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Robotic Surgery

Robotic surgery is a minimally invasive treatment for prostate cancer. Instead of the conventional incision below the bellybutton as used for an open radical prostatectomy, the surgery is done via keyhole instruments via small incisions, with a slightly larger incision to remove the prostate.Robotic surgery is commonplace throughout the world. There is no evidence that it provides a better cancer control operation than an open radical prostatectomy. It may provide some advantages in the short te...

Nocturnal enuresis

This is another common paediatric urology problem we see at Bay Urology.Nocturnal enuresis is characterised by children being very deep sleepers, while also producing a large amount of urine overnight. Most children will grow out of this, but there are various treatments available if nocturnal enuresis persists.An alarm system is an excellent initial treatment for many children.See: "Dri Sleeper Eclipse Wireless alarm"Contact our team to make an appointment....

Urinary tract infection in children

This is a common presentation in children. There can be various causes for this depending on the age and gender of the child. We provide a full service and investigating recurrent urinary infection in children....

Vesicoureteric Reflux

This is a condition where urine moves the wrong way i.e. from the bladder to the kidney, hence the term "reflux".This can often be managed conservatively as it will resolve with time.A small proportion of children will need treatment of this, and we provide investigation and treatment of reflux in children.Contact us if you think you require treatment....

Undescended testis

Undescended testis is a common condition we see at Bay Urology, where the testis has not descended into the scrotum.If this persists beyond 12 months of age it needs correction.Often a suspected undescended testis is in fact retractile, where the testis can move between the scrotum and the groin. This is not of concern and does not usually need correction.Contact our team if you have concerns....

Hydrocoele (Paediatric)

This is a benign swelling around the testis. Doesn't do any harm to the testis, but can be unsightly and uncomfortable. Many hydrocoeles that are present at birth will resolve. Persistent hydrocoeles often require a small operation to correct them....

PTNS

Posterior tibial nerve stimulation (PTNS) neuromodulation is a minimally invasive treatment for bladder overactivity.Bladder overactivity is a condition where the bladder goes too frequently, and can be associated with urgency (the need to run to the toilet), and urge incontinence (having leakage on the way to the toilet). Usually, these symptoms are caused by overactive nerves that supply the bladder muscle.Medication can be very effective for the treatment of this. In more severe forms of blad...

Nephroureterectomy

Nephroureterectomy is a variant of a nephrectomy. This operation is performed when there is a transitional cell carcinoma (TCC) of the kidney or ureter. This is a type of growth in the lining of the drainage system of the kidney, rather than in the parenchyma (meat) of the kidney.A nephroureterectomy usually involves 2 incisions; a standard flank incision, as well as a smaller incision in the lower abdomen. (This is required as the kidney and the full length of the ureter down to the bladder are...

Man Maintenance

Man Maintenance looks after the most important part of you.Whether you've had unsuccessful treatments for erectile dysfunction before or if you're a first-timer, we have the tools to get you going again. We also have a very flexible approach according to your needs and your budget.Once you have a medication that suits you, we can continue to supply it to you without prescription charges or pharmacy fees.Practical. Effective. Affordable....

Vasectomy Reversal

For couples who are keen for more children after the man has previously had a vasectomy, a vasectomy reversal is an excellent option for restoring fertility. A vasectomy reversal is more involved than a vasectomy.It requires a general anaesthetic, as the surgery itself is very delicate.The lumen (inside) of the vas is very small and requires an operating microscope or loupes to aid surgery.We use very fine sutures to join the vas together...

Vasectomy Procedure

A vasectomy is an excellent form of permanent contraception. Whilst a vasectomy can be reversed, you should consider this operation to be permanent, as the reversal is technically difficult, expensive, and by no means always successful.Like any operation, there are complications associated with vasectomy and it is extremely important you are aware of these and accept the possibility that they may occur in your case. At Bay Urology, Tauranga, less than one in a hundred men would experience compli...

Hydrocoele - Injection

A hydrocoele is a collection of fluid around the testicle. It is a benign condition, but can cause discomfort and annoying symptoms due to its size and location.Usually, a symptomatic hydrocoele is best treated with an operation.However, a proportion of men are suitable to have a less invasive procedure. Simple aspiration or removal of fluid is not an effective treatment in itself since the fluid reaccumulates quite rapidly. However, after the removal of the fluid, we can inject sclerosant (in t...

Hydrocoele - Surgery

A hydrocoele is a collection of fluid around the testicle. This is a benign condition. There is usually a slow accumulation of fluid over time, and this can cause bothersome discomfort due to its size and location.For men where the hydrocoele is bothering them, the best treatment usually is an operation. Aspiration and injection of sclerosant is also an option for some men....

Peyronie's Disease: Injections

January 2021-UPDATEWe used to offer Xiaflex, an injection treatment, but unfortunately, the producers of Xiaflex have put up the price to prohibitive levels, and withdrawn it from Australia/NZ.This means we are no longer able to use it for the treatment of Peyronie's Disease....

Peyronie's Disease: Surgery

The standard treatment for correction of significant Peyronie's disease is surgical plication. This involves a general anaesthetic, and a procedure where we plicate or crimp the penis opposite the point of maximum curvature. This works well but does have some risk. The main risk with this type of surgery is a degree of penile shortening. This is proportional to the amount of curvature that you have: ie. the greater curvature, the greater penile shortening. There is always also a risk of erectile...

Peyronie's Disease

At Bay Urology, we see an increasing number of men with penile curvature or "Peyronie's disease".Viewers of Embarrassing Bodies on tv may be familiar with this condition:scar tissue forms on the corpora cavernosa (the penile cylinders responsible for erection) which causes a fulcrum for the curvature.The curvature can be such that intercourse is difficult or impossible, and erectile dysfunction can also be a problem.We offer surgery for the treatment of Peyronie's disease.  Read m...

Penile Prosthesis

A penile prosthesis can be an option when other treatments for erectile dysfunction have failed. A small proportion of men will not get benefit from oral medications, injections, or a vacuum pump. In the right men, the insertion of an inflatable penile prosthesis can be an excellent solution.It works by using a pump placed in the scrotum to inflate 2 cylinders in the penis, giving the ability to have an erection on demand.There are some downsides, however.The device is very expensive but is...

Erectile Dysfunction after Prostate Cancer Treatment

Erectile dysfunction is a known side effect of any treatment for prostate cancer. There are a range of options available for the treatment of this problem, and the success of these treatments depend on several different factors. These include;The type of prostate cancer treatmentThe age of the manErectile function prior to starting treatmentOther co-existing health conditionsPatient preference...

Injection Therapy for Erectile Dysfunction

Oral medications have revolutionised the treatment of erectile dysfunction. However, for a small proportion of men, these medications are ineffective or create troubling side effects. In such cases, penile injection therapy is a great alternative. While it is not to everyone's liking, it can be a very effective option.The advantages of penile injection therapy are;They are very effective, and create an erection rapidly (5-10 minutes)They can be very cost effective Side effects are rareAs th...

Paediatric Circumcision

There are several reasons to perform a circumcision on boys. These are;The foreskin is persistently tight and unable to retract (phimosis). All boys are born with a phimosis, and with time the foreskin usually becomes retractable. This usually occurs by the age of 4. If this doesn’t occur, and the foreskin causes problems with toileting, then a circumcision can be performed.InfectionA small proportion of boys will have recurrent infections of their foreskin (balanitis). Circumcision is an...

Bladder problems in children

Bladder problems are common in children and can present in a variety of ways. These include:going to the toilet too often/frequentlyas well as leakage or wetting.Bladder dysfunction can lead to vesicoureteric reflux and urinary infection. At Bay Urology, we are experienced in managing bladder dysfunction in children and have a range of options to retrain the bladder.Contact us...

Radical Nephrectomy

Radical Nephrectomy (kidney removal) is another option for treatment of kidney cancer. The entire kidney is removed as opposed to a partial nephrectomy, where only the mass and a small area of surrounding tissue are removed....

Partial Nephrectomy

A partial nephrectomy is a treatment option for kidney cancer. The mass and a small part of the surrounding kidney are removed (as opposed to a radical nephrectomy, where the whole kidney is removed).Partial Nephrectomy is now the treatment of choice in many patients with kidney cancer , as it allows preservation of renal function (nephron sparing surgery) and it has been shown to be safe from a cancer control point of view. Depending on the size and location of the tumour the procedur...

Kidney Cancer

There are two types of kidney cancer - those affecting the parenchyma or "meat" of the kidney, and those that grow in the drainage system....

Ureteric Stent

As part of your surgery, you may have had a ureteric stent placed. This is a fine plastic tube that is placed in your ureter, and runs from your kidney to the bladder. There are coils on each end to keep it in place....