expert type icon EXPERT

Adam J. W. Davies

Urologist

Dr. Adam Davies is a urologist practicing in Hamilton, New Zealand. Dr. Davies specializes in diseases of the urinary tract and the male reproductive system. This includes areas of the bladder, urethra, kidneys, penis and prostate. Urology is a surgical specialty and requires knowledge in other areas of expertise such as gynecology and internal medicine due to the variety of clinical problems that are involved. Dr. Davies offers help with urinalysis, urodynamic testing, proteinuria, haematuria, UTIs, incontinence, retention, cancers, kidney stones, renal failure, prostatitis, prostate cancer, and vasectomy, among many others.
Adam J. W. Davies
Specializes in:
  • Urological Surgery
  • Urological Cancer
  • Vasectomy
  • Urinalysis
  • Prostate Cancer
  • Hamilton, Waikato
  • University of Otago
  • Accepting new patients

Is this medicine safe to use on my penis?

Toplap gel is safe to use on unbroken skin, including the genitalia. However it may not fix your underlying problem. I would recommend a cream with a small amount of steroid. Apply READ MORE
Toplap gel is safe to use on unbroken skin, including the genitalia. However it may not fix your underlying problem. I would recommend a cream with a small amount of steroid. Apply twice daily for 3 weeks to the inside and outside of foreskin. This should assist the skin to stretch and reduce the cracking and hopefully produce a lasting improvement.

Stints in bladder after kidney stone surgery?

Yes your symptoms would all be consistent with a stent, and will be exacerbated if you have two stents. Try to avoid too much bending and lifting and keep up good fluid intake, READ MORE
Yes your symptoms would all be consistent with a stent, and will be exacerbated if you have two stents. Try to avoid too much bending and lifting and keep up good fluid intake, but avoid caffeine.

Enlarged prostate?

Yes, it could be your prostate. I recommend you talk to your doctor about trialling a medication to help relax the prostate and improve your flow. The medication is known as an READ MORE
Yes, it could be your prostate. I recommend you talk to your doctor about trialling a medication to help relax the prostate and improve your flow. The medication is known as an alpha-blocker. You should also have a prostate examination and urine test and your doctor may wish to consider a prostate blood test also, called PSA.

UTI and Levofloxacin?

Yes, I suggest that you discuss the antibiotic choice with your mother’s PCP, if you have concerns. Antibiotic choice is based not only on the patient’s allergies, but also what READ MORE
Yes, I suggest that you discuss the antibiotic choice with your mother’s PCP, if you have concerns. Antibiotic choice is based not only on the patient’s allergies, but also what the specific bacteria is susceptible to. The patient’s other health factors should also be considered.

I have blood in my urine?

Given it has been six years since you were last investigated for visible blood in the urine, I would recommend you see your doctor to discuss the pros and cons of repeating the READ MORE
Given it has been six years since you were last investigated for visible blood in the urine, I would recommend you see your doctor to discuss the pros and cons of repeating the investigations at this time.

Vasectomy question?

Generally speaking, the risk of a vasectomy failing is approximately 1/1000. If you have a negative sperm test shortly after a vasectomy, the long-term risk of failure is reduced READ MORE
Generally speaking, the risk of a vasectomy failing is approximately 1/1000. If you have a negative sperm test shortly after a vasectomy, the long-term risk of failure is reduced to approximately 1/2000. If a vasectomy fails, then I would expect you to have a positive sperm count, whenever you did the test. The vas deferens will either be patent or not. I don’t believe it would be intermittently patent.

Can I continue self catheterize indefinitely?

The short answer is yes, you can continue self catheterization indefinitely. For some people, it is the best option to empty their bladder, long term.

Blood in urine once?

If it happens again, I think you should contact your urologist. Long-term risks of radiation include radiation cystitis, which is damage to the bladder lining and can cause bleeding. READ MORE
If it happens again, I think you should contact your urologist. Long-term risks of radiation include radiation cystitis, which is damage to the bladder lining and can cause bleeding. There is also a remote risk of bladder cancer after radiation to the prostate. Your urologist may wish to inspect your bladder with a telescope.

Kidney stone?

The best way to help pass a kidney stone is plenty of water and flomax taken daily. A 2mm stone has a high chance of passing, but it could still take a few days or even a few weeks. READ MORE
The best way to help pass a kidney stone is plenty of water and flomax taken daily. A 2mm stone has a high chance of passing, but it could still take a few days or even a few weeks. Take pain killers as required. To prevent future kidney stones, keep up good oral hydration at all times, and maintain a diet low in salt and low in animal protein.
daviesurology.co.nz

Frequent urination?

You could have a kidney stone. Or an early kidney infection. I recommend a check up with your doctor.

Can drinking water lower your creatinine levels?

Yes, it can in the short term, if you start off dehydrated. Long term, it won’t make your creatinine lower. Being well hydrated is good for kidney health, though.

Urinating frequently?

No, it isn’t. There can be many reasons for urinary frequency. To find out more, see my website:
daviesurology.co.nz

Kidney disease?

Generally people with kidney stones and kidney disease, should both have a diet low in salt and low in animal protein. Those with kidney stones should have a high fluid intake. READ MORE
Generally people with kidney stones and kidney disease, should both have a diet low in salt and low in animal protein. Those with kidney stones should have a high fluid intake. Your wife should ask her own doctor about the GOLO diet. To find out more about kidney stones see my website
daviesurology.co.nz

Can a UTI make it difficult to urinate?

Yes it can. An infection would usually produce other symptoms also, such as painful urination, passing urine often and maybe blood in the urine or fevers and chills. If you are READ MORE
Yes it can. An infection would usually produce other symptoms also, such as painful urination, passing urine often and maybe blood in the urine or fevers and chills. If you are worried you should see your doctor for a urine test. To find out more about the urinary system see my website
daviesurology.co.nz

What is the treatment for prostate cancer?

Please see my website to help answer your questions. There is a section on prostate cancer: daviesurology.co.nz

What causes trouble urinating in a 12 year old?

He could have been born with a stricture or narrowing in his urethra or water pipe. Rarely a boy can also be born with a valve in his urethra. I recommend he be properly assessed READ MORE
He could have been born with a stricture or narrowing in his urethra or water pipe. Rarely a boy can also be born with a valve in his urethra. I recommend he be properly assessed by a doctor.

Blood in urine?

Blood in the urine should always be investigated. You should see your local doctor or a urologist. To find out what can cause blood in the urine see my website daviesurology.co.nz READ MORE
Blood in the urine should always be investigated. You should see your local doctor or a urologist. To find out what can cause blood in the urine see my website daviesurology.co.nz

What is the best antibiotic to treat epididymitis?

I generally recommend ciprofloxacin if sexual infection is unlikely. If STI is likely, I would treat with doxycycline instead. A 10 day course is best. To learn more about scrotal READ MORE
I generally recommend ciprofloxacin if sexual infection is unlikely. If STI is likely, I would treat with doxycycline instead. A 10 day course is best. To learn more about scrotal issues see my website daviesurology.co.nz

How accurate are CT scans for kidney stones?

CT scans are very accurate for kidney stones. They will detect almost 100% of stones. Using software they can even predict the composition of the kidney stone. To find out more READ MORE
CT scans are very accurate for kidney stones. They will detect almost 100% of stones. Using software they can even predict the composition of the kidney stone. To find out more about kidney stones see my website
daviesurology.co.nz

PVR Test?

If the first post void after surgery went well, then the second one should be good also. Prepare by attending the clinic with a 'mostly' full bladder and arriving a little early. READ MORE
If the first post void after surgery went well, then the second one should be good also. Prepare by attending the clinic with a 'mostly' full bladder and arriving a little early. You can then finish filling your bladder with less pressure.
Good luck!