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Description

Mr Andrew Lienert is a New Zealand trained urologist specialising in laparoscopic uro-oncology and kidney stone surgery. He also provides a full range of general urological expertise. He was born and raised in Christchurch, attended the University of Otago School of Medicine and completed the Royal Australasian College of Surgeons advanced training in urology.

Having completed his training, Andrew spent a year at St Georges Hospital Sydney, Australia and then a year at the prestigious Imperial College in London, UK. During those 2 years he performed a high volume of laparoscopic operations and mastered complex laparoscopic skills. He performs radical prostatectomy, laparoscopic nephrectomy and partial nephrectomy, and laparoscopic pyeloplasty. He also learnt some new and novel techniques for managing urological conditions especially within the field of kidney stone surgery and sling surgery for male and female incontinence. In addition he has been trained in laser prostatectomy (HoLEP) for treating male lower tract symptoms.

Andrew divides his time between public and private practice. He is the first urologist to be employed by Counties Manukau DHB. He also holds an appointment at Auckland Hospital. In private he is accredited to operate at Brightside Southern Cross Hospital, Ormiston Hospital, and Ascot Hospital. He consults at OneSixOne in Epsom.

Andrew has an active interest in research and training. He has published several peer-reviewed scientific papers and has presented at both local and international meetings. He is currently the clinical director of urology for both CMDHB and ADHB. 
 
 
What is Urology?
Urology is the branch of medicine that looks at diseases of the urinary system in females and the genitourinary system (urinary system plus genital organs) in males. The urinary system is made up of the:
  • kidneys (where urine is formed from material filtered out of the blood)
  • ureters (tubes that carry urine from the kidneys to the bladder)
  • bladder (a balloon-like organ that stores urine)
  • sphincter muscles (muscles around the opening of the bladder into the urethra)
  • urethra (the tube that carries urine to the outside of your body).

The male genital organs include the penis, scrotum and prostate gland. The prostate is a walnut-sized gland located between the bladder and the penis and in front of the rectum. The urethra passes through the centre of the prostate. A doctor who specialises in disorders of the urinary system and also the male reproductive system is known as an urologist. A doctor who specialises in kidneys and their function is called a nephrologist.

Consultants

Fees and Charges Description

Initial consultation charge is $263

Follow up consultations are $1162

Any additional charges will be discussed with you prior to surgery.

Southern Cross Affiliated Provider

Andrew is a Southern Cross Affiliated Provider for several services including the following:

  • Radical retropubic prostatectomy +/- synchronous node dissection
  • Transurethral resection of prostate (TURP) with/without cystoscopy
  • transurethral resection of bladder tumour
  • renal stone surgery
  • laparoscopic nephrectomy

This means we will streamline the prior approval and claims processes for you as a member. You don't need to submit a claim; we will do this for you.

Procedures / Treatments

Urinalysis

Urinalysis is a test that examines the content of urine for abnormal substances such as protein or signs of infection. This test involves urinating into a special container and leaving the sample to be studied.

Urinalysis is a test that examines the content of urine for abnormal substances such as protein or signs of infection. This test involves urinating into a special container and leaving the sample to be studied.
Urodynamic Tests

Urodynamic tests measure the storage of urine in the bladder and the flow of urine from the bladder through the urethra. Your doctor may want to do an urodynamic test if you are having symptoms that suggest problems with the muscles or nerves of your lower urinary system and pelvis.

Urodynamic tests measure the storage of urine in the bladder and the flow of urine from the bladder through the urethra. Your doctor may want to do an urodynamic test if you are having symptoms that suggest problems with the muscles or nerves of your lower urinary system and pelvis.
Proteinuria

This term means protein in the urine and may indicate that there is a problem with your kidneys.

This term means protein in the urine and may indicate that there is a problem with your kidneys.
Haematuria

This term means blood in the urine and may be the result of inflammation or other problems with your kidneys, blockages in your ureter, infection or other problems with your bladder or problems with your prostate.

This term means blood in the urine and may be the result of inflammation or other problems with your kidneys, blockages in your ureter, infection or other problems with your bladder or problems with your prostate.
Urinary Tract Infections (UTIs)

A UTI is caused by an infection in the urinary tract. Women get UTIs more often than men. UTIs are treated with antibiotics. Drinking lots of water also helps by flushing out the bacteria. If the infection is in the bladder it is called cystitis. If the infection is in the kidneys it is called pyelonephritis.

A UTI is caused by an infection in the urinary tract. Women get UTIs more often than men. UTIs are treated with antibiotics. Drinking lots of water also helps by flushing out the bacteria. If the infection is in the bladder it is called cystitis. If the infection is in the kidneys it is called pyelonephritis.
Urinary Incontinence

Urinary incontinence or loss of bladder control is the involuntary passage of urine (passing urine without meaning to). There are many causes and types of incontinence, and many treatment options. Treatments range from simple exercises to surgery. Women are affected by urinary incontinence more often than men.

Urinary incontinence or loss of bladder control is the involuntary passage of urine (passing urine without meaning to). There are many causes and types of incontinence, and many treatment options. Treatments range from simple exercises to surgery. Women are affected by urinary incontinence more often than men.
Urinary Retention

Urinary retention, or abnormal holding of urine in the bladder, is a common urological problem. Possible causes of acute urinary retention (sudden inability to urinate) include a blockage in the urinary system, stress or nerve problems. Chronic urinary retention (some urine is always left in the bladder after emptying) may be caused by bladder muscle failure, nerve damage, or obstructions in the urinary tract. Treatment for urinary retention depends on the cause.

Urinary retention, or abnormal holding of urine in the bladder, is a common urological problem. Possible causes of acute urinary retention (sudden inability to urinate) include a blockage in the urinary system, stress or nerve problems. Chronic urinary retention (some urine is always left in the bladder after emptying) may be caused by bladder muscle failure, nerve damage, or obstructions in the urinary tract. Treatment for urinary retention depends on the cause.
Bladder Cancer

What causes bladder cancer is not always clear, but the risk of developing bladder cancer can be increased by smoking, getting older, long term bladder problems and unsafe exposure to aniline dyes which are used in some industries. Bladder tumours usually form in cells lining the bladder. Once a tumour begins to enlarge, it may stay in the lining or grow into the wall of the bladder. If untreated, the tumour may then grow into other structures such as lymph nodes. If the cancer enters the bloodstream it may spread to other areas of the body (metastasis). Often the first symptom noticed is blood in the urine, other symptoms such as needing to pass urine more often or feeling as if you need to go but can’t affect about 1/3 of people with early bladder cancer. As the tumour grows these symptoms affect more people. The first test to diagnose bladder cancer is usually a urine sample. Sometimes a tube will be inserted through the urethra and the bladder will be washed with liquid to try to wash out some cancer cells for diagnosis. If cancer is suspected, the next step is usually a cytoscopy (a tube to allow the doctor to look inside the bladder). If there is to be a tumour the doctor can take a small sample (biopsy) for testing. CT or MRI scans are also used to scan the body to see if the cancer has spread to other areas. Treatment depends on the size of the tumour and how much it has grown into the bladder wall. Surgery may be considered especially if the tumour is still small. The surgeon can insert a cytoscope through the urethra and cut out the tumour or burn it away. If the tumour has grown more deeply the surgeon may cut open the abdomen and remove some or the entire bladder (a partial or full cystectomy). If the whole bladder is removed an artificial bladder will be created on the inside or a urostomy bag on the outside. Radiotherapy (an x-ray beam) can be used as the main treatment in some people and in others may be used after surgery to remove any remaining cancer cells. In early cancer, drugs (chemotherapy) or another treatment called BCG may be placed directly into the bladder to kill cancer cells (intravesical treatment). Usually though, chemotherapy is used in the later stages where it can attack cancer cells throughout the body (not just the bladder) and help stop the cancer spreading.

What causes bladder cancer is not always clear, but the risk of developing bladder cancer can be increased by smoking, getting older, long term bladder problems and unsafe exposure to aniline dyes which are used in some industries. Bladder tumours usually form in cells lining the bladder. Once a tumour begins to enlarge, it may stay in the lining or grow into the wall of the bladder. If untreated, the tumour may then grow into other structures such as lymph nodes. If the cancer enters the bloodstream it may spread to other areas of the body (metastasis). Often the first symptom noticed is blood in the urine, other symptoms such as needing to pass urine more often or feeling as if you need to go but can’t affect about 1/3 of people with early bladder cancer. As the tumour grows these symptoms affect more people. The first test to diagnose bladder cancer is usually a urine sample. Sometimes a tube will be inserted through the urethra and the bladder will be washed with liquid to try to wash out some cancer cells for diagnosis. If cancer is suspected, the next step is usually a cytoscopy (a tube to allow the doctor to look inside the bladder). If there is to be a tumour the doctor can take a small sample (biopsy) for testing. CT or MRI scans are also used to scan the body to see if the cancer has spread to other areas. Treatment depends on the size of the tumour and how much it has grown into the bladder wall. Surgery may be considered especially if the tumour is still small. The surgeon can insert a cytoscope through the urethra and cut out the tumour or burn it away. If the tumour has grown more deeply the surgeon may cut open the abdomen and remove some or the entire bladder (a partial or full cystectomy). If the whole bladder is removed an artificial bladder will be created on the inside or a urostomy bag on the outside. Radiotherapy (an x-ray beam) can be used as the main treatment in some people and in others may be used after surgery to remove any remaining cancer cells. In early cancer, drugs (chemotherapy) or another treatment called BCG may be placed directly into the bladder to kill cancer cells (intravesical treatment). Usually though, chemotherapy is used in the later stages where it can attack cancer cells throughout the body (not just the bladder) and help stop the cancer spreading.
Kidney Stones

This term refers to stones in the urinary system. They form in the kidneys but can be found anywhere in the urinary system. They vary in size and the amount of pain they cause. Many of these stones can pass though without help but some require medical intervention. Extracorporeal shockwave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. The stones break down into very small particles and are easily passed through the urinary tract in the urine.

This term refers to stones in the urinary system. They form in the kidneys but can be found anywhere in the urinary system. They vary in size and the amount of pain they cause. Many of these stones can pass though without help but some require medical intervention. Extracorporeal shockwave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. The stones break down into very small particles and are easily passed through the urinary tract in the urine.
Kidney (Renal) Failure

Kidney failure occurs when the kidneys cannot remove waste products from the blood or control the amount of water in your body. Acute kidney failure occurs suddenly and may be the result of injury, loss of large amounts of blood, drugs or poisons. Kidneys may return to normal function if they are not too badly damaged. Chronic renal failure means a slow decline in kidney function, which may not be noticed immediately. If renal function continues to deteriorate dialysis may be needed.

Kidney failure occurs when the kidneys cannot remove waste products from the blood or control the amount of water in your body. Acute kidney failure occurs suddenly and may be the result of injury, loss of large amounts of blood, drugs or poisons. Kidneys may return to normal function if they are not too badly damaged. Chronic renal failure means a slow decline in kidney function, which may not be noticed immediately. If renal function continues to deteriorate dialysis may be needed.
Benign Prostatic Hyperplasia (BPH)

This is an enlargement of the prostate gland. In BPH there may be difficulties in passing urine as the enlarged prostate can cause a blockage. Patients with BPH often notice an increased urge to empty the bladder, especially at night. Many men over 60 years of age have some BPH. There are many different treatment options available for people with BPH. Most commonly your doctor can prescribe tablets to improve urinary function.

This is an enlargement of the prostate gland. In BPH there may be difficulties in passing urine as the enlarged prostate can cause a blockage. Patients with BPH often notice an increased urge to empty the bladder, especially at night. Many men over 60 years of age have some BPH. There are many different treatment options available for people with BPH. Most commonly your doctor can prescribe tablets to improve urinary function.
Prostatitis

This is the term used to describe inflammation of the prostate gland. Symptoms can include increased need to pass urine and pain on passing urine as well as perhaps lower back pain. Sometimes this inflammation is due to an infection and an antibiotic will be prescribed, otherwise pain relief medication may be prescribed.

This is the term used to describe inflammation of the prostate gland. Symptoms can include increased need to pass urine and pain on passing urine as well as perhaps lower back pain. Sometimes this inflammation is due to an infection and an antibiotic will be prescribed, otherwise pain relief medication may be prescribed.
Prostate Cancer

Prostate cancer typically consists of many very small, tumours within the prostate. At this stage, the disease is often curable (rates of 90% or better) with standard treatments such as surgery or radiation. Unfortunately, at this stage the cancer produces few or no symptoms and can be difficult to detect. If untreated and allowed to grow, the cells from these tumours can spread to other parts of the body in a process called metastasis. Once the cancer has spread beyond the prostate, cure rates drop dramatically. In most cases, prostate cancer is a relatively slow-growing cancer, which means that it typically takes a number of years for the disease to become detectable, and even longer to spread beyond the prostate. However, a small percentage of patients experience more aggressive forms of prostate cancer. Treatments options for prostate cancer include surgery, radiation, hormone treatment and chemotherapy. Which treatment is chosen depends on factors such as the stage of the cancer and the patient’s age, other health issues and willingness to undergo certain procedures or therapies – some of which may have side effects.

Prostate cancer typically consists of many very small, tumours within the prostate. At this stage, the disease is often curable (rates of 90% or better) with standard treatments such as surgery or radiation. Unfortunately, at this stage the cancer produces few or no symptoms and can be difficult to detect. If untreated and allowed to grow, the cells from these tumours can spread to other parts of the body in a process called metastasis. Once the cancer has spread beyond the prostate, cure rates drop dramatically. In most cases, prostate cancer is a relatively slow-growing cancer, which means that it typically takes a number of years for the disease to become detectable, and even longer to spread beyond the prostate. However, a small percentage of patients experience more aggressive forms of prostate cancer. Treatments options for prostate cancer include surgery, radiation, hormone treatment and chemotherapy. Which treatment is chosen depends on factors such as the stage of the cancer and the patient’s age, other health issues and willingness to undergo certain procedures or therapies – some of which may have side effects.
Vasectomy

A vasectomy is a minor surgical procedure carried out to make a man sterile (he is no longer able to father a child). It is a commonly used form ofcontraception. A tiny incision (cut) is made in the scrotum and a short length of the vas deferens (the tube carrying sperm away from the testicles where it is produced) is removed and the cut ends sealed.

A vasectomy is a minor surgical procedure carried out to make a man sterile (he is no longer able to father a child). It is a commonly used form ofcontraception. A tiny incision (cut) is made in the scrotum and a short length of the vas deferens (the tube carrying sperm away from the testicles where it is produced) is removed and the cut ends sealed.

Parking

Free off street parking is provided for patients at both locations.

Other

Research and Publications:

Publications

1.      Treatment of duodenal adenomas with endoscopic argon plasma coagulation; ANZ J of Surg 2007 May; 77(5):371-3 Lienert, A + Bagshaw, P

2.      Closing the audit loop is necessary to achieve compliance with evidence-based guidelines in the management of acute pancreatitis. Connor S. Lienert A. Brown L. Bagshaw P, NZ Med J 2008:121(1275):19-25

3.     CT colonography for colovesical fistula. Ing A. Lienert A. Frizelle F. NZ Med J 2008:121(1279)

4.     How does PSA, DRE, and age correlate with prostate biopsy result in a NZ population? Lienert, A. Davidson, P. Wells, E. NZ Med J 2009:122(1288)

5.     Prognostic factors in malignant ureteric obstruction. Lienert A, Ing A, Mark S. BJU 104(7); 938-40, Oct 2009

6.     Role of Laparoscopic and robotic surgery in the management of small renal masses; Lienert A & Hrouda D; Expert reviews in Anticancer therapy; 2012 Jun;12(6):799-810

 

 

Presentations

1.      Can evidence-based proformas and departmental audit improve the management of acute pancreatitis? RACS Annual Scientific Congress May 2007

2.      Christchurch Hospital Nephrostomy tube audit. Poster presentation USANZ conference Hong Kong Feb 2008

3.      How does PSA, DRE and age correlate with prostate biopsy result in a NZ population. Poster presentation USANZ conference Hong Kong Feb 2008

4.   Acute Pancreatitis: Our management compared to accepted audit standards; Department of Surgery morbidity and mortality meeting, Apr 2006

5.   Malignant ureteric obstruction. Poster presentation USANZ conference. Gold Coast 2009.

6.   Memokath urethral stents for management of strictures in men unsuitable for urethroplasty. Podium presentation at New Zealand urology sectional meeting. Sep 2009.

7.   Outcomes and complications of HoLEP in octogenarians. Accepted as podium presentation USANZ conference, Perth 2010

8.   HoLEP – the learning curve from a trainee's perspective. Invited speaker for Laser Prostatectomy workshop at USANZ conference, Perth 2010

9.   Morbidity of the PCNL waiting list at Auckland Hospital; presentation at NZ urology meeting Nelson Nov 2010

10.   High risk prostate cancer; 5-yr observed outcomes following radical prostatectomy at St George Hospital; presented at SIU meeting Berlin 2011.

11.   True Day case Laparoscopic prostatectomy; British Association of Urology meeting 2012

 

Prizes:

1.  Canterbury University Undergraduate Scholar 1996

2.  Awarded Peter Bryant Memorial prize (100 level) 1996  Canterbury University

3.  CICD / ISDS prize for best original scientific presentation at Annual Scientific Congress Christchurch May 2007

Contact Details

161 Gillies Avenue, Auckland

Central Auckland

161 Gillies Avenue
Epsom North
Auckland 1023

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Street Address

161 Gillies Avenue
Epsom North
Auckland 1023

Postal Address

PO Box 26498
Epsom
Auckland 1344

This page was last updated at 6:37PM on May 10, 2021. This information is reviewed and edited by Andrew Lienert - Urologist.