Orchiectomy (also known as orchidectomy) is a surgical procedure in which one or both (bilateral orchiectomy) of the testicles are removed, usually to treat testicular cancer or prostate cancer.
Because of the nature of testicular cancer, a standard biopsy for the purpose of diagnosis is not possible as the procedure can further spread the cancer. If testicular cancer is suspected then removal of the testicle is required.
Orchiectomy may also be a form of hormone treatment for patients with prostate cancer, performed to decrease the levels of the male hormone testosterone in the male body. Testosterone can promote prostate cancer growth.
Orchiectomy may also be required to treat male breast cancer, post-puberty undescended testicles, and non-cancer related injuries like trauma or gender reassignment surgery.
There are two major types of orchiectomy:
Simple Orchiectomy – This is where the testis is removed through a small incision in the scrotum. If both testicles are removed it is called a bilateral simple orchiectomy. A prosthetic testicle implant can be inserted. This is usually performed to treat advanced stage prostate cancer or if the testicle has infarcted (died) due to either infection or torsion (twisting).
Radical Inguinal Orchiectomy – This is where the testis and spermatic cord are removed through a small incision in the groin. A prosthetic testicle implant can be inserted. This is most common when testicular cancer is suspected.
After surgery you can expect mild to moderate pain for a few days. You will be prescribed painkillers. Swelling at the surgical site is normal and will go down after a few weeks.
Orchidectomy is usually a day procedure. Once home patients are advised to refrain from strenuous activity like heavy lifting and sport for four weeks. Speak with your doctor about when you can return to work and resume sexual activity.
If you had a bilateral orchiectomy, you will start to see changes in your body. This may include decreased sex drive, erectile dysfunction and weight gain. This can be quite distressing for some patients – be sure to seek help from your doctor for advice about dealing with these changes.
As with any surgical procedure, there are some risks involved with orchiectomy, including bleeding and infection at the surgical side.
Side effects from the procedure are caused by the absence of hormones produced by the testicles, such as testosterone. Depending on the surgery, side effects will vary.
These include infertility, erectile dysfunction, decreased sex drive, hot flashes, depression and mood swings, weight gain and breast enlargement, and a loss of muscle mass.Again, speak with your doctor about how you can help manage these side effects.
Dr Arianayagam is an expert in the field of urological cancer surgery, including robotic surgery and laparoscopic surgery for the treatment of testicular cancer. He is widely considered one of the top urological oncologists in Australia.
If you have any further questions about orchiectomy and would like to book an appointment, please feel free to call.
Real estate is taxed quite favourably in Australia, with concessions that can be very encouraging for investors from all around the world to buy property here. These benefits are relatively straight-forward and don’t require an extensive knowledge of tax law or accounting to understand and consider.
That being said, tax concessions and benefits should be discussed with your accountant to determine the best approach for your portfolio and considering your financial position. Let’s take a look at some of the tax benefits relevant to property investors in Australia.
When the cost of owning an investment property exceeds the income received from it, the ATO allows investors to offset the loss against their personal income. This is what is known as negative gearing. It is one of the most alluring tax benefits many investors.
Essentially it means that while you may earn a loss on your investment, this loss can be used to reduce the tax you pay on your income. You may be able to deduct expenses such as loan interest and setup costs, in addition to insurance, repairs and property management fees.
There are arguments for and against negative gearing that are too extensive to go into here. Check out our post on everything you need to know about negative gearing for more information.
Negative gearing isn’t suitable for everyone and should be considered with caution. It typically benefits high-income earners who have the capital means to absorb losses over the long term without compromising their financial stability.
It is also a risky strategy considering fluctuating interest rates and property depreciation. Economists have also scorned Negative gearing for driving property prices while doing little to improve housing supply.
Here at Optimal, we always look to find properties that can generate free cash flow as soon as possible. Remember, the goal with property investment is to create tangible wealth.
Depreciation is another tax benefit that property investors in Australia enjoy. Depreciation can be defined as the decrease in the value of a property over time, and this wear and tear can be claimed as a deduction from your overall income.
The ATO defines depreciation rates of different households assets such as carpet, kitchen appliances, air conditioners and hot water systems. There are different rates of deductibles for new and old buildings, so be sure to seek advice from your accountant.
As a landlord you can claim a tax deduction on a number of expenses associated with your investment property (usually only if the property is tenanted or on the market). This includes, but is not limited to:
• Interest on your loan
• Management fees
• Advertising fees
• Repairs and maintenance
• Accounting fees
• Council rates and strata fees
If you sell your property for a profit – that is, more than than what you bought it for – you have made capital gains, which you have to pay tax on. The capital gain is included in your regular taxable income in the year property was sold, and the tax is determined accordingly.
However, there are concessions for capital gains tax. These include improvements made to the property, buying and selling costs like stamp duty. Legal fees and agent’s commission can also be deducted.
You will receive a 50% discount on capital gains tax for any asset (acquired after 1999) which you have owned for longer than 12 months. Be sure to work closely with your accountant and seek advice about capital gains tax and the relevant concessions.
Tax benefits are a big part of investing in property in Australia, and they should be carefully considered to ensure all aspects of your portfolio are geared towards capital growth. Your investment team is a huge asset when it comes to tax, so be sure to work closely alongside your strategist and accountant – they are there to help you achieve your financial goals!
If you have any questions regarding tax benefits or investing in Australian property in general, please don’t hesitate to give us a call. We’d be more than happy to help!
Here at Manoosh, we strive to cater all people, no matter what their tastes or preferences for eating are. Our menu is packed with delicious options for meat eaters, vegetarians and vegans alike, and we are proud to say just about anybody will find something they absolutely love on our menu.
For vegetarians and vegans, options range from delicious salads, delectable dips, tasty wraps, and of course, our famous pizzas.
How so? Two words: vegan cheese.
We source our vegan cheese from Daiya, a renowned dairy-free food producer who has been making delicious vegan-friendly products since 2009. Their cheese is so gooey and delicious, most people can’t even tell the difference from the real thing. But how do they do it? What exactly is vegan cheese and how does it taste so good? Let’s have a look.
Rather than using animal derivatives, vegan cheese is made from naturally derived products such as nut milk, soy protein, vegetable oil, yeast, agar flakes, natural enzymes, vegetable glycerin and assorted bacterial cultures.
We use mozzarella-style vegan cheese on our pizzas, which is made from filtered water, tapioca flour, expeller pressed non-GMO canola and/or safflower oil, coconut oil, pea protein, salt, vegan natural flavours, inactive yeast, vegetable glycerin, xanthan gum, citric acid and titanium dioxide (a naturally occurring mineral). It melts wonderfully at high temperatures and is so gooey and delicious you’ll be hard pressed to tell to difference!
Cheese is essentially made from a coagulation of proteins. In ‘real’ cheese, these proteins – called casein – are derived from the animal milk the cheese is made from. Rennet – a group of enzymes that are produced in the stomachs of animals – is what coagulates the proteins and is added during production. This is what causes curdling and eventually makes the cheese.
But what about vegan cheese? To be entirely free from animal products, it can not contain any rennet. So how do the producers make it coagulate? Well, being entirely plant-based, protein masses from various plant sources are used in lieu of animal proteins. Oils, emulsifiers, and thickeners are also used to ensure a firm texture.
You don’t have to be a meat eater to enjoy eating at Manoosh, we firmly believe we offer the best vegan food Sydney has to offer and we love searching for new ways to cater for our vegan friends. If you’re feeling hungry – vegan or not – drop by Manoosh. Or if you’re after top quality mobile pizza catering, give us a call.
Some residential spaces present special environments where ambient noise reduction is required. This includes houses with home theatres and other entertainment spaces, audio recording facilities, and specialised work spaces. This is achieved by implementing acoustically treated sound barriers – specifically, residential acoustic doors.
Our acoustic doors are built to an extremely high quality and are suitable for any number of specialised residential applications.
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”).
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 aesthetic requirements your home may require.
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 home:
• Hinged fire doors – Our standard hinged fire doors are perfect for use in residential spaces where room is limited. Our product has been designed and engineered specifically for heavy duty use that also offer excellent performance levels of security, longevity and sound attenuation.
• Single or double sliding doors – Acoustic sliding doors are suitable in spaces where a conventional side hung door is impractical.
• Heritage door upgrades – Some older homes in Australia are of cultural or historical significance and 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.
As global citizens, we all have a responsibility to ensure we are doing everything we can in our day-to-day lives to reduce our impact on the Earth. The best way to do this is to recycle all that we can. Every household and business in Sydney creates waste that can be recycled, and it has never been easier to do so.
However! We understand it can be difficult to understand exactly what you CAN and CAN’T recycle. So, to help you make the right decision, we’ve put together a helpful guide to recycling in Sydney.
• Glass bottles and glass gars
• Paper, cardboard and magazines (including phone books)
• Hard plastic containers, such as containers from soft drinks, milk, ice-cream, margarine and yoghurt
• Aluminium cans, including aerosol cans, steel cans and foil
• Soft plastics
• Paper cups (but NOT coffee cups)
• Plastic bags (such as bread bags, biscuit and confectionery packets, and rice/pasta bags
• Polystyrene, including meat trays, and packaging
• Glass products, such as globes, mirrors, drinking glasses and window glass
• Sharps and syringes
• Paint Tins
• Scrap metal
E-waste: E-waste is a common term for electronic waste – computers, keyboards, mobile phones, televisions etc. These items cannot be disposed of in either general waste or recycling bins, however there are dedicated e-waste recycling facilities around Sydney that you can access. If you need an e-waste collection and recycling service. Give us a call!
Paint Tins: Although you can recycle aluminium cans and other metal products in your weekly council rubbish collection, paint tins are not allowed. Pain can poison the earth if it ends up in landfill – so paint tins need to be disposed of responsibly. Not to worry! We have extensive networks of waste disposal points around the city where we can drop off your old tins.
Scrap metal: Disposing of scrap metals responsibly is very important. Most metal types are entirely recyclable and making sure you do your part can make all the different when it comes to helping preserve our resources. There are scrap metal recycling plants all around Sydney and we have great connections with many of them!
Batteries: Dumping of batteries, either in landfill or your weekly rubbish rubbish removal service, is illegal, and for good reason. Batteries contain a whole bunch of nasty chemical, including mercury, alkaline, cadmium, nickel and lead acid. All of these are terribly harmful to the environment if they make their way into soil or water supplies.
If you are in need of a rubbish removal service who will dispose of your waste responsibly, look no further than Sydney Rubbish Services. Our professional team and sturdy trucks are reliable and efficient and we always think sustainably.
Steel is widely considered the most resilient and versatile materials in building and construction. However, for all its strength, steel will eventually rust if its surface is not treated properly.
Steel corrosion can be defined as deterioration due to electrochemical reactions between the metal and its environment. There are different types of corrosion, which are contingent on different environmental factors. One of these is intergranular corrosion.
Intergranular corrosion occurs when the boundaries of metal crystallites (or ‘grains’) are attacked rather the surface of the metal. Intergranular corrosion is also known as intergranular attack.
Metals and alloys have micro-structures that are made up of grains, and these grains have boundaries. Intergranular corrosion is an attack along or near the boundaries of several grains while the rest of the grain remains unaffected. This type of attack is caused by local differences in composition.
When an element in a grain that is resistant to corrosion is lost it creates a condition where the spot becomes an anode with reference to the rest of the grain. Corrosion then occurs along the affected grain boundary and may cause grains to dislodge due to deterioration of the boundary. Intergranular corrosion is referred to as a ‘selective attack’ on the grain boundary.
Surface treatment is the most effective way to protect against steel corrosion. Here are some of the most common you will see steel fabricatorsuse:
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.
If you have a project in need of steel, whether it’s supply, fabrication, drafting, or installation, talk to the experts at Steel Fabrication Services. Our dedicated team of professionals will ensure that your project goes according to plan right down to the smallest detail. Give us a call today!
Cyclist’s palsy (also known as handlebar palsy or Guyon’s canal syndrome) can often occur in cyclists who ride for prolonged periods of time. The ulnar nerve becomes compressed in the Guyon’s canal due to prolonged pressure over the palm whilst holding the handlebars or from vibration
This can cause varying degrees of pain, weakness, numbness and reduced coordination in the fingers and thumb. Guyon’s canal or Guyon’s tunnel is located at the base of the palm on the little finger side of the hand. As the ulnar nerve crosses the wrist it passes through this tunnel with the ulnar artery and innervates the skin and small muscles of the hand.
There are a few preventative measures that can be taken to reduce the risk of injury from cycling:
• Use a different type of handlebar. Try different grips and handlebars to see what will alleviate the pressure over the palm
• Wearing padded gloves or use padding on handlebars to provide cushioning and decreased compression
• Shock absorbers are important to reduce impact and vibration on mountain bikes
• Distribute the pressure over your hands more evenly
• Ensure your seat height is correct in order to avoid overloading and weight-bearing through the wrists and hand
If you do develop symptoms, rest is the best form of treatment. Most of the time, the nerve will recover on its own in time. If it does not resolve within 3 months please contact the clinic to be assessed by one of our hand therapists.
Recovery may take up to 3 months; it depends how badly the nerve was compressed. Your therapist can provide you with strengthening exercises for the ulnar nerve innervated muscles.
If you have any questions about injuries related to cycling, or conditions with the hands, wrists or arms, please don’t hesitate to give us a call! Our team of experienced hand therapists would be more than happy to help!
To maximise the potential for long-term capital growth, your investment strategy should be based around building a healthy property portfolio featuring a diverse range of properties.
Here at Optimal Property Group, we strive to present our clients with the best handpicked opportunities throughout Australia and work hard to build strong portfolios of extraordinary properties from around the country.
Let’s take a look at the ins and outs of building a multi-city portfolio.
When hunting around for different investment opportunities, it’s natural to gravitate towards what you know. You tend to understand your own city best, and when it comes to investing your hard earned money, it might be difficult to pour it into somewhere you have no practical or emotional connection with.
Some investors choose to stick to one city or even a particular area within a city, however, this can be quite a risky strategy.
We always suggest a geographically diverse portfolio of property. A strategic spread of properties will mean that you will be in a better position to weather any financial fluctuations from changes in the markets across different capital cities.
It also means that you can enjoy growth in one city, while investments are stable in another. In a nutshell, a diverse portfolio distributes and minimises financial risk.
The price of property in Australia is often said to move within a “property cycle”, which is hugely influential towards when and where investors choose to invest.
However, the property cycle is not universal across Australia. Rather, the national property market is made up of numerous dynamic micro-cycles that are largely independent from one another. This is very important when it comes to diversifying your portfolio.
For example, if the property market is at its peak in Sydney, the market in Melbourne may just be beginning to experience growth, presenting a far more lucrative investment market.
If you have a diverse portfolio with a spread of properties in various cities, you are positioned to be able to weather fluctuations as your investments essentially prop each other up. The more diverse your portfolio, the better position you are in to ride out each micro-cycle.
Cities are major population centres with diverse economic bases, growing population trends, and strong structural demand for housing. This is why we focus most of our time on these areas.
But how do you know when the right time to diversify your portfolio with a property in a new city?
Typically the best time to invest in city is when the market is seeing rising buyer demand, strong rental demand, constrained supply, auction clearance rates starting to rise, and yields starting to fall.
There are a few factors to consider when deciding when to take the plunge in a new city. You can research population trends and growth through state government websites to determine how supply and demand might influence the property cycle. You can also research data on employment dates, investigate infrastructure development and local economic data, as well interest rates.
Many factors will determine whether a city is gearing towards growth or decline, so be sure to do your research!
A diverse portfolio needs a skilled team to manage it. Whether you’re looking to purchase your first property, or your fourth or tenth, we can give you the guidance you need.
If you have any questions about building a prosperous property portfolio in Australia, feel free to get in touch today, we’d be more than happy to help.
A urinary tract infection (UTI) is an infection of the urinary system, caused by bacteria that has entered the urinary tract.
The urinary tract is made up of the two kidneys, two ureters (the tubes connecting the kidneys to the bladder), the bladder, the urethra (the tube that drains urine from the bladder) and the prostate (in men).
UTIs are very common, especially in women. They are usually confined to the urethra and bladder, and are easily treated. However, early management is necessary to avoid the infection spreading to the kidneys, which can be much more serious.
UTIs are commonly caused by Escherichia coli (E. coli) – a bacterium commonly found in the gut (lower intestine). There are three types of urinary tract infections:
Urethritis – An infection of the urethra
Cystitis – An infection of the bladder
Pyelonephritis – An infection of the kidneys
Around 1 in 2 women, and 1 in 20 men will experience a UTI in their lifetime. Symptoms include the following:
• A burning sensation when passing urine
• The need to urinate constantly, despite little urine being passed
• The feeling that the bladder is full, even after urinating
• Blood in the urine
• Foul-smelling urine
• Discomfort in the lower abdomen
• Fever and even chills (if the infection has made its way to the kidneys)
• Pain in the lower back (if the infection as made its way to the kidneys)
If any of these symptoms are present treatment should be sought as soon as possible. If any of the symptoms for a kidney infection arise, immediate medical attention should be sought to avoid serious complications.
Urine is normally free from bacteria, fungus or viruses. This means that the infection will usually be caused by microorganisms entering the urinary tract via the urethra, or (rarely) through the bloodstream.
UTIs are commonly caused by E. coli, a type of bacteria commonly found in the gastrointestinal tract that spread from the anus to the urethra. Sexual intercourse may also lead to a urinary tract infection.
UTIs are also a possible side effect of urological surgeries such as prostatectomy and cystectomy.
There are some preventative measures that can be taken to help reduce the risk of contracting a UTI, including:
• Drinking plenty of fluids to help flush the urinary system
• Practicing good genital hygiene
• (For women) Wiping front to back to avoid the spread of bacteria from the anus to urethra
• Not holding on to urine
• Emptying the bladder after sex to help flush out any bacteria
• Treating vaginal infections early
Visit your doctor if you have any symptoms. A urine sample may be collected for testing. Antibiotics usually are the first treatment for urinary tract infections. Symptoms clear up within a few days of treatment.
Some people experience frequent UTIs. Your doctor may prescribe treatments for frequent infections, such as an ongoing prescription of low-dose antibiotics, single dose of antibiotic after sexual intercourse and vaginal estrogen therapy if you are postmenopausal.
While he is primarily a urological cancer surgeon, Dr Arianayagam also sees patients with general urological problems.
If you have any further questions about urinary tract infection or kidney infections, or would like to book an appointment, please feel free to call.
Burghul holds a dear place in the culinary history of Lebanon. Also known as bulgar wheat, burghul is a cereal made from the grains of a variety of different wheat species. It was once a central element of the Lebanese diet, but has since fallen into obscurity in favour of rice and other grains.
That being said, it is still commonly used today – although you might not know it. It is often mistaken that tabbouleh is traditionally made with cous cous, but in fact, the traditional way of preparing the dish uses burghul for its carbohydrate element. Or if you’ve ever enjoyed crunchy, golden kibbeh, then you’ve eaten burghul.
Burghul is a Persian word that means ‘bruised grain’. Although similar, it should not be confused with cracked wheat, which is not pre-cooked. The preparation of burghul takes places in three stages. First, it is carefully steamed or boiled until its outer layer starts to crack. It is then taken out to dry – traditionally in the sun on the rooftops of Lebanese villages. Once it has dried, it is then ground down or ‘cracked’, separating the bran from the grain. What is left is a grain of varying sizes: coarse burghul, fine burghul and powdered burghul, each which have their different uses in Lebanese dishes.
Burghul has a number of health benefits that make it an excellent alternative to other grains. As a whole wheat, it is largely unprocessed, meaning it retains its rich nutrients and vitamins. It is also very low in fat, high in dietary fiber, rich in minerals and a great source of plant-based protein.
Good For Your Heart
Whole grains like bulghur are excellent for heart health as they contain rich anti-oxidants, trace minerals and phenolic compounds that are linked to the prevention of cardiovascular disease. The fiber in whole grains also has wonderful anti-inflammatory effects and can help lower cholesterol.
Good For Your Gut
Fiber is also great for digestion as it helps maintain regular bowel movements and detox the body of toxins.
Helps Slow Down Sugar Absorption
Bulghur wheat is very low GI, meaning it slows the rate that carbohydrates are digested and that sugar is released into the bloodstream.
Helps Keep You Feeling Full
The fiber in bulgur is not absorbable in the body, meaning that it travels through the digestive tract, taking up a large amount of space while absorbing water, meanwhile making you feel full.
A Great Source of Vitamins and Minerals
Bulghur is rich in essential vitamins and minerals such as iron, manganese, magnesium and B vitamins niacin and thiamine.
Bulghur is the star of two classic Lebanese dishes. Perhaps the most well-known is tabbouleh, where it is used to bolster the combination of parsley, tomato and onion. Bulgur imparts a soft, chewy texture, with a mild flavour that is slightly nutty. To prepare bulgur for use in tabbouleh, all you need to do is submerge it in boiling water for a few minutes until it is soft and light, then toss it through the other ingredients.
The second dish that really heroes bulghur is kibbeh: a Levantine dish made of bulgur, minced onions, and finely ground lean beef, lamb or goat mixed with vibrant spices. For a vegetarianalternative, kbbeh can be made with pumpkin in place of meat. The bulgur cases the filling, which is then deep fried to crispy perfection.
You will also find coarse burghul used as the central element in Middle Eastern pilaf, mixed through vegetables for a more substantial dish, or simply as delicious side as you would couscous or rice.
Here at Manoosh, we love burghul! We use it in our tasty tabbouleh, and both our meat and vegetable kibbeh.
Traditional Lebanese food is one of the world’s tastiest and healthiest cuisines. To try Lebanese food at its most delicious (or the best pizza in Sydney) stop by Manoosh or order online, and prepare your taste buds for something special.