Dr Pras Sivam – MBBS BMedSci FRACS(Urol)

Dr Pras Sivam (Prassannah Satasivam) is a Fellow of the Royal Australasian College of Surgeons and a Member of the Society of Urologic Oncology. He is a Senior Lecturer at the University of Melbourne and a supervisor for MD research students.

Dr Pras obtained his degrees in Medicine and Surgery from the University of Melbourne. After completing his surgical training in Victoria he was awarded a prestigious Fellowship at Memorial Sloan-Kettering Cancer Center in New York City. Here he received formal training in robotic surgery and exposure to a high volume of complex surgical cases.

COVID-19 Update

We understand that this unprecented crisis has led to financial hardship and general economic uncertainty. As of 25th March 2020, we will therefore offer BULK-BILLED TELEHEALTH consultations to all new and returning patients. Consultations may take place via telephone, Doxy.me, Zoom, Skype or Facetime.

Furthermore, we will not charge gap payments for major cancer surgery, including robotic prostatectomy for high-risk prostate cancer. This likewise extends to urgent stone surgery, TURP for urinary retention and cystoscopy for blood in the urine. We will continue these arrangements until current government restrictions are lifted.

As our staff have shifted to a work-from-home model, please contact the practice through the following:

Freecall: 1800 246 779
Fax: 03 8686 1427
Email: admin@precisionurology.com

World-Class Prostate Cancer Outcomes

In anticipation of upcoming reports from the Victorian Prostate Cancer Outcomes Registry (PCOR-Vic), we would like to share our latest audit of outcomes for Robotic Prostatectomy. These results are current as of February 2020, with a median follow-up of 9 months (1).

For organ-confined cancer (stage T2), the clearance rate with surgery alone is 100% (2).

For locally-advanced cancer (stage T3),  the clearance rate with surgery alone is 84% (2).

37% of patients achieve continence (0 pads or 1 security pad) within 2 weeks of surgery, and a further 32% within 3 months.

The video below describes the surgical techniques that make these exceptional results possible.

(1) Personal audit results only, pending peer-review

(2) clearance rate = negative margin rate

Our Services

At Precision Urology we aim to provide the highest quality care for our patients. In addition to treating all general urology conditions, we offer unrivalled expertise in robotic and open surgery for cancers of the prostate, kidney, bladder and testis.

  • Robotic prostatectomy for prostate cancer
  • MRI-fusion prostate biopsy
  • Robotic partial nephrectomy for kidney cancer
  • TURP, Urolift and Prostatic Artery Embolisation (PAE) for men with enlarged prostates
  • Laser and shockwave treatments for kidney stones
  • Major surgery for advanced bladder and testis cancer
  • Vasectomy, circumcision and all other general urological procedures
  • Interventional radiology procedures including kidney tumour biopsy and varicocele embolisation
Latest News

NOW ALSO CONSULTING IN CARLTON NORTH

Precision Urology is expanding to better serve it’s growing cohort of patients from the Inner Northern suburbs. The suite at 841 Rathdowne Street, Carlton North, has ample free parking, disabled access and close proximity to bus routes and tram lines. It is also close to both the M2 and M3 freeways and avoids the congestion of the CBD.

UROLIFT FOR BENIGN PROSTATIC ENLARGEMENT

The UroLift System is a new, minimally invasive approach to treating BPH for patients looking for an alternative to drug therapy or more invasive surgery. The system utilises tiny implants to lift and hold the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue. Most patients go home the same day with rapid symptom relief. The main benefit of this procedure is preservation of ejaculation, which is often lost after TURP and medical therapy.

NOW OFFERING PROSTATIC ARTERY EMBOLISATION

We are proud to announce our partnership with Dr Cosmin Florescu, Interventional Radiologist and member of the European Board of Interventional Radiology (EBIR). Cosmin graduated from the University of Melbourne in 2004 and undertook Fellowship training in Radiology through Monash Health. He currently holds public appointments as an Interventional Radiologist at both St. Vincent’s Hospital and Monash Health.

In addition to the innovative approach of arterial embolisation for benign prostatic enlargement, Cosmin offers a variety of radiological procedures including varicocele embolisation, nephrostomy tube management, radiofrequency ablation and renal mass biopsy.

Dr Cosmin Florescu
MBBS BMedSci FRANZCR EBIR