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Department of
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Introduction Hepatobiliary
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Red Team - Urology Surgery

L to R: Dr. Kenneth Chau, Dr. Jason Wong, Dr. Eric Li, Dr. James Li (Team Head), Dr. Chan Ning Hong, Dr. LO Ting Kit, Dr. Cedric Lee, Dr. Francis Wong


As a major urology unit in Hong Kong, we are committed to provide comprehensive general and specialized urology service for people in Hong Kong East Cluster. Every year more than 2800 cases were admitted to our urology unit, including those admitted through the Accident and Emergency Department. Our specialized outpatient clinics receive about 15,000 visits every year and more than 2000 of them are new referrals. Our unit is accredited to provide advanced urology training for the College of Surgeon of Hong Kong and the Royal College of Surgeons of Edinburgh.

Since early 90s, our unit is one of the pioneers in Asian Pacific region to promulgate the use of Endourologic, Laparoscopic and Robotic surgery in various urological conditions. Currently more than 85% of our operations were performed with these approaches. Followings are the milestones of our development in urological surgery:

  • 1994 laparoscopic ureterolithotomy
  • 1995 laparoscopic radical nephrectomy using retroperitoneal approach
  • 1996 laparoscopic pyeloplasty for PUJO
  • 1996 laparoscopic adrenalectomy for endocrine tumor
  • 1996 laparoscopic transperitoneal nephrectomy
  • 2001 Laparoscopic radical cystectomy
  • 2002 Laparoscopic prostatectomy
  • 2004 Minimal invasive percutaneous nephrolithotomy (mPCNL) according to the Chinese method
  • 2005 Laparoscopic partial nephrectomy
  • 2007 Suture compression technique in laparoscopic partial nephrectomy
  • 2008 True patient data silica model and computational model for training
  • 2009 Robot assisted laparoscopic radical prostatectomy, Robot assisted laparoscopic partial nephrectomy
  • 2010 Robot assisted pyeloplasty for PUJO
  • 2011 Robot assisted renal pedicle lymphatic disconnection for chyluria
  • 2011 Robot assisted renal pedicle posas hitch and ureteral reimplantation

Our Robotic Endolap Operation Theatre together with the state-of art da Vinci Robotic System started services in 2009. The advanced features of this system enable surgeons to perform full range of precise motion in narrow confined space. It overcomes the intrinsic difficulties of conventional laparoscopic operation. It is particularly suitable for pelvic surgery and advanced reconstructive surgery. Now robot assisted radical prostatectomy and partial nephrectomy have become the standard of care for patients with organ confined prostate cancer and small renal tumors.

Over the past few years, we have performed hundreds of robot-assisted procedures, including radical prostatectomy, partial nephrectomy, radical cystectomy and various ureteral reconstruction surgeries.

Our Service Spectrum

General Urology

We provide comprehensive management to patients with various general urological problems. Investigations for urological patients like endoscopies, video assisted urodynamic studies, transrectal ultrasound with biopsy and various imaging services are available. New modalities of endourological therapies, such as transurethral resection in normal saline, laser surgeries and prostate stents have been introduced to treat patients high risk patients with retention of urine secondary to enlarged prostate.

Urologic Oncology

Our unit provides investigations and treatment for patients with cancer in urogenital system. Most of them were managed with minimal access surgery. Patients with complicated oncological condition are managed jointly with Department of Clinical Oncology through multi-disciplinary approach.

Urologic Oncology

Our unit is equipped with full armamentarium to manage stones of different size at different locations of urinary system. It is noteworthy that we are the first urology center in Hong Kong to introduce small tract percutaneous nephrolithotomy (MPCNL). This technique allows clearance of the stones with smaller wounds, less bleeding and better preservation of renal function.

Urinary incontinence

Urinary incontinence is not uncommon in women and men, which is distressful and can severely affect social functioning of patients. Fast track comprehensive evaluation program is organized by urologists and urology nurses with subspecialty training. Various treatment options, with focus in minimally invasive approach, are available to manage patients with different causative pathologies and severity.

Male Sexual Dysfunction

Male sexual dysfunction is a distressing condition, not only affecting the physical and psychological health of men, but also disrupting the harmonic relationship between couples. We offered counseling, assessment, investigation and goal oriented treatment for patients with male sexual dysfunction.

Multidisciplinary Ketamine Cystitis Clinic

Apart from delivery of conventional urology service, our unit is also public spirited. In view of the increasing incidence of ketamine abuse and its disabling consequence, Ketamine cystitis clinic was established in 2011. With the concerted efforts of psychiatrist and social workers, fast track referral, comprehensive evaluation and dedicated follow up systems were created to meet the special need of these young patients. We are also active in promoting public awareness by giving school talks and organizing sharing forum in community.

Nurse led clinic

Because of rising ageing population, urology outpatient clinic has been a pressure area with huge service demand. Nurse led clinics were established to assist and cooperate with urologists to manage patients with lower urinary tract symptoms, renal stone disease and incontinence. Besides shortening the waiting time, the clinics provide support and counseling to patients and also helped to identify patients with high-risk conditions that require early medical attention.

Believers in Training

The expanding utilization of minimal access surgery requires development and refinement of skills in surgeons. With the excellent support from Minimal Access Surgery Training Center (MASTC), we provide a large variety of simulation models for endoscopic and laparoscopic training, ranging from simple skills to procedure- based training.

In addition to computer simulation models, our team collaborates with MASTC and innovate the pulsatile porcine kidney model for training of laparoscopic nephrectomy. The Porcine kidneys are perfused with red dye from pulsatile pump, simulating blood flow to real kidneys in human bodies. Training laparoscopic nephrectomy with this model allows the surgeon to follow the standardized steps of the operation including mobilization of colon, dissection of hilum and division of the vessels. Any inadvertent injury to renal arteries or veins would result in bleeding. Scenarios of bleeding emergency can be simulated and handling such situation can be repeated trained in non-human setting.

Another innovative model that we devise is the carrot-pork model for training of transurethral resection of prostate or bladder tumor. It provides a reproducible, cost effective and high fidelity environment for hand-on endoscopic training.


Research and Collaborations

Our unit is actively engaging in clinical research and we are particularly interested in studying the roles of various minimal access approaches in treating urological conditions.

We are also actively reaching out to other urological centers and research units in the region to carry out multi-center studies. These projects include:

  • Study on Robot assisted laparoscopic radical prostatectomy
  • Bladder cancer research project
  • Overactive bladder study
  • Prostate biopsy complication study

Promotion of Expertise and Skill Exchange

We have been the frontier in Asia Pacific region to promote minimal access surgeries. Over the past 2 decades, our unit organized more than 20 symposia and training programs. Live surgery demonstrations and panel discussions provide unique learning experience that is completely different from traditional teaching in lectures. International urology symposia with live surgery demonstration were also organized, with speakers and guests coming from various countries, promoting this cutting edge surgery in Asia Pacific region.


Key Members

Dr. Li Cheuk Man, James MBChB(CUHK), FRCS(Urology)(Edin), FCSHK, FHKAM (Surgery)
Consultant

Dr. James Li is the Chief of Division of Urology in Hong Kong East Cluster. He graduated from The Chinese University of Hong Kong. He is currently the Honorary Treasurer of The Hong Kong Urological Association. His main interests are in the field of female and functional urology, pelvic reconstructive surgery and robotic surgery. He received over-sea training from Professor Shlomo Raz at the University of California, Los Angeles in 2011 and 2012. After his training he started a Female Urology clinic in PYNEH and a patient concern group call the “The Pear club” was established. In order to provide holistic care for prostate cancer patients, he collaborated with oncologist, physio-therapist, dietitian and sex therapist to start a patient group called the “The Walnut Club” in PYNEH. Many patients benefited from this program and other clusters in Hong Kong are starting to have similar programs. He has the largest series of prostate stents implantation, artificial urinary sphincter implantation, penile prosthesis implantation and sacral nerve neuro-modulation implants in Hong Kong.


Dr. Fan Chi Wai MBBS(HK), FRCS (Urology)(Edin), FCSHK, FHKAM(Surg)
Honorary Consultant

Dr. Fan graduated from The University of Hong Kong in 1985. He was promoted to senior medical officer in 1993 and has been consultant urologist in Hong Kong East Cluster since 2008. He is an all rounded surgeon with tremendous experience in various operations in urology and general surgery.

Following the development strategy of department, Dr. Fan led urology division to develop various laparoscopic and robotic urological operations. He has been actively promoting the application of robot-assisted techniques in various urological conditions.

His Honorary appointment includes honorary clinical assistant professor of the University of Hong Kong and the Chinese University of Hong Kong. He is the Chairman of Urology Board of Hong Kong College of Surgeons and past president of Hong Kong Urological Association.

Dr. Chan Ning Hong MBChB(CUHK), FRCSEd(Urol), FCSHK, FHKAM (Surgery)
Associate Consultant

Dr Chan is currently the associate consultant of department of surgery, PYNEH. He graduated from the Chinese University of Hong Kong in 2004. He then undergone training in urology and obtained the urology fellowship in 2011. He has special interest in reconstructive urology, benign prostate hyperplasia and stone surgery. His honorary appointments included honorary assistant professor of the Chinese University of Hong Kong, member of Benign Prostate Hyperplasia interest group, Hong Kong Urological Association.

Dr. Li Siu Kei MBChB(CUHK), FCSHK, FHKAM (Surgery)
Associate Consultant

Dr Li is currently the associate consultant of department of surgery, PYNEH. He graduated from the Chinese University of Hong Kong. He undergone training in urology and obtained the urology fellowship in 2015. He has special interest in Andrology and Functional Urology. His honorary appointments included honorary assistant professor of the Chinese University of Hong Kong and honorary assistant professor of the University of Hong Kong, education subcommittee of Hong Kong Urological Association.


Dr. Wong Ka Wing MBChB (CUHK), FRCSEd (Urol), FCSHK, FHKAM (Surgery)
Associate Consultant

Dr. Wong graduated from the Chinese University of Hong Kong in 2008. He obtained the urology fellowship in 2016. He is currently working as an associate consultant in the urology division in this department. His clinical interest focuses on endourology and minimally invasive surgery.

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