Health Quest urology services use advanced technology to treat conditions ranging from kidney stones and urinary incontinence to urologic cancer.
Urologists treat both male and female urological issues. Among the most common urological disorders we treat are kidney stones, urinary incontinence as well as prostate and kidney cancers. Among our state-of-the-art procedures are minimally invasive surgeries, which can reduce pain and can lead to faster recovery times.
Urinary Incontinence Treatments
When pharmaceutical treatments cannot control urinary incontinence, urologists can perform common minimally invasive procedures, including:
- Microwave Thermotherapy is the minimally invasive use of controlled heat to treat the prostate using a specially designed catheter inserted into the prostatic fossa (prostate bed). For men with benign prostatic hypertrophy (urinary retention), this procedure has a 72% success rate in improving both symptoms and urine flow rate and avoids the need for more aggressive surgeries.
- Tension-Free Vaginal Tape Procedure corrects stress urinary incontinence (involuntary loss of urine due to a physical action such as sneezing, coughing or exercise) in women. Via small incisions, the patient’s urethra is carefully restored to its normal position by weaving a "sling" of mesh tape beneath it. After surgery, the tape supports the urethra during a sudden movement, such as a cough or sneeze, allowing it to remain closed. This technique has proven results (84 to 95% success rate) compared to other surgical procedures. This same-day surgery results in less pain, and most patients return to daily activities in 2 to 3 weeks.
- Sacral Nerve Stimulation is offered to patients for whom pharmacologic and behavioral therapies did not work. With this technique, a permanent device is implanted to modulate the neural pathways controlling bladder function. Seventy-four percent of patients experience clinically significant improvement with this form of therapy.
The advanced surgical procedures we use to treat prostate, kidney and bladder cancers include:
- da Vinci® Robotic Prostatectomy: With da Vinci® Robotic Surgery, the likelihood of a complete recovery from prostate cancer without long-term side effects is better than ever for most patients. Recent studies suggest that a da Vinci® Prostatectomy may slow down the spread of cancer and deliver a quicker return to potency and continence. Other benefits include significantly less pain, less blood loss, fewer complications and less scarring compared to traditional prostatectomy.
- Bilateral Nerve-Sparing Radical Retropubic Prostatectomy is offered to patients with clinically localized prostate cancer. Considered the gold standard, this therapy preserves the cavernous nerves responsible for erectile function. Our affiliated surgeons have extensive training and experience with this technically demanding surgery.
- Laparoscopic Radical Nephectomy is offered to patients with kidney cancer. The kidney is removed intracorporeally through small "ports" using lighted telescopes, thereby avoiding the need for a large painful incision. Compared to the standard "open" nephrectomy, this is a much less invasive approach providing patients with less pain, improved cosmetic appearance and a shorter hospital stay.
- Nerve-Sparing Radical Cystectomy and Orthotopic Neobladder is offered to the small percentage of patients with bladder cancer who cannot be cured with conservative therapy. The cancerous bladder is replaced with an artificial bladder, created from contiguous segments of bowel. This "neobladder" avoids the need for patients to live with a colostomy bag (a pouch connected to a stoma that collects waste).