How we help


How we help

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How we help


How we help

We are fully qualified and experienced specialist surgeons dedicated to helping men solve issues with their urogenital system. 

The urogenital system broadly relates to the penis and the urethra (tube that carries urine from the bladder and acts as a passage for semen).  

We combine urology and plastic surgery to treat complex issues and improve function and aesthetic appearance for men.  The complex cases that get referred to us tend to involve: 

Urethral Stricture
Erectile Dysfunction (ed)
Post Prostatectomy Incontinence
Fistula
Lymphoedema

For some men, the treatment used to address cancer can cause side effects that greatly impact quality of life. Some of these side effects are considered untreatable by most doctors however MURAC Health Surgeons are considered a world-leaders in addressing these sometimes complicated issues. 

Typical post-cancer issues that we can address are: Urethral Stricture, Erectile Dysfunction (ED), Post Prostatectomy Incontinence, Fistula and Lymphoedema. 

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Prostate Hypertrophy
Vasectomy Reversal
Buried Penis / Hidden Penis
Erectile Dysfunction (ed)
Incontinence
Peyronie's Disease
Scar Revision
Post Circumcision Complications
Aesthetic Urogenital

Benign conditions of the Penis or the Urogenital System may not be life threatening, but can still cause physical and emotional discomfort.

Common Benign Conditions that we can address are: Buried Penis / Hidden Penis, Peyronie's Disease, Erectile Dysfunction (ED), Prostate Hypertrophy, Incontinence, Bladder Exstrophy, Aesthetic Urogenital and Post Circumcision Complications. 

Read more.

Penile Premalignant Conditions
Penile Cancer / Penis Cancer
Urethral cancer

As cancer of the genitourinary system is rare, most Oncologists will not focus on this type of cancer. 

In combination with your Oncologist, we can help provide surgical options to address these types of cancer: Penile Premalignant Conditions, Penile Cancer / Penis Cancer and Urethral Cancer. 

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Process for Patients


Process for Patients

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Process for Patients


Process for Patients

You will need a referral from another doctor to come and see us. We will take care of everything from that point onwards.  

To kick start your journey with us, we first need a referral from either your GP or a specialist. Given our focus is on complex urogenital issues, our combination of specialities means that we are likely to be better suited to treat hard to solve issues related to the penis or urethra.  

You can request your current doctor to refer you to MURAC Health. Contact us to schedule an appointment.  

Once you have made an appointment, our team will be in touch with you to advise the next steps.  


consultation

At your first MURAC Health consultation, one of our Specialists will meet with you to diagnose your condition. Even if a doctor has previously diagnosed your condition, we will still need to confirm a diagnosis. This usually doesn't take too long.  

During your consultation, we will ask you about what problems (symptoms) you have been experiencing, so we can make an assessment. From there, we will discuss potential options which will translate into an individualised plan for you. 

Please note that you will need to bring a medical referral letter to your first appointment.  


having treatment or surgery 

Our Specialists will prepare your Individualised Treatment Plan in consultation with you, using our combined knowledge and techniques from both Urology and Plastics.  

All information about your condition and the associated treatments will be provided to you in terms that you will understand. We also offer services before, during and after your treatment to help you to improve your quality of life. 

Contact MURAC Health to find out more. 


post operative care

Your surgeon will discuss a range of post operative care programs that are matched to your individual and family needs. Our aim is to get you back to normal as soon as possible.  



Cancer Survivorship


Cancer Survivorship

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Cancer Survivorship


Cancer Survivorship

Life after cancer can get back to normal.  

For some men, the treatment used to address cancer can cause side effects that greatly impact quality of life. Some of these side effects are considered untreatable by most doctors outside of MURAC Health. Below are some of the typical post-cancer issues that we can address: 

 

URETHRAL STRICTURE

The urethra is a tube that carries urine from the bladder to the tip of the penis. A stricture is a narrowing of this tube, causing difficulty in urinating.  

There are many symptoms that may indicate a urethral stricture including, difficulty in passing urine a slow stream or burning sensation when passing urine, and the presence of a Urinary Tract Infection (UTI).

Urethral strictures may occur for various reasons such as previous surgeries, history of stricture, as the result of a UTI, or as a consequence of radiation therapy used to treat prostate cancer.

MURAC Health uses a unique and ground-breaking combination of plastic and urological techniques to rebuild the urethra. 

As with most surgeries, there are risk factors that occur. Our surgeons will take the necessary time to ensure patients are fully informed and consulted throughout the process.

Schedule an appointment with us so we can confirm your diagnosis and create an individualised Treatment or Surgical Plan. 


ERECTILE DYSFUNCTION (ED)

Erectile dysfunction, or impotence, is the inability to get and maintain an erection for satisfactory sexual penetration.  It is not a disease, but rather a symptom of another problem.

There are many physiological, lifestyle and psychological reasons why a man may experience Erectile Dysfunction during his lifetime, including diabetes, smoking and alcohol consumption, stress, depression and anxiety, hormonal imbalances and pelvic trauma.

We will work with you to discover the cause of your ED, and discuss which treatment is best for your unique situation.  This may be through medication,  intracavernosal injection, referral to a sexual health psychologist, or an inflatable penile prosthesis.  In some cases, vascular reconstruction – reconnecting the blood vessels to the penis – is required.  MURAC Health surgeons are highly sought after for these cases. 


FISTULA 

A fistula is an abnormal connection between two anatomical structures, and can occur between the urethra and skin, the rectum and urethra, and colon and bladder. 

Symptoms include urine leaking into the perineum, recurrent or chronic UTI’s, air or gas in the urine, and perineal and pelvic pain.

Fistulas can occur as a result of prostatectomy or other major pelvic surgery, and as a result of radiation therapy. 

The treatment to correct a fistula is urinary diversion, followed by complex reconstructive surgery using a combination of urological and plastic surgical techniques.  MURAC Health surgeons are often sought out to perform such complex surgeries. 

Post Prostatectomy Incontinence

Incontinence describes when a man isn't able to control or accidentally passes urine. It can happen to men post the age of 40, however it is more prevalent in men that may have had their prostate gland removed.  

Men may suffer from incontinence as a result of undergoing a radical prostatectomy or a Transurethral Resection of the prostate. 

There are several treatments available to men who suffer from incontinence, from physiotherapy to surgical solutions.   We will ensure our patients regain their sense of dignity and quality of life.

 


LYMPHoEDEMA

Also referred to as Penile lymphoedema or male genital lymphoedema, and occurs when excessive lymphatic fluid collects in the soft tissues of the pelvis, scrotum or legs.  This is due to problems with the lymphatic system.

As a result, there is swelling of the scrotum, penis or legs.  This can be very uncomfortable and painful.

This can be a result of lymph nodes being removed as a part of pelvic or groin surgery, and as a result of radiation therapy.

There are several treatment options available, and we will carefully outline and explore them all with our patients.  Physiotherapy, compression and care of the skin are some non-surgical therapies available, however surgery is sometimes required.  In these cases, microsurgery to re-establish lymphatic flow is recommended. 

 


Benign Conditions


Benign Conditions

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Benign Conditions


Benign Conditions

Benign conditions of the Penis or the Urogenital System may not be life threatening, but can still cause physical and emotional discomfort. Below are some of the common Benign Conditions that we address:   


PROSTATE HYPERTROPHY

Prostate is a gland (about the size of a walnut) near the opening of the bladder.

Prostate hypertrophy, or Benign Prostate Hypertrophy (BPH), is when there is an overgrowth of cells in the prostate and it becomes enlarged, causing physical discomfort and pain for men when trying to urinate.

Whilst the cause is unknown, normal hormonal changes that occur as men age seem to have an impact.

Symptoms include not being able to urinate normally (either not being able to start urinating, or not being able to finish urinating) and needing to go to the toilet more frequently as a result. 

We will discuss your options, which may involve a combination of surgical and non-surgical techniques.

Read about our UroLift System treatment for BPH. 

Urolift.jpg

UroLift®

Treatment for BPH

Contact us to discuss your needs or schedule an appointment


vasectomy reversal

There are some men who have undergone a vasectomy, who, for personal reasons, may decide that they wish to have more children.  Although a vasectomy is considered a permanent form of male contraception, advances in medical technology and surgical practice have meant a high rate of success in vasectomy reversal procedures.   

A vasectomy reversal, or vasovastostomy, reconnects the tubes (the vas deferens) that were cut as part of a vasectomy.

Contact us to discuss your needs or schedule an appointment


erectile dysfunction (ed)

Erectile dysfunction, or impotence, is the inability to get and maintain an erection for satisfactory sexual penetration.  It is not a disease, but rather a symptom of another problem.

There are many physiological, lifestyle and psychological reasons why a man may experience Erectile Dysfunction during his lifetime, including diabetes, smoking and alcohol consumption, stress, depression and anxiety, hormonal imbalances and pelvic trauma.

We will work with you to discover the cause of your ED, and discuss which treatment is best for your unique situation.  This may be through medication,  intracavernosal injection, referral to a sexual health psychologist, or an inflatable penile prosthesis.  In some cases, vascular reconstruction – reconnecting the blood vessels to the penis – is required.  Our skills and experience are highly sought after for these cases.

buried penis / hidden penis  

A Buried Penis is the term used when the penis is buried or concealed under abnormal skin and/or fat. In adults, overweight men can have lower belly fat that sags and hides the penis. This is often made worse by a circumcision, as the amount of penile skin is reduced, and by a skin condition called lichen sclerosus.   

Although the penis is of normal size when erect, most of the penis is buried within the soft tissues and does not project outwards to be of use, and erections are often painful.  Further complications include difficulty in passing urine.

Corrective surgery using a combination of urological and plastic surgery to remove the fat and skin of the lower abdomen and reconstruct the skin of the penile shaft.

Schedule an appointment with us so we can confirm your diagnosis and create an individualised Treatment or Surgical Plan.


peyronie's disease

Peyronie’s Disease refers to a condition where the penis bends at time of erection due to a plaque or scarring in the erectile tissue.  The tissue in the penis hardens (known as fibrosis) and creates a lump, or scar tissue which impedes blood flow, causing the curvature in the penis whilst erect.  In severe cases, this can cause an inability to perform sexual intercourse, or even erectile dysfunction.

Peyronie’s Disease can be as a result of genetics (family history), or due to an injury to the penis.

Treatment for Peyronie’s is relatively straight-forward, and can be handled by either medical tablets or by an injection into the penile lesion/plaque to dissolve the excess collagen.

incontinence

Incontinence describes when a man isn't able to control or accidentally passes urine. It can happen to men post the age of 40, however it is more prevalent in men that may have had their prostate gland removed.  

Men may suffer from incontinence as a result of undergoing a radical prostatectomy or a Transurethral Resection of the prostate. 

There are several treatments available to men who suffer from incontinence, from physiotherapy to surgical solutions.   We like to ensure that our patients regain their sense of dignity and quality of life. 

 


POST CIRCUMCISION COMPLICATIONS

Men that were circumcised as infants may present complications from the surgery over time.  This usually happens because an excessive amount of skin was removed at the time and there may have been problems with wound healing. 

This can cause tight skin around the penis that leads to painful erections and may cause an abnormal appearance of the penis.

Scar revision using a combination of urological and plastic surgical techniques can be used to correct the condition and restore form and function to the penis.

scar revision

After any sort of surgery involving the penis, scars may be present that can lead to physical discomfort or issues arising from unhappiness about the aesthetics of the area.

There are several options that are available to address these concerns, and your surgeon will explore these with you to find the one best suited to your unique circumstances.

 


aesthetic urogenital

An abnormal appearance of the external genitalia, primarily the penis and scrotum, can result in loss of confidence and sense of self-worth. 

We will discuss the problem and explain the procedures available to you to achieve your desired goals.



Cancer Treatment


Cancer Treatment

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Cancer Treatment


Cancer Treatment

As cancer of the genitourinary system is rare, most Oncologists will not focus on this type of cancer. In combination with your Oncologist, MURAC Health can help provide surgical options to address the types of cancer listed below: 


PENILE PREMALIGNANT CONDITIONS

Premalignant conditions that are left untreated can develop into squamous cell carcinomas (skin cancer). 

Treatment may include chemotherapy creams or surgical removal of persistent or potentially dangerous lesions.

PENILE CANCER / PENIS CANCER

Most penile cancers start in the skin cells of the penis and if left untreated can grow and spread.  Penile cancer is extremely rare.

Treatment will require a multidisciplinary and collaborative approach, and involve surgery to the penis and surrounding lymph nodes.  This will be followed by radiotherapy and chemotherapy. 


urethral cancer

The urethra is a tube running inside the penis that enables urine to pass out of the body. It also carries semen. Cancer of the urethra is where cancerous (malignant) cells develop in the tissues of the urethral tube. This type of cancer is extremely rare.

Treatment will require a multidisciplinary and collaborative approach, and involve surgery to the penis and surrounding lymph nodes.  This will be followed by radiotherapy and chemotherapy. 

 


Request an Appointment


Request an Appointment

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Request an Appointment


Request an Appointment

Please fill in your details below

By scheduling an appointment, we can confirm your diagnosis and create an individualised Treatment or Surgical Plan for you. Once you have submitted your details, our staff will be in touch with you to schedule your appointment.  


CALL OR EMAIL

Call us on +61 3 9088 5138 during business hours. 

Email us on reception@murachealth.org.


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