Here you will find a list of common Urologic Treatments.  Click the Tabs to find out more.

Laparoscopic Surgery

Laparoscopic Surgery

Laparoscopic surgery is a surgical technique in which short, narrow tubes (trochars) are inserted into the abdomen through small (less than one centimeter) incisions. Through these trochars, long, narrow instruments are inserted. The surgeon uses these instruments to manipulate, cut, and sew tissue.

No-Scalpel Vasectomy

No-Scalpel Vasectomy

A vasectomy is surgery to cut the vas deferens, the tubes that carry a man’s sperm from his scrotum to testicles. After a vasectomy, sperm cannot move out of the testes. A man who has had a successful vasectomy cannot make a woman pregnant.

Brachytherapy

Radiation Therapy

 

Also called: Brachytherapy, Radiotherapy

Radiation is a form of energy released in particles or waves. In high doses, radiation destroys cells or keeps them from multiplying.

Radiation therapy is a cancer treatment. Its goal is to kill cancer cells and shrink tumors. Unlike cancer cells, most of your normal cells recover from radiation therapy. Doctors try to protect normal cells by limiting the radiation dosage and spreading treatment out over time. When they use radiation machines, they shield as much of your body as possible while targeting the cancer.

The radiation for cancer treatment comes externally, from special machines, or internally, from radioactive substances that a doctor places in your body. Sometimes radiation is used with other treatments, like surgery or chemotherapy.

Robotic Surgery

Robotic surgery

Robotic surgery is a technique in which a surgeon performs surgery using a computer that remotely controls very small instruments attached to a robot.

Description

This procedure is done under general anesthesia (you are asleep and pain-free). The surgeon sits at a computer station nearby and directs the movements of a robot. Small instruments are attached to the robot’s arms.

The surgeon first inserts these instruments into your body through small surgical cuts. Under the surgeon’s direction, the robot matches the doctor’s hand movements to perform the procedure using the tiny instruments.

A thin tube with a camera attached to the end of it (endoscope) allows the surgeon to view highly magnified three-dimensional images of your body on a monitor in real time.

Why the Procedure is Performed

Robotic surgery is a type of procedure that is similar to laparoscopic surgery. It also can be performed through smaller surgical cuts than traditional open surgery. The small, precise movements that are possible with this type of surgery give it some advantages over standard endoscopic techniques.

Sometimes robotic-assisted laparoscopy can allow a surgeon to perform a less-invasive procedure that was once only possible with more invasive open surgery. Once it is placed in the abdomen, a robotic arm is easier for the surgeon to use than the instruments in endoscopic surgery.

The robot reduces the surgeon’s movements (for example, moving 1/2 inch for every 1 inch the surgeon moves), which reduces some of the hand tremors and movements that might otherwise make the surgery less precise. Also, robotic instruments can access hard-to-reach areas of your body more easily through smaller surgical cuts compared to traditional open and laparoscopic surgery.

During robotic surgery, the surgeon can more easily see the area being operated on. The surgeon is also in a much more comfortable position and can move in a more natural way than during endoscopy. However, robotic surgery can take longer to perform, due to the amount of time needed to set up the robot. Also, the robot is expensive to use and may not be available in many hospitals.

Robotic surgery may be used for a number of different procedures, including:

  • Coronary artery bypass
  • Cutting away cancer tissue from sensitive parts of the body such as blood vessels, nerves, or important body organs
  • Gallbladder removal
  • Hip replacement
  • Hysterectomy
  • Kidney removal
  • Kidney transplant
  • Mitral valve repair
  • Pyeloplasty (surgery to correct ureteropelvic junction obstruction)
  • Pyloroplasty
  • Radical prostatectomy
  • Tubal ligation

Robotic surgery cannot be used for some complex procedures. For example, it is not appropriate for certain types of heart surgery that require greater ability to move instruments in the patient’s chest.

Botox Intravesical Injection

Botox Intravesical Injection

Botox is a prescription medicine that is injected into the muscles of the bladder to treat urinary incontinence in adults with overactive bladder due to neurologic disease. Candidates for Botox injections still have leakage or cannot tolerate the side effects after trying an anticholinergic medication. It is possible for the results from Botox injections to last for up to one year.

Minimally Invasive Surgery

Minimally Invasive Surgery

A minimally invasive procedure is any procedure that is less invasive than open surgery used for the same purpose. A minimally invasive procedure typically involves the use of laparoscopic devices and remote controlled manipulation of instruments with indirect observation of the surgical field through an endoscope. Minimally invasive surgery may result in shorter hospital stays or outpatient treatment. Minimally invasive surgery causes less operative trauma for the patient. Less trauma results in less pain and scarring with a faster recovery and reduced risk of complications.

 

Laser Surgery

Laser Surgery

Laser surgery is surgery using a laser (instead of a scalpel) to cut tissue. Laser surgery is safer than normal surgery as it makes no physical contact, so infection cannot be spread.

Endoscopic

Endoscopic

Endoscopy means looking into the body for medical reasons with a lighted telescope. Cystoscopy is endoscopy of the urinary bladder via the urethra. Cystoscopy lets the doctor focus on the inner surface of the urinary tract.