Entries by drjo

The Wesley Hospital: Australia’s First Centre of Excellence in Robotic Surgery

Excellence, experience and innovation in urological care When considering complex urological surgery, the technology available is important. Just as important, however, are the surgeon’s experience, the expertise of the theatre team, the hospital infrastructure and the systems supporting the patient before, during and after surgery. For patients undergoing robotic urological surgery in Brisbane, The Wesley […]

Robotic-Assisted Enucleation of the Large Benign Prostate / Robotic-Assisted Simple Prostatectomy RASP

A modern surgical option for very large benign prostate enlargement Benign prostatic hyperplasia (BPH), or benign prostate enlargement, becomes increasingly common as men age. For many men, symptoms can initially be controlled with medication or minimally invasive treatments. However, when the prostate becomes very large, simply creating a small channel through the prostate may not […]

TURP for Benign Prostatic Hyperplasia (BPH)

The Traditional Benchmark for Prostate Surgery For decades, Transurethral Resection of the Prostate (TURP) has been one of the most established surgical treatments for urinary obstruction caused by benign prostatic hyperplasia (BPH). Although newer technologies such as GreenLight laser vaporisation, HoLEP, Aquablation, Rezūm and robotic-assisted simple prostatectomy/enucleation have expanded the treatment menu, TURP remains an […]

Laser Vaporisation for Benign Prostate Enlargement

A Modern, Low-Bleeding Treatment for an Enlarged Prostate Benign prostate enlargement, also called benign prostatic hyperplasia (BPH), is extremely common as men get older. As the prostate enlarges around the urethra, it can gradually restrict urinary flow, rather like slowly tightening a collar around the urinary pipe. Symptoms may include: A slow or weak urinary […]

Focal Therapy for Prostate Cancer: Treating the Cancer, Preserving the Prostate

For many years, treatment of localised prostate cancer largely involved choosing between active surveillance and treatment of the whole prostate gland with surgery or radiotherapy. Modern multiparametric MRI, targeted transperineal biopsy and increasingly accurate image-guided treatment have opened a third pathway for carefully selected men: focal therapy. Rather than treating or removing the entire prostate, […]

Intravesical Drugs for Non-Muscle-Invasive Bladder Cancer

Treating the tumour and reducing the risk of it coming back Bladder cancer has an inconvenient habit: even after a visible tumour has been completely removed, new tumours can sometimes return elsewhere in the bladder. For selected patients with non-muscle-invasive bladder cancer (NMIBC), previously often called superficial bladder cancer, Mitomycin C can be placed directly […]

Intravesical Therapy for High-Risk Bladder Cancer

BCG treatment, what is it? BCG, short for Bacillus Calmette–Guérin, is one of the most effective treatments available for high-risk non-muscle-invasive bladder cancer (NMIBC). BCG is best known as a vaccine originally developed against tuberculosis. In bladder cancer, however, it is used in a very different way. Rather than being injected as a vaccination, a […]

Superficial Urothelial Carcinoma of the Bladder

Understanding non-muscle-invasive bladder cancer, TURBT, intravesical therapy and long-term surveillance Being told that you have a bladder tumour is understandably alarming. The reassuring part is that many bladder cancers are discovered while they are still confined to the inner layers of the bladder and have not invaded the bladder muscle. This is called non-muscle-invasive bladder […]

Urodynamic Studies: Understanding How Your Bladder Works

Bladder problems are not always as straightforward as they appear. Two people may both complain of urinary urgency, leakage or difficulty emptying their bladder, yet the underlying causes can be completely different. One bladder may be contracting when it should be relaxing, another may not contract strongly enough, and sometimes the bladder is behaving perfectly […]