Assoc Prof Daniel Moon offers help for men to regain quality of life
With extensive experience in this field A/Prof Daniel Moon has published the largest Australian series of surgeries performed for men to restore urinary and sexual function.
Restoring Urinary Continence
Male Sling Surgery
Synthetic male slings are generally recommended for men with mild to moderate degrees of incontinence and there are various types available.
Slings are surgically placed under the urethra via a small incision in the perineum (the area of skin between the scrotum and anus). The sling is designed to pull up on the urethra and help the sphincter muscle close more effectively.
Advantages of the male sling include:
insertion requires a minor surgical procedure (performed usually as an overnight stay) and the patient is not required to operate it for the sling to function (unlike the artificial urinary sphincter).
Male suburethral sling
A/Prof Daniel Moon has published the longest follow-up of any Australian follow-up of sling surgery confirming high success rates and low complication rates in men with mild to moderate incontinence after prostatectomy.
The AdVance™ sling is an example that has been used in Australia for approximately 15 years.
Artificial Urinary Sphincter
The most important component of the urinary continence mechanism is the body's own urethral sphincter, which is a muscle that surrounds the urethra just below the prostate. Although utmost care is taken to prevent injury to this structure during radical prostatectomy, weakening of the sphincter does occur in a proportion of patients, leading to ongoing incontinence.
Artificial Urinary Sphincter overview
The artificial urinary sphincter (AUS) is the gold standard for treatment of moderate-severe male urinary incontinence.
It has withstood the test of time, being unsurpassed by any other device for over 5 decades, and Assoc Prof Daniel Moon has been responsible for publishing the largest Australian experience with this device
The AUS is particularly effective for the more severe type of male urinary incontinence, where circumferential compression of the urethra is required. The AUS can be inserted via two small incisions and typically involves an overnight stay in hospital.
The device has 3 main components attached to each other:
the cuff (surrounding the urethra)
the pump (placed in the scrotum next to one of the testes)
the reservoir (placed in the pelvis)
In the normal resting mode, the cuff is full of water, compressing the urethra. When the patient feels his bladder is full, he goes to the toilet and squeezes the pump, which opens the cuff, allowing urine to drain out. Over the next 2-3 minutes the cuff automatically re-fills, closing the urethra again.
Restoring Sexual Function
Inflatable Penile prosthesis
For definitive treatment a penile prosthesis can be inserted through a minor surgical procedure.
Such implants have been used for over 50 years and using a pump hidden discreetly under the scrotal skin, allow an erection to be produced on demand.
Assoc Prof Daniel Moon has over 15 years of experience in such procedures and has trained many surgeons in this technique, both in Australia and overseas.
He published the largest Australian experience in penile implant surgery in 2017, confirming patient and partner satisfaction rates of 90% with even higher scores for self esteem, confidence and their relationship.
Overview of Inflatable Penile Prosthesis
Get in touch:
03 9967 0198
-
Call us on 03 9967 0198 or use our contact form to send us your details. We will get in touch to arrange your initial consultation appointment.
When making a booking, please let our friendly staff know if you would prefer an in-person or telehealth appointment.
-
We are conveniently located opposite Cabrini Hospital Malvern at 198 Wattletree Road, Malvern with parking on site.
Also consulting at:
134 Bay st, Brighton with parking on site
Telehealth consultations available upon request
Please arrive 10 minutes before your scheduled appointment time as there can be some documentation to attend to before your appointment.