About
Dr. Andrew Eaton MacNeily is a dedicated Urologist specializing in the diagnosis and treatment of conditions affecting the urinary tract in men and women, and the male reproductive system. Practicing at a urology clinic within a hospital department in Vancouver, BC, he is an integral part of the local medical community. His practice adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). Dr. MacNeily provides comprehensive care for a wide range of urological issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. His approach emphasizes personalized treatment plans tailored to each patient's needs, supported by modern diagnostic tools and minimally invasive techniques. He is committed to improving patient outcomes through evidence-based practice and empathetic patient care.
Dr. MacNeily graduated with a Medical Degree from Queen's University in Canada and holds specialty certification as a Urologist. He is certified by the Royal College of Physicians and Surgeons of Canada, demonstrating his expertise and dedication to maintaining the highest standards of urological care. Throughout his career, he has undergone extensive training and continues to stay current with advances in urological research and technology, ensuring his patients benefit from the latest treatment options available.
He believes in a patient-centered philosophy, utilizing advanced and minimally invasive techniques where appropriate. Dr. MacNeily emphasizes comprehensive patient education to empower individuals in making informed decisions about their health. Dedicated to serving the Vancouver community, he provides care in English and is committed to addressing each patient's unique concerns with compassion and professionalism. His goal is to deliver effective, safe, and compassionate urological care tailored to adult male and female patients.
Dr. Andrew MacNeily addresses a wide range of urological conditions, including:
General Urologic Symptoms & Disorders
- Urinary Frequency, Urgency & Nocturia: Symptoms of needing to urinate often, suddenly, or frequently during the night, which can indicate various underlying conditions.
- Urinary Tract Infections (UTIs) - Complicated or Recurrent: Infections affecting any part of the urinary system that are frequent, persistent, or associated with underlying factors.
- Neurogenic Bladder: Bladder dysfunction caused by neurological damage or conditions affecting nerve control of the bladder.
Prostate & Male Genital Conditions
- Prostatitis (Acute & Chronic Bacterial, Chronic Pelvic Pain Syndrome): Inflammation or infection of the prostate gland, causing pain, urinary difficulties, and other symptoms.
- Testicular Pain, Masses & Swelling (e.g., Epididymitis, Orchitis, Hydrocele, Varicocele, Testicular Torsion): Various conditions causing discomfort or changes in the testicles or scrotum, requiring urological evaluation.
- Erectile Dysfunction (ED): The inability to get or keep an erection firm enough for sexual intercourse.
Female Pelvic Health & Urinary Conditions
- Urethral Syndrome / Chronic Urethritis: Symptoms of urethral irritation or inflammation without evidence of bacterial infection.
- Urge Urinary Incontinence / Overactive Bladder: Sudden, intense urge to urinate followed by involuntary loss of urine.
- Pelvic Organ Prolapse (Cystocele - Bladder Prolapse): When the bladder drops (prolapses) from its normal position in the pelvis and pushes on the wall of the vagina.
This list is not exhaustive. For personalized advice regarding your specific urological concerns, please consult with Dr. Andrew MacNeily.
- Penile & Urethral Cancer Management: Diagnosis and treatment strategies for less common urogenital cancers.
- Urodynamic Studies (Cystometry, Uroflowmetry, EMG): Comprehensive testing to assess bladder function, storage, and emptying capabilities, helping diagnose voiding dysfunctions and incontinence.
- Management of Post-Operative Urological Care: Providing comprehensive follow-up and management after urological surgeries to ensure optimal recovery and outcomes.
- Laser Surgery for Urological Conditions: Employing various laser technologies for treatments such as BPH (e.g., HoLEP, GreenLight), kidney stones, and bladder tumors.
- Erectile Dysfunction (ED) Diagnosis & Treatment: Comprehensive evaluation and management of ED, including oral medications, injection therapy, vacuum devices, and penile prosthesis surgery.
- Ureteroscopy with Laser Lithotripsy & Stent Placement: Minimally invasive procedure using a scope passed through the ureter to locate and break up stones with a laser, often followed by temporary stent placement.
- Percutaneous Nephrolithotomy (PCNL): Surgical procedure to remove large or complex kidney stones directly from the kidney through a small incision in the back.
Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. MacNeily for care relevant to your needs.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant urological care guidelines. Contact the clinic regarding new patient intake and referral processes.
Located within a specialized urology department in Vancouver's Shaughnessy neighborhood, Dr. MacNeily's clinic is easily accessible for patients in the area. The facility is situated along a major Commercial Corridor with convenient access via public transit, including TransLink (SkyTrain Expo, Millennium, and Canada Lines), bus, SeaBus, and West Coast Express (Waterfront). The clinic is wheelchair accessible, ensuring ease of access for patients with mobility needs. Parking is available at or near the facility, providing convenient options for patients arriving by private vehicle. As a key medical facility within a larger hospital setting, the location is equipped to deliver comprehensive urological care with modern amenities and a patient-focused environment.
- Are consultations and treatments with Dr. MacNeily, a Urologist, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations with a licensed Urologist like Dr. MacNeily, as well as most diagnostic tests (e.g., cystoscopy, urodynamics) and provincially insured surgical procedures, are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Some newer technologies, medications, or elective procedures (like cosmetic urology or certain non-insured infertility treatments) may not be covered or may require special authorization. It's always recommended to discuss coverage specifics with Dr. MacNeily's office or Medical Services Plan (MSP).
- Do I need a referral to see Dr. MacNeily, a Urologist?
- Yes, for most urological consultations and treatments covered by provincial health plans in BC, a referral from your family physician or another specialist is typically required to see a Urologist like Dr. MacNeily. This ensures your care is coordinated and appropriate. Some specific services, like vasectomy in certain private clinic settings, might occasionally be accessed directly, but for general urological assessment or provincially insured care, a referral is the standard pathway.
- What can be done for urinary incontinence?
- Urinary incontinence (loss of bladder control) is a common and often treatable condition. Treatment depends on the type of incontinence (stress, urge, mixed, overflow). Options may include lifestyle changes (e.g., fluid management, bladder training), pelvic floor muscle exercises (Kegels), medications, medical devices (like pessaries for women), nerve stimulation, or surgical procedures (such as sling surgery for stress incontinence). Dr. MacNeily can help determine the cause and best treatment plan for you.
- When should I consider seeing a Urologist?
- You should consider seeing a Urologist if you experience symptoms such as blood in your urine (hematuria), recurrent urinary tract infections (UTIs), difficulty urinating (hesitancy, weak stream, straining), frequent or urgent need to urinate, urinary incontinence (leakage), pain in the flank, lower abdomen, or groin that might be related to kidney stones, or any concerns related to the male reproductive organs (e.g., testicular pain/lumps, erectile dysfunction, male infertility). Your family doctor can help determine if a referral to a urologist like Dr. MacNeily is appropriate.
- What treatment options are available for erectile dysfunction (ED) with Dr. MacNeily?
- Erectile dysfunction (ED) has various treatment options available. After evaluating the potential causes, Dr. MacNeily may discuss lifestyle modifications, oral medications (like PDE5 inhibitors), vacuum erection devices, injection therapy (intracavernosal injections), or in some cases, surgical options like penile implants. The best treatment depends on the underlying cause of ED and individual patient factors and preferences.
- What are some common tests a Urologist might perform or order?
- Depending on your symptoms and condition, Dr. MacNeily may perform or order several tests. These can include urinalysis (urine test), urine culture, blood tests (like PSA for prostate health), imaging studies (ultrasound, CT scan, MRI of the kidneys, bladder, or prostate), urodynamic studies (to assess bladder function), and cystoscopy (a scope to look inside the bladder and urethra). He will explain why any specific test is needed and what it involves.
4480 Oak St, Pediatric Urology Clinic - ACB KO-134, BC's Children's Hospital
Vancouver, BC V6H 3V4
Phone: (604) 875-2734 | Fax: (604) 875-2721
The facility is wheelchair accessible.
Dr. MacNeily is a licensed Urologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician is typically required for consultations with Dr. MacNeily for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/305744/MacNeily%2CAndrew