Urologic Care in Oklahoma

• Cystectomy (removal of part or all of the bladder to address bladder cancer)
• Bladder stones (removal of stones inside the bladder with a small scope)
• Cystoscopy (looking inside the urethra and bladder.  This is used to diagnose problems in the urethra and bladder. Many conditions can be operated on through the cystoscope without an incision in the skin.)
• InterStim therapy (minimally invasive procedure for overactive bladder or urinary retention)

The da Vinci® Surgical System is the most advanced, state-of-the-art surgery system available today. Using this minimally invasive robotic technology, our urological surgeons can perform precise movements through tiny incisions using a laparoscope. This tool transmits a 3D high definition view inside your body to a video monitor in the operating room to guide physicians during a procedure.

While the surgeon maintains complete control at all times, the robotic system is able to bend and rotate with better vision, control, and enhanced precision than the human hand.

Urological conditions that can be treated with da Vinci robotic surgery include:

• Kidney disorders and cancer
• Urinary obstruction
• Blockage of the ureter
• Ureteropelvic junction (UPJ) obstruction
• Prostate cancer
• Bladder cancer

Thanks to the minimally invasive da Vinci Surgical System, the skilled surgeons at Urology Associates can accomplish safe and successful outcomes. The benefits of this innovative technology include:

• Reduced pain and bleeding
• Decreased risk of complications
• Reduced scarring
• Quicker recovery time

• Cystocele repair (surgery to repair bladder prolapse)
• Coaptite (Injecting a substance under the lining of the urethra to help with stress urinary incontinence)
• Enterocele /rectocele repair (surgery to repair small bowel/rectum prolapse)
• Urethral sling (urinary incontinence surgery)

• Hernia repair (surgery to repair a condition that occurs when part of an organ pushes through an opening in the muscle or tissue that holds it in place)
• Inguinal lymph nodes: (Biopsy or surgery of the inguinal lymph nodes for infection or cancer)
• Varicocelectomy (surgery to repair a swelling of veins in the scrotum)

• ESWL (Sending focused shock waves through the body to break up stones located in the kidney or ureter.)
• Nephrectomy (surgical removal of one or both kidneys)
• Partial nephrectomy (surgical removal of part of a kidney while salvaging the rest of the functional kidney tissue. This is typically done for small kidney tumors)
• Nephrolithotomy ("PCNL," break down and removal of kidney stones using a scope inserted through a small incision in the back)
• Pyeloplasty (removal of a scarred portion of ureter and the repositioning of this junction to allow the kidney to drain)

• Circumcision (removal of excess of narrowed foreskin)
• Hypospadias repair (surgery to correct a defect in the opening of the penis)
• Penile prosthesis (device used to correct erectile dysfunction)
• Penile plication/grafting (to correct an abnormal curvature of the penis called Peyronnie's Disease)

Penile implants are designed to help you get and maintain an erection so you can experience the joy of sex again. Options include a flexible rod implant or an inflatable implant. The surgery is performed as an outpatient procedure.

PCNL offers a minimally invasive method of removing kidney and ureteral stones that are either too large (greater than 2 centimeters), too numerous, or too dense to be effectively treated with extracorporeal shockwave lithotomy (ESWL) or ureteroscopy. Traditionally, large stones were removed through open surgery, requiring a large flank incision. Now, however, PCNL can be performed through a 1-centimeter incision, thus minimizing incision size, blood loss, blood transfusions, and hospitalization.

• Biopsy
• Brachytherapy (the insertion of radioactive implants to treat cancerous tissue)
• Radical Prostatectomy (removal of prostate gland and lymph nodes due to cancer)
• Simple Prostatectomy (removal of the obstructing portion of the prostate gland in men with very large prostates)
• Transurethral resection (TURP, removal of the central portion of the prostate using a scope through the urethra)
• UroLift® System (placement of compressing anchors to open the inside of the prostate channel)

This procedure provides a safe and minimally invasive technique for the removal of a small kidney tumor, while preserving the rest of the healthy kidney. By removing only the tumor using state-of-the-art robotic assisted technology, this approach reduces pain, blood loss, and hospital stay compared to conventional open surgery with a similar cure rate. In addition, patients who undergo partial nephrectomy have a significantly lower risk of future kidney failure.

• Hydrocele aspiration (drawing off fluid from a swollen scrotum)
• Hydrocelectomy (removing a fluid-filled sac in the scrotum)
• Vasectomy (medical sterilization procedure for men)
• Vasectomy reversal (connecting the previously cut vas deferens to reestablish sperm transit)
• Scrotoplasty (relocation of the scrotal attachment to the penis to increase perceived penile length)

• Biopsy
• Orchiectomy (surgical removal of one or both testicles)
• Orchiopexy (surgery to fix an undescended or rotated testicle into proper position within the scrotum)
• Spermatocelectomy (removing a cyst from the tube that connects a testicle to the male reproductive system)
• Testicular implant (a saline filled fake testicle)

• Ureteroscopy (procedure to find and sometimes fix a problem inside of the urinary tract such as kidney stone, polyp, tumor, or abnormal tissue)
• Retrograde pyelogram (procedure that instills X-ray dye up the ureter and into the collecting system of the kidney to identify masses, stones, anatomic defects, or points of obstruction)
• Stent placement (a plastic tube placed in the ureter to relieve obstruction)

If you require surgery for a urological condition, turn to the board-certified urologists at Urology Associates in Oklahoma City, Oklahoma. Request a consultation online or call (405) 749-9655 to schedule a visit. We see patients in our main office as well as several satellite locations.