This is an endoscopic technique of enucleation of the prostate using Greenlight laser therapy. Similar to a TURP – “Re-bore” only with minimal bleeding and shorted hospital stays. Some would argue this is ” The new Gold Standard” Why is it done? Endoscopic vaporization of a benign enlarged prostate, using laser. Indications: Patients on anticoagulation […]
Perineal placement of Radioactive Iodine-125 seeds in the prostate as treatment for Intermediate-Risk Prostate Cancer Why is it done? This is a radiation therapy option for the management of a localized prostate cancer. Criteria include: PSA less than 10 Gleason 3,4 adenocarcinoma prostate, Higher grades may have extra-prostatic extension requiring combined External Beam Radiation Staging […]
Periurethral bulking for a type 3 urinary incontinence: “lead-pipe urethra” (ISD): Bulkamid or Macroplastique Why is it done? Where Intrinsic Sphincter Deficiency has been proved after failed previous sling. How is it done? This procedure is done under a spinal / general anesthetic, as decided by the anesthetist. The legs will be elevated into […]
For those guys who suffer persistent low-intermediate grade of stress urinary incontinence after their radical prostatectomy for prostate cancer. Usually 2 level 2 pads per day. Why is it done? Male Stress incontinence Usually after a TURP/TUVP, Radical Prostatectomy in 2% of cases. How is it done? This procedure is done under a spinal […]
Opening of a meatal stenosis (pinhole narrowing). Why is it done? To treat a narrowing in the tip of the urethra which has formed due to previous damage/injury to the urethra. Where intermittent dilatation is not desired, as discussed with the patient. Causes: Circumcision in early childhood where the foreskin is still attached to the […]
This is the procedure used to resect the inside (enlarged, obstructive part) of the prostate. Known generally as the “Re-Bore”. Glycine is used as an irrigate. 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. Symptoms include a […]
Not covered by Medicare / Health Fund yet, possibly early 2026 What is IRE Irreversible Electroporation Therapy—breaking up of cell membranes using electric current by means of creating holes in the cell walls (Nano-pores) Non-thermal ablation Why is it done? Treatment for localized prostate cancer Single focus disease Prostate preserving Ejaculate sparing Continence preserving […]
Primary excision and anastomosis of a short segment urethral stricture. Why is it done? To treat urethral strictures (narrowing) caused by trauma, infection, malignancy, etc. Shorter strictures less than 2 cm in length. How is it done? This procedure is done under general anesthetic. Legs are placed in a lithotomy position. A single incision is […]
Open removal of a large bladder calculus Why is it done? To break up a large bladder calculus (stone) that cannot be done endoscopically. It is done with open surgery (a cut above the pubic symphysis). Risk factors causing this: Bladder outflow obstruction BPH with chronic retention. Urethral stricture. Neurogenic bladder. Renal calculi disease. Metabolic […]
Robotic removal of stones where endoscopic procedures have failed. Why is it done? Open/robotic surgery for large or complicated renal and/or ureteric calculi where all other techniques have failed. Seldomly done today. Only if no other options available. As a last resort to remove a large stone. Robotic would be considered first Where equipment […]