Procedures

Kidney stones

• Mr. Sewell performs the full range of kidney stone procedures, including extracorporeal shock wave lithotripsy (ESWL), ureteroscopy and pyeloscopy with laser, and advanced procedures such as percutaneous nephrolithotomy (PCNL) and robotic pyelolithotomy

Kidney obstruction (PUJ obstruction)

• Mr. Sewell performs robotic pyeloplasty for obstruction of the proximal ureter or pelviureteric junction (PUJ)

Kidney cancer

• Mr. Sewell manages localised kidney cancer with the most up to date techniques. Depending on patient preferences, other medical conditions, and the anatomical features of the cancer such as size and depth of invasion, these may include:

  • Monitoring or nonoperative management

  • Ablative therapy such as microwave ablation or stereotactic body radiotherapy (SABR)

  • Robotic or open partial nephrectomy

  • Robotic, laparoscopic, or open radical nephrectomy

Prostate enlargement

• Mr. Sewell takes an individual approach to the management of urinary symptoms related to prostate enlargement. After carefully determining the cause through a detailed history and examination, in combination with investigations, he will conduct shared decision making to determine what is your preferred treatment amongst the available options.

  • Medical therapy

  • Minimally invasive treatments including Urolift and Rezum

  • Transurethral resection of the prostate (TURP) or laser ablation of the prostate (Green light PVP)

  • Robotic or open prostatectomy

Prostate cancer

• Mr. Sewell performs robotic prostatectomy, which is a keyhole operation with quick recovery.

Bladder cancer

• Mr. Sewell investigates and treats bladder cancer, and can perform all procedures involved in the treatment of early and late stage bladder cancer, including cystoscopies, minimally invasive/endoscopic resection of bladder cancers, and open radical cystectomy for advanced bladder cancer.

• Depending on your stage and grade of cancer, Mr. Sewell may refer you to an oncologist or radiation oncologist for additional treatments.

Bladder stones

• Bladder stones can be a painful condition, often related to urinary blockage from an enlarged prostate. Mr. Sewell can treat your bladder stones using an endoscopic or open approach, and will also address the cause of the stones, such as prostate enlargement.

Incontinence

• Incontinence has various causes, and it is important to identify the underlying pathology. Mr. Sewell will take a thorough history of your condition and investigate to identify the cause. He can offer surgical and non-surgical treatments depending on the cause.

Adrenal cancer

• Mr. Sewell investigates and treats adrenal lesions, which are usually found incidentally on a scan for other reasons. Depending on the cause, he may offer surgical treatment which may be minimally invasive (robotic) or open.

Testicular cancer

• Mr. Sewell sees testicular patients urgently and arranges timely investigations and surgery - orchidectomy (removal of the testis)

Vasectomy