The practice of Dr Peter Campbell covers all general urological treatment – including kidney, bladder and urinary problems. He also also cares for men’s sexual and reproductive health, including prostate cancer.

Stones can cause severe pain but may sometimes be silent till the kidney is damaged. The practice offers emergency evaluation and treatment of active stone problems as well as immediate management of potential stone problems. CT scans and urgent surgery can be done to relieve pain and obstruction from stones. The practice offers a wide range of minimally invasive procedures to treat stone disease including, ESWL, Laser lithotripsy, percutaneous kidney surgery and endoscopic kidney surgery. The practice also offers long term management in the prevention of urinary stones.

The practice subspecializes in urological cancer treatment. A multi-disciplinary approach is taken to the tailoring of individual cancer treatments and involves a close working relationship with medical oncologists, radiation oncologists, pathologists and radiologists to provide a complete approach to cancer treatment. Surgical treatment options are kept minimally invasive if at all possible.

Please refer to Female Incontincence

Many women experience pelvic organ prolapse, particularly after childbirth. It is not uncommon for women with pelvic organ prolapse to also experience urinary incontinence.

The problem occurs because the pelvic floor has been injured during the process of childbirth.

There are many procedures available to restore the function of the pelvic floor. Most of these procedures are performed vaginally, but some are performed abdominally by open or key-hole surgery. Some repairs involve sutures only and others involve the laying of tissue or mesh.

Many women experience recurrent urinary tract infections. There are set protocols for the investigation and treatment of this problem. These protocols usually require x-rays to be taken, urine tests to be performed and occasionally an endoscopic inspection of the bladder (cystoscopy) to be undertaken. The practice provides the full range of investigations and necessary treatments.

Laparoscopic surgery, also called minimally invasive surgery (MIS), keyhole surgery, or pinhole surgery is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5–1.5cm).

The key element in laparoscopic surgery is the use of a laparoscope: a telescopic rod lens system, that is usually connected to a video camera. Also attached is a fiber optic cable system connected to a light source to illuminate the operative field. The abdomen is usually insufflated with carbon dioxide gas to create a working and viewing space. The gas used is carbon dioxide, as it can safely be removed by the respiratory system if absorbed through the tissues.

The main advantage to the patient of laparoscopic surgery over open procedure is that a smaller incision is required, thereby causing less pain and a thus quicker recovery.

A number of operations can be performed by key-hole surgery.

These include:

• Laparoscopic Radical Nephrectomy
• Laparoscopic Radical Partial Nephrectomy
• Laparoscopic Pyeloplasty
• Laparoscopic Adrenalectomy
• Laparoscopic Radical Prostatectomy
• Laparoscopic Varicocoelectomy
• Robotic Prostatectomy

Treatment strategies include accurate diagnosis of the stone problem, assessment of potential complications that are related to stones, specific procedures to removed or dissolve stones and long term preventive measures to avoid stone recurrence.

A procedure to remove a stone would be indicated in the following situations:

• a stone that is causing persistent pain
• a stone that is causing a complication such as obstruction to the kidney, which may lead to kidney damage, infection and bleeding
• a stone that is not likely to come out by it’s own and has potential to grow in size and cause complications

Specific procedures for stones:

• Extra corpal shock wave lithotripsy (ESWL)
• Endoscopy and Laser surgery
• Percutaneous surgery (PCNL)
• Laparoscopy surgery for stone

Urodynamics is a specialised study that is undertaken to help reach a diagnosis in patients with voiding difficulty or urinary incontinence. It involves the filling of the bladder through a catheter and the recording of the bladder response to filling. It is performed as an outpatient in a specialiased urodynamics facility with the aid of x-rays. A trained specialist and a nurse perform the procedure. It normally takes an hour to perform and afterwards patients are able to drive them selves home, if they so wish.

Prostate conditions can affect a man at all ages although it is more common in the elderly man. The practice offers evaluation for prostate infection, inflammation, enlargement, cancer and elevated blood PSA (prostate specific antigen) levels. The practice has one of the most comprehensive ranges of treatment options for men with prostate enlargement including medical treatment, radiofrequency ablation, greenlight laser prostate vaporisation, TURP, Bipolar TURP and open removal. We also offer a comprehensive range of treatment options for prostate cancer including brachytherapy, radiation treatment, open surgery, laparoscopic surgery and robotic surgery.

We provide day surgery circumcision for adults using the ring-barking technique which results in the best cosmetic appearance.

We provide day surgery circumcision for adults using the ring-barking technique which results in the best cosmetic appearance. Please refer to Vasectomy Reversal

There various causes of erectile dysfunction. We attempt to ellicit the cause and provide targeted therapy such as medical therapy (pills), injection of prostaglandin, vacum devices and penile prosthesis.

Premature ejaculation is now believed to be both psychological as well as physiological abnormalities. We offer sexual counselling and education in stop-start and sensate focusing techniques. Coupled with application of local anaesthesia and medications (SSRIs), we can achieve a significant increase in intravaginal latency time.

Up to 50 percent of fertility problems in couples involve the male partner.

The most common cause of male subfertility is varicocele. We offer laparoscopic ligation of varicocele which is minimally invasive and done as a day procedure. In addition, we also perform microsurgical varicocele ligation as well as embolization of varicocele.

Unfortunately the genito-urinary system is prone to cancer formation. Common cancers of the genito-urinary system include prostate cancer, bladder cancer, kidney cancer, testicular cancer, and penile cancer. We offer a complete range of investigations to analyse these problems, including the latest screening, and imaging techniques.

Many of the best outcomes in cancer treatment involve multi-disciplinary approaches incorporating the expertise of other healthcare professionals including surgeons, medical oncologists and radiation oncologists. This group approach, as well as the latest technologies and treatments are employed in our practice to achieve the best outcomes.

To make an appointment for these clinics please phone our central practice number on (07) 3367 1608.

Blood in the urine is a very common urological problem. It can range from microscopic amounts to grossly visible amounts. There is a very large number of reasons why people have blood in their urine. Thankfully most are not sinister, but it is extremely important that it is investigated. Urological societies worldwide have studied this problem and have come up with a schedule of investigations to fully assess this problem thoroughly.

The process starts with a clinic consultation, urine and blood tests, as well as imaging, and ends with a telescopic examination of the bladder.

To make an appointment for these clinics please phone our central practice number on (07) 3367 1608.

Prostate issues are common. The prostate gland is a necessary part of the genitor-urinary system. It is required for reproduction. However it is prone to three common disorders, namely inflammation, benign enlargement and unfortunately prostate cancer.

We run a specialized clinic for prostate problems. For benign prostate problems we offer a very comprehensive range of investigations including urine testing, blood tests, and PSA testing as well as ultrasound, voiding flow rate, and urodynamics. The range of treatments is also very comprehensive from medication to minimally invasive treatment such as transurethral needle ablation, to endoscopic treatment such as transurethral resection of the prostate gland, and to the very new greenlight laser vaporization of the prostate gland. The last resort is an open operation, which is rarely required today but is also available.

For prostate cancer, we offer screening, and a complete and thorough investigation including the most up to date imaging techniques, blood tests and biopsy.

All treatments are available including watchful waiting, expectant management, brachytherapy, radiotherapy and surgery including robotic and open.

For inflammation the full range of investigations is offered, including urine and blood testing, imaging, and urodynamics. Treatment for this condition is individualized to the patient in order to achieve the best result. This often results in a multidisciplinary approach using pain specialists, physiotherapists and psychologists. (07) 3367 1608.

One in three women will experience urinary incontinence at some stage in their life. Thirty percent of women with pelvic organ prolapse have urinary incontinence. Thirty percent of women with pelvic organ prolapse have faecal incontinence. Most of these problems are pregnancy related and part of the same issue. It is important to treat them as the one problem. Thankfully there are many options to repair the problem. A lot of women are unaware of this and just put up with these embarrassing issues. We offer a one-stop multi-disciplinary clinic to thoroughly assess the pelvic floor and guide treatment accordingly.

The process starts with a consultation with Dr Campbell whereupon a physical examination might be undertaken. Investigations may be ordered such as a urine test, and ultrasound imaging. Ancillary investigations, such as a telescopic inspection of the bladder, a voiding flow rate, or a video-urodynamics test might be ordered.

Once the assessment has been completed, a consultation regarding the problem, and its treatment options will occur, usually as the same time as a urodynamic test.

Often pelvic floor exercises with a physiotherapist is the initial step in the road to recovery. Most people achieve some improvement with physiotherapy if not cure. However if the results are not satisfactory then we may need to move on to surgical intervention.

This practice has a very comprehensive range of procedures to offer to correct incontinence ranging from endoscopic botox injections into the bladder to the minimally invasive synthetic suburethral slings, to the more invasive biological slings and the Burch colposuspension. Finally the last resort is an artificial urinary sphincter or a urinary diversion.

For prolapse we are able to offer a range of repairs including either vaginal or abdominal approaches. These repairs can be performed as minimally invasive procedures or as open procedures. They can be performed using synthetic mesh materials or with biological material. We specialize using biological grafts that reduce the risk of complications that can occur with synthetic products.

If faecal incontinence is present, it will be addressed, by a colo-rectal surgeon with an interest and expertise in this area.

To make an appointment for these clinics please phone our central practice number on (07) 3367 1608.

Erectile difficulty affects a significant number of men. It can be due to the aging process, to hormonal imbalances, high dietary fats, diabetes, medications, or as a consequence of peyronie’s disease. Unfortunately it is also a side-effect of surgery for prostate cancer.

Unfortunately the processes are not always reversible and the treatment must be directed at the symptom as well as the cause. However once the cause is known the treatment can be best directed.

This clinic offers consultation, assessment, investigation, education, and treatment if desired. Our clinic nurse will engage you with education and demonstrate the treatment techniques.

Generally the treatment starts with correction of the underlying problem. Medication is the next option. If medication fails then injection therapy or the vacuum device would be considered the next. Thereafter a discussion of the surgical options, including venous corrective surgery or a penile implant would be discussed.

To make an appointment for these clinics please phone our central practice number on (07) 3367 1608.

The urinary system is prone to stone formation. This can be a very painful urological condition. It can necessitate an emergency admission to hospital. This problem is also very common in Australia due to our climate.

This clinic offers an initial assessment, blood and urine testing as well as imaging. Once the initial assessment has been made and all the relevant information gathered, a treatment protocol will be organized. This will only occur after a full discussion of all the options.

Treatment options always include no intervention, surveillance, medical treatment, minimally invasive treatment or open surgery. Once the stones are cleared, options will be discussed to prevent stone recurrence.

To make an appointment for these clinics please phone our central practice number on (07) 3367 1608.