Dr Mancuso
Associate Professor Pascal Mancuso
Urologist | Robotic and Minimally Invasive Surgery
Associate Professor Pascal Mancuso is a Sydney educated and trained Urologist who specialises in robotic surgery and modern, innovative and minimally invasive treatments for Prostate and Kidney conditions, including cancer.
He is a high-volume robotic surgeon with more than 1,300 robotic cancer operations, and one of a small number of Australian urologists offering ProFocal laser therapy.
Training and experience
Pascal completed his urology training in Sydney. He then spent two years in England training in keyhole surgery for Prostate and Kidney cancer, and completed a specialist preceptorship in robotic surgery in California, the home of the da Vinci surgical robot.
He brought these skills back to South West Sydney. As Head of Urology at Liverpool Hospital for ten years, he played a key role in establishing the hospital’s robotic surgery program for Prostate and Kidney cancer.
Pascal also trains other surgeons. He is one of a small group of urologists selected to run training courses for Device Technologies, the Australian supplier of the da Vinci robot, where he teaches his techniques for Kidney-sparing cancer surgery to other urologists. His Associate Professorship at Western Sydney University recognises his commitment to research and to training medical students and junior urologists. He has presented his Prostate Cancer research as an invited speaker at conferences in Australia and overseas.
Robotic surgery for Prostate Cancer
Nerve-sparing robotic surgery. Pascal is a high-volume robotic surgeon who has performed more than 1,300 robotic cancer operations.
Robotic surgery lets him operate with great precision through small incisions, and his technique focuses on two things that matter most to men after Prostate surgery:
- Erectile recovery: carefully preserving the delicate nerves that control erections.
- Urinary continence: protecting the sphincter muscle that controls the flow of urine, to help men regain bladder control.
His aim is to remove the cancer completely while giving each man the greatest opportunity for a good recovery of bladder control and sexual function.
Focal laser therapy for Prostate Cancer (ProFocal)
Pascal is one of only a small number of urologists in Australia offering ProFocal, an innovative laser treatment for Prostate Cancer developed here in Sydney.
ProFocal may suit men who have intermediate-grade Prostate Cancer (Gleason 7) confined to one area of the Prostate. It treats only the area of cancer, rather than removing or irradiating the whole Prostate. It is done as day surgery, and most men return to work and normal activities quickly. The risk of urinary and erectile side effects is also lower than with whole-Prostate treatments.
Pascal is one of the authors of a multicentre study assessing the safety and effectiveness of ProFocal. Australian trial results published in the leading urology journal BJU International have also shown very good rates of cancer control. Pascal offers ProFocal at Chris O’Brien Lifehouse.
Enlarged Prostate (BPH)
For an enlarged Prostate, Pascal offers modern procedures designed to shorten hospital stays and lower the risk of bleeding. They also lower the risk of side effects such as incontinence, erectile problems and changes to ejaculation. Options include laser surgery, Rezūm water vapour (steam) therapy and UroLift. The best choice depends on your age, the size of your Prostate and your own preferences. Pascal will explain the pros and cons of each so you can decide together.
Kidney Cancer and Kidney Stones
Robotic Kidney-sparing surgery for Kidney cancer. Many Kidney cancers are found early, often during a scan for another reason. Pascal can often remove the tumour robotically while keeping the rest of the Kidney. This is called a partial nephrectomy, or Kidney-sparing surgery. Keeping as much healthy Kidney as possible helps protect long-term Kidney function. The robot’s precision and small incisions also mean less pain, a shorter hospital stay and a quicker return to normal activities than traditional open surgery. Pascal teaches this technique to other urologists through the da Vinci training program.
Laser treatment for Kidney stones. Kidney stones can be very painful, and a stone that blocks the Kidney needs prompt treatment. Pascal treats stones with laser surgery. A very fine telescope is passed up the natural urinary passage to the stone, so there are no cuts. The laser then breaks the stone into tiny fragments that can be removed or passed naturally.
Pascal uses the newest generation of single-use (disposable) telescopes. They are thinner than standard reusable instruments, which means less risk of damage to the Kidney and its drainage tubes. It also means patients often need a stent for a shorter time. A stent is a small, temporary tube placed after the procedure to help the Kidney drain while it heals.
Where Pascal consults and operates
Associate Professor Mancuso consults and operates in Campbelltown, Gledswood Hills, Bowral, Liverpool and at Chris O’Brien Lifehouse in Newtown.
Appointments and waiting times
If you have private health insurance, Pascal can usually see you within 72 hours for urgent concerns such as suspected Prostate or Kidney Cancer or an obstructing Kidney stone. Private care means you can choose your specialist, get timely access to robotic surgery and the latest treatments, and be treated in a private hospital.
Pascal also treats public patients at Liverpool and Campbelltown Hospitals, although waiting times there are generally longer because of hospital waitlists.
ABOUT MACARTHUR UROLOGY
WHO WE ARE Read more
Macarthur Urology has been providing outstanding quality Urological Care to the South West of Sydney, Bowral and Goulburn for over twenty years. We are active in clinical Urology but also in education, research and administration of the Public and Private Hospitals of our area. Our members attend Campbelltown Public and Private Hospitals, Liverpool Public and Sydney Southwest Private Hospital, Southern Highlands Private Hospital, Hurstville Private Hospital and the Chris O’Brien Lifehouse.
Prostate Cancer
Latest technology and evidence to attain the best achievable outcomes for our patients.
Enlarged Prostate
In office objective assessment such as flow and urodynamic studies performed by experience.
Kidney Stones
Broad range of treatments for the management of kidney stones.
Robotic Surgery
Advanced, minimally invasive, alternative to more traditional open operations.
Sexual Dysfunction
Help you assess and manage the reasons for your sexual dysfunction.
Urethroplasty
The permanent treatment of urethral stricture disease.
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