Entries by drjo

Urinary Incontinence After Prostatectomy and Salvage Radiotherapy

Why leakage may become more complex after both treatments Urinary leakage after radical prostatectomy is common in the early recovery period and usually improves with healing and pelvic floor rehabilitation. Some men, however, require salvage radiotherapy because their PSA remains detectable or rises after surgery. Radiotherapy can help control recurrent prostate cancer, but it may […]

Radical Prostatectomy After Radiation Therapy for Prostate Cancer

When prostate cancer returns after radiotherapy Radiotherapy, whether external-beam radiation or brachytherapy can provide excellent long-term control of localised prostate cancer. However, a rising prostate-specific antigen (PSA) after treatment may indicate that the cancer has returned. This does not automatically mean that the cancer is still in the prostate, nor does every PSA rise require […]

Focal Laser Therapy for Localised Prostate Cancer: What Do We Know?

Focal therapy is an evolving approach to treating selected prostate cancers. Instead of treating or removing the entire prostate, it aims to destroy the identified cancer while preserving as much surrounding prostate tissue as possible. One technique under investigation uses laser energy delivered through a fine fibre placed into the prostate. Early clinical reports are […]

Cxbladder Urine Testing for Urothelial Cancer: Diagnosis, Surveillance, Accuracy and Pitfalls

Bladder cancer surveillance can feel repetitive: another cystoscopy, another urine sample and another anxious wait. This has driven interest in urine-based molecular tests that may help identify patients at very low risk of recurrent urothelial carcinoma. One such platform is Cxbladder. It is sometimes informally called “Cx View,” but the established commercial name is Cxbladder. […]

Spinal Cord Injury and the Bladder: Upper Motor Neuron versus Lower Motor Neuron Injury

Meta description: Spinal cord injury can cause urgency, leakage, urinary retention and dangerous bladder pressures. Learn how upper and lower motor neuron injuries differ, how neurogenic bladder is investigated, and which treatments may protect the kidneys and improve continence. Best treated in an organised spinal unit. Why can a spinal cord injury affect the bladder? […]

How a Stroke Can Affect Bladder Function

A cerebrovascular accident (CVA), more commonly called a stroke, can affect much more than movement and speech. It can also disrupt the communication between the brain and bladder, leading to urgency, urinary leakage, difficulty emptying the bladder or a combination of these problems. Bladder difficulties are common after stroke, particularly during the early stages of […]

To My Bundaberg Patients: An Apology and an Explanation

I am sorry that I have had to cancel some of your procedures and appointments Providing urological care to patients in Bundaberg and the surrounding region has been important to me, and I have greatly valued the relationships I have developed with my patients, their families, local doctors, nurses and hospital staff. That is why […]

Parkinson’s Disease and the Bladder: When the Brain–Bladder Signal Misbehaves

Parkinson’s disease is best known for tremor, stiffness and slowed movement, but it can also affect many automatic body functions: including bladder control. Urinary symptoms may disturb sleep, restrict social activities and increase the risk of falls when someone rushes to the toilet. The reassuring message is that bladder symptoms can usually be improved. The […]

Multiple Sclerosis and the Bladder: Symptoms, Tests and Treatment Options

Multiple sclerosis (MS) affects the brain and spinal cord, the same nervous system pathways that coordinate bladder storage, bladder emptying and urinary sphincter control. As a result, bladder symptoms are common and may change as MS changes. The important message is that “an MS bladder” is not one single condition. Some people develop an overactive […]

Hydronephrosis and Urinary Stones in Pregnancy What expectant mothers should know about flank pain, infection, premature labour and safe imaging

Pregnancy changes the urinary tract. The kidneys filter more blood, the hormone progesterone relaxes the ureters, and the enlarging uterus can compress them. As a result, the kidney drainage system and ureters often become dilated, a finding called hydronephrosis or hydroureter. In most women this is a normal, temporary effect of pregnancy. However, hydronephrosis can […]