Kidney stones are one of the most common urological problems affecting one in 10 people. They can develop in either one or both kidneys and can be found either in the kidneys or in the ureters, the tubes that connect the kidneys to the bladder. They can be extremely painful and can lead to kidney infections or cause deterioration in kidney function if left untreated.

Many kidney stones are small enough to be passed in urine and they can be managed conservatively by treating the symptoms with medications usually painkillers. Larger stones require to be broken up or removed by surgery.

Dr Dias offers the following surgical procedures to treat kidney stones:

• Extracorporeal Shockwave Lithotripsy (ESWL)
• Uretero-renoscopy and Laser fragmentation
• Retrograde intrarenal surgery (RIRS) / Flexible ureterorenoscopy / Flexible pyeloscopy
• mini – Percutaneous Nephrolithotomy (mini-PCNL)
• Percutaneous Nephrolithotomy (PCNL)

Benign Prostatic Enlargement is a common prostate problem affecting nearly all men at some point in their lives. While BPH is more common in older men, not all men with BPH will have symptoms. BPH is not a life threatening condition, however it can significantly impact your quality of life. BPH tends to become more symptomatic over time. BPH symptoms can progressively worsen to a point where some men might develop acute urinary retention requiring insertion of an indewelling catheter to relieve BPH related obstruction to the flow of urine.

There are a wide variety of treatments available for management of BPH. Given its one of the most common reasons for visiting a urologist, Dr Dias prefers to tailor his recommendation to the needs and expectations of the patient. After all, the main focus of BPH treatment is to improve the quality of life and to prevent complications arising out of long standing obstruction to the flow of urine from the bladder. Dr Dias offers the following treatments for management of BPH:

1. Medical therapy
2. Minimally invasive surgical treatments
   1. Urolift
   2. Rezum
   3. Transurethral incision of prostate
3. Ablative surgical treatments
   1. TURP
   2. HoLEP
   3. Green light laser photovapourisation

Uro-Oncology is a subspecialty that deals with cancers of the genito-urinary system. Dr Dias has special interest in the management of cancers of the kidney, prostate and urinary bladder. Additionally, Dr Dias is also trained in the management of cancers of the penis, urethra and testis. Dr Dias is a passionate advocate for individualising cancer treatment and ensures that all cancer diagnosis and decisions are managed in a multidisciplinary environment with inputs from radiologists, pathologists, radiation oncologists, medical oncologists and urologists. This ensures that treatment decisions are made in keeping with the patients best interests. Dr Dias prioritises all cancer and cancer related appointments.

If you have been diagnosed with or suspected to have a cancer of the genito-urinary system and wish to discuss your options with Dr Dias, kindly contact DIAS UROLOGY on 03 9110 3828 or book an appointment to see Dr Dias here. We will prioritise your appointment and see you within a week.

Urinary Incontinence refers to leaking of urine that you can’t control. It is a common problem affecting upto a quarter to a third of all men and women. The severity of urinary incontinence can range from rom the occasional leak when you laugh, cough, sneeze or exercise, to the complete inability to control your bladder. There are various types of urinary incontinence. Dr Dias will evaluate your symptoms and then talk to you about the possible causes of urinary incontinence in your case. Dr Dias offers the following procedures in the management of urinary incontinence:

• Urodynamic evaluation including video urodynamics
• Intravesicle botulinium toxin (BOTOX) treatment
• Pubovaginal sling surgery
• Injection of urethral bulking agents (Bulkamid)
• Insertion of an artificial urinary sphincter
• Male and female sling surgery

• Urethral stricture refers to the narrowing of the urethra due to the development of scar tissue leading to obstructive voiding symtoms. The prevalence of urethral stricture disease among men is around 1%. It results in obstructive and irritative voiding symptoms that can potentially result in imapirment of renal function. Evaluation management of urethral stricture disease requires dedicated specialist care. Dr Dias spent significant time training in all aspects of management of urethral stricture disease in India where the disease tends to be far more prevalent. Dr Dias offers the following treatments for management of urethral stricture disease:
• Urethral dilatation
• Visual internal urethrotomy
• Urethral Meatoplasty
• Anastomotic urethroplasty
• Urethroplasty using penile skin and buccal mucosal graft

Majority of cancer and major urological surgery is now performed using the assistance of robotic technology. Dr Dias is a fellowship trained robotic and laparoscopic surgeon. Dr Dias is a strong advocate for minimally invasive urological surgery. Having received formal training in both laparoscopic and robotic surgery Dr Dias offers these services to his patients. Contact Dr Dias if you need to speak about the benefits of minimally invasive cancer and non cancer urological surgery. Dr Dias performs the following procedures laparoscopically and robotically:

• Nephrectomy
• Partial nephrectomy
• Radical prostatectomy
• Pyeloplasty
• Ureteric reimplantation
• Bladder Diverticulectomy
• Partial cystectomy