Entries by drjo

Vaginal Atrophy: How Menopause Can Affect the Bladder, Infections and Incontinence

Vaginal dryness after menopause is common, but it is not “just part of getting older” and does not need to be silently tolerated. The modern medical term is genitourinary syndrome of menopause (GSM). This recognises that falling oestrogen levels affect not only the vagina and vulva, but also the urethra, bladder and pelvic floor. Symptoms […]

Bridge to Brisbane 2026: Running in Blue for Prostate Cancer

On Sunday, 13 September 2026, Brisbane will once again come alive with runners, walkers, families, friends and more than a few wonderfully questionable costumes for the annual Bridge to Brisbane. This year’s event includes the RBWH Foundation Blue Run 5 km, raising awareness and support for prostate cancer research and care. Participants are encouraged to […]

Prostate Abscess: A Rare but Serious Infection

A prostate abscess is a collection of pus within the prostate gland. It usually develops as a complication of acute bacterial prostatitis when infection progresses despite treatment or when treatment has been delayed. Prostate abscesses are uncommon, but they can become life-threatening if the infection spreads into the bloodstream. Early diagnosis, intravenous antibiotics and, when […]

Erectile Dysfunction: Causes, Assessment and Treatment Options

Erectile dysfunction, often shortened to ED, is the persistent difficulty achieving or maintaining an erection firm enough for satisfactory sexual activity. An occasional unreliable erection is common and may simply reflect tiredness, stress, excessive alcohol or relationship pressures. When the problem becomes persistent, however, it deserves proper assessment. ED can affect confidence, intimacy and relationships, […]

Conservative Management of a Distal Ureteric Stone: When Can You Wait and When Is Surgery Needed?

A distal ureteric calculus is a stone located in the lower part of the ureter—the tube carrying urine from the kidney to the bladder. These stones are often close to the ureterovesical junction, where the ureter enters the bladder. As the stone moves towards the bladder, it can cause severe intermittent pain known as renal […]

Balanitis Xerotica Obliterans and Lichen Sclerosus of the Foreskin

Balanitis xerotica obliterans—usually abbreviated to BXO, is the traditional urological name for male genital lichen sclerosus. Lichen sclerosus is a chronic inflammatory skin condition that most commonly affects the foreskin and head of the penis. It can cause whitening, inflammation, splitting and progressive scarring of the foreskin. In some men it also narrows the urinary […]

Enlarged Prostate (BPH): Understanding Prescription Combination Therapy

Benign prostatic hyperplasia (BPH), also called benign prostate enlargement, becomes more common as men get older. An enlarged prostate may narrow the urethra or affect the way the bladder works. Possible symptoms include: a slow or intermittent urinary stream difficulty starting urination straining to urinate a feeling that the bladder has not emptied fully urinary […]

Superficial Bladder Cancer: Diagnosis, Treatment and the Risk of Progression

“Superficial bladder cancer” is an older term for cancer confined to the bladder lining or the tissue immediately beneath it. The preferred modern term is non–muscle-invasive bladder cancer, usually abbreviated to NMIBC. Although these cancers have not invaded the bladder muscle, they do not all behave in the same way. Some are small, low-grade tumours […]

Focal Therapy for Prostate Cancer: Targeting the Cancer While Preserving the Prostate

Established management of localised prostate cancer includes active surveillance for suitable low-risk disease and whole gland treatment with surgery or radiotherapy when treatment is indicated. ProFocal® is a newer focal approach that uses laser energy to destroy a selected cancerous area while leaving much of the surrounding prostate untreated. This approach is known as focal […]