After initial training in General surgery at Royal North Shore hospital urology training began in 2006 at Port Macquarie Hospital, Westmead and then Prince of Wales Hospital. During this time Dr Arianayagam had significant exposure to laparoscopic surgery (also known as keyhole surgery) and was soon able to perform many laparoscopic procedures. Whilst completing his Urologic Oncology Fellowship at The University of Miami Miller School of Medicine there was also significant exposure to laparoscopic surgery.
When Dr Arianayagam started working in Sydney in 2011, he performed the entire breadth of laparoscopic surgery. However, since that time, robotic surgery has replaced laparoscopy to a large extent. Dr Arianayagam has now performed over 1000 robotic procedures and is a very experienced surgeon who has also trained and mentored numerous registrars over the years.
Laparoscopic procedures performed include:
- Radical nephrectomy (removal of entire kidney)
- Partial nephrectomy (removal of part of the kidney)
- Pyeloplasty (repair of a kidney when it does not drain properly)
- Adrenalectomy (removal of abnormal or cancerous adrenal gland)
- Ureteric reimplantation (the ureter is reattached to the bladder after an injury, usually after a hysterectomy)

CT scan showing image of tumour on right side of the image.
This small tumour can be removed using key hole surgery.


