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Welcome to the Macarthur Urology Website. We are a practice of four urologists who service both public and private patients of Southwest Sydney and the Southern Highlands.

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At Macarthur Urology, we aim to provide the best possible patient care with the most up to date techniques including Robotic and Laparoscopic Surgery.

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We provide management of all urological conditions including urological cancer surgery, urinary stone surgery, management of urinary dysfunction.

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DR MANCUSO - EXPERTISE

Dr Mancuso’s primary area of interest is Robotic and Laparoscopic Surgery for urological cancers.  He is one of the first urologists in Sydney to have completed Robotic Surgery for all 3 major urological cancers (Prostate, Kidney and Bladder). 

Dr Mancuso is a Certified da Vinci Robotic Surgeon and is featured on the da Vinci website.  He was one of the first urologists in NSW to undertake the accredited da Vinci Robotic Training Program at their base in California, USA.

In terms of Prostate Cancer, Dr. Mancuso has achieved excellent results, both in terms of cancer cure and functional outcomes for men with this type of cancer.  Certainly, da Vinci Robotic Surgery has offered a giant leap forward in the quality of surgery that can be offered to men with Prostate Cancer.  It allows for maximal nerve sparing in appropriate patients and this can result in more complete recovery of erectile functioning, compared with more traditional methods of Prostate Cancer surgery.  Whilst many patients will be candidates for nerve-sparing surgery, this is one of the facets of your operation that Dr. Mancuso will discuss with you during your consultation.


Dr Mancuso is also one of only a select group of Urologists in Sydney currently offering Robotic Surgery for Kidney Cancer.  This allows preservation of the kidney and removal of only the cancerous part of the organ.  This operation, known as a Robotic Partial Nephrectomy, has been demonstrated to have very good long-term results in terms of cancer cure while providing a statistically significant improvement in heart disease-related outcomes in this group of patients.  Not all kidney cancers are amenable  to this approach, however, even for large tumors, Dr. Mancuso will almost always be able to offer minimally-invasive surgery for your condition.


With regards to Bladder Cancer surgery, Dr. Mancuso is one of very few urologists in Sydney to have successfully completed a Robotic Radical Cystoprostatectomy and Ileal Conduit Formation.  This operation involves removal of the entire bladder and prostate, the associated lymph nodes and formation of a conduit for urine all within the body via a robotic approach.  With smaller incisions, patients can expect shorter hospitalisations and more rapid recuperation.  Dr. Mancuso also offers pure Laparoscopic Cystectomy and Open Cystectomy depending on your disease process.


Whilst Dr. Mancuso specializes in Robotic and Laparoscopic Urological Cancer Surgery, he also has a keen interest in male Voiding Dysfunction and Kidney Stone Disease. 
For his patients with kidney and ureteric stone disease, Dr. Mancuso is able to offer his patients all available surgical options for their condition.  These options are: laser stone treatment; Percutaneous Stone Treatment (PCNL); and Shockwave Treatment (ESWL).  The best choice is dependent on the size and location of your stones.