When the Temporary leads for SNM have proven to have given an improvement in symptoms a permanent lead placement is done The aim was to alter the neurotransmission from the Spinal Centre to the Bladder Why is it done? To alter the neurotransmission from the spinal bladder center to the bladder and treat your overactive […]
Invasive placement of a silicone tube in a percutaneous supra-pubic puncture site. This is secured inside the bladder (with a balloon) and attached to a drainage bag on the outside, in order to drain an obstructed bladder. Why is it done? This can be placed as an emergency for patients in acute urinary retention Patients […]
Trans cutaneous or open biopsy or aspiration of testis or epididymis as part of an infertility harvesting of sperm cells Why is it done? To aspirate or biopsy testicular tissue for assisted fertility procedures/ Pre-requirements An informed consent is required from the patient. The aspiration is usually done under local anaesthetic. Patients allergic to […]
You would have received a diagnosis of prostate cancer and radiation therapy would have been discussed as the most appropriate treatment for the stage and specifics of your cancer. Why is it done? This is the placement of gold seed markers in the prostate to assist with radiation. This is to identify the edges of […]
Why is this 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. Ejaculation sparing Symptoms include: a weak stream, nightly urination, frequent urination, inability to urinate, kidney failure due to the obstruction, bladder stones, recurrent bladder infections. Medication […]
You would have received a diagnosis of Prostate Cancer and Radiation Therapy would have been discussed as the most appropriate treatment for the stage and specifics of your cancer. Why is it done? This is the placement of gold seed markers in the prostate to assist with radiation. This is to […]
You would have had a 3T MRI study prior to pinpoint any suspicious high-grade lesions. PET PSMA is another means of determining if you have any suspicious areas. Usually, targeted biopsies are taken of the prostate via the skin between scrotum and anus (perineal area). The 3 possibilities of an elevated PSA is: Benign Prostate […]
For those guys with normal sized prostates, but with a prominent bladder neck causing all the irritating symptoms of an enlarged prostate (LUTS). Why is it done? This procedure is performed when the bladder neck has become stenotic (narrow) and tight, usually after a TURP, can also be found in the young man, with an […]
Why is it done? Primary management of: Continuous or intermittent bleeding from bladder vessels More prominent after radiation therapy with neo-vascularisation Induced or aggravated by blood thinning and anti-platelet therapy Risk factors: Anti-coagulation therapy: Warfarin, Xaralto etc Anti-platelet therapy Radiation to bladder prostate or bowel These need to be stopped prior to the procedure […]
Non invasive opening of an abscess found in the prostate, Very similar to a TURP with the exception that the bladder neck is preserved Why is it done? This procedure is performed when you have been diagnosed with a prostatic abscess, usually after an MRI investigation. You would have had a history of swinging low […]