The term ‘prostatectomy’ is used to describe a number of different surgical procedures to remove either part or all of the prostate gland, which is found in the lower abdomen only in men.
The procedure is usually done to treat benign conditions in the prostate, or to treat localised prostate cancer and other pelvic cancers.
The prostate gland is a part of the male reproductive system. Its main role is to produce the fluid that carries and protects sperm.
There are two main types of prostatectomy and a few sub-categories, depending on the treatment required.
Radical – Radical prostatectomy involves removing the entire prostate gland, capsule (or covering), the surrounding lymph nodes and neighbouring tissue. This is usually a treatment for men with localised prostate cancer and there a number of different common techniques used:
• Open radical prostatectomy – Where the prostate is removed via a single incision in the lower abdomen, or the perineum.
• Laparoscopic radical prostatectomy – Where the prostate is removed via several small incisions in the lower abdomen using special tools and techniques. This process is less invasive than open surgery.
• Robotic-assisted radical prostatectomy – Much like laparoscopic radical prostatectomy, the prostate is removed via small incisions in the lower abdomen. Robotic-assisted instruments are inserted through the incisions and controlled by a surgeon. This allows for far more precise movement of the surgeon’s hands meaning it is an even less invasive procedure overall.
Robotic-assisted surgery has multiple benefits over the traditional open operation including lower blood loss, reduced hospital stay as well as improved urinary control and erectile function after the operation.
Simple prostatectomy is when the enlarged prostate is removed by enucleating it from its capsule. The sphincter muscle and nerves remain intact. It is used to treat benign conditions such as enlargement of the prostate (benign prostatic hyperplasia or BPH).
There are a few risks associated with the procedure, as with any major surgery. These include:
• Deep vein thrombosis
• Urinary tract infection (UTI)
Radical prostatectomy is a live-saving procedure, however there are some possible side effects. These include erectile dysfunction due to injury of the nerves surrounding the penis, urinary incontinence due to injury of the nerves or the urinary sphincter, or urinary obstruction (which is rare) where scar tissue forms at the point where the urethra is reconnected to the bladder. The transfusion rate is also very low.
Following the procedure, patients are taken to recovery and monitored closely. Hospital stay is depend on multiple factors. At Nepean Public Hospital it is an overnight stay. At Macquarie University Hospital it is a two to three night stay. Dr Arianayagam usually keeps patients on fluids after surgery and then on normal food the next day.
Patients will have a urinary catheter in their bladder after surgery to drain urine. This will remain for about 1 week after surgery. There will be a drain tube as well that will be removed within a day or two of surgery, depending on the level of drainage. Patients will be taught how to take care of their catheter when they’re at home.
Once discharged from hospital, patients will need to take special care in order not to risk further injury or complications. The surgical area will need to remain dry and clean – specific bathing methods will be supplied by your doctor.
Full recovery might take up to six weeks. During this time, driving, heavy lifting and exercise is discouraged. You will be advised by your doctor when you can return to work.
We are experts in the field of prostatectomy. In particular, Dr Mohan Arianayagam specialises in robotic radical prostatectomy.
Dr Arianayagam performs robotic radical prostatectomy at both Macquarie University Hospital and Nepean Public Hospital. Dr Arianayagam has performed over 250 robotic cases. He is a proctor for Device Technologies, who supply the Da Vinci Robotic System in Australia. Being a proctor means Dr Arianayagam is qualified to teach other surgeons to use this technique.
If you have any questions regarding prostatectomy, laparoscopy or would like to book an appointment, please feel free to contact Urology Specialist here.
Nephrectomy is a surgical procedure to remove either part or all of the kidney. The kidneys are vital organs that filter water and other waste products from your blood, produce urine and hormones, and maintain levels of minerals in your bloodstream. They are small and bean-shaped, and are located in the upper back of the abdomen.
Nephrectomy is usually carried out in order to treat cancer and other kidney diseases, to remove an organ that is damaged or to remove a healthy kidney for transplantation.
There are two main types of nephrectomy:
Radical – Radical nephrectomy involves removing the whole kidney, along with a section of the tube leading to the bladder called the ureter, the adrenal gland which sits atop the kidney, and the fatty tissue surrounding the kidney. If both kidneys need to be removed, this is called bilateral nephrectomy.
Partial – For a partial nephrectomy, only the diseased or injured portion of the kidney is removed.
Nephrectomy is performed with the patient under general anaesthesia. The procedure is executed either as open surgery, laparoscopically or as robotic surgery.
Laparoscopy uses three or four small abdominal incisions and fibre-optic technology to operate and is far less invasive than open surgery; as such, the recovery time is much quicker. The kidney is detached internally, placed in a bag, then removed through one of the incisions.
For open nephrectomies, an incision is made in the side of the abdomen and sometimes, depending on the circumstances, also in the midline. Sometimes a rib may need to be removed to perform the procedure. The ureter and the surrounding blood vessels are detached and the kidney is removed via the incision. The opening is then closed with stitches.
There are a few risks associated with nephrectomy, though serious complications are uncommon:
• Loss of blood
• Heart attack or stroke
• Allergic reaction to anaesthesia or medication
• Pulmonary embolism – the formation of a blood clot in your legs that may move into the lungs
• Infection at the site of the incisions
• Postoperative pneumonia
• Injury to organs or tissue around the kidney
• Problems with remaining kidney
• Kidney failure
Potential long-term side effects of kidney removal are often associated with the loss of full kidney function (with both organs). This may result in high blood pressure (hypertension) or chronic kidney function.
Recovery after nephrectomy is contingent on the patient’s overall health and the type of procedure performed.
Immediately after surgery, patients are monitored for blood pressure, electrolyte levels and fluid balance i.e. the bodily functions performed by the kidney. Patients will often have a urinary catheter in their bladder for a short time after surgery to drain urine.
Pain and numbness at the incision site is common for a period after the surgery. Coughing or sneezing is usually quite painful due to the proximity of the kidneys to the diaphragm, however, deep breathing exercises are strongly recommended following nephrectomy in order to prevent postoperative pneumonia.
Recovery times will be different for each patient and the procedure. Patients who have had laparoscopic surgery will usually stay in hospital for 2-3 nights while those who have had open surgery stay for 5-7 nights. Heavy lifting and other strenuous activities are discouraged for up to 6 weeks and driving is discouraged for up to 2 weeks. However, light activities are recommended whenever the patient feels up to it.
Information on diet and exercise regimes are usually given to patients before they leave hospital.
We are experts in the field of nephrectomy. In particular, Dr Mohan Arianayagam specialises in laparoscopic partial nephrectomy where a diseased portion of the kidney is removed leaving the rest of the organ intact.
He also performs zero ischaemia partial nephrectomy, where the artery to the kidney is not clamped. This has the advantage of having no ischaemia to the kidney and hence improved function. It is even more challenging than the traditional laparoscopic approach due to the risk of increased bleeding. Results of this technique was presented at the recent Urological Society of Australia and New Zealand in 2014.
Future Islands have released their new song The Chase after debuting the track on The Late Show with David Letterman. Physical copies of the single also include the b-side Haunted by You.
The last time the band played Letterman's show they made quite an impression, particularly frontman Samuel T. Herring's dancing and impromtu screaming during a performance of Seasons.
You can check out the new songs below.
Massive Attack have launched a new iPhone app, Fantom, which features four never before released tracks.
Fantom is an interactive feature, which is “a sensory music player that remixes and reforms songs uniquely using a variety of environmental variables including location, movement, time of day, heartbeat and the integral moving image camera.” Although the tracks can't be heard in full, snippets of each song are are available if the user plays around with the app and its sensory features.
The app features new songs Dead Editors, Voodoo In my Blood, Take It There and Ritual Spirit. According to Pitchfork, Voodoo In My Blood is a collaboration with Young Fathers, who are currently touring with Massive Attack, and Take It There features vocals from Tricky.
The app is only compatible with the iPhone 5 and up, and can be downloaded here.
Richard D. James, known to the world and electronic music lovers as Aphex Twin has released two new songs, Simple Slamming b 2 and midi pipe1c sds3time cube/klonedrm.
The releases come in wake of the news that James will be releasing a new album Orphaned Deejay Selek 2006-2008 under his AFX moniker on August 21 on Warp Records.
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While Bec Sandridge may have an enthusiastic love for the sirens of yesteryear like Cyndi Lauper, that doesn't mean there's a shortage of newer acts she is crazy about.
When we counted down our top 100 songs of 2016 in December, Sandridge clocked in at #9 with her fiesty anthem You're A Fucking Joke. Since then we offered her the opportunity to reciprocate with her own top 10 songs of 2016. Here they are:
This song reminds me of touring throughout Europe (and racing from my flat to venues in torrential rain and cyclonic winds) and then racing to the pub after the show with new pals and then moving on to the next city or country. It's nice to have people who make you put life aside in your life...
For me this song somehow feels like a loose home-demo-y-anthem. It's fragile but huge and has such an interesting chord progression *nerd nerd nerd*
The chorus, that is all.
Heard this, shazam-ed it, fell in love (also, Alex and her band are all beautiful).
I saw Middle Kids live when I first moved to Melbourne three months ago and there's something about their songs that just make you feel at home.
Liv writes some of the best songs in the country. I love her lyrical imagery which are kind of like little snapshots in time or photographs and the film clip for this is magic.
After touring with Montaigne in October (and it's now January) I still get this song in my head at least once a week.
The first time I heard this song it was summer and I had a huge crush on someone and it was the perfect soundtrack for being gooey and gross. Gretta's voice is a dream and I love the space in the recording which allows for simple guitar and vocals.
One of the best sad boogies I've heard (pan to me side stepping and/or swaying and clicking and lots of tears).
I love the duelling guitars on this one and Sophie's voice is huge!
Catch the Ridge live at Red Bull Sound Select's first Sydney event of 2017 on January 27th. All the details here.
Perth four-piece Edie Green are kicking off the year with a brand new single. With an intermingling assortment of musical talents divided between the band members, the group has been able to conjure up a distinctive voice.
A jazz trained drummer, funk oriented guitarist, bluesy bass player and a soulful folk vocalist make Edie Green a band worth keeping an eye on, especially with the release of their newest clip Sliding.
The track begins with a dreamy guitar solo before the band gradually adds more texture and intensity, building towards an end that's almost frightening.
The music video easily mimics the tone of the song. The beginning takes surreal to a new level as a girl emerges from a bath and encounters a series of strange rooms including a party of people doing the Macarena.
As the song grows heavier and darker, the video becomes less like a dream and more like a nightmare. The clip ends with everyone’s ultimate horror of being in your underpants in front of a crowd, with the pleasant addition of running for your life from a crazed band of scarecrows.
Through the jarring changes in time and rhythm that are similar to that of Hiatus Kayote or Jaala, the band are able to capture the fever dream vibe towards the end of the clip while also keeping the listener guessing on the song’s direction.
Forming in 2013, Edie Green had immediate success with their first single Southern Palms, which had a healthy amount of radio time and made it’s way onto Live’n’Local’s top 50 Western Australian songs of 2013 list. In 2015 the band released their first EP titled New Heavy and launched it at a sold out gig in their hometown.
The new song follows a successful 2016 for the group. It saw them release two new singles and score a healthy number of live gigs under their belts. 2017 is shaping up to be a big one for them, already announcing an EP on the way. Stay tuned.
When we went through the painstaking but ultimately fucking fun job of piecing together our favourite 100 songs of last year, we knew our mates The Ruminaters had to be right up the top somewhere.
In the end, the mad lads from Sydney clocked in at #4 with their happy-go-lucky track Mr. Bubbles. We offered them their own opportunity to nail down some favourites, and they were more than happy to share.
This guy is the coolest. This song is awesome and I love how he keeps the same beat the whole time and builds all the backing vocals. It feels kinda like a Blink-182 song. It makes ya wanna walk around the street smiling at people and kinda makes ya feel a bit better than you are.
Jarleth has got a song of the week thing going on where he will ask every one what their favourite song of the week is. Every Friday he will get messages from all over the place. This track was a song of the week and turned out to be our song of the week for quite a few weeks. Such a nice song..
The guitar line in it is awesome. Film clip's awesome. Makes me wanna get heaps of camo and boots and go make fires in the woods. Thanks Chelsea.
This song's heaps good to listen to when you are drivin' in summer.
This album (Songs for our Mothers) might be one of my favourite album of 2016.
These guys are crazy live. If you ever want to see cool shit happen than I suggest it. This song has got a real nice groove to it and it's about Ike & Tina Turner.
I feel like a lot of people say they don't like this song but when some one puts it on, they love it?
I love it too. It's a lot of the same thing but I dig it. I don't know if anyone will make a chorus this catchy again. It's not much, it's just rattle snake. The best bit is at the end of the song around 7 minutes when they repeat rattle snake for about 40th time. I just like how no matter how many times they say it, I still like it.
The Strokes are probably the band's favourite band. We love the first three albums. We like all the albums but the first three definitely do it the most for us.
So when we heard this song, it brought us back to those first few albums and reminded us that they are still fucked up great.
This song reminds me of the period I spent in London. Really really great track to walk around London to.
We recently finished playing along Deep Sea Arcade for their Learning To Fly tour and it was heaps of fun. So stoked to see these guys making music again, this has got to be one of the best songs written in 2016.
Pencil's girlfriend Petie introduced to Mild High Club in early 2016 with the track Window Pane. These guys have such a cool groove and this track is real mad.
I've heard they are making a collaboration record with King Giz this year too which I'm super pumped for.
Whitney, Angel Olsen, Wild Nothing, Toro Y Moi, How To Dress Well, Twin Peaks and heaps more are to be featured on new anti-Trump compilation called Our First 100 Days.
The compilation will be subscription-based that will release one exclusive song each day for the first 100 days of Donald Trump’s presidency.
The initiative is a collaboration between Secretly Group and 30 Days, 30 Songs (a program that released anti-Trump songs in the lead up to the election).
All proceeds will go to organisations that support causes threatened by Trump’s proposed policies: All Above All, Cosecha, Hoosier Action, People’s Climate Movement, and Southerners On New Ground. The program is produced with Revolutions Per Minute.
Other Artists contributing to the compilation include Mitski, Beach Fossils, Meat Wave, The Range, Tim Heidecker, Will Oldham, The Mountain Goats, Avey Tare, Jens Lekman, Cherry Glazerr, How to Dress Well, and many more.
'Day 1' starts on the 20th of January. The minimum contribution is $30 for full streaming access.
From the Our First 100 Days press release:
"The Many of us woke up the morning after the election in a state of shock. Everything was different. We knew that we had to do something, and we are incredibly proud of what we are pulling together with Our First 100 Days. Not only is it a collection of great music, it is the music community coming together, supporting many important organizations, who will be the first line of defense against the policies of the new administration. We hope that people not only love the music, and discover some new things with this collection, but they see it as an easy way to make a contribution to a cross section of organizations that need the support right now."
Billy Corgan is gearing up to traverse across America on a month-long project.
The journey will be collated in a documentary series he has dubbed 'Thirty Days' which will follow Corgan as he explores three new creative projects.
“There will be new musical pieces, interviews with people, and we're gonna try to document this journey and try to come up with some sort of collective vision,” he said in a video uploaded to the Smashing Pumpkins' Facebook page.
The first project (which he dubs “50 By 50” in honour of his upcoming 50th birthday) will be a reflection on 50 of his favourite songs “from all my years of writing... not necessarily my greatest songs, because obviously opinions differ on those, but maybe a sort of personal reflection.”
He will be posting the tracks as he goes, asking fans for their opinion and what songs they think he might have missed out on, with a plan to record the songs for a compilation towards the end of the year.
He also plans to record an album of "10 to 12" cover songs along the way. Meanwhile, he will be writing new tracks for a forthcoming solo album which he has previously been working on with Rick Rubin. “I am sort of remiss to play new music too soon, so I won't necessarily be sharing that music, but I’d like to at least talk about some of the process involved.”
Watch the full announcement below.
See the Happy team discuss this article in our Newsroom: