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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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FEMALE VOIDING DYSFUNCTION AND INCONTINENCE

Voiding dysfunction in women is very common and increases in frequency with age.  It often results in urinary incontinence (leakage of urine) that can be subdivided into two categories:

  • Stress urinary incontinence.  This involves the leakage of urine with exertion (such as coughing, sneezing, laughing, running or standing).  It is related to factors such as: being overweight; multiple child births; and previous abdominal surgery.   The primary treatment options for stress incontinence include lifestyle modifications (such as weight loss, stopping smoking and learning pelvic floor exercises), as well as surgery. 

    In the past, surgery was being performed with synthetic tapes, however, long-term follow-up suggests that there may potential complications with these tapes, and so, use of a natural agent (such as a thin strip of your abdominal muscle) is potentially a safer long-term option.

  • Urge urinary continence.  This involves leakage of urine associated with a sudden urge to pass urine which cannot be delayed.  It tends to be more unpredictable in its timing than stress incontinence and as such, far more bothersome for patients.  The mainstay of treatment of urge incontinence is medical therapy, especially anticholinergics which stop the bladder contracting when it is not supposed to.

    These medications are typically well tolerated though they can cause dryness of the mouth and eyes and occasionally constipation.  Tablet and patch preparations are available.  If these are unsuccessful, the use of Botox injections may be necessary.  In some instances, Bladder Retraining can be offered at Macarthur Urology by our Nurse, this is especially useful for women who react badly to medications, or are keen to try an alternative to medical therapy.