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Mr Sachin Malde

Consultant Urological Surgeon MSC, FRCS, MRCS, MBBS, BSC
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Specialisms
Urological
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Capabilities
Claimants & DefendantsCriminal CasesRemote AppointmentsFace to FaceDesktop ReportsNHS ContractedLegal Aid (LLA)Report Turnaround: 4 - 6 weeksClaimant Age: 16+

Practice Locations

2 locations available for appointments

2

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HCA

The Shard, London, SE1 9BS

The London Clinic

London, W1G 6BJ

Medico-Legal Experience

Mr Sachin Malde is a Consultant Urological Surgeon and has been an expert witness since 2024. He completed Bond Solon training, furthering his knowledge on court-room skills and report writing, and has developed a comprehensive understanding of the civil procedure rules. He is also a member of the UK Register of Expert Witnesses and the Medicolegal Society.

Mr Malde accepts instructions from both claimants and defendants, and can opine on cases relating to breach of duty, causation, condition and prognosis, liability, personal injury, and clinical negligence. He has reported on a variety of cases covering the full breadth of urology, including, but not limited to, neuro-urology, vaginal mesh complications, bladder and prostate cancer, and Benign Prostatic Hyperplasia (BPH).

He has particular specialist knowledge in chronic urinary tract infections (UTIs), bladder and prostate disease, and incontinence surgery. He also has considerable experience in assessing serious incidents, performing root-cause analyses, and medico-legal reporting in his role as Clinical Governance Lead at Guy’s and St Thomas’ Hospital.

He is available to provide oral evidence in court when required.

Mr Malde has extensive experience with personal injury and clinical negligence cases associated with:

Female urology:

  • Urinary tract fistulae:
    • Vesicovaginal
  • Vaginal mesh complications:
    • Tension-free vaginal tape (TVT)
    • Transobturator tape (TOT)
  • Pelvic floor disorders
  • Sphincter disorders
  • Obstetric urological injury
  • Impact on employment and daily living
  • Need for ongoing catheterisation
  • Vaginal reconstruction

Functional urology:

  • Neuro-urology:
    • Brain injury voiding dysfunction
    • Cauda Equina Syndrome (CES)
    • Bladder overdistension injury
  • Overactive bladder (OAB)
  • Urinary incontinence
  • Botox injections for an overactive bladder
  • Robotic surgery for stress urinary incontinence
  • Percutaneous tibial nerve stimulation for overactive bladder
  • Chronic urinary retention
  • Artificial urinary sphincter
  • Painful Bladder Syndrome (PBS)

Bladder:

  • Blood clots in the bladder
  • Bladder problems related to incomplete cord injury
  • Refractory bladder problems
  • Sacral Neuromodulation (SNM)
  • Bladder injury following pelvic trauma
  • Bladder cancer
  • Bladder removal

Other:

  • Urethral injury after pelvic trauma
  • Urological consequences of spinal cord injury/pelvic fracture
  • Scrotal/testicular injury (RTA/bike)
  • Latrogenic ureteric injuries
  • Colorectal
  • Urodynamics
  • Prostate cancer
  • Prostate enlargement
  • Urinary tract infections (UTI)
  • Endourology
  • Rectourethral
  • Male sling
  • Rezum
  • Urolift
  • iTind
  • Laser prostate surgery
  • Benign Prostatic Hyperplasia (BPH)

Mr Malde’s appointment availability is 2 – 4 week and his report turnaround is 4-6 weeks.

Clinical Experience

Mr Sachin Malde is a Consultant Urological Surgeon at Guy’s and St Thomas’ Hospital, London. He qualified from Guy’s, King’s and St Thomas’ School of Medicine in London in 2006, and completed his postgraduate research into the evaluation of men with incontinence after prostate surgery at University College London, for which he won the Gold medal for outstanding research.

He underwent specialist fellowship training in female urology, functional, neuro-urology, and reconstructive urology at the University College Hospital in London, and now leads this specialist service in one of the largest urology departments in the UK.

He has published extensively in peer-reviewed journals and is a panel member of the European Association of Urology Guidelines in Urology. He is also an undergraduate and postgraduate tutor in urology for King’s College London Medical School and the London Deanery Urology trainees.

Frequently Asked Questions

Do you have experience in spinal cord injuries?

Yes, I do.

Can you comment on incontinence?

Yes, I can.

Can you comment on bladder and bowel issues?

Yes, I can.

Can you comment on prostate cancer?

Yes, I can.

Can you comment on a case where there was a delay in diagnosis of ovarian cancer which led to the removal of both ovaries and uterus

No, this would fall outside my remit. This would require a Gynaecologist.

Publications

  • A 360° multidisciplinary appraisal of novel surgical technologies – is this a new standard? Anthony Emmanuel, Sachin Malde, Prokar Dasgupta, Majed Shabbir. BJUI; 10.1111/bju.16756
  • Clinical Performance and Safety for the Rechargeable InterStim Micro System in Non-Obstructive Urinary Retention Subjects: 6-Month Results From the Global Post-Market ELITE Study. Malde S, Lavin V, Perrouin-Verbe MA, Elterman D, Peyronnet B, Smits M, Shah S, Xavier K, Krlin R, Bukkapatnam R, Papi B, Champs M, Goudelocke C, Sahai A. Elsevier Urology; 10.1016/j.urology.2025.03.057
  • DiffErential attainment and Factors AssoCiated with Training applications and Outcomes (DE FACTO) study: plastic surgery in the United Kingdom. rover S, Raj S, Spazzapan M, Russell B, Kapila AK, Malde S, Vig S, Fleming S. JPRAS; 10.1016/j.bjps.2025.02.052
  • Urological Outcomes and Adverse Events Following Total Pelvic Exenteration for Locally Advanced and Recurrent Rectal Cancer: A Single-center Retrospective Study. Kerdegari N, Singh CT, MacAskill F, Allen C, Malde S, Nair R, Thurairaja R, Khan MS, George M, Schizas A, Sahai A. ScienceDirect; 10.1016/j.urology.2024.12.021
  • Bladder instillations of gentamicin to treat refractory recurrent urinary tract infection. Malde S. Nature reviews urology; 10.1038/s41585-025-01010-0
  • Management of Primary Bladder Neck Obstruction and Dysfunctional Voiding in Young Men: A Systematic Review and Meta-analysis. Creta M, Baboudjian M, Sakalis V, Bhatt N, Nunzio C, Gacci M, Herrmann TRW, Karavitakis M, Malde S, Moris L, Netsch C, Rieken M, Schouten N, Tutolo M, Yuan Y, Hashim H, Cornu JN. European Urology Focus; 10.1016/j.euf.2025.01.011
  • Inheritance patterns of lower urinary tract symptoms in adults: a systematic review. Moore L, Malde S, Dasgupta P, Sahai A, Raison N. BJUI; 10.1111/bju.16517.
  • DiffErential attainment and Factors AssoCiated with Training applications and Outcomes (DE FACTO) for general surgery applications in the UK: retrospective study. Spazzapan M, Grover S, Raj S, Russell B, Malde S, Vig S, Fleming S. BJS Open; 10.1093/bjsopen/zrae166
  • Promising efficacy of UTI vaccines as an alternative to antibiotics. Mak Q, Greig J, Dasgupta P, Malde S, Raison N. Nature reviews urology; 10.1038/s41585-024-00905-8
  • Summary Paper on Underactive Bladder from the European Association of Urology Guidelines on Non-neurogenic Male Lower Urinary Tract Symptoms. Baboudjian M, Hashim H, Bhatt N, Creta M, De Nunzio C, Gacci M, Herrmann T, Karavitakis M, Malde S, Moris L, Netsch C, Rieken M, Sakalis V, Schouten N, Tutolo M, Cornu JN.Science Direct European Urology; 10.1016/j.eururo.2024.04.004
  • Bacterial Vaccines for the Management of Recurrent Urinary Tract Infections: A Systematic Review and Meta-analysis. Mak Q, Greig J, Dasgupta P, Malde S, Raison N. European Urology Focus; 10.1016/j.euf.2024.04.002
  • DiffErential attainment and Factors AssoCiated with Training applications and Outcomes (DE FACTO) study: Trauma & Orthopaedic surgery in the UK. Raj S, Grover S, Spazzapan M, Russell B, Jaffry Z, Malde S, Vig S, Fleming S. Bone & Joint Open; 10.1302/2633-1462.58.BJO-2024-0036.R2
  • Can we predict and manage persistent storage and voiding LUTS following bladder outflow resistance reduction surgery in men? ICI-RS 2023. Tarcan T, Hashim H, Malde S, Sinha S, Sahai A, Acar O, Selai C, Agro EF, Abrams P, Wein A. Wiley; Neurology Urodynamics; 10.1002/nau.25435
  • What is the best first choice oral drug therapy for OAB? Sahai A, Robinson D, Abrams P, Wein A, Malde S. Wiley; Neurourology Urodynamics;10.1002/nau.25397
  • Evaluation of new treatments for benign prostatic obstruction: ICI-RS 2023. Hashim H, Tarcan T, Acar O, Malde S, Wein A, Abrams P. Wiley; Neurology Urodynamics; 10.1002/nau.25345
  • Can we define the optimal postvoid residual volume at which intermittent catheterization should be recommended, and are there other measures that could guide an intermittent catheterization protocol: ICI-RS 2023. Malde S, Belal M, Mohamed-Ahmed R, Gibson W, Padilla-Fernandez B, Rantell A, Selai C, Solomon E, Abrams P. Wiley; Neurology Urodynamics; 10.1002/nau.25324
  • Medical Treatment Incidence and Persistence After Surgical Relief of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction: A Critical Analysis of the Literature. Rieken M, de Nunzio C, Cornu JN, Ramasamy R, Misrai V, Malde S, Oelke M, Gacci M, Madersbacher S. European Urology Focus; 10.1016/j.euf.2023.08.013
  • From BPH to male LUTS: a 20-year journey of the EAU guidelines. Gravas S, Malde S, Cornu JN, Gacci M, Gratzke C, Herrmann TRW, Karavitakis M, Mamoulakis C, Rieken M, Sakalis VI, Schouten N, Smith EJ, Speakman MJ, Tikkinen KAO, Alivizatos G, Bach T, Bachmann A, Descazeaud A, Desgrandchamps F, Drake M, Emberton M, Kyriazis I, Madersbacher S, Michel MC, N’Dow J, Perachino M, Plass K, Rioja Sanz C, Umbach R, de Wildt M, Oelke M, de la Rosette JJMCH. Prostate Cancer; 10.1038/s41391-023-00700-3
  • A cohort profile of the Graham Roberts study cohort. Russell B, Leech P, Wylie H, Moss CL, Haire A, Enting D, Amery S, Chatterton K, Khan MS, Thurairaja R, Nair R, Malde S, Smith K, Gillett C, Josephs D, Pintus E, Rudman S, Hughes S, Relton C, Van Hemelrijck M. Frontiers; 10.3389/fonc.2023.1334183
  • Predicting Prostate Surgery Outcomes from Standard Clinical Assessments of Lower Urinary Tract Symptoms To Derive Prognostic Symptom and Flowmetry Criteria. Ito H, Sakamaki K, Young GJ, Blair PS, Hashim H, Lane JA, Kobayashi K, Clout M, Abrams P, Chapple C, Malde S, Drake MJ. European Urology Focus; 10.1016/j.euf.2023.06.013
  • Practice Variation in the Management of Adult Hydroceles: A Multinational Survey. Forss M, Bolsunovskyi K, Lee Y, Kilpeläinen TP, Aoki Y, Gudjonsson S, Hervé F, Järvinen P, Malde S, Miyazawa K, Sairanen J, Sander L, Violette PD, Witte LPW, Guyatt GH, Tikkinen KAO. Science Direct European Urology Open Science; 10.1016/j.euros.2023.09.005
  • How Can We Understand Patients’ Values, Preferences, and Expectations in Urology? Wheeler JR, Tikkinen KAO, Guyatt G, Malde S. European Urology Focus; 10.1016/j.euf.2023.10.002

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