Complete removal of penis with creation of a perineal urethrostomy. Why is it done? Confirmed penis cancer, infiltrating most of the penis. Cancer involving the base of the penis. Lymph nodes are palpable, could also be draining pus. How is it done? This procedure is done under general anesthetic. Supine position. The whole penis […]
Why is it done? This is the alternate surgical management option for a localized prostate cancer. Widely used in the USA in the early 2000’s prior to robotic assisted surgery. Still a great technique to avoid a frozen abdomen due to multiple previous surgeries Transplanted kidney. Obesity Smaller than 50 cc prostates are better Criteria […]
Why is it done? This is the surgical management option for a prostate cancer which fits all the criteria set out by the Urology Society of Australia for Surgery. Largely been replaced by the robotic technique. Indication: PSA less than 20 Gleason 3,4 to low volume Gleason 4,5 contained adenocarcinoma prostate. Higher grades may be […]
Why is it done? Stress urinary incontinence A combination of stress incontinence and detrusor over-activity of which DO is the lesser Involuntary urine leakage with any exertion, coughing or sneezing Risk factors More than 2 pregnancies, big babies Complicated deliveries, episiotomy Smokers Being overweight Diabetes Where Intrinsic Sphincter Deficiency has been proved due to a […]
Placement of a minimally invasive polypropylene sling in the retropubic space with a flexible cystoscopy. Also view the section on urinary incontinence in the TAB above. Why is it done? Stress urinary incontinence. A combination of stress incontinence and lesser degree of detrusor overactivity – mixed incontinence. Involuntary urine leakage with any exertion, coughing or […]
Robotic assisted enucleation of the prostate adenoma. For those large benign prostates where a TURP would be too time consuming, and too dangerous. Generally, prostates over 150cc. Why is it done? This procedure is performed when the prostate gland is enlarged to such an extent that medication cannot relieve the urinary symptoms. Your prostate is […]
Minimal invasive management for the relief of LUTS (lower urinary tract symptoms) Why is it done? This procedure is performed when the prostate gland is causing LUTS and you want an alternative to medication without the complications of a permanent procedure. Symptoms include (LUTS): a weak stream, nightly urination, frequent urination, inability to urinate, kidney […]
Placement of a rigid cystoscope in the bladder +/- retrograde pyelogram A diagnostic day procedure under general anesthetic, where a rigid cystoscope is placed in the bladder via the urethra Why is it done? To investigate: Hematuria (blood in the urine). Recurrent urinary tract infections. Space occupying lesions in the kidneys, ureters and bladder. Abnormal […]
A therapeutic procedure under general anaesthetic, where a rigid cystoscopy is done in the bladder via the urethra, ureteric catheters are placed to enable imaging of the upper tracts with/without insertion or removal of ureteric stents Why is it done? To investigate: Hematuria (blood in the urine) Recurrent upper urinary tract infections Space occupying lesions […]
Why is it done? This is the surgical management option for a prostate cancer. This Surgery is done minimally invasive with the help of DaVinci Robotic System. Indication: PSA less than 20. Gleason 3,4 to low volume Gleason 4,5 contained adenocarcinoma prostate. Higher grades may be considered with patients fully informed of the positive margins […]