Eastern Suburbs Urology


The prostate is a small, walnut-sized gland that forms part of the male reproductive system.

It is located just below the bladder, surrounding the urethra, the tube that carries urine and semen out of the body. The prostate produces a fluid that makes up part of semen, which nourishes and protects sperm.

The prostate gland undergoes two main periods of growth. The first occurs in early puberty when the prostate doubles in size, and the second phase of growth begins around age 25 and continues during most of a man’s life. As men age, the prostate gland tends to enlarge, which can lead to various health conditions.

Common Prostate Conditions

  • Overview: BPH refers to the non-cancerous enlargement of the prostate gland, commonly seen in aging men.
  • Cause: Age-related hormonal changes and cellular growth.
  • Symptoms: Frequent urination, weak urine flow, difficulty starting or stopping urination, nocturia (frequent urination at night), incomplete bladder emptying.
  • Treatment: Medications to relax the prostate and shrink its size, minimally invasive procedures such as water vapour therapy (Rezum), HoLEP treatment, transurethral resection of the prostate (TURP) or laser therapy (GreenLight).


Dr Savdie specialises in both Rezum and HoLEP therapy for BPH, which are the latest advanced treatment options for those suffering from BPH.

  • Overview: Prostatitis is the inflammation of the prostate gland, which can be caused by infection or other non-infectious factors.
  • Cause: Bacterial infection (acute or chronic bacterial prostatitis), non-infectious factors (chronic prostatitis/chronic pelvic pain syndrome).
  • Symptoms: Pain or discomfort in the groin, pelvis, or genitals, urinary frequency and urgency, pain during urination or ejaculation, flu-like symptoms.
  • Treatment: Antibiotics for bacterial prostatitis, anti-inflammatory medications, warm sitz baths, alpha-blockers to relax the muscles around the prostate, lifestyle changes.
  • Overview: Prostate cancer is the most common cancer in men and occurs when abnormal cells in the prostate gland grow uncontrollably.
  • Cause: Exact cause unknown, but age, family history, and genetic factors play a role.
  • Symptoms: Early-stage prostate cancer may not cause symptoms. Later stages can lead to difficulty urinating, blood in urine or semen, erectile dysfunction, bone pain, weight loss.
  • Treatment: Treatment options depend on the stage and aggressiveness of the cancer. They may include surgery, radiation therapy, hormone therapy, chemotherapy, immunotherapy, or targeted therapy. Active surveillance may be an option for low-risk cases.
  • Overview: Prostate enlargement refers to the age-related enlargement of the prostate gland, which can lead to urinary symptoms.
  • Cause: Age-related hormonal changes, particularly an increase in dihydrotestosterone (DHT).
  • Symptoms: Frequent urination, weak urine flow, difficulty starting or stopping urination, nocturia, incomplete bladder emptying.
  • Treatment: Similar to BPH, treatment options may include medications, minimally invasive procedures, or surgery.
  • Overview: Prostate stones are calcifications that develop within the prostate gland.
  • Cause: Calcification of prostate secretions.
  • Symptoms: Pain or discomfort in the pelvic area, difficulty urinating, blood in urine or semen.
  • Treatment: Small stones may pass on their own. Treatment options for larger stones include medication, prostate massage, or surgery to remove the stones.
  • Overview: Prostate abscess is a collection of pus within the prostate gland, usually caused by a bacterial infection.
  • Cause: Bacterial infection.
  • Symptoms: Fever, chills, pain in the lower abdomen or pelvic area, urinary symptoms.
  • Treatment: Drainage of the abscess, antibiotics.
  • Overview: PSA testing measures levels of a protein called PSA in the blood to assess prostate health.
  • Uses: It can help detect prostate conditions such as BPH or prostate cancer.
  • Benefits and Considerations: PSA testing has limitations and can lead to false positives and overdiagnosis. Decision for testing should be based on individual factors and discussions with a healthcare professional.

It is important to note that the information provided is a general overview, and specific cases may vary. If you have concerns about your prostate health or experience any symptoms, it is recommended to consult a healthcare professional for a proper diagnosis and appropriate treatment options.

Latest Benign Prostatic Hyperplasia (BPH) Treatments

Rezūm Water Vapor Therapy is a non-surgical, minimally-invasive treatment that uses the natural energy stored in water vapor (steam) to remove excess prostate tissue that is pressing on the urethra.

Holmium laser enucleation of the prostate is a minimally-invasive procedure that uses pulses of laser beam to remove excess prostate tissue that is pressing on the urethra.

Dr Richard Savdie


Dr Savdie is a highly-experienced Sydney-based urologist and uro-oncology surgeon specialising in minimally-invasive robotic surgery and laparoscopic surgery.

He consults and operates at multiple leading private and public hospitals around the Eastern Suburbs.