Specialist Urological Oncologist - Robotic Surgery
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Specialist in Robotic Surgery
Robotic Surgery is a cutting-edge surgical technique that has many advantages for patients, in that very complex and difficult operations can be performed through very small incisions. This has the advantage of a quicker and less painful recovery from surgery, smaller less visible scars and a quicker return to work, activity and family life.Robotic surgery is a type of keyhole surgery in which small surgical instruments are passed into the body by the surgeon, and then a machine (the robot) is connected to the instruments. The surgeon then sits at a console and controls the instruments with his/her hands, and the view that the surgeon sees is 3-dimensional and magnified (features that improve your view and precision). A surgeon who uses the robotic platform, is only as good as their training, experience and the volume of cases that they do on a regular basis.
I was trained in a high volume cancer centre in the USA, which consistently ranks in the top ten hospitals across the entire USA. I completed many hundreds of robotic operations there and certification was through the prestigious Endourological Society in the USA.
I offer patients robotic surgery in kidney cancer, urothelial cancer and various operations of reconstruction of kidneys if required. This type of kidney cancer surgery is particularly useful for removal of part of the kidney when a tumour is very large or complex (called a robotic partial nephrectomy).

Specialist in Laparoscopic Surgery
Laparoscopic surgery is the traditional keyhole surgery technique, which allows the surgeon operate on parts of the body through very small incisions. Laparoscopic surgery is similar to robotic surgery, and has all of the advantages of quicker recovery and less scarring. It is very useful for certain operations like removal of the whole kidney (laparoscopic nephrectomy), removal of part of the kidney (laparoscopic partial nephrectomy), reconstructions of the urinary tract (e.g. laparoscopic pyeloplasty), and some laparoscopic kidney stone operations.Specialist Urological Oncologist
As a professional Urological Oncologist, I specialise in various cancers that affect the urinary tract, and this includes kidney cancer, urothelial cancer, bladder cancer and prostate cancer. The management of these cancers are individual to the patient, and if offered surgery I will discuss which keyhole method that is best suited to your case. This can include robotic, laparoscopic, endoscopic (where instruments are passed through the natural orifice e.g. the urethra) or percutaneously (where small incisions are made through the skin to access the kidney).Specialist Endo Urologist
Endourology is where instruments are passed through the water passage (called the urethra) to access various parts of the urinary system. These instruments can be passed from the outside of the body (via the penis or urethra in the female) all the way into the kidney. This may be required to treat kidney stones by laser or perform biopsies to rule out cancer, or to treat certain types of cancer that can affect the urinary tract (called urothelial cancer) by laser. The benefits of endourology are that no cuts in the body are made, and recovery is quick.Kidney stones are common and can return frequently. Many times they cause severe pain, and this results in emergency admission to hospital. There are many ways of treating kidney stones which include shock wave treatment from the outside of the body (therefore non-invasive), robotic surgery, and laser treatment (performed via instruments passed from the outside of the body through the water passage into the kidney). The advantages of shock wave treatment are that it is non-invasive and it can treat many stones very well, but the disadvantages are that large fragments can be left behind causing pain or requiring further treatment. Laser treatment is a very effective way of treating kidney stones, and has the advantage of clearing stones well and being able to get stones for analysis (so I can advise you on how to prevent), but has the disadvantage of being invasive. Although complications can occur, they are very uncommon thankfully.
Kidney stones can reoccur very commonly, therefore prevention is extremely important. I advise all patients undergo basic metabolic tests initially which include blood tests and stone analysis if possible. If a patient is high risk for stone formation, or if they wish to know more about why they have formed stones, I advise undergoing a 24-hour urine collection and I use the Litholink company to evaluate (https://www.litholink.com).
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