Procedures

ESWT for CPPS

Extracorporeal shockwave therapy (ESWT) can be used for the treatment of the following urological conditions:

ESWT delivers low-intensity shocks to the targeted area to stimulate the tissue to relieve pain and/or promote healing, with little to no side effects. Treatment regimen involves multiple rounds of shockwave therapy over several weeks, depending on the condition.

At URODOC, our team is experienced in using ESWT to treat urological conditions with a treatment protocol optimised for each patient. ESWT can be carried out comfortably in our clinic procedure room.

Greenlight laser therapy

Greenlight laser therapy is a minimally invasive treatment for prostate enlargement (BPH). During the procedure, a small fibre is inserted into the urine passage through a scope. Laser energy is passed through the fibre to heat up the excess prostate tissue and cause it to vaporise, allowing improved urine flow.

Greenlight laser therapy has a faster recovery and less bleeding compared to the conventional TURP treatment. It is a suitable option for patients on blood thinner medication or with an implanted pacemaker.

HIFU

High intensity focused ultrasound (HIFU), also called focal therapy, is a non-invasive treatment for localised prostate cancer. HIFU technology produces intense heat that is used to destroy targeted cancer tissue, with minimal side effects to the surrounding areas.

However, HIFU is not suitable for every patient, as factors including cancer stage, amount of tumour and the location of tumour must be taken into account. A urologist will help you decide if it is the best treatment option for you.

At URODOC, our team offers HIFU therapy among other prostate cancer treatment options, including hormone therapy and robotic radical prostatectomy.

Holmium Laser Enucleation of the Prostate (HoLEP)

Holmium Laser Enucleation of the Prostate (HoLEP) is a treatment for prostate enlargement (BPH). A laser is used to remove prostate tissue that is blocking urine flow from the bladder. Large wedges of the prostate are resected, leaving the capsule intact to preserve surrounding nerves and vessels.

HoLEP is similar to open prostate surgery but requires no incisions as it is carried out using a scope through the urine passage (urethra).

Prostate biopsy

A prostate biopsy is a procedure performed to diagnose prostate cancer. It involves taking samples of prostate tissue around the suspected tumour for pathology analysis. A biopsy may be recommended to investigate an abnormal PSA, suspicious MRI scan or an irregular feeling prostate.

There are several ways a prostate biopsy can be performed, including:

  • Transrectal ultrasound (TRUS) guided biopsy
  • Transperineal ultrasound guided biopsy
  • MRI guided biopsy

At URODOC, we use state of the art technologies and tools in the diagnosis of prostate cancer. Our team is highly experienced in the investigation of prostate cancer and will advise the most suitable biopsy options for each individual.

Prolieve thermodilatation

Prolieve® Thermodilatation is a minimally invasive treatment for prostate enlargement (BPH), using a technology that heats and dilates (opens) the prostate. This allows for improved urine flow and can address the symptoms of an enlarged prostate.

At URODOC, Prolieve® Thermodilatation is one of the several minimally invasive BPH treatment options we offer. Speak to our team to find out if Prolieve® is a suitable option for you.

Rezum

Rezūm™ Water Vapour Therapy is a minimally invasive treatment for prostate enlargement (BPH), using the natural energy stored inside water vapour to shrink excess prostate tissue. This opens up the urine passage from the bladder and can reduce BPH symptoms with fewer side effects than traditional surgery.

At URODOC, Rezūm™ Water Vapour Therapy is one of the several minimally invasive BPH treatment options we offer. Speak to our team to find out if Rezūm is a suitable option for you.

Robotic radical prostatectomy

A robotic radical prostatectomy is performed to treat prostate cancer. The procedure involves removing the entire prostate gland and seminal vesicles, with the aid of a surgical robot.

The procedure is performed through several “keyhole” incisions in the lower abdomen using robotic instruments. This approach allows for less bleeding during the surgery, fewer complications and shorter recovery times compared to an open prostatectomy (through a large incision).

Typically, patients with cancer confined to the prostate (stage T1 or T2) have the best outcomes following a robotic radical prostatectomy. However, many patients do have improved outcomes even in later cancer stages after the procedure. Speaking with a urologist will help decide which prostate cancer treatment option is right for you.

At URODOC, our team is trained in the da Vinci robotic surgical system to perform robotic assisted radical prostatectomy. We also offer other treatments for prostate cancer, including hormone therapy and focal ultrasound therapy (HIFU).

TURP

Transurethral resection of the prostate (TURP) is a surgical treatment for prostate enlargement (BPH). The procedure removes excess prostate tissue that is obstructing the flow of urine from the bladder, using a scope and heated wire. Tissue is resected from the prostate to create a wide channel for urine to flow through more easily.

TURP is the ‘gold standard’ for BPH treatment and the most commonly performed operation to improve urine flow. Most men experience an immediate improvement in urine flow, but other symptoms such as urinary frequency may take several months to improve.

There are several side effects that must be carefully considered before going ahead with the procedure. Alternative treatment options include minimally invasive techniques Prolieve®, Urolift® and Rezūm™.

At URODOC, we are highly experienced in treating prostate enlargement using TURP and other minimally invasive therapies. Speak with our team to find out which treatment option is the most suitable for you.

Urolift

UroLift® is a minimally invasive treatment for prostate enlargement (BPH), using small, permanent implants to lift and hold enlarged prostate tissue out of the way. This relieves pressure on the urine passage, allowing urine to flow from the bladder. There is no cutting, heating or removal of prostate tissue required, making it a straightforward procedure with less downtime for patients.

At URODOC, UroLift® is one of the several minimally invasive BPH treatment options we offer. Speak to our team to find out if UroLift® is a suitable option for you.