Specialised Procedures

Specialised Urological Procedures

Dr. Maharajh performs a range of diagnostic and therapeutic procedures using the latest technology and techniques. These minimally invasive approaches offer accurate diagnosis and effective treatment with faster recovery times.

Diagnostic Procedures

Cystoscopy
Direct visualisation of the bladder and urethra using a thin telescope:

Investigate blood in urine
Diagnose bladder conditions
Check for tumours or stones
Assess urethral problems
Usually performed in-office
Minimal discomfort with local anaesthetic

Ureteroscopy
Examination of the ureters and kidneys:

Stone location and removal
Investigate upper tract bleeding
Diagnose ureteral conditions
Biopsy suspicious areas
Requires day surgery
Performed under anaesthesia

Urodynamic Studies
Sophisticated bladder function testing:

Measures bladder pressures
Assesses urine flow
Evaluates bladder capacity
Identifies dysfunction

Guides treatment decisions

Therapeutic Procedures

Prostate Biopsy Tissue sampling for cancer diagnosis:

Ultrasound-guided precision
Local anaesthetic
Systematic sampling
Minimal discomfort
Results within days

Vasectomy Permanent male contraception:

Office-based procedure
Local anaesthetic
No-scalpel technique available
Quick recovery
99.9% effective

Circumcision Medical and cultural indications:

Phimosis treatment
Recurrent infections
Cultural preferences
Day surgery procedure

Bladder Instillations Direct medication delivery:

Interstitial cystitis treatment
Bladder cancer therapy
Recurrent UTI prevention

Office-based procedure

Stone Procedures

Shock Wave Lithotripsy (ESWL)

Non-invasive stone fragmentation
Outpatient treatment
No incisions required

Laser Lithotripsy

Precise stone destruction
Via ureteroscopy
Complete clearance

Stent Placement

Relieves obstruction
Facilitates stone passage
Temporary measure

Advanced Techniques

Botox Bladder Injections

Overactive bladder treatment
Reduces urgency and frequency
Office-based procedure
Effects last 6-9 months

Minimally Invasive Surgery

Laparoscopic techniques
Smaller incisions
Faster recovery

Less pain

Long Term Management

Preventing Future Events After initial treatment, ongoing care focuses on:

Regular monitoring with stress tests and imaging
Medication adjustments based on response
Risk factor modification
Early detection of new blockages
Coordination with cardiac rehabilitation

Our goal is preventing heart attacks while maintaining your quality of life.

All Services

About Dr Maharajh

FAQs

Quick Answers to Common Questions

Is cytoscopy painful?

Most patients experience mild discomfort rather than pain. Local anaesthetic gel makes the procedure very tolerable. You might feel pressure and an urge to urinate. The procedure takes only 5-10 minutes, and any discomfort is brief.

How reliable is vasectomy as contraception?

Vasectomy is over 99.9% effective, making it one of the most reliable contraceptive methods. It's considered permanent, though reversal is possible but complex. You'll need to use alternative contraception for 3 months post-procedure until sperm counts confirm sterility.

What should I expect after a prostate biopsy?

You may see blood in urine, stool, or semen for several days to weeks—this is normal. Most men return to normal activities within 24-48 hours. Serious complications are rare (less than 1%). We'll provide antibiotics to prevent infection.

How long do bladder Botox injections last?

Effects typically last 6-9 months, though this varies. Most patients notice improvement within 2 weeks. The procedure can be repeated when symptoms return. About 5% of patients may experience temporary difficulty emptying their bladder completely.

Can kidney stones be removed without surgery?

Yes, many stones can be treated without traditional surgery. ESWL uses sound waves to break stones externally. Ureteroscopy removes stones through natural openings. Only very large or complex stones require percutaneous surgery, and open surgery is rarely needed today.