General urology, oncological urology and stone management procedures

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Commonly screened conditions

This is done with a blood test and a rectal examination. 15% of cancers can go undetected with a blood test alone.
There are many causes of blood in the urine. Early bladder cancer may be detected like this even though it may initially cause no symptoms.
All men with bladder infections and women with recurrent infections should be investigated for a cause of the infection, which is often surgically reversible.

Oncology procedures

Prostate cancer:

Surgical removal of the prostate for prostate cancer.

Placement of radioactive seeds for radiation treatment of prostate cancer. A minimally invasive option for selected patients.

Bladder cancer:

Removal of bladder cancer with a scope. This small procedure can be curative in early cancer and diagnostic in more invasive cancer.

Placement of medication in the bladder through a catheter to prevent bladder cancer coming back.

Removal of the bladder for advanced bladder cancer.

Kidney cancer:

Removal of the kidney via keyhole surgery. Done in cases of cancer and other kidney problems.

Removal of a kidney cancer whilst preserving the healthy part of the kidney.

Stone management

Removal of kidney stones with a scope, baskets and laser. There is no cutting involved.

Removal of large kidney stones via a small cut in the patient’s side for the placement of a scope through the kidney.

Male Procedures

These symptoms are caused by an obstruction which is usually due to the prostate. This can either be treated with tablets or the inside of the prostate can be removed with an energy source.
A narrowing in the pipe draining the bladder can also cause obstruction. This can be managed with a scope and by cutting the narrowing from the inside, or cutting out the narrowing and attaching the healthy parts of the pipe together. Part of the pipe may have to be replaced with tissue. Tissue from the inside of the mouth is commonly used.
This is a very effective permanent method of male contraception. The vas deferens is tied off, preventing sperm from being present in the semen.
Removal of the foreskin.

Female Procedures

Management of patients with urine that leaks out often when coughing or sneezing. There are medical and surgical options. A commonly performed surgery is the placement of a vaginal tape to support the urethra, the pipe that carries urine out of the body.

Paediatric Urology

Boys who are born with the opening of the penile pipe in the incorrect position. The surgery reconstructs the defects of the penis and pipe.
Testes develop in the tummy and are supposed to go into the scrotum just before birth, but sometimes do not. If they remain in the tummy, keyhole surgery may be required to bring them down into the scrotum.
When the canal where the testis go through the tummy wall into the scrotum does not close and fluid or bowel goes through the canal and sits next to the testis in the scrotum causing a large bulge in the scrotum.