Urological Care for Patients – Dr Rajeentheran Suntheralingam

Urological Care:

Spinal injuries – Tetraplegia / Quadriplegia, Paraplegia and its Management

Bladder problems in spinal injuries

Urodynamic procedure Bladder and Sphincter – syynergy and dyssynergia; and its problems

Overactive bladder Urinary Incontinence (leaking of urine) and its types

BPH (prostate enlargement / prostate compression)

Urinary stones and the Endemic Stone Belt

Diet and fluids in Urological Health

Interview on Renal and Urinary problems on Hello on Two – Dr Rajeentheran Suntheralingam

– followed by a Q & A session by the public

Nocturia (passing urine at night) and nocturnal enuresis (bed wetting)

UTI (urinary tract infection)

BPH (prostate enlargement)

Urological cancers – prostate, bladder, ureter, testicular Urinary stones

Urinary incontinence (leaking of urine)

Overactive bladder

Neurogenic bladder (bladder problems due to spinal problems, injuries)

Augmentation cystoplasty (operation for enlarging the bladder in cases where there is excessive overactivity bladder which fails medications, especially in spinal injuries)

Diet and life style in Urological health

MANAGING KIDNEY & URINARY STONES – Dr Rajeentheran Suntheralingam, 20th June 2020

A review of various urinary stones, how stone forms, the Endemic Stone Belt, and the various treatments for urinary stones – PCNL, ESWL therapy, Retrograde Ureterorenocsopy and RIRS and Antegrade Ureteroscopy by Dr Rajeentheran Suntheralingam.

A note on how to prevent kidney and urinary stones.

Laparoscopic Nephroureterectomy for Kidney and Ureteric Cancer – Dr Rajeentheran Suntheralingam

Case of Kidney and Ureteric Cancer

Related to bladder cancer

Laparoscopic Nephroureterectomy done – kidney and ureter removed by minimally invasive technique

Symptoms that always need investigations:

Blood in urine

Back pain

Pain when urinating

Losing significant weight


Risk factors for kidney, ureteric and bladder cancers:


Advancing / elderly age

Working in chemical industries using textile, rubber, leather, dye, paint, and print industries

Previous bladder cancer

Operation done, early discharge, minimal pain.

Urethroplasty for Urethral injury – Dr Rajeentheran Suntheralingam

Ruptured urethra after accident. Run over by lorry.

Pelvic fracture

Operation done to repair urethra – anastomotic urethroplasty

Different steps of the operation:

  • Corporal separation
  • Inferior wedge pubectomy
  • Supra-crural rerouting

Able to finally pass urine well


An Overview of Urodynamics – Dr Rajeentheran Suntheralingam

An overview of what is Urodynamics, the basic background knowledge of urological problems and the phases of micturition, the different parameters one needs to know in Urodynamics, how to set up Urodynamics, interpreting its tracings, identifying artefacts and troubleshooting during the procedure itself.


  • Nomenclature used
  • Phases of micturition
  • Pre-assessment
  • Uroflowmetry and post-void residual urine
  • Uroflow artefacts
  • Filling and Voiding cystometry
  • EMG tracings
  • Leak point pressures
  • Pressure flow study and analysis
  • Videourodynamics
  • Ambulatory urodynamics

Oligometastatic Prostate Cancer – Dr Rajeentheran Suntheralingam – DEBATE- Urological Congress 2017

Debate on Oligometastatic Prostate Cancer: The Arguments against Radical Treatment

– Debate Session: Plenary 12 on Controversies in Urology, 26th November 2017, Malaysian Urological Conference 2017; Pullman Hotel, Kuching Sarawak

– Prof Koon Ho Rha (Robotic Surgeon, Yonsei University, South Korea) versus Dr Rajeentheran Suntheralingam (Consultant Urologist, KPJ Damansara Specialist Hospital, Malaysia)

– The Debate against radical treatment of Oligometastatic Prostate Cancer

Arguments posed:

Unclear definition of the Oligometastatic state

Basic science understanding of circulating tumor cells and the number of cells required for detection

Does early detection and treatment slow disease progression and improve survival?

Recent advances in nmCRPC and mHSPC

Recent studies in radical and metastatic-directed therapy in Oligometastatic Prostate Cancer

Questions posed:

  • Does such treatment of oligometastatic disease really extend patient survival?
  • Does it improve quality of life over time?
  • Are there definable subsets of patients who seem to do better (or worse) in response to such treatment?
  • Is there a specific form of imaging technique (e.g., gallium-68 PMSA-enhanced PET/CT scanning) that should be seen as the “gold standard” for identification of appropriate metastatic lesions in patients who are the best candidates for such treatment?

Uncertain issues in Oligometastatic disease:

(i) How do we define disease burden?

(ii) Which consolidative/site-directed treatment should we choose?

(iii) What level of disease burden should we treat?

(iv)  Which systemic treatments should we choose?

(v) How do we sequence treatments?

(vi) What is the appropriate endpoint to select when treating patients in this context?

Debate on Arguments for Prostate Biopsy for Prostate Cancer in Urology: What to do Next – MRI or Prostate Biopsy? – Dr Rajeentheran Suntheralingam – Urological Congress 2018

– Debate Session: Plenary 4 on Uro-Oncology in Urology, 23rd November 2018, Malaysian Urological Conference 2018; Shangri-La Hotel, Kuala Lumpur

Considered only as a debate during the National Urological Conference


Prostate Cancer Podcast Interview, Movember Cancer Awareness – Dr Rajeentheran Suntheralingam, 13th November 2020

Watch the video on Prostate Cancer Podcast Interview by Dr Rajeentheran Suntheralingam presented on Movember Cancer Awareness on 13th November 2020

Growing out one’s facial hair for 30 days is called “Movember” or “No-Shave November,” and it’s meant to raise awareness for cancer.

The Movember Foundation started in 2003 with 30 men and has grown to 5 million “Mo Bros and Mo Sistas,” according to the non-profit, which raises funds and awareness for testicular cancer, prostate cancer, mental health and suicide prevention.

A day before Deepavali 2020, we have a MOVEMBER podcast interview on Prostate Cancer with Dr Rajeentheran Suntheralingam, Consultant Urologist, KPJ Damansara Specialist Hospital.

Bladder Cancer Interview in – Dr Rajeentheran Suntheralingam, 2019

Watch the video on Bladder Cancer Interview in by Dr Rajeentheran Suntheralingam in 2019

Interview: A short review of Bladder Cancer and how it is managed

What is Bladder Cancer?

Types of Bladder Cancer

Understanding the difference between superficial and muscle-invasive Bladder Cancer

Treatment of Bladder Cancers

Laparoscopic surgery in Urology.

Penjelasan Laparoskopi. Teknik Bedah dengan Minimal Invasif | Dr. Rajeentheran Suntheralingam

Laparoscopy merupakan teknik bedah yang digunakan untuk menghilangkan sel kanker. Kanker prostat, kanker ginjal, kanker kandung kemih, dll. Salah satu keunggulannya adalah dengan metode ini tim dokter tidak perlu melakukan penyayatan yang besar. Dengan sayatan kecil, operasi bisa langsung dilakukan.

Prostate Cancer Interview in – Dr Rajeentheran Suntheralingam, 2019

Watch the video on Prostate Cancer Interview in by Dr Rajeentheran Suntheralingam in 2019

Interview: A short review of prostate cancer and how it is managed

Screening of Prostate Cancer, the Role of PSA, Diagnosis, Staging and current Treatment of Prostate Cancer

UTI and BPH (Prostate Enlargement) Interview in – Dr Rajeentheran Suntheralingam, 2019

Watch the video on UTI and BPH (Prostate Enlargement) Interview in by Dr Rajeentheran Suntheralingam in 2019

Interview: A short review of UTI and BPH and how it is managed

What is UTI (Urinary Tract Infection)?

How does it present as?

What is BPH?

What are the symptoms of BPH?

Treating BPH

TURP procedure for BPH

Laparoscopic Surgery in Urology – Dr Rajeentheran Suntheralingam, Consultant Urologist / Urological Surgeon

Watch the video on explanation on Laparoscopic Surgery in Urology by Dr Rajeentheran Suntheralingam

Minimally invasive treatment of urological conditions by minimally invasive laparoscopic (key-hole) surgery reduces hospital stay and discomfort.

Laparoscopic Urology Surgeries may include:

Laparoscopic excision of kidney cyst

Laparoscopic varicocelectomy (varicocele ligation)

Removal of kidney (laparoscopic nephrectomy)

Removal of bladder in bladder cancer (laparoscopic radical cystectomy)

Removal of prostate in prostate cancer (laparoscopic radical prostatectomy)