A urinary diversion is required when the bladder can no longer function normally as a reservoir for storing urine. It is a surgical procedure that redirects the flow of urine out of the body due to disrupted flow.
This may be due to the bladder having to be removed (cystectomy) – or a malfunctioning bladder – as the result of bladder cancer, an enlarged prostate, injury to the urethra, stones, injury to the urinary tract, or conditions causing pressure on the urethra or ureters.
The urinary tract is the body’s system for removing urine. In order for the system to be fully functioning, and for urine to pass normally, all parts of the urinary tract must be working in unison.
The urinary tract comprises of:
The kidney – Every day, the kidneys filter blood t0 remove water and waste that is expelled through the urine.
The ureters – The ureters are two thin tubes of muscle that carry urine from each of the kidneys to the bladder.
The bladder – The bladder is a reservoir that holds the urine, ready to be emptied via the urethra.
A urinary diversion is when the flow of urine is diverted from the urinary tract to a replacement bladder called a neobladder, or through an opening in the abdominal wall (known as a stoma).
There are three main types of urinary diversion:
Ileal conduit (urostomy)
An ileal conduit urinary diversion – also known as a urostomy – is the most common type of the procedure. A small portion of the bowel is used to create a passage from the ureters to an opening in the abdomen – called a stoma – where urine is drained externally. A bag is used to collect the urine via the stoma, which is worn inside the clothes and needs to be emptied a few times a day. The bag can be placed in various positions as per the patient’s needs.
Orthotopic continent urinary diversion
In this procedure, a piece of the bowel is used to create a pouch to hold urine. The ureters are connected to the pouch, which drain into it via the kidneys. A valve connects the pouch to a stoma, which is used to drain urine a few times daily via a catheter, thus a bag is not required.
Neobladder to urethra diversion
In this procedure, a neobladder is made from a small portion of the bowel. The ureters are connected to the top portion of the neobladder, which collects urine like a bladder would. The neobladder is connected to the urethra, which allows close to normal urinary function. However, a neobladder to urethra diversion is not an option for some patients.
After the procedure it may take a few weeks for a full recovery. It also may take some time to get used to the way you may now need to urinate. Depending on the type of urinary diversion, you will be given instructions on how to pass urine. Most patients find that they can return to normal activities over time.
Dr Arianayagam is a highly skilled urological surgeon with a wealth of experience in all urinary diversion procedures.
After training in NSW further training in Urologic Oncology, he was undertaken at the University of Miami Miller School of Medicine where he completed a two year fellowship accredited by the Society of Urologic Oncology.
Since training in the USA Dr Arianayagam performs all urinary diversion procedures with the da Vinci robot using an intracorporeal technique. This is where the entire diversion is made internally rather than making a larger incision, which is the more common technique.
Intracorporeal diversion is far more technically challenging method of urinary diversion. It has many benefits over the traditional method.
If you have any further questions about urinary diversion or would like to book an appointment with a urologist in Sydney, please feel free to call.
Lebanese cooking wouldn’t be quite the same without its utilisation of a wide array of vibrant herbs and spices. Where the latter impart the vivacious, earthy flavours that Lebanese cuisine is known for, its the herbs that make certain dishes really sing. Used deliciously in meats, salads and dips, Lebanese herbs like wild thyme and parsley are the stars of many of our most treasured cuisine.
Few words will evoke more pride and nostalgia in a Lebanese person than za’atar. Fresh, vibrant and aromatic, za’atar is a delicious mixture of wild thyme, oregano, marjoram and lightly toasted sesame seeds.
The result is a versatile herb amalgam, used in a range of Lebanese dishes; you’ll find it mixed with olive oil and spread on bread for traditional manoushe; you’ll find it sprinkled on meats of all kind, or peppered upon Lebanese dips like hommus or labhne; you’ll even find it incorporated into falafel for a truly authentic flavour experience.
Parsley is an unassuming little herb that packs a huge punch. It is the central element of tabbouleh – one of Lebanon’s most renowned dishes – in which it is carefully chopped (so it doesn’t bruise) and mixed with burghal, tomato, onion, lemon juice and oil.
There are two main variations of parsley: curly and flat. The latter contains more flavour and aroma, especially when the stalks are chopped among the leaves. Parsley is also an excellent garnish for meats, salads and dips. Just chop a few leaves and sprinkle it on your next Lebanese dish – you won’t be disappointed.
Mint is an important element in many Lebanese dishes, though it features far more subtly than parsley or za’atar. It can be used in small quantities in dips and salads like tabbouleh, fattoush and cucumber yoghurt.
Whole mint leaves are also an excellent addition to manoushe or shawarma wraps, offering a burst of freshness to balance the earthy, meaty flavours. There are numerous mint variations; spearmint is the preferred choice in Lebanese cooking as it is firm and less bitter than other types.
Oregano is a versatile herb with a robust flavour and warm aroma that makes it a brilliant addition to savoury dishes. Alongside wild thyme, it is the most crucial ingredient in za’atar. You’ll find dried oregano sprinkled generously on chargrilled meats and fish, as well as vegetables like tomato and eggplant.
Next time your pizza is lacking a bit of kick, try adding a liberal pinch of oregano – it plays well with just about anything.
Much like oregano, rosemary is the perfect companion for a number of savoury dishes – particularly those that are grilled over hot coals or baked in a wood fire oven. Rosemary is an excellent garnish for roasted meats like lamb – which is a favourite in Lebanese cuisine – or chicken. It is also pairs well with garlic and oil, especially when spread on fresh bread and baked in the oven. Yum.
Traditional Lebanese food is one of the world’s tastiest and healthiest cuisines, thanks to its generous use of fresh herbs. To try Lebanese food at its best (or the best pizza in Sydney) stop by Manoosh or order online, and prepare your taste buds for something special.
Ensuring that ambient noise is constrained is fundamental to the construction of theatres and cinemas. This is achieved by implementing acoustically treated barriers in entry/exit points that restricts any sound from entering and escaping a hall.
Our acoustic doors are built to an extremely high quality when it comes to both soundproofing and safety, and are suitable for all types of entertainment venues, including school and home theatres, and commercial cinemas.
In Australia, acoustic doors must meet certain ‘Rw’ sound resistant standards set out by the BCA and are tested and certified accordingly
(see: ISO 140-3: 1995 – “acoustics – measurement of sound insulation of buildings and of building elements”).
Our acoustic doors for cinemas and theatres can achieve an acoustic rating of up to Rw41. They can also double as fire and smoke doors and can be used in boundary walls, where both noise control and fire resistance may be required.
Acoustic doors can be made from a range of materials, such as galvanised steel, laminated steel sheet metals, and feature certain finishes and/or decorative veneers to suit any design requirements your theatre or cinema may desire.
Any kind of door works as a sound barrier in some respect. With standard doors, however, sound waves will still manage to make their way through unless further preventative measures are taken. These measures include sound insulation and sound absorption – putting up an acoustic barrier.
The greater the mass of the insulation material per unit area of a door, the more soundproof it will be. A double-leaf partition – two sections separated by an air gap filled with a sound absorber – is an efficient and practical sound absorber. You can read more about how sound proofing works here.
Acoustic doors can be purchased to suit a range of frame types and sizes, depending on the needs of your theatre. We offer the following kinds of acoustic doors:
• Hinged fire doors – Our standard hinged fire doors are perfect for use in cinemas. Our product has been designed and engineered specifically for heavy duty use that also offer excellent performance levels of security, longevity and sound attenuation.
• Swinging acoustic doors – Swinging double action fire doors are perfect in cinemas where doorways accommodate heavy traffic flow in both directions. They perform like a normal acoustic door, the key difference being that they swing 180-degrees to allow traffic to move quickly and easily back and forth through the doors.
• Single or double sliding doors – Acoustic sliding doors are suitable in studios where a conventional side hung door is impractical.
• Fire or smoke doors – Commercial cinemas or theatres must comply with fire safety regulations as with any other building. Our acoustic doors can double as fire doors, compliant with the Building Code of Australia (i.e. AS1530.4).
• Heritage door upgrades – There are some old cinemas in Australia of cultural or historical significance that are protected by heritage preservation orders. We are experts in installing tested and approved sound proofing systems to existing heritage doors that adhere to modern regulations while maintaining traditional aesthetics.
• Heavy or lightweight doors – Our acoustic doors can be customised to meet the needs of any theatre, from heavy soundproofing to lighter applications.
All door types can be manufactured and installed with the required accessories and hardware, including frames, hinges, acoustic seals, handles and closing/locking mechanisms, as well as additional features like peep holes or viewing windows.
FSE Specialise Purpose Doors specialises in designing and manufacturing soundproof doors based on our client’s requirements. We work in conjunction with skilled acousticians to ensure we can present custom solutions for any situation.
With shared living spaces such as apartments, condos, terraces, residential hotels, retirement villages and commercial/residential complexes, it doesn’t take long for the rubbish to pile up. If you’re looking for a comprehensive strata rubbish removal solution, look no further than Sydney Rubbish Services.
Our fast, efficient team can handle any job you have on your hand, so matter the size of your property. Our team have over 10 years experience working alongside strata managers with courtesy and professionalism.
Shared living complexes can produce enormous amounts of waste in a short timeframe, and thus these spaces require a tightly organised rubbish removal program.
Strata complexes are always changing too, with old tenants leaving, and new tenants moving in – both which will require a rubbish removal service to take care of the waste they leave behind.
We understand that poor waste management can result in a loss of tenancy and the risk of missing out on renewed leases, which is we work closely with strata professionals to endure waste to removed in a nimble, efficient manner.
The cleanliness of a property is a direct reflection of its quality as a living space, so it is crucial to ensure you are on top of waste. We are rubbish removal experts, and will leave your property sparkling clean.
Shared living spaces produce a wide range of waste products. This includes excess waste that residents produce each week, junk that tenants are throwing out, and old belongings left behind in vacant flats.
We can handle any kind of waste that needs to be removed – no matter how tricky access may be – including:
• Old furniture – dressers, cupboards, bed frames, chairs
• Household waste – old toys, bikes, tools, games, books, records, mattresses, bric-à-brac
• Paper and cardboard – documents, photos, newspapers, packaging
• E-waste – computers and laptops, batteries, microwaves, heaters, televisions
• White goods – fridges and freezers, washing machines
Deceased estates in shared living spaces often contain a lot of old waste that will need to be sorted and removed. The task of removing waste from deceased estate in a shared living space can be tricky. We understand that it is a delicate job that needs to be undertaken with sensitivity.
When it comes to working with deceased estates, Sydney Rubbish Services are hands-on, meaning we can take into account any instructions you have. We always work with the utmost care and respect.
We understand that strata and property managers have extremely busy schedules, with little time to spend on waste management.
Have old tenants left behind furniture or white goods? We can take care of it. Do your tenants have lots of green waste that you want to dispose of in a eco-friendly manner? We are your guys. Are you concerned about rubbish violations? We can take away all your rubbish in one go, leaving nothing behind.
We understand that no two properties are the same, and that dealing with the waste produced by many tenants can be quite an ordeal.
Sydney Rubbish Services are rubbish removal experts. We will quickly and efficiently remove any junk that you need gone, with 10 years of experience in the industry, a dedicated team and the right equipment to cater to your needs.
For all its strength and versatility, there is still one major weakness that will eventually affect the integrity and aesthetics of steel: rust.
Corrosion can be defined as deterioration due to electrochemical reactions between the metal and its environment. In the case of steel, rusting occurs when the iron in the metal oxidises. What does this look like? Let’s find out.
Below is a macro time-lapse video of rust forming on mild steel over a period of 2 months. This is a 5mm (0.2 inch) section of the steel, stored indoors at room temperature. Rust begins forming after just one day, taking over the entire section of steel after two months.
This video is an excellent example of why it is crucial to treat the surface of steel in order to evade this kind of invasion.
So, what is actually happening here? The process of steel corrosion can be broken down into stages:
• Anodic areas on the surface are attacked and ferrous ions go into solution.
• Electrons are then released, they travel through the metallic structure to cathodic sites on the surface. Here they combine with oxygen and water to form hydroxyl ions.
• These react with the ferrous ions from the anode to produce ferrous hydroxide.
• This further oxidises to produce hydrated ferric oxide which is known as ‘red rust’.
This chemical reaction can be summarised like this:
Fe + 3O2 + 2H2O = 2Fe2O3H2O or (Steel) + (Oxygen) + (Water) = Hydrated ferric oxide (Rust)
The video above is perfect example of what is known as uniform attack corrosion. This is the most common form of corrosion. It is also known as general attack corrosion, and refers to the deterioration of the entire exposed surface of the steel in a manner that is, more or less, uniform (both in speed and surface area).
Differences in between small areas on the steel surface create anodes and cathodes that facilitate the corrosion process.
Steel will corrode uniformly when exposed to open atmospheres, as well as water and soil. In the natural atmosphere, oxygen and moisture in the air will be the main culprit for the corrosion.
Surface treatment is an extremely effective way to protect against steel corrosion. Here are some of the most common you will see steel fabricators use:
Hot dipping – This galvanisation method can be used on steel of all shapes and sizes and involves immersing the steel in a bath of molten zinc at temperatures up to 450°C. Steel galvanised in this way is highly protected against corrosion as well as extreme weather conditions and this is a particularly popular approach for pipe related applications.
Zinc phosphate priming – Steel surfaces can be painted with specially formulated primers in order to improve corrosion resistance as well as boost their visual appeal, with one of the most popular applications being zinc phosphate priming.
Chemical coating – This brilliant technique uses electrostatic or compressed air to apply a specially formulated powdered material to the steel surface, following which it is melted to form a smooth protective film. Steel treated in this way is not only protected against corrosion and UV damage, it is also highly resistant to peeling, scratching and cracking.
Zinc spray metallising – While it doesn’t provide quite the same protection as hot dip galvanising, this technique is highly effective against corrosion and is popular for its smooth finish. Because this is a ‘cold process’ there is no risk of distorting the metal, making it ideal for use on ornate metal components such as railings and fences.
You can read more about steel surface treatment here. Or you can get in touch for a quote or more information.
Raynaud’s Disease: Pronounced ‘ray-nose’
A condition caused by the sympathetic nervous system which causes narrowing of arteries in the extremities (e.g. fingers, toes), resulting in reduced blood flow to these areas.
Cold weather, stress and anxiety, vibratory tools, medical conditions resulting in reduced blood flow.
Symptoms include feeling cold, numbness, and occasionally pain. Typically involves colour changes in affected area – turn black or white, then blue or purple, then red. This cascade of colour changes is known as Raynaud’s Phenomenon.
Raynaud’s is more common in females, between the ages of 20-40, in colder climates. It is commonly associated with autoimmune conditions such as scleroderma. Some medications can predispose people to Raynaud’s Disease, such as migraine medications. Smoking is also a risk factor.
• Unfortunately, there is poor evidence for medications being effective (such as calcium channel blockers and vasodilators)
• Activity modification – avoid smoking and certain medications.
• Stress management and overall well-being
• Take precautions i.e. pack warm clothes, warm hands prior to leaving house
• There is some evidence for thermal biofeedback training, where you can mentally increase your body temperature
If you think you may suffer from Raynaud’s disease, and would like more information on how to manage it, please feel free to book an appointment with one of our experienced hand therapists!
A property valuation is a systematic process undertaken by an independent and impartial party to formally determine the value of a property. In most states across Australia, the process must be done by a qualified valuer who has undertaken formal education and training from a certified body.
It it differs from a property appraisal, which is a price estimate usually given by a real estate agent, but we’ll cover that more later.
Because the valuation comes from an independent party, it is considered to be unbiased and trusted to acknowledge all the relevant factors that can impact the value of a property. A fee is charged for a property valuation and an official report is produced.
• Property size
• Number and type of rooms
• Fixtures and fittings
• Amenities and special features
• Building structure and overall condition (assessing any structural faults)
• Presentation and fit-out
• Vehicle access, parking and garage(s)
• Planning and restrictions and local council zoning
• Recent sales in the area
• Other market conditions
You will need a valuation when a definitive value of a property is needed. For investors, this is typically when trying to obtain financing to purchase, or when refinancing or to draw down on the equity in your property to expand your portfolio. Most banks will require a valuation if you request a loan.
A market valuation, or property appraisal, is an estimate of how much a property would sell for given the current market. It is typically done by a real estate agent and is judged based on current trends. The agent uses their own knowledge of the market to give an educated guess as to the value of a property.
Unlike property valuations, which are done by an impartial party, appraisals are considered inherently biased. They are usually requested by sellers and tend to be skewed in their favour. Appraisals are to be taken merely as a guide as they are not definitive and have no legal standing.
If you’re planning to sell an investment property you may want to obtain a market appraisal from one or more agents to get an idea of what your property is likely to sell for. It is important to work with an agent who is familiar with your property’s location to get the most accurate estimation.
Risk ratings are used by lenders to determine how secure they consider the property to be for the associated loan.
The property will be given a risk rating between 1 and 5 (1 being low risk and 5 being high risk) based on 8 key factors:
Location – Is the location highly sought after? Is it well known? Is it close to schools, cafes and other amenities?
Land – Zoning, title and access.
Environmental Issues – Considers potential environmental impacts to a property, i.e. bushfires or flooding, as well as things like proximity to power lines or other high risk properties.
Improvements – Based on any improvements that may be needed for a property.
The Market – Which way the market is moving and current trends.
Market Volatility – How volatile the local market is.
Market Segment – Where the property sits within different market segments (for example, a big house in an area populated by smaller terrace may be deemed a higher risk).
Local Economy – How the local economy might impact the value of a property (such as in a mining town or new the impact of new cultural attractions).
Remember, your property team should be there helping you every step of the way, working towards your dreams.
If you have any questions property valuation or market appraisals, or investing in property in Australia, please feel free to get in touch! We’d be more than happy to help.
Erectile dysfunction is the inability to achieve an erection, a firm enough erection needed for sexual intercourse, or the inability to sustain an erection long enough to achieve sexual climax. It is almost always the symptom or result of another problem, both physical and psychological.
Erectile dysfunction is also common side effect of some urological surgeries, such as cystectomy and prostatectomy. Advances in urological procedures like robotic surgery aim to reduce the prevalence of these side effects.
Having this issue occasionally isn’t necessarily a case of erectile dysfunction, but when it is an ongoing issue treatment is recommended.
Men achieve erection when they are sexually stimulated, which results in nerve messages releasing chemicals that increase blood flow into the penis. Surgery such as cystectomy and prostatectomy, which operate on this region, can disrupt these nerves, resulting in erectile dysfunction.
Robotic surgery allows greater precision, control and flexibility of the surgeon’s movements. This allows surgeons to perform delicate and complex procedures, and to do so without encroaching on nearby organs and nerve tissue.
Robotic surgery has many benefits over traditional open operation, including lower blood loss, reduced hospital stay as well as improved urinary control and erectile function. The latter has been proven in scientific studies.
During his two year fellowship, Dr Arianayagam spent a significant amount of time learning from Dr Murugesan Manoharan, Professor of Urology and Program Director at the Department of Urology of the University of Miami Miller School of Medicine.
With Dr Manoharan as a mentor and teacher, sufficient experience was gained in robotic surgery. Dr Arianayagam is particularly interested in analysing the differences between open and robotic, especially in robotic prostatectomy and cystectomy regarding preserving erectile function. He is considered one of the leading robotic surgeons in country.
If you have any questions about urological surgery how you can help reduce the chance of erectile dysfunction, or would like to book an appointment, please feel free to call.
Apple have actually patented a design for their very own pizza box, which will supposedly keep pizza from going soggy.
Recently, Wired were allowed an inside look at the new Apple HQ. It was there they uncovered a new innovation – a pizza box that lets air and moisture escape, meaning it won’t be reabsorbed by the pizza, making it soggy.
Francesco Longoni, Apple’s Head of Food Services helped the tech giants develop the box. The patent describes a “container [that] is singularly constructed from a single piece of material” making it easy to stack for efficient storage.
The base will feature “gap[s] assisting in thermally isolating the food item and allowing moisture expelled from the food item to be transported away from the food item” to work in conjunction with a “moisture channeling feature integrally formed in the lid”, amongst other ‘innovative’ designs.
In true Apple fashion, the patent even describes various modifications which may be implemented, such as portions of the interior base that can be elevated to provide a “support platform” in order to prevent moisture from being trapped underneath.
Another modification suggests “The container can also include openings in the lid that allow steam to escape from the pizza. Allowing such steam to escape from within the container further ensuring that the pizza does not become soggy through the re-absorption of moisture.”
You can read the entire patent here, but be warned, it’s a long one.
See some of the designs below.
Our delivery team are some of the best in the business, ensuring your pizza arrives hot and fresh every time.
If all this talk of delicious pizza is making you hungry, stop by Manoosh or order online. You won’t be disappointed.
Ensuring that ambient noise is constrained is fundamental to the construction of a recording studio. This is achieved by implementing acoustically treated barriers in recording spaces and control rooms.
Our acoustic doors are built to an extremely high quality when it comes to both soundproofing and safety, and are suitable for all types of studio setups, from home recording spaces to commercial studios.
Our acoustic doors can double as fire doors and other protective doors. They can also be used in boundary walls, where both noise control and fire resistance may be required.
Acoustic Doors can be made of a range of materials, such as galvanised steel, laminated steel sheet metals and feature certain finishes and/or decorative veneers to suit any aesthetic requirements your studio may desire.
The greater the mass of the insulation material per unit area of a door, the more soundproof it will be. A double-leaf partition – two sections separated by an air gap filled with a sound absorber – is an efficient and practical sound absorber.
Read more about how soundproof doors work here.
Acoustic doors can be purchased to suit a range of frame types and sizes, depending on the needs of your recording studio. We offer the following kinds of acoustic doors for recording studios:
• Single or double swinging doors – Standard swinging acoustic doors are suitable for a number of applications in a recording studio. Double action acoustic doors are suitable in studios where doorways must allows the flow of traffic to pass by pushing the door from both directions. Very handy in spaces where gear is constantly loaded in and out.
• Single or double sliding doors – Acoustic sliding doors are suitable in studios where a conventional side hung doors is impractical.
• Fire or smoke doors – Commercial recording studios must comply with fire safety regulations as with any other commercial space. Our acoustic doors can also be build to comply with fire safety regulations set out in the BCA.
• Heavy or lightweight doors – Our acoustic doors can be customised to meet the needs of any recording studio, from heavy soundproofing to lighter applications.
All door types can be manufactured and installed with the required accessories and hardware, including frames, hinges, acoustic seals, handles and closing/locking mechanisms, as well as additional features like peep holes or viewing windows.
FSE Specialise Purpose Doors specialises in designing and manufacturing soundproof doors based on our client’s requirements. We work in conjunction with skilled acousticians to ensure we can present custom solutions for any studio.