Some common urinary conditions are listed below:
Robotic surgery is a minimally invasive surgical technique whereby the surgeon performs complex surgery through keyhole incisions using a robotic system. An advanced set of instruments are placed through small incisions in the abdominal wall, and the surgeon has complete control through a nearby console that gives a magnified 3D view of the surgical area.
Kidney and Ureter
– Kidney Stones:
Kidney stones (renal calculi) are hard crystal and mineral deposits in the urine and can affect men and women at any age. They may be found incidentally or, if they have moved into the ureter, be the source of:
- sudden pain in the side of the body
- blood in the urine (haematuria)
- recurrent urinary infections.
– Blood in urine:
Any blood in the urine (haematuria) is taken seriously. The presence of blood may be visible (macroscopic) or non-visible (microscopic) and requires further evaluation. All visible haematuria and high risk microscopic haematuria require urine testing, a dedicated CT scan and an endoscopic camera test called a cystoscopy. There is often a benign cause for the bleeding such as a stone, infection or enlarged prostate.
Sometimes a bladder cancer is detected, and this needs to be excised by a procedure known as trans-urethral resection of bladder tumour (TURBT).
– Prostate cancer:
Prostate cancer is the most common cancer in men, accounting for 30% of all new cancer diagnoses and over 13% of all male cancer deaths in Australia. Prostate cancer behaves variably, and factors such as age, grade, volume and extent of disease all play a vital role in determining the best treatment plan.
Some prostate cancers are considered low risk and observation through a surveillance protocol can be safely used to optimise quality of life whilst ensuring the cancer remains indolent. Other more aggressive cancers may require surgery or radiotherapy. Since a variety of treatment options exist, it is crucial to tailor an individualised plan to each patient to best serve their needs.
Benign Enlarged Prostate
– Benign prostate:
Hyperplasia (BPH) is a non-cancerous enlargement of the prostate that affects the majority of men over the age of 50. Some men develop bothersome urinary symptoms such as weak stream, incomplete emptying and having to pass urine more frequently day and night.
– Testicular cancer:
Any new painless lump in the testicles requires urgent evaluation using blood tests and an ultrasound. Further CT imaging or sperm banking may be necessary prior to surgery for suspected cancer (radical orchidectomy). Depending on the spread or the stage of the disease, further chemotherapy or radiotherapy options may be discussed.
After completing your family, having a vasectomy is a common, safe and permanent form of contraception. A vasectomy involves dividing and tying off the vas deferens, the tubes that carry sperm from the testicles. This is performed with two small incisions on the sides of the scrotum under anaesthetic. Post vasectomy, alternate methods of contraception are required for three months and an average of 20 ejaculations before confirming sterility on semen analysis. Having a vasectomy does not affect sexual or erectile function or increase your risk of cancer.