Laparoscopic radical nephroureterectomy is a minimally invasive surgical procedure to remove the renal pelvis, kidney and entire ureter, along with the bladder cuff, in an attempt to provide the greatest likelihood of survival for patients with transitional cell cancer. The kidney, ureter, and bladder are lined by tissue called transitional epithelium. Laparoscopic radical nephroureterectomy is used to treat patients who have transitional cell cancer of the upper urinary tract or transitional epithelium.

Minimally invasive procedure can be used to treat patient with ureteric narrowing due to both cancerous or non-cancerous causes. A Double J stent is usually kept inside patients for 4-6 weeks before removal.

Adrenalectomy is surgery to remove one or both adrenal glands. The adrenals are small glands just above each kidney. They are part of your endocrine system, which creates hormones that affect growth, development, sexual function and metabolism. The adrenal glands produce sex hormones, adrenaline and cortisol. Problems with the adrenal glands are pretty rare. Sometimes, though, an adrenal tumor that may or may not produce excessive hormones can develop. For tumors that produce excessive hormones, a surgeon must remove the gland and tumor so that hormone levels can get back within normal ranges. For some of the tumors that are not producing hormones, but are suspicious for cancer, likewise, the tumor needs to be surgically removed.

Peloplasty is a type of surgery that repairs your ureter – a tube that attaches your kidney and bladder. This inpatient procedure, performed by a urologist, corrects ureteropelvic junction (UPJ) obstruction. Adults and children may need a pyeloplasty. One baby out of every 1500 is born with a UPJ obstruction. Twice as many males than females have it. For infants, if the condition doesn’t improve within 18 months, they will likely need pyeloplasty. Older children, teenagers and adults can also get a UPJ obstruction and may need a pyeloplasty if their kidney is obstructed.

Renal cysts are quite a common condition. They have very low potential to turn cancerous. These cysts can sometimes grow to a large size and these can cause patient some degree of pain or discomfort. Laparoscopy can be used to remove these cyst and provide symptomatic relief for the patients.

A bladder diverticulum is a pouch in the bladder wall that a person may either be born with ("congenital") or get later ("acquired").

A congenital bladder diverticulum forms when some of the bladder lining pokes through a weak part in the bladder wall. A congenital diverticulum is most often found when you are still a child, and there is often only 1 pouch. They often don't need to be treated.

Acquired bladder diverticula (more than 1 diverticulum) are most often caused by a block in the bladder outlet (such as from a swollen prostate or scars in the urethra), the bladder not working well because of nerve injury or, rarely, from prior bladder surgery. With acquired diverticula, many pouches often form. These are most often seen in older men, who tend to get bladder outlet blocks more often.

Bladder diverticula don't always need to be treated if they're not causing any problems. Diverticula caused by a block in the bladder are treated by treating the blockage and maybe the diverticulum, as well. The surgery can be done by open surgery or through key hole surgeries.

Laparoscopic hernia repair is different from open surgery in the following ways:

• A laparoscopic repair requires several small incisions instead of a single larger cut. Pain is definitely less compared to open surgery.
• If hernias are on both sides, both hernias can be repaired at the same time without the need for a second large incision. Laparoscopic surgery allows the surgeon to examine both groin areas and all sites of hernias for defects. Also, the patch or mesh can be placed over all possible areas of weakness, helping prevent a hernia from recurring in the same spot or developing in a different spot.
• General anesthesia is needed for laparoscopic repair.

Circumcision involves the removal of the foreskin and is performed for medical or religious reasons. The procedure is usually performed under general anesthesia . It is a day surgical procedure with no hospitalization required. Healing takes 4-6 weeks and there may be some swelling particularly in the first few days.

Vasectomy is the most effective technique in achieving permanent male contraception. Either under general anaethesia or local anaethesia, the drainage tubes from the testicles (vas deferens) are located and disconnected through small incisions of the scrotum.

Vasectomy is very successful and therefore very popular, however, men should be counselled pre-operatively that it should be considered irreversible.

It is important to understand that you cannot immediately rely on vasectomy as the sole method of contraception until semen samples have been analyzed and are declared free of active sperm. This usually requires 2 clear samples at 12 and 14 weeks after the procedure.

An operation to repair a hydrocele involving excision and eversion of the hydrocoele sac. This procedure is typically performed as a daycase under general anaesthesia employing an incision through the scrotum.

Varicocele treatment might not be necessary. Many men with varicoceles are able to father a child without any treatment. However, if your varicocele causes pain, testicular atrophy or infertility or if you are considering assisted reproductive techniques, you might want to undergo varicocele repair.

The purpose of surgery is to seal off the affected vein to redirect the blood flow into normal veins. In cases of male infertility, treatment of a varicocele might improve or cure the infertility or improve the quality of sperm if techniques such as in vitro fertilization (IVF) are to be used.

Varicocele surgery can be done using few methods:

Open method - Open surgery using a microscope and subinguinal approach (microsurgical subinguinal varicocelectomy) has the highest success rates when compared with other surgical methods.

Laparoscopic surgery - Your surgeon makes a small incision in your abdomen and passes a tiny instrument through the incision to see and to repair the varicocele. This procedure requires general anesthesia. This can be considered especially in patients with recurrent varicocele after previous open varicocele surgery.

This is fixation of the testis (or testicle). If performed in young children/ babies for undescended testis, the procedure is performed via a skin incision in the groin. If performed to stop the testis twisting (testicular torsion) it is via an incision in the scrotal skin.

Graduated gentle stretching of the urethra, either in the management of male urethral stricture or in women for a wide range of conditions. This can be done using local or general anaethsia.

Various incontinence surgeries are being offered here at Allen Sim Urology. Please consult your specialist for more details.

This is usually performed for patients with failed kidney transplant. Sometimes, surgery is needed as the failed graft is infected.

This is a procedure where your bladder is filled up with water or saline. This is usually done for patient with painful bladder syndrome or interstitial cystitis. This procedure is both diagnostic and therapeutic. This is usually done under general anaesthesia.

The Tenchkoff cathter is a long, narrow tube inserted into the peritoneal cavity. The tube is used for peritoneal dialysis for patients with kidney failure.