If you wish to see Mr Brough in the Urology North private rooms:

  • Please ask your GP to send us a referral letter by fax to 03 6331 3666.
  • The letter will be read by Mr Brough who will allocate an appointment for you. Urgent cases are seen within one week in specifically reserved appointment slots.
  • Our staff will contact you with the appointment date and time, advise you of our fees and send you some personal information forms to complete (the forms can be also be downloaded by clicking on “patient forms” above)). Please bring the forms and any investigation results and/or X-rays that you may have to your appointment.
  • Please note that we do not bulk bill.

Mr Brough also sees patients at the Launceston General Hospital Specialist Clinic and at the Outpatient Department at the Mersey Community Hospital in Latrobe. These are public clinics where you will not be charged. For appointments at the public clinics, please ask your GP to fax your referral to the relevant clinic and Mr Brough will allocate an appointment to you.

Although oversubscribed for routine problems, urgent cases are usually seen in these clinics within three weeks.

Urology North
facsimile 03 6331 3666
phone 03 6331 9645

Launceston General Hospital Specialist Clinic
facsimile 03 6348 7197

Outpatient Department at the Mersey Hospital Latrobe
facsimile 03 6426 5687

Mr Brough performs surgical procedures on private patients at the Calvary Healthcare St Vincent’s Campus. However, if the procedure is complex (e.g. total removal of the bladder) or if you may need intensive care afterwards, the operation might be carried out at the Launceston General Hospital but you can still be treated there as a private patient if you so wish. Before you are admitted to St Vincent’s, our staff will provide you with an estimate of the fees that you are likely to incur from us.

Please bear in mind that we do not control fees from the anaesthetist, the hospital, Regional Imaging Tasmania or Launceston Pathology.

Public patients will be treated at the Launceston General Hospital where Mr Brough supervises an accredited urological registrar. The registrar may perform your surgery under Mr Brough’s guidance.

Mr Brough also performs public day-case procedures at the Mersey Hospital in Latrobe.

The links below illustrate the operations and treatments that Mr Brough offers.

Radical cystectomy (removal of the bladder).

Partial cystectomy.

Endoscopic removal of tumours and stones.

Procedures for female incontinence.

Slings and artificial sphincters for post-prostatectomy incontinence.

Treatment of the painful bladder syndrome.

Flexible and rigid cystoscopy.

Botox injections and other treatments for the overactive or neuropathic bladder.

Sacral Neuromodulation.

Urodynamics.

Laparoscopic nephrectomy (removal of the kidney).

Laparoscopic renal cyst removal.

Laparoscopic adrenalectomy.

Radical nephrectomy.

Partial nephrectomy.

Pyeloplasty.

Pyeloscopic and ureteroscopic removal of stones with Holmium laser.

Extracorporeal Shock-Wave Lithotripsy (ESWL) for kidney stones.

Circumcision (for medical reasons only).

Prepuceplasty and frenuloplasty.

Nesbit’s Procedure for Peyronie’s Disease.

Treatment of penile carcinoma.

Treatments and surgery for erectile dysfunction.

TransUrethral Resection of Prostate (TURP).

Holmium Laser Enucleation of Prostate (HoLEP).

UroLift.

Radical prostatectomy for cancer.

Transperineal prostate biopsy with fusion-technology image guidance.

Please click button for more information on a Transperineal Prostate Biopsy.

Transperineal Prostate Biopsy
PSA is Prostate Specific Antigen. It is a normal protein that the prostate releases into the semen to liquefy it and allow sperm to swim. It is normal to find some PSA in the bloodstream. The age-adjusted reference ranges that pathology laboratories produce are simply guides that allow PSA to be used for prostate cancer screening.

If your blood PSA level lies within the reference range for your age, it means that the chance that you have prostate cancer is low, not zero. Conversely, the higher your PSA reading is above the upper limit of the range, the more likely it becomes that you may have prostate cancer but it is by no means definite.

For example, if your PSA reading is between 4 and 10, your risk of prostate cancer may be about 25% but bear in mind that many prostate cancers are slow growing and many require no active treatment other than careful surveillance.

Currently, it is not recommended that the population is mass-screened with PSA but individual patients can benefit from the screening process.

We certainly advise that if you are a man aged 50 or more (or 40 or more with a father or brother with prostate cancer), you should talk to your doctor about the advisability of being screened or not. Bear in mind that for full screening, you will need the PSA blood test and a Digital Rectal Examination (DRE) by your GP as the tests complement each other.

Please click button for more information on the Prostate Cancer Screening Debate.

Prostate Cancer Screening Debate
Inguinal hernia repair.

Orchidectomy (removal of the testis) for benign disease and cancer.

Insertion of testicular prostheses.

Orchidopexy, herniotomy and hydrocele corrections for children.

Treatment of hydroceles and epididymal cysts for adults.

Varicocele surgery.

Treatment of stricture.

Removal of stones.

urodynamics-investigationsUrodynamics is a term for a pressure and flow test on the bladder that Mr Brough may recommend that you have in order to investigate incontinence or other bladder problems. Mr Brough carries out the test himself at Urology North with the assistance of Liz, our practice nurse.

The test is performed under local anaesthetic  so that you may drive to and from the appointment if you want to and you do not need to fast. After the procedure, Mr Brough will  talk you through the results.

Please click the link below to download an advice leaflet about the procedure.

Urodynamics Advice

kidney-stone-laseredThe Holmium: YAG laser was introduced into urological practice in 1992 and Mr Brough has been using it since 1994.

The Holmium laser emits light at a wavelength of 2100 nanometres and the beam can be transmitted through optical fibres.

Rapidly absorbed in water, the depth of penetration of the beam into human tissues is less than 1 millimetre which makes it a very safe, precise cutting tool usable in urological surgery.

Not only can it cut bloodlessly but it can fragment almost any kidney stone.

kidney-stone-fragmentedHolmium laser is delivered through fine, flexible quartz fibres and this makes it ideal for managing ureteric and kidney stones.

Using this technology, almost all stones can be treated via small calibre flexible telescopes and patients are in hospital for less than 24 hours. The most modern high powered Holmium lasers can treat kidney stones by “dusting”.

This technique reduces the stone to a powder easily and painlessly passed in the urine and reduces the requirement for repeat treatments.

Please talk to Mr Brough for more details.

Transurethral Resection of the Prostate with electrocautery (the “TURP” or “rebore”) has been an effective telescopic treatment for blockage of the outlet of the bladder by the enlarged prostate for many years.

The Holmium laser can be used to carry out the same operation but with virtually no blood loss. This means that patient recovery is rapid and the length of hospital stay is usually less than 24 hours.

Known as HoLEP (Holmium Laser Enucleation of Prostate), the procedure has been practised since 1996 and its safety and success compare favourably with TURP.

In scientific studies with over 10 years of follow-up, excellent long-term results have been shown.

Mr Brough is happy to talk to you about this procedure.

Please click on the button links to download the appropriate patient advice sheet.

Flexible Cystoscopy Advice
Urodynamics Advice
Prostate Cancer Screening Debate
Transperineal Prostate Biopsy
Transrectal Ultrasound & Prostatic Biopsy

Please click on the button links to download the appropriate patient form.

Medical History Form
Privacy Consent Form

Medicare

Please note that this practice does not bulk bill.

Urology North is a private practice and we set fees for consultations and procedures which we think are reasonable (and for the most part, significantly less than the fees recommended by the Australian Medical Association).

Patients are asked to pay for their treatments but can receive a Government subsidy in the form of a Rebate from Medicare. Unfortunately, Medicare subsidies have been almost completely frozen in value since 2013 whereas practice costs have increased year on year at well above the rate of inflation.

The Medicare Benefits Schedule (MBS) allocates item numbers to the services for which the Australian Government will provide a Medicare Rebate and lists a Schedule Fee for each item number. However, please note that the Medicare Rebate is only paid as a percentage of the listed Schedule Fee.

All of this means that there is inevitably a gap (or out-of-pocket expense) between what patients pay for a service and the Medicare Rebate for that service.

Healthcare Funds (Health Insurance companies)

To reduce their out-of-pocket expenses, many patients choose to take out private health insurance policies with healthcare funds. However, the policies that the funds offer vary considerably and your fund may not choose to cover your out-of-pocket costs completely as is their prerogative.

The fees charged by Urology North are the same for all patients, whether they have private health insurance or not. We believe this to be fair and equitable.

The examples given below refer to two patients having exactly the same procedure but who have different healthcare funds and different levels of cover.

Patient 1

Fee for procedure X $1000
Medicare rebate $500
Rebate from Fund A $250
Out-of-pocket cost
(Gap payment)
$250

Patient 2

Fee for procedure X $1000
Medicare rebate $500
Rebate from Fund B $400
Out-of-pocket cost
(Gap payment)
$100
If you need a procedure or operation, we will give you a financial statement so that you are aware of its cost. When you receive this, you are advised to check with your healthcare fund about your level of cover before admission to hospital.

Please note that you are responsible for any out-of-pocket expenses. Please also note that healthcare funds do not provide cover for consultation fees.

If you need any further information or you have any problem with our fees, please don’t hesitate to talk to us.

Updated: 17.9.18