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Bulkamid

Injection of Bulkamid is a minor, day stay procedure to treat stress incontinence. Its advantages is that it is a small operation with a short recovery afterwards. However, it is not necessarily the best treatment for all women, and urodynamics is very important to assess a woman's suitability for Bulkamid....

Stress Urinary Incontinence Treatment Options

Stress incontinence is leakage of urine when you cough/ sneeze/ jump/ laugh or move. If these aren't your symptoms - talk to your doctor about whether other treatments would be better for you....

Rectus Fascia Pubovaginal Sling

There are 2 general types of pubovaginal sling: synthetic, and autologous. "Autologous"  just means using your own tissue, and the most used type of autologous sling is rectus fascia. This is the tough lining of your abdominal muscle (rectus)....

Injection of Botox into the Bladder

Why am I having this done?Botox is used to treat an overactive bladder when medication such as Oxybutynin or Vesicare (Solifenacin) has been ineffective or has caused side effects.Before contemplating using Botox, we usually perform urodynamics to accurately assess your bladder. Botox is an effective treatment, performed under a general anaesthetic at Grace Hospital. ...

Urge Incontinence and Stress Incontinence

An "overactive bladder" is one that requires you to go to the toilet too frequently, and with less warning to go. At its worst, an overactive bladder causes urge incontinence, which results in leakage before you can get to the toilet. This can occur in certain situations, such as when you’re driving up the driveway, opening the front door, when a tap is running, or it can just occur spontaneously.What options do I have?For most women, urge incontinence is treated with medication. Bladder retra...

Urinary Incontinence in Women

Incontinence is a very common problem that interferes with a woman’s quality of life. At Bay Urology, we provide a full range of investigations and treatments for stress and urge incontinence. We perform video urodynamics at Bay Radiology to investigate problematic incontinence....

Laser Prostatectomy: HoLEP

This is a procedure carried out in an effort to improve your urinary flow which in turn helps with other symptoms such as urinary frequency, urinary urgency, and getting up at night. The middle part of the prostate gland is removed as opposed to a radical prostatectomy where the entire prostate is removed in an effort to cure prostate cancer....

Benign Prostatic Enlargement

Male Lower Urinary Tract Symptoms (LUTS) Many men have problems related to their prostate. With increasing age, the prostate enlarges, and can cause a variety of symptoms, including:poor flow, and a feeling of incomplete bladder emptyinggoing frequently to the toilet during the day (frequency) and night (nocturia)having little warning to go to the toilet (urgency) and, at its  worst, urge incontinenceAt its most severe, an enlarged prostate can cause recurrent urinary infections, bladd...

PSMA PET scan

A PSMA PET scan is a full body scan designed to detect any spread of prostate cancer. It is commonly used as a diagnostic test in men who have high grade prostate cancer, where radical treatment such as surgery or radiation is contemplated. It can also be used in advanced prostate cancer to determine the course of treatment.It has advantages over other types of imaging such as CT scan or MRI scanning, as it detects PSMA (prostate specific membrane antigen) anywhere in the body. This type of...

Open Radical Prostatectomy

This is a procedure carried out in an effort to cure prostate cancer. The entire prostate gland is removed (as opposed to a laser operation (HoLEP) where just the middle part of the prostate is removed in order to allow men to pass urine more freely)....

Hormone Treatment for Prostate Cancer

 There are several reasons to use androgen deprivation for prostate cancer. These include;men not suitable for, or would not benefit from radical treatmentwhen cancer has returned after radical treatmentbefore treatment with radiotherapyAndrogen suppression, ablation or deprivation, or the even more descriptive “chemical castration” all mean the same thing: starving the prostate cancer of its fuel supply : testosteroneThe medication is an injection (called Zoladex), and is given ev...

Exercise and Prostate Cancer

Exercise is good for everyone, but it's especially important for men with prostate cancer. It helps you regain muscle mass after treatment for prostate cancer, making you stronger and helps combat weight gain. The more muscle you have the higher your metabolism is so you burn fat even when you are just sitting around.Exercise reduces fatigue, increases muscle tone & makes you strongerExercise enhances feelings of masculinityIt improves your quality of life and general healthExercise Inc...

Prostate Cancer Overview

This information aims to help you understand your possible options.Usually there will be several appropriate options to choose from but they become more limited the more aggressive the disease.This is only a guide, and it must be emphasised that there may be reasons why some options are not suitable for you. We will discuss the pros and cons of all treatment options, specific for you. At the end of the day, the choice is yours.The three most important “prostate” factors are your; PSA: t...

Transrectal Prostate Biopsy

If you have an elevated PSA or a lump on your prostate, this procedure could help determine if you have prostate cancer or not. (Just because you have an elevated PSA does not mean you necessarily have prostate cancer and not all lumps mean cancer either.)...

Transperineal Prostate Biopsy

Biopsies of the prostate are performed to investigate a raised PSA, or a palpable abnormality in the prostate. Transperineal biopsy differs from transrectal prostate biopsy as it is done under general anaesthetic. Advantages of Transperineal biopsy over the transrectal route:It allows sampling of areas of the prostate that are difficult to access on transrectal biopsy.It can target any suspicious area seen on MRI with a high degree of accuracy,It effectively eliminates the ri...

PSA and Prostate Cancer

Prostate cancer is the most common cancer in men, and Bay Urology have a great deal of experience in the diagnosis and treatment of this condition. Having a PSA (Prostate Specific Antigen) blood test is usually the first step in the diagnosis. The test can be ordered by your GP, and if the result is high, may indicate that you have prostate cancer. However the test is not perfect and there may be other, non-cancer reasons why your PSA is elevated. For further information, please read more a...

MRI of the prostate

MRI has overtaken trans-rectal ultrasound-guided biopsy, which was the mainstay of diagnosis in the past. The benefits of MRI are that it is non-invasive and highly accurate at detecting prostate cancer. It therefore improves safety and accuracy for investigation of men with an elevated PSA. It may eliminate the need for a biopsy in up too 25% of men with a mildly elevated PSA.An MRI scan involves a 60 minute appointment at Bay Radiology where the staff will go through a comprehensive check...

What is PSA?

PSA is an enzyme produced by the prostate that is important for fertility. It is normal to have small amounts of PSA in the bloodstream.Higher levels of PSA in the blood may be an indication of the presence of prostate cancer.Although PSA is a good test for detecting cancer it is not perfect and just because you have an elevated PSA it does not mean that you have cancer....

PSA Test

PSA testing is a little controversial. Not all men who have an elevated PSA have prostate cancer and not all men with prostate cancer need treatment.In general, however, a young, otherwise healthy man is likely to benefit from the finding of prostate cancer.We recommend annual PSA testing from the age of 45 or even 40 if there is a history of prostate cancer in the family.  A family history of prostate cancer is a significant risk factor which is more important the greater the number o...