?

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

Mr Mischel Neill - Urologist

Private Service, Urology

Today

Ascot Central, 7 Ellerslie Racecourse Drive, Remuera, Auckland

Description

www.aucklandurologist.co.nz

Mr Mischel Neill is a urological surgeon in private practice in Auckland, New Zealand. He also has a public consultant appointment at North Shore Hospital and provides acute on-call care at Auckland City Hospital. His services include: 

Robotic urological surgery

      >  robotic prostatectomy (including nerve sparing)

      >  robotic partial nephrectomy

Laparoscopic urological surgery

  • laparoscopic radical nephrectomy, renal cyst deroofing
  • laparoscopic pyeloplasty and ureteric surgery
  • laparoscopic partial cystectomy and varicocoelectomy

Surgery and management for all urological cancers 

  • kidney, ureter, bladder, prostate, testis

General urology

  • laser prostate and stone surgery
  • men's health and urinary symptoms.
Click here to find frequently asked questions (FAQs).
 
The following is background information on General Urology. 
 
What is Urology?
Urology is the branch of medicine that looks at diseases of the urinary system in females and the genitourinary system (urinary system plus genital organs) in males.

The urinary system is made up of the: 
  • kidneys (where urine is formed from material filtered out of the blood)
  • ureters (tubes that carry urine from the kidneys to the bladder)
  • bladder (a balloon-like organ that stores urine)
  • sphincter muscles (muscles around the opening of the bladder into the urethra)
  • urethra (the tube that carries urine to the outside of your body).

The male genital organs include the penis, scrotum and prostate gland. The prostate is a walnut-sized gland located between the bladder and the penis and in front of the rectum. The urethra passes through the center of the prostate.

A doctor who specialises in disorders of the urinary system and also the male reproductive system is known as an urologist. A doctor who specialises in kidneys and their function is called a nephrologist.

Consultants

Referral Expectations

Please arrive 10-15 minutes early for your appointment for registration and to fill in a health questionnaire.

When you come for your appointment please remember to obtain and bring the following:

  • Referral letter from GP, family physician or other doctor
  • Your Private Hospital insurance information
  • Copies of results, x-rays, MRIs, CT scans etc, a list of your current medications, and any other relevant information.


If you need to cancel an appointment:

Telephone the office during business hours and allow at least 1 day's notice so that we can offer your appointment time to patients on our waiting list.

We recognise that your time is valuable and we make every effort to run on time. Occasionally emergencies or patients require a little more time and these cause scheduling delays beyond our control. We apologise if we keep you waiting.

If you are going to have surgery:

Please click here to find out how to prepare for your operation.

Fees and Charges Description

Mischel is a Southern Cross Affiliated Provider for a number of procedures.

 As an Affiliated Provider, prior approval and claims processes are organised on the member's behalf.

Hours

Ascot Central, 7 Ellerslie Racecourse Drive, Remuera, Auckland

Mon – Fri 8:30 AM – 5:00 PM

Common Conditions / Procedures / Treatments

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 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. For more information about bladder cancer please click here.

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 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.

For more information about bladder cancer please click here.

Prostate Cancer

Prostate cancer typically consists of many very small, tumours within the prostate. At this stage, the disease is often curable (rates of 90% or better) with standard treatments such as surgery or radiation. Unfortunately, at this stage the cancer produces few or no symptoms and can be difficult to detect. If untreated and allowed to grow, the cells from these tumours can spread to other parts of the body in a process called metastasis. Once the cancer has spread beyond the prostate, cure rates drop dramatically. In most cases, prostate cancer is a relatively slow-growing cancer, which means that it typically takes a number of years for the disease to become detectable, and even longer to spread beyond the prostate. However, a small percentage of patients experience more aggressive forms of prostate cancer. Treatment options for prostate cancer include surgery, radiation, hormone treatment and chemotherapy. Which treatment is chosen depends on factors such as the stage of the cancer and the patient’s age, other health issues and willingness to undergo certain procedures or therapies – some of which may have side effects. For more information about prostate cancer please click here.

Prostate cancer typically consists of many very small, tumours within the prostate. At this stage, the disease is often curable (rates of 90% or better) with standard treatments such as surgery or radiation. Unfortunately, at this stage the cancer produces few or no symptoms and can be difficult to detect.
If untreated and allowed to grow, the cells from these tumours can spread to other parts of the body in a process called metastasis. Once the cancer has spread beyond the prostate, cure rates drop dramatically.
In most cases, prostate cancer is a relatively slow-growing cancer, which means that it typically takes a number of years for the disease to become detectable, and even longer to spread beyond the prostate. However, a small percentage of patients experience more aggressive forms of prostate cancer.
Treatment options for prostate cancer include surgery, radiation, hormone treatment and chemotherapy. Which treatment is chosen depends on factors such as the stage of the cancer and the patient’s age, other health issues and willingness to undergo certain procedures or therapies – some of which may have side effects.

For more information about prostate cancer please click here.

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 though 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. For more information about urinary stones please click here.

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 though 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.

For more information about urinary stones please click here.

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)

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

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.
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. For more information about urinary tract infections please click here.

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.

For more information about urinary tract infections please click here.

Urinary Incontinence

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. For more information about urinary incontinence please click here.

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.

For more information about urinary incontinence please click here.

Urinary Retention

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.
Proteinuria

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

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. To read more about haematuria please click here.

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.

To read more about haematuria please click here.

Urinalysis

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.

Public Transport

The Auckland Transport Journey Planner will help you to plan your journey.

Parking

Free off street patient parking is provided at both the Northern and West Auckland Clinics.

Contact Details

For all appointments and enquiries, please call (09) 309 0912 or click here to request an appointment online.

Level 1
Ascot Central
7 Ellerslie Racecourse Drive
Greenlane
Auckland

Information about this location

View on Google Maps

Get directions

Street Address

Level 1
Ascot Central
7 Ellerslie Racecourse Drive
Greenlane
Auckland

This page was last updated at 3:07PM on September 15, 2023. This information is reviewed and edited by Mr Mischel Neill - Urologist.