Frank went the whole night without waking up to pee . . .

 

Melbourne Urologist

Are you looking for world-class prostate cancer surgery in Melbourne?

Dr Pras Sivam remains the only Melbourne Urologist to have trained in cancer surgery at New York’s prestigious Memorial Sloan-Kettering Cancer Centre. His unique approach to robotic prostatectomy combines elements of both the traditional “anterior” and newer “posterior” techniques. As a result, his patients recover continence earlier whilst maintaining excellent cancer control.

In our latest audit of outcomes, we found that 39% of patients achieved continence (0 pads or 1 security pad) within 2 weeks of surgery, and 65 % within 2 months. Few studies have looked at continence this early after surgery, however one large systematic review reported 3-month continence rates ranging from 25% to 90% (1).

Furthermore, we achieved superior cancer control rates with a positive margin rate of 0% for organ-confined cancer (stage pT2) and 17% for locally-advanced cancer (stage pT3). For comparison, in one large systematic review the average positive margin rate was 9% (range: 4–23%) in pT2 cancers and 37% (range: 29–50%) in pT3 cancers (2).

(1) Ficarra et al. European Urology, Volume 62 Issue 3, September 2012, Pages 405-417.

(2) Novara et al. European Urology, Volume 62 Issue 3, September 2012, Pages 382-404.

Melbourne Urologist Robotic Prostatectomy Prostate Cancer

Please click below to access detailed descriptions of our more common operations, including robotic prostatectomy, prostate biopsy, vasectomy, stone surgery, TURP and surgery for bladder cancer. 

robotic prostatectomy

Prostate Cancer

Should you have a PSA test? How do we diagnose and treat prostate cancer? How do we manage the side-effects of treatment?

Robotic prostatectomy

Bladder Cancer

What causes bladder cancer? When must we remove the entire bladder with surgery?

Robotic prostatectomy

Kidney Cancer

What is the role of biopsy in kidney cancer? Do all kidney tumours need surgery? When can we watch a kidney tumour?

Robotic prostatectomy

Testis Cancer

What are the symptoms of testis cancer? How is it treated and can it be cured?

Benign Enlarged Prostate

What are the symptoms of having an enlarged prostate? What treatment options are available?

Melbourne Urologist

Kidney Stones

What causes kidney stones and what can I do to prevent them? How do we treat kidney stones?

Melbourne Urologist
Melbourne Urologist
Melbourne Urologist

Thinking about vasectomy?