The Wellington Hospital · 9 Harley Street · Spire Bushey · Chase Lodge 0204 558 6750  ·  [email protected]

About Nouti

Why this site exists

Nouti exists because urinary tract infection sits in an awkward gap in medicine: common enough to be treated as trivial, complicated enough that thousands of women spend years without answers. The information online reflects that gap, either oversimplified advice about cranberry juice or, at the other extreme, confident claims running ahead of the evidence. This site is an attempt to fill the gap honestly: what we know, what we do not, and what a specialist can actually do.

Nouti sells nothing. It is owned and edited by the practice of Mr Torath Ameen, and its interest is declared plainly: readers who need specialist help are invited to book a private consultation. The information itself is free, referenced and written to be just as useful to readers who never book anything.

Where the name comes from

Nouti began as a UTI food supplement, which Mr Ameen formulated. That product is no longer sold, and this site sells nothing. The name has been kept because it is a good one, and because the reason for developing the supplement in the first place has not changed: too many patients with recurrent urinary infection are left cycling through antibiotics with nobody looking for the cause.

That history is set out here rather than tucked away, because it is relevant to how you should read the treatment options page. Someone who has formulated supplements has an obvious reason to be enthusiastic about them. You will find the opposite: that page states plainly that the largest trial of D-mannose was negative, that probiotic evidence is limited, and that sweetened cranberry juice is a bad idea. Where Mr Ameen still suggests these things, he says so and says why. Knowing the background lets you weigh that for yourself.

The clinical author

Mr Torath Ameen, Consultant Urologist, in theatre

Mr Torath Ameen · Consultant Urologist and robotic surgeon · GMC 7410052

Mr Ameen practises at The Wellington Hospital, 9 Harley Street, Spire Bushey and Chase Lodge Hospital, and in the NHS at West Hertfordshire Teaching Hospitals NHS Trust. He treats the full breadth of urological conditions in women and men, and has performed over 500 robotic procedures with outcomes placing him among the leading robotic surgeons in Europe. His robotic practice covers two areas: urological cancer, principally prostate, kidney and bladder, and reconstructive urology. Recurrent urinary infection connects to both.

Urinary tract infection is a routine and substantial part of that practice rather than a sideline: assessing why infections recur, managing them medically, and operating where the cause is structural. He has also formulated UTI food supplements, which is an unusual vantage point for a surgeon and part of why this site treats the supplement evidence more carefully than most.

He has been featured in The Telegraph and BBC News and on LBC, and publishes and lectures in urology.

  • Consultant Urologist
  • Robotic surgeon, 500+ procedures
  • Urological cancer surgery
  • Reconstructive urology
  • Recurrent and chronic UTI
  • Medical and surgical treatment
  • GMC 7410052

Verified profiles: GMC · BAUS · Doctify · Top Doctors · iWantGreatCare · Google Scholar

Full profile, credentials and publications at drtorath.com →

Mr Torath Ameen, Consultant Urologist and robotic surgeon, photographed in theatre
Mr Torath Ameen in theatre. His robotic practice spans urological cancer and reconstructive surgery, which is where much of the structural work behind recurrent infection gets done.

Why a robotic surgeon writes about urinary infection

It is a fair question. The answer is that the two are not separate. A large share of recurrent urinary infection is driven by something structural: a bladder that does not empty, a stone harbouring bacteria, an obstructing prostate, an anatomical problem that keeps reseeding the bladder. Finding those causes needs a urologist with a cystoscope, and correcting them needs a surgeon. Patients who are managed only medically often never get that assessment, which is precisely why so many spend years on repeat prescriptions.

Mr Ameen’s robotic practice has two strands: urological cancer, principally prostate, kidney and bladder, and reconstructive urology. Both connect to what this site is about.

The reconstructive half connects most directly. Reconstructive urology means rebuilding and correcting the urinary tract rather than only removing disease from it, and recurrent infection is a recurring theme in that work. Strictures of the urethra, urinary fistulae, obstruction where the ureter meets the kidney, ureteric reflux, urethral diverticula and bladders that cannot empty or store properly all present, sooner or later, as infections that will not stop. They are also the problems that no amount of antibiotic prescribing will resolve, because the anatomy itself is what keeps reseeding the bladder. Reconstructive surgery is how those are actually fixed.

The cancer half matters here for a different reason. Persistent urinary symptoms and visible blood in the urine are precisely the situations where bladder and kidney cancer have to be excluded before anything else is assumed, and after major cancer surgery the urinary tract sometimes has to be rebuilt, with infection risk as part of the picture. A urologist who does that work every week has a low threshold for looking properly, which is the right instinct when someone has been told for years that their symptoms are nothing.

So recurrent UTI is not a sideline. It is frequently the presenting symptom of exactly the problems this kind of surgery exists to find and to correct.

The practical consequence for a patient is continuity. The person who takes your history is the person who performs your cystoscopy and, where it is needed, the person who operates. Nothing is handed on, and no part of the plan depends on a referral to someone who has not met you.

Declaration of interest

Mr Torath Ameen owns and edits this website. Consultations arranged through it are private and paid. He previously formulated a UTI food supplement under the Nouti name; it is not currently sold, no supplement or other product is sold through this site, and he receives no payment from any supplement manufacturer. Should that change, this declaration will change with it. Last reviewed August 2026.

Editorial standards

Every clinical page names its author, shows its last review date, and cites its sources as outbound links, principally NICE guidance, major society guidelines and peer reviewed trials. Pages are reviewed at least annually and when significant new evidence appears. Where evidence is uncertain, the page says so; that is a feature of this site, not a weakness.

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General information, not a substitute for personal medical advice.