Melbourne urologist

Urological conditions
At my practice in Melbourne, I can assist you with a range of urological issues and conditions. In this overview, I will provide an overview of my services to help you with prostate, bladder or kidney conditions, as well as testicular lumps and adrenal tumours.

Melbourne urologist : conditions

What are urological conditions?

In general, urology covers issues that affect your bladder, your urinary tract or your kidneys. In men, urological conditions can be related to the testes (or testicles), the scrotum, or your epididymis, which supports the testes in the scrotum. As a woman, you may need help from a urologist for symptoms or problems such as incontinence or an overactive bladder or urinary tract infections. Conditions that are linked to adrenal glands and blood vessels also fall under the umbrella of urological conditions. As your urologist at my private practice in Melbourne, I can help you with a wide range of urological conditions.

Melbourne urologist: list of conditions

List of urological conditions

At my practice, you can count on my expertise for these common urological issues and problems:

  • Prostate: enlarged prostate, prostatitis, PSA tests, and prostate cancer
  • Bladder: problems with urination, incontinence, urethral stricture, blood in your urine
  • Kidney: kidney stones, kidney masses, and cysts

Other conditions I treat are:

  • Testicle: infection (epididymo-orchitis), swelling scrotum (hydrocele), enlarged blood vessels or veins around the testicle (varicocele), testis cancer, vasectomy
  • Adrenal: Lumps and tumours.

Melbourne urologist: testicular lump or bulge

Testicular lump or bulge

So what exactly is a testicular lump or a bulge? In brief, it is an abnormal mass that forms in your testicles. As a key part of your male reproductive system, each testis is contained in a ‘sack of skin’, your scrotum, underneath the penis.

You can experience this at any age and other symptoms may include:

  • Blood in your urine
  • Changes in the texture of the testicle
  • Nausea
  • Heaviness at the site of the affected testicle

If you or your child suffers from a testicular twist or torsion, which causes sudden testicular pain, it is important to go to the emergency department. If left untreated, a testicular twist can cause death of the testicle and the loss of the testicle.

Testicular lumps or swelling can be quite common and could be due to infections, build-up of fluid within the layers surrounding the testes causing a cyst or hydrocele. A blow to the testes can also cause an injury, which then leads to a bulge.

Cancer is another factor that causes lumps. Therefore it is important to get these assessed and so if you have any concern about a bulge or a lump, ask your GP to refer you to a urologist.

What I do to provide a clear diagnosis is plan a physical examination of the area. We look at changes in size or position, and we check any swelling or tenderness. The typical routine tests I use may include an ultrasound, a CT scan, urine and/or blood tests including an STI screening.

Your treatment plan will depend on the diagnosis and this is a brief overview of the urological treatment types I offer at my practice in Melbourne:

  • Infection of the epididymis: Usually antibiotics and sometimes painkillers. If there is sexually transmitted infection, then the partner may also require treatment.
  • Swelling scrotum or hydrocele: If you don’t have any symptoms, keeping an eye on it may be enough. In other cases, surgery may be necessary to remove the fluid to prevent recurrence.
  • Enlarged blood vessels/veins around the testicle or varicocele: These can be treated with minimally invasive procedures without an incision to keyhole procedures with a small incision.
  • Cancer of the testis: These generally require surgery to remove the testicle to define the type of cancer, followed by a discussion about the need for any additional therapies. We use a multidisciplinary approach and this may include the work of an oncologist if you need chemotherapy.
  • Vasectomy
Melbourne urologist Dr Weranja

Melbourne urologist: adrenal lumps or masses

Adrenal lumps or masses

An adrenal gland are two paired glands that sit on top of each kidney. Its main role is to produce hormones to control stress (such as adrenaline), metabolism, control blood pressure and other functions.

How are adrenal masses or lumps diagnosed?

Most of the lumps or masses of the adrenal gland are diagnosed incidentally on scans done for other reasons. Sometimes you can have symptoms such as high blood pressure, low potassium level, heart palpitations, feelings of anxiety or panic attacks and headaches.
These adrenal lumps need to be further evaluated with some specialised CT scans, blood and urine tests to ensure that these are not cancerous.

Some of the small adrenal lumps or masses can be monitored after full evaluation and may not need further treatment. If these are proven to be cancerous, the adrenal gland might need to be surgically removed either laparoscopically, robotically or as open surgery.

In advanced tumours, additional chemotherapy may also be needed.

Melbourne urologist: A/Prof Weranja

Why A/Prof Weranja for urological conditions?

I chose to pursue a career pathway in urology because it allows me to help you with a combination of expertise: the latest research, that I am part of, to offer the best possible treatment options with the latest innovations. Secondly, the opportunity to understand the complex nature of urological conditions, based on my work here in Australia, the UK and in the United States, through my fellowship as a Urologic Oncology Fellow (SUO) at the University of Texas MD Anderson Cancer Centre.
Dr Weranja Ranasinghe
A/Prof Weranja Ranasinghe - Melbourne urologist and uro-oncologic surgeon

‘The goal is to offer you my experience, my commitment and my care so we go on a journey together to make you better. Together, we will create clarity about your diagnosis, discuss and select the best possible treatment pathway based on the latest research and my experience, and aim for the shortest recovery time.’

No matter what type of urological concern you have, feel free to ask for a referral to my practice when you speak to your GP and I look forward to helping you.