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Eva Fong - Urogynaecologist

Private Service, Urology, Obstetrics and Gynaecology

Description

Eva is a New Zealand-trained Auckland urologist specialising in female urology and urogynaecology.

She was born and raised in Wellington, attended the University of Auckland School of Medicine and completed the Royal Australasian College of Surgeons Advanced training in urology.

Eva's treatment philosophy is based upon careful evaluation of your condition and utilising her expertise in multiple techniques of therapy to offer you an optimal treatment plan that you feel comfortable with.

Conditions treated:

  • Urinary incontinence in women
  • Pelvic organ prolapse
  • Complex and recurrent prolapse and incontinence
  • Treatment of vaginal mesh and non-mesh related complications
  • Urinary incontinence in men (including post prostatectomy incontinence)
  • Lower urinary tract symptoms in women and men (including benign prostatic hyperplasia)
  • Neuro-urological conditions
  • Recurrent urinary tract infections
  • Kidney stones
  • General urological conditions.
 
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

Referral Expectations

GP or specialist referral is preferred, however we do also welcome direct enquiries.

Please bring any documentation you may have, for instance:

  • a referral letter from your GP
  • any scans, x-rays, or blood results
  • a list of your current medications and dosages.

N.B. If you are self referred then clearly you won't have a GP's letter, however, any information you are able to provide that will assist in a diagnosis will be most helpful.

If this is your first consultation you won't be required to fast, although if you have been asked to have a flow-test on arrival, then arriving with a full bladder is most helpful.

Please click here to access other forms and instructions.

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.
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.

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Parking is provided for patients at the front of the clinic.

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 1:08PM on January 25, 2023. This information is reviewed and edited by Eva Fong - Urogynaecologist.