Treatments

Treatments

Paradigm Urology is owned by urologist Dr. Tony Makris.

At Paradigm Urology, Dr Makris can treat all aspects of malignant and benign urological disease. The type of treatment offered will be best suited to the unique condition of each patient. Treatment options can include surgery as well as therapeutic and non-surgical treatments.

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Surgical treatments

Prostate surgeries

  • Prostatectomy
  • Bladder neck incision
  • TURP
  • TURBT
  • Urolift
  • Transperineal insertion of seeds and SpaceOAR implantation

Bladder surgeries

  • Cystectomy
  • Flexible cystoscopy
  • Rigid cystoscopy
  • Bladder stone crushing
  • Bladder tumor resection
  • Bladder washout for clots
  • Cystoscopy and retrograde studies
  • Hydrodistension (stretching) of the bladder

Surgeries for incontinence

  • Sling surgery
  • Artificial urinary sphincter (AUS)
  • Intravesical botox
  • Colposuspension for SUI
  • Insertion of an artificial urinary sphincter in men and women
  • Urethral bulking
  • Vaginal fistula repair (abdominal and vaginal)

Penile surgeries

  • Penectomy
  • Repair of fractured penis
  • Penile straightening procedure
  • Penile cancer procedures
  • Circumcision
  • Meatal dilatation
  • Meatoplasty

Renal surgeries

  • Nephrectomy
  • Tumor ablation

LUTS surgeries

  • Intermittent catheterisation
  • Transurethral resection of the prostate (TURP)
  • Bladder neck incision (BNI)
  • Urethrotomy
  • Intravesical botox

Kidney stone surgeries

  • Ureteroscopy
  • Tunnel surgery
  • Ureteric stent insertion (JJ -stent)
  • Ureteroscopy
  • ESWL

Erectile dysfunction surgeries

  • Penile implants/prosthetics
  • Intracavernosal injections
  • Surgery for Peyronie's disease
  • Penile prosthesis surgery

Non-Surgical Treatments

Bladder treatments and investigations

In-clinic therapeutic treatments

Testicular pain

In-clinic therapeutic treatments

Active surveillance

This option is the standard of care for low risk prostate cancer, it involves regular visits to the urologist with blood tests (PSA) and for clinical examination. The intention is to delay treatment until the cancer changes or becomes more aggressive.

Watchful waiting

In some case of  prostate cancer treatment may decrease your quality of life without providing significant benefits. In this case, a watchful waiting (WW) program may be instated to monitor your symptoms and prompt action if there is a change.

Other systemic therapies

Approaches such as chemotherapy may be used when the cancer has spread outside of the prostate. They are generally not used for curative treatment, but can help prolong and improve quality of life.