Urology Services

What does a urologist do?

A urologist is a surgeon who specialises in diseases of the urinary tract and the male reproductive system. Patients may be referred to a urologist if their doctor suspects they may need treatment for a condition relating to bladder, urethra, ureters, kidneys and adrenal glands. In men, urologists treat disorders related to the epididymis, penis, prostate, seminal vesicles, and the testes.

Urologists treat a diverse range of conditions:

Common symptoms include pain when urinating, going to the toilet frequently, incontinence, nausea, vomiting, fevers, and chills.

A malfunction in the urinary system can lead to involuntary loss of bladder control. In women, this may result from a weakening of the pelvic floor muscles during pregnancy.

In both men and women, a variety of procedures may be used ranging from minimally invasive day procedures such as Intravesical Botox, iAluRiL instillation, Intraurethral Macroplastique/Collagen, and Sacral Neuromodulation (Interstim) and PTNS (percutaneous tibial nerve stimulation), all the way up to Artificial slings, and artificial urinary sphincters . Dr Joshi has experience with all of these procedures for treating voiding dysfunction, with a high rate of success in the properly selected patient, at affordable costs. He has also undertaken a US travelling fellowship for these procedures and has garnered  substantial experience in implanting devices for incontinence when other measures have failed.

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To properly assess incontinence, Video-Urodynamic testing with imaging, including for more mobile spinal cord injured patients, is offered for investigation of causes of voiding dysfunction in selected patients that are able to transfer to and from a bed on their own, and do not have autonomic dysreflexia. Presently Dr Joshi performs these procedures himself (rather than using a nurse to conduct the studies) to aid in performance and accurate interpretation of the test results.

This can result from damage to the male reproductive tract and a variety of sperm disorders. Surgery can sometimes help.

Dr Joshi has performed a large number of these day procedures with a high success rate in reversing vasectomies for many years, at reasonable cost, using an operating microscope that is proven to result in higher success rates, when performed in an operating theatre setting.

Treatment of cancers that relate to the urological or male reproductive system, such as bladder cancer and prostate cancer.

When the tissues and muscles of the pelvic floor are no longer able to support the organs in the pelvis, the organs can drop from their usual position.

The bladder, kidneys, prostate gland, testicles, and any other cancer that affects the urinary system or, in men, the reproductive system.

Benign prostatic hyperplasia (BPH) affects around 1 in 3 men over the age of 50 years. An overgrowth of cells in the prostate gland causes the urethra to constrict, leading to problems with urination.

The penis is unable to attain sufficient rigidity to fully participate in sexual intercourse.

Oral medications, Intracavernosal injections, Vacuum pumps and even artificial penile prosthesis may be used for some of these conditions and Dr Joshi has obtained specific overseas training to be able to offer the full spectrum of treatments.

A chronic inflammatory bladder condition can produce discomfort ranging from mild to severe.

Small, hard deposits made from mineral and acid salts form in the kidneys but can pass through into the ureters. They can affect urination and cause pain, nausea and vomiting.

Dr Joshi has developed an extensive experience with laser lithotripsy procedures over many years as a high volume surgeon for this procedure, including performing complex ureteroscopic laser lithotripsy procedures – and Laser PCNL (Percutaneous Nephrolithotomy) for larger stones that are not suitable for conventional laser lithotripsy surgery.

Infection or inflammation of the prostate can cause painful urination or ejaculation. It can be acute or chronic.

Normally, the testicles form inside the abdomen of a foetus and descend into the scrotum before birth. If one or both does not descend, sperm production can be impaired, and there is a risk of complications.

Scarring of the urethra can narrow or block the path of urine flowing from the bladder. Causes include infection, inflammation or injury. Symptoms include painful urination and reduced output. It can lead to complications such as prostatitis and urinary tract infections.