audits and quality improvement projects, and is Editor-in-Chief of the Journal of Endoluminal Endourology.
Mr. Mahmalji has contributed to three urological book chapters and has been a lead or co-author of over 50 publications, with more pending. He is also a reviewer for journals including the British Journal of Urology International, International Journal of STD & AIDS, The Ageing Male, and The Journal of Clinical Urology. His expertise has been featured on both national and regional television and media.
Central location with Finance options available
You will find us easily in central Hereford. There is ample on-site parking, and we are very close to the new development, Old Market Shopping Centre and Waitrose. There is no need for a referral, nor do you need to have private medical insurance. Finance options are available for all our procedures, if required.
Premium options
Why not Go Platinum?
Discover our range of premium options for complete peace of mind. Many people naturally worry about what will happen after their procedure… How to get home? How to put eye drops in? Who’s making dinner?
Our Platinum package deals with all your concerns, allowing you the options of a chauffeur transfer to and from The Wye Clinic, luxury accommodation and fine dining at Hereford’s premier boutique hotel, the Castle House Hotel, and help with your postoperative care – either at home or at the hotel – from Katherine Harriet’s Bespoke Home Care’s team of healthcare professionals.
