Symptoms of prostate hypertrophy increase with age. This is related to obstruction of the bladder from the enlarging prostate as well as changes in the bladder due to long term back pressure. The mainstay of treatment in the majority of patients is medical therapy, but there are surgical treatment indications. These include:
There are a number of surgical options available which include:
With the use of bipolar or monopolar energy. This is the Gold standard treatment and is offered in both the Public and Private setting.
Possible disadvantages of TURP is a prolonged recovery phase which can be complicated with recurrent bleeding and infection, however data shows great long term outcomes with the requirement for repeat surgery being 10 percent within 10 years.
These operations are only reserved for very large prostates which cannot be managed with an endoscopical approach.
An open simple approach is avoided by most surgeons as it is highly morbid with a high risk of uncontrollable bleeding and transfusions. As the whole prostate is not removed (rather just the transitional zone), it is far more difficult than a radical prostatectomy. Some steps in the procedure are carried out blindly with the surgeons’ hand turned behind him/her as the enucleation occurs.
The Da Vinci robot has made great advances in allowing the surgeon good vision during a robotic simple prostatectomy procedure. The procedure can be carried out with far less bleeding and under constant vision by the surgeon.
Dr Haghighi has performed over 500 robotic surgeries including 9 robotic simple prostatectomies in Campbelltown private with an average 4 day hospital stay. None of the patients have required blood transfusions with no major side effects. This operation takes longer than radical prostatectomy however all men have maintained their continence. There are only 6 small incisions requiring minimal post operative analgesia. All procedures are saved on a USB which is given to the patients upon discharge.
There have been many treatment advances which now allow for greater options for minimal surgery. These include:
The Macarthur Urology group has a commitment to providing patients with the most up to date treatment and surgical options that are available for access at a local community level, allowing for greater access and convenience, and better outcomes.
Dr Kayvan Haghighi is a Urological and Robotic Surgeon specialising in Robotic Surgery for Urological malignancy, and provides the most up-to-date treatment
options for men with BPH.
Dr Haghighi is a medical graduate from Adelaide University and completed his General Surgery and Urology training in Sydney. He subsequently based his practice in Sydney’s Southwest and the Southern Highlands, and has provided dedicated and committed consulting and surgical services to both public and private patients
He is a highly experienced Oncological Surgeon within these regions with over 1,000 minimally invasive surgeries,500 robotic cancer surgeries and 1,000 open cancer surgery cases performed for his patients in the past 14 years.
Dr Haghighi holds appointments at Campbelltown and Liverpool Public hospitals and is Head of Department at Campbelltown Public Hospital. In the private sector, Dr Haghighi was responsible for driving the delivery of a private urological robotic service to the region, the first of its kind in NSW - located at Campbelltown Private Hospital as well as being one of the first users of public sector robot at Liverpool Hospital.
He is an accreditted VMO at Campbelltown Private Hospital and is the Urological Representative and Chairman for Campbelltown Private's Medical Advisory Committee.
Areas of special interest:
To speak with Dr Haghighi or for patient appointments, please contact:
Level 1, Suite 6, 7 Gregory Hills Drive,
Gledswood Hills NSW 2557
Other consulting locations:
Campbelltown, Liverpool, Bowral, Revesby
To arrange for an appointment, contact us at:
T: 02 46273468 F: 02 46273468