Urology Services

Our urologists are highly trained and experienced in the diagnosis and treatment of conditions of the urinary system. Here are some of the medical and surgical treatments available in our office:

Brachytherapy

Brachytherapy is a type of radiation therapy used to treat prostate cancer. Men in the early stages of prostate cancer can benefit from this procedure. This outpatient treatment typically takes 45 to 60 minutes. During the procedure tiny radioactive capsules called seeds, are implanted into the cancerous tissue. These seeds release radiation, which kills the cancerous tumor. Generally, 50 to 100 seeds are inserted into the prostate. The seeds release radiation for about 3 months and then become inactive. Following the procedure, you should be able to resume routine activities within a day of two.

Cryosurgery

The MonaLisa Touch is a gentle laser therapy that delivers controlled energy to the vaginal wall tissue. It restores gynecologic health by generating new collagen, elastin and vascularization. The MonaLisa Touch was first available outside the US where more than 15,000 patients have been treated worldwide.

Cryosurgery is a minimally-invasive procedure used to treat prostate cancer, specifically in the early stages. During the procedure, cancerous tissue within the prostate gland is frozen, causing cancer cells to die. The procedure typically takes about two to three hours. You may be given a general anesthetic or the surgical area will be numbed using local or regional anesthesia. Side effects include impotence, frequent, painful or difficult urination and urinary incontinence. You’ll have regular follow-ups with your urologist after the procedure, as well as periodic imaging and laboratory tests to assess treatment results. Typically, it takes the body up to 9 months to completely absorb the dead cancer cells.

Lithotripsy

Kidney stones are small; hard deposits made of mineral and acid salts. Passing them can be painful. The Lithotripsy procedure is designed to help kidney stones pass naturally. During treatment, a probe or machine is used to break the stones into tiny particles. There are three types of Lithotripsy: Ultrasonic Lithotripsy, Electrohydraulic Lithotripsy (EHL) and Extracorporeal Shock Wave Lithotripsy (ESWL):

  • Ultrasonic Lithotripsy – Using a probe, high frequency sound waves are used to break up the kidney stone. The fragments are passed naturally or surgically removed.

  • Electrohydraulic Lithotripsy (EHL) – A flexible probe transmits electrical shock waves to break down small kidney stones anywhere in the urinary system. Fragments can be passed naturally or removed. This treatment requires general anesthesia.

  • Extracorporeal Shock Wave Lithotripsy (ESWL) – Highly strong shock waves are used to break up stones anywhere in the urinary system. During the procedure you will hear a loud noise and experience moderate pain. Thus, you may be given sedation or light anesthesia for comfort. Large stones may require several treatments.

Radical Prostatectomy

Radical Prostatectomy is one of the methods used to treat prostate cancer. During the procedure, the prostate gland, some surrounding tissue and lymph nodes are surgically removed. Radical prostatectomy can be performed laparoscopically, or an incision can be made in the lower abdomen (retropubic prostatectomy) or in the perineum (perineal prostatectomy).  For perineal prostatectomy, to access the prostate, an incision is made between the anus and scrotum. With perineal prostatectomy and laparoscopic prostatectomy recovery may be quicker. Side effects of radical prostatectomy include urinary incontinence and erectile dysfunction.

Collagen Injection

Urinary incontinence, the inability to control urine, is a very common condition. There are different types of urinary incontinence. We use collagen injections to effectively treat stress incontinence. Stress incontinence occurs because the muscles that close off the bladder become weak. As a result, any activity that puts pressure on the bladder, such as coughing, sneezing, laughing, etc., causes urine to leak. Collagen can be injected into the tissue around the urethra to keep the muscles that close off the bladder from leaking. This is an outpatient procedure.

Biofeedback Training

Biofeedback training is intensive therapy designed to strengthen the pelvic floor muscles, and thus help improve incontinence, specifically stress, urge and mixed incontinence. Typically, you’ll have weekly sessions in the office. You’ll follow-up these in-office sessions with pelvic floor exercises at home. During biofeedback training, a sensor, shaped like a tampon, is inserted into the vagina or rectum, while a second sensor is placed on the abdomen. The sensors identify electrical signals from the muscles of the pelvic floor. You’ll be told to contract and relax the muscles, and the signals will be displayed on a computer. Using this information, you can learn to manage your incontinence.

Pubovaginal Sling

If you have severe stress incontinence, you may benefit from a pubovaginal sling. The sling or hammock is created using a strip of fibrous tissue from your abdomen. The sling is adjusted around the bladder neck and urethra and helps keep the urethra closed when you sneeze or cough. This outpatient surgery is very quick, easy and effective.

Holmium Laser

The holmium laser is used to remove kidney stones. The procedure is minimally invasive and performed under general anesthesia. During the procedure, your urologist will insert an ureteroscope into the urinary tract to access the stone. A ureteroscope is a long narrow camera. The stone is then broken down into tiny passable pieces using the holmium laser. This procedure immediately relieves symptoms. Recovery time is fast.

Laparoscopic Nephrectomy

Laparoscopic Nephrectomy is a safe, minimally effective way of removing a diseased or cancerous kidney. The surgery is performed under general anesthesia and typically lasts 3 to 4 hours. During the surgery, 3 small incisions are made in the abdomen. Tiny instruments and a telescope are inserted in these incisions, which your urologist will use to completely remove the affected kidney. Compared to traditional open kidney surgery, recovery is much quicker and there is less discomfort after surgery.

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