• Urologic Procedures

Circumcisions

Circumcision is the removal of a simple fold of skin (the `foreskin’ or `prepuce’) that covers the head (glans) of the un-erect penis.

Cystoscopy

A cystoscope is a thin tube with a camera and light on the end. During a cystoscopy, this tube is inserted through your urethra and into your bladder so the doctor can visualize the inside of your bladder. Your urethra is the tube that carries urine out of your bladder.

Direct visualization internal urethrotomy to treat urethral strictures

A urethrotomy is an operation which involves incision of the urethra, especially for relief of a stricture. It is most often performed in the outpatient setting, with the patient (usually) being discharged from the hospital or surgery center within six hours from the procedure’s inception.

Extra corporeal shockwave lithotripsy (ESWL)

Kidney & urethral stone removal-Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy®.

Hydrocele & spermatocele repairs

A number of factors can affect the scrotum and cause scrotal enlargement. Two conditions that are commonly found in men include a hydrocele and a spermatocele. A Hydrocele is a collection of fluid around the testicle. … When patients have symptomatic hydroceles or spermatoceles surgery is generally recommended.

Interstim for Overactive Bladder, and Non-Obstructionary Urinary Retention and Bladder Control Problems

Orchiectomy

Surgical removal of one or both testicles.

Pelvic Neurostimulators

Neurostimulation is a high-tech intervention that is increasingly being used to treat refractory pelvic pain and bladder dysfunction syndromes, such as interstitial cystitis.

Prostate Cryotherapy for Prostate Cancer

Cryotherapy (also called cryosurgery or cryoablation) is the use of very cold temperatures to freeze and kill prostate cancer cells. Despite it sometimes being called cryosurgery, it is not actually a type of surgery.

Uronav – MRI/Ultrasound fusion guided prostate biopsy

biopsyUroNav brings the power of MRI to the Urology suite as prostate and lesion segmentation data from Radiology are quickly and easily transferred to UroNav for review and target identification. This critical exchange of diagnostic information fosters enhanced collaboration between Radiology and Urology in the assessment and biopsy of suspicious prostate lesions. Futher, biopsy core location data can be sent back to Radiology and viewed on DynaCAD as a “reverse fusion” with a pre- or post-biopsy MRI.
http://www.invivocorp.com/solutions/prostate-solutions/uronav/

Urolift to treat Benign Prostatic Hypertrophy

The UroLift® System is a minimally invasive treatment designed to treat lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).
https://urolift.com/urolift-system/

Penile Implants

Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail. There are two main types of penile implants, semirigid and inflatable.
Implantable Penile Prosthesis (IPP) – http://www.bostonscientific.com/en-US/patients/about-your-device/penile-implants.html
https://www.coloplast.us/Surgical-Urology/Professional/Erectile-Dysfunction/#section=Inflatable-penile-prosthesis_83699

Tissue Sparing Prostate Ablation for Prostate Cancer (TSPA )

This procedure is an outpatient surgery with no incisions, without an overnight hospital stay, often without requiring the patient to go home with a catheter. Ablation is a less aggressive treatment option, where only areas within the Prostate having cancer cells are treated. The main goal of TSPA is eradicating tumors within the Prostate and avoiding damage to sensitive surrounding tissues, thus preserving patients quality of life.

The device for the TSPA is the Encage RF bipolar device. It has an inner electrode and an external coiled electrode. The heat effect starts in the inner electrode and propagates towards the external coil, until the tissue within the limits of the cage is totally destroyed. The outer coil generates a Faraday Cage effect preventing destruction to spread beyond the limits of the cage.

TSPA can be a good option to younger patients, patients with less aggressive types of Prostate Cancer and to those unable or unwilling to undergo more invasive prostate surgery.

Clinical studies demonstrated excellent cancer control and virtually no adverse side-effects. TSPA is available in the US on a Concierge basis in a limited number of centers.

Click here for a patient presentation

Click here to watch Prostate Cancer Focal Therapy

Transurethral resection of bladder tumor (TURBT)

Transurethral resection (TUR) of the bladder is a surgical procedure that is used both to diagnose bladder cancer and to remove cancerous tissue from the bladder. This procedure is also called a TURBT (transurethral resection for bladder tumor).

Transurethral resection of the Prostate (TURP)

Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate. A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra).

Ureterosopy with laser lithotripsy for treatment of bladder stones

Laser lithotripsy is a surgical procedure to remove stones from urinary tract, i.e., kidney, ureter, bladder, or urethra.

Urethral slings for urinary incontinence

The vaginal sling procedure is also called the pubovaginal sling procedure. It’s a type of surgery used to treat urinary incontinence in women. Urinary incontinence is the medical term for the inability to control your bladder. This condition leads to the leakage of urine.

Vasectomy reversals

Vasectomy reversal is a term used for surgical procedures that reconnect the male reproductive tract after interruption by a vasectomy. Two procedures are possible at the time of vasectomy reversal: vasovasostomy (vas deferens to vas deferens connection) and vasoepididymostomy (epididymis to vas deferens connection).

Vasectomy

A vasectomy is a permanent severance of the vas deferens, which carries sperm from the testes to the penis. … By cutting the tubes, a vasectomy prevents the sperm from reaching the semen. After the procedure, a man can ejaculate, but there will be no sperm. A vasectomy is a permanent way to prevent pregnancy.

Prostate biopsy

A prostate gland biopsy is a test to remove small samples of prostate tissue to be looked at under a microscope. … For a prostate biopsy, a thin needle is inserted through the rectum (transrectal biopsy), through the urethra, or through the area between the anus and scrotum (perineum).

Injections into bladder to treat urinary incontinence or neurogenic bladder:

– Macroplastique

Macroplastique is an injectable soft-tissue urethral bulking agent for treating adult female stress urinary incontinence primarily due to intrinsic sphincter deficiency. Macroplastique is injected into the tissues surrounding the urethra.

– Botox

Botox Treatment for the Bladder. Botox (Botulinum A toxin) is a powerful drug that acts to temporarily paralyze muscles when it is locally injected. … It is commonly used for diverse conditions like muscle spasticity, headaches, as well as the treatment of urinary incontinence.
https://www.botoxforoab.com/about-allergan

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