?

Central Auckland, East Auckland, North Auckland, South Auckland, West Auckland > Private Hospitals & Specialists >

David Merrilees - Urologist

Private Service, Urology

Description

Mr David Merrilees is a qualified urologist and member of the Royal Australasian College of Surgeons. He is fellowship trained in the United Kingdom under two internationally regarded urological surgeons - David Neal and Christopher Eden.
 
David's basic urology training was undertaken in New Zealand. Upon completion of his training he undertook a one year fellowship in Cambridge, UK, under Professor David Neal. Here he studied major open urological surgery with an emphasis on pelvic cancer (bladder and prostate) and kidney cancer. David also trained in Cambridge in advanced and complex testicular cancer.
 
As with all surgical specialties there is now a trend towards minimally invasive/laparoscopic/keyhole surgery to treat urological disease. David also trained in complex laparoscopic surgery under Chris Eden in the UK. Here he underwent high volume training to learn laparoscopic techniques to treat prostate, kidney and other disorders of the uro-genital tract.
 
Laparoscopic urology is now David's sub-specialty area of interest.
 
David has particular skills in Laparoscopic Nerve Sparing Radical Prostatectomy to treat prostate cancer, with excellent results for cancer cure, potency and continence.
 
For prostate cancer and other urological procedures, David is an Affiliated Provider for Southern Cross members.
 
David also performs laparoscopic radical nephrectomy for kidney cancer affording rapid recovery from surgery with minimal pain and early return to work.
 
Laparoscopic pyeloplasty is now the preferred way to treat pelvi-ureteric junction (PUJ) obstruction (blockage to the flow of urine out of the kidney).
 
David also has skills in treating enlarged prostates, kidney stones, disorders of the adrenal gland, bladder cancer and in performing prostate biopsy and urodynamics.
 
 
LAPAROSCOPIC PARTIAL NEPHRECTOMY is minimally invasive surgery to remove part of the kidney with all the benefits of laparoscopy and excellent outcomes. David has now performed a small number of these cases and is happy to discuss if this is an option  - it is not always appropriate and for many tumours open surgery is still a good option.
 
ROBOTIC PROSTATECTOMY - David is now also performing robotic radical prostatectomy for select cases that may benefit from bilateral nerve sparing. He will however still be offering both open radical prostatectomy for more advanced cancers and laparoscopic surgery also for some locally advanced tumours.

Consultants

Referral Expectations

David receives referrals from GPs but also directly from patients. For patients outside Auckland he is happy to provide a consultation initially via email, phone or skype.

Hours

Private consulting: Monday and Thursday.

Private operating: Monday, Thursday and Friday.

Please contact me directly if you would like to be seen outside regular consulting days.

Common Conditions / Procedures / Treatments

Robotic Radical Prostatectomy

Service types: Prostatectomy (partial or full prostate removal).

Service types: Prostatectomy (partial or full prostate removal).

Laparoscopic Radical Prostatectomy

Service types: Prostatectomy (partial or full prostate removal).

Service types: Prostatectomy (partial or full prostate removal).

Laparoscopic Partial Nephrectomy

Service types: Nephrectomy (kidney removal).

Service types: Nephrectomy (kidney removal).

Laparoscopic Radical Nephrectomy

Service types: Nephrectomy (kidney removal).

Service types: Nephrectomy (kidney removal).

Laparoscopic Pyeloplasty for Pelvi-Ureteric Junction (PUJ) Obstruction
Urinalysis (urine tests)

Urinalysis is a test that examines the content of urine for abnormal substances such as protein or signs of infection. This test involves urinating into a special container and leaving the sample to be studied.

Urinalysis is a test that examines the content of urine for abnormal substances such as protein or signs of infection. This test involves urinating into a special container and leaving the sample to be studied.

Proteinuria (protein in urine)

This term means protein in the urine and may indicate that there is a problem with your kidneys.

This term means protein in the urine and may indicate that there is a problem with your kidneys.

Haematuria (blood in urine)

This term means blood in the urine and may be the result of inflammation or other problems with your kidneys, blockages in your ureter, infection or other problems with your bladder or problems with your prostate.

This term means blood in the urine and may be the result of inflammation or other problems with your kidneys, blockages in your ureter, infection or other problems with your bladder or problems with your prostate.

Urinary tract infections (UTIs)

A UTI is caused by an infection in the urinary tract. Women get UTIs more often than men. UTIs are treated with antibiotics. Drinking lots of water also helps by flushing out the bacteria. If the infection is in the bladder it is called cystitis. If the infection is in the kidneys it is called pyelonephritis.

A UTI is caused by an infection in the urinary tract. Women get UTIs more often than men. UTIs are treated with antibiotics. Drinking lots of water also helps by flushing out the bacteria. If the infection is in the bladder it is called cystitis. If the infection is in the kidneys it is called pyelonephritis.

Urinary incontinence (bladder control problems)

Urinary incontinence or loss of bladder control is the involuntary passage of urine (passing urine without meaning to). There are many causes and types of incontinence, and many treatment options. Treatments range from simple exercises to surgery. Women are affected by urinary incontinence more often than men.

Urinary incontinence or loss of bladder control is the involuntary passage of urine (passing urine without meaning to). There are many causes and types of incontinence, and many treatment options. Treatments range from simple exercises to surgery. Women are affected by urinary incontinence more often than men.

Urinary retention (difficulty urinating)

Urinary retention, or abnormal holding of urine in the bladder, is a common urological problem. Possible causes of acute urinary retention (sudden inability to urinate) include a blockage in the urinary system, stress or nerve problems. Chronic urinary retention (some urine is always left in the bladder after emptying) may be caused by bladder muscle failure, nerve damage, or obstructions in the urinary tract. Treatment for urinary retention depends on the cause.

Urinary retention, or abnormal holding of urine in the bladder, is a common urological problem. Possible causes of acute urinary retention (sudden inability to urinate) include a blockage in the urinary system, stress or nerve problems. Chronic urinary retention (some urine is always left in the bladder after emptying) may be caused by bladder muscle failure, nerve damage, or obstructions in the urinary tract. Treatment for urinary retention depends on the cause.

Bladder cancer

What causes bladder cancer is not always clear, but the risk of developing bladder cancer can be increased by smoking, getting older, long term bladder problems and unsafe exposure to aniline dyes which are used in some industries. Bladder tumours usually form in cells lining the bladder. Once a tumour begins to enlarge, it may stay in the lining or grow into the wall of the bladder. If untreated, the tumour may then grow into other structures such as lymph nodes. If the cancer enters the bloodstream it may spread to other areas of the body (metastasis). Often the first symptom noticed is blood in the urine, other symptoms such as needing to pass urine more often or feeling as if you need to go but can’t affect about 1/3 of people with early bladder cancer. As the tumour grows these symptoms affect more people. The first test to diagnose bladder cancer is usually a urine sample. Sometimes a tube will be inserted through the urethra and the bladder will be washed with liquid to try to wash out some cancer cells for diagnosis. If cancer is suspected, the next step is usually a cytoscopy (a tube to allow the doctor to look inside the bladder). If there is to be a tumour the doctor can take a small sample (biopsy) for testing. CT or MRI scans are also used to scan the body to see if the cancer has spread to other areas. Treatment depends on the size of the tumour and how much it has grown into the bladder wall. Surgery may be considered especially if the tumour is still small. The surgeon can insert a cytoscope through the urethra and cut out the tumour or burn it away. If the tumour has grown more deeply the surgeon may cut open the abdomen and remove some or the entire bladder (a partial or full cystectomy). If the whole bladder is removed an artificial bladder will be created on the inside or a urostomy bag on the outside. Radiotherapy (an x-ray beam) can be used as the main treatment in some people and in others may be used after surgery to remove any remaining cancer cells. In early cancer, drugs (chemotherapy) or another treatment called BCG may be placed directly into the bladder to kill cancer cells (intravesical treatment). Usually though, chemotherapy is used in the later stages where it can attack cancer cells throughout the body (not just the bladder) and help stop the cancer spreading.

What causes bladder cancer is not always clear, but the risk of developing bladder cancer can be increased by smoking, getting older, long term bladder problems and unsafe exposure to aniline dyes which are used in some industries. Bladder tumours usually form in cells lining the bladder. Once a tumour begins to enlarge, it may stay in the lining or grow into the wall of the bladder. If untreated, the tumour may then grow into other structures such as lymph nodes. If the cancer enters the bloodstream it may spread to other areas of the body (metastasis).

Often the first symptom noticed is blood in the urine, other symptoms such as needing to pass urine more often or feeling as if you need to go but can’t affect about 1/3 of people with early bladder cancer. As the tumour grows these symptoms affect more people. The first test to diagnose bladder cancer is usually a urine sample. Sometimes a tube will be inserted through the urethra and the bladder will be washed with liquid to try to wash out some cancer cells for diagnosis. If cancer is suspected, the next step is usually a cytoscopy (a tube to allow the doctor to look inside the bladder). If there is to be a tumour the doctor can take a small sample (biopsy) for testing. CT or MRI scans are also used to scan the body to see if the cancer has spread to other areas.

Treatment depends on the size of the tumour and how much it has grown into the bladder wall. Surgery may be considered especially if the tumour is still small. The surgeon can insert a cytoscope through the urethra and cut out the tumour or burn it away. If the tumour has grown more deeply the surgeon may cut open the abdomen and remove some or the entire bladder (a partial or full cystectomy). If the whole bladder is removed an artificial bladder will be created on the inside or a urostomy bag on the outside. Radiotherapy (an x-ray beam) can be used as the main treatment in some people and in others may be used after surgery to remove any remaining cancer cells. In early cancer, drugs (chemotherapy) or another treatment called BCG may be placed directly into the bladder to kill cancer cells (intravesical treatment). Usually though, chemotherapy is used in the later stages where it can attack cancer cells throughout the body (not just the bladder) and help stop the cancer spreading.

Kidney stones

This term refers to stones in the urinary system. They form in the kidneys but can be found anywhere in the urinary system. They vary in size and the amount of pain they cause. Many of these stones can pass through without help but some require medical intervention. Extracorporeal shockwave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. The stones break down into very small particles and are easily passed through the urinary tract in the urine.

This term refers to stones in the urinary system. They form in the kidneys but can be found anywhere in the urinary system. They vary in size and the amount of pain they cause. Many of these stones can pass through without help but some require medical intervention.

Extracorporeal shockwave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. The stones break down into very small particles and are easily passed through the urinary tract in the urine.

Kidney (renal) failure

Kidney failure occurs when the kidneys cannot remove waste products from the blood or control the amount of water in your body. Acute kidney failure occurs suddenly and may be the result of injury, loss of large amounts of blood, drugs or poisons. Kidneys may return to normal function if they are not too badly damaged. Chronic renal failure means a slow decline in kidney function, which may not be noticed immediately. If renal function continues to deteriorate dialysis may be needed.

Kidney failure occurs when the kidneys cannot remove waste products from the blood or control the amount of water in your body. Acute kidney failure occurs suddenly and may be the result of injury, loss of large amounts of blood, drugs or poisons. Kidneys may return to normal function if they are not too badly damaged. Chronic renal failure means a slow decline in kidney function, which may not be noticed immediately. If renal function continues to deteriorate dialysis may be needed.

Benign prostatic hyperplasia (BPH) (enlarged prostate)

This is an enlargement of the prostate gland. In BPH there may be difficulties in passing urine as the enlarged prostate can cause a blockage. Patients with BPH often notice an increased urge to empty the bladder, especially at night. Many men over 60 years of age have some BPH. There are many different treatment options available for people with BPH. Most commonly your doctor can prescribe tablets to improve urinary function.

This is an enlargement of the prostate gland. In BPH there may be difficulties in passing urine as the enlarged prostate can cause a blockage. Patients with BPH often notice an increased urge to empty the bladder, especially at night. Many men over 60 years of age have some BPH. There are many different treatment options available for people with BPH. Most commonly your doctor can prescribe tablets to improve urinary function.

Prostatitis (inflamed prostate)

This is the term used to describe inflammation of the prostate gland. Symptoms can include increased need to pass urine and pain on passing urine as well as perhaps lower back pain. Sometimes this inflammation is due to an infection and an antibiotic will be prescribed, otherwise pain relief medication may be prescribed.

This is the term used to describe inflammation of the prostate gland. Symptoms can include increased need to pass urine and pain on passing urine as well as perhaps lower back pain. Sometimes this inflammation is due to an infection and an antibiotic will be prescribed, otherwise pain relief medication may be prescribed.

Prostate cancer

Prostate cancer happens when cells in the prostate, a small gland in the male body, grow too fast and form a lump called a tumour. This cancer usually grows slowly and it may take a number of years to become detectable. Treatment options include active surveillance (keeping an eye on it), surgery, radiation, hormone treatment and chemotherapy. Read more about prostate cancer on the Healthify website.

Prostate cancer happens when cells in the prostate, a small gland in the male body, grow too fast and form a lump called a tumour. This cancer usually grows slowly and it may take a number of years to become detectable. Treatment options include active surveillance (keeping an eye on it), surgery, radiation, hormone treatment and chemotherapy. Read more about prostate cancer on the Healthify website.

Laparoscopic Inguinal Hernia Repair

Contact Details

Information about this location

View on Google Maps

Get directions

Street Address

Endoscopy & Laparoscopy Auckland
148 Gillies Avenue
Epsom
Auckland 1023

This page was last updated at 3:19PM on December 6, 2023. This information is reviewed and edited by David Merrilees - Urologist.