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Laser/Plasma
Vaporize Prostate Enlargement (TURP)
There are many procedures available
for men with prostate related voiding issues/urinary retention.
These procedures are typically offered after medical therapy
has be exhausted. Minimal discomfort is expected and urethral
catheter duration is short. The procedure is done under
anesthesia with the use of a cystoscope (without an incision).
A variety of energy sources are available such as GreenLight,
Holmium, monopolar and bipolar (plasma vaporize). They are
performed in a hospital/surgery center setting as an outpatient
or overnight stay.
Please
click on the following useful links to learn more about
this condition.
GreenLight Laser - http://www.amsgreenlight.com/
Holmium Laser - http://www.holmiumforbph.com
Plasma Vaporize - http://plasmabutton.com/Patient/Why_PlasmaButton_sup_trade_sup
& http://www.olympus.es/medical/en/medical_systems/applications/urology/plasma_vaporization/plasma_vaporization.html
Laser
Ureteroscopy
It is a procedure in which a small scope (like a flexible
telescope) is inserted into the bladder and ureter and it
is used to diagnose and treat a variety of problems in the
urinary tract. For ureteral stones, it allows the urologist
to actually look into the ureter, find the stone, break
it with a laser and remove it. The surgeon passes a tiny
wire basket into the lower ureter via the bladder, grabs
the stone and pulls the stone free. This is an outpatient
procedure with or without a stent inserted (a tube that
is placed in the ureter to hold it open). However, depending
on the skill and experience of the surgeon, ureteroscopy
can be used for virtually any stone of a size appropriate
for it. Fragmentation of stones using helium laser device
ureteroscopy is more assured than with shock wave lithotripsy
(SWL).
Kidney
Stone Lithotripsy (ESWL)
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.
These are what the words mean:
- extracorporeal:
from outside the body
- shock
waves: pressure waves
- lithotripsy
(the Greek roots of this word are "litho" meaning
stone, "tripsy" meaning crushed)
So,
SWL describes a nonsurgical technique for treating stones
in the kidney or ureter (the tube going from the kidney
to the bladder) using high-energy shock waves. Stones are
broken into "stone dust" or fragments that are
small enough to pass in urine. lf large pieces remain, another
treatment can be performed
Percutaneous
Kidney Stone Treatment (PCNL)
Percutaneous nephrolithotomy, or PCNL, is performed under
general anesthesia. During the procedure, your doctor makes
a small incision in your side about the size of a fingertip.
A narrow tunnel is then created directly into the kidney.
A special telescope (called a nephroscope) is used to examine
the inside of the kidney. Stones are broken by high speed
vibration or a laser. This procedure usually requires a
one to three day hospital stay and most patients resume
normal activity within two weeks.
Minimally
Invasive (laparoscopic) Kidney Cancer Procedures
Kidney
surgery is possible with use of open, laparoscopic, percutaneous,
and/or robotic techniques. Minimally invasive procedures
allow for similar long-term outcomes with the advantage
of a quicker recovery. Larger renal masses/tumors may require
removal of the entire kidney while smaller masses may benefit
from a partial nephrectomy or a percutaneous/laparoscopic
thermal ablation.
Bladder
Cancer Surgery
Surgery for bladder cancer includes:
•Transurethral resection of the bladder (TURB): Cancerous
bladder tissue is removed through the urethra.
•Partial or complete removal of the bladder: Many people
with stage II or III bladder cancer may need to have their
bladder removed (radical cystectomy). Sometimes only part
of the bladder is removed.
Scrotal
Surgery
The scrotum usually consists of a very flexible and
wrinkly skin sack which accommodates the testicles. It’s
shape and size is usually adjusted to the size of the testicles
in a way that it looks “filled out”. Some conditions
such as undescended testicles (testicles remain in the groin
area and need to be surgically moved down into the scrotum
or removed in order to eliminate risk of cancer), testicular
atrophy (testicles were originally “normal” in
size, but have shrunk over time due to several conditions
such as hormonal imbalance or testosterone abuse), removal
of one or both testicles due to cancer, and originally smaller
size of the testicles compared to the scrotal sack may require
a surgical correction of the scrotal aesthetics. Fluid in
the scrotum, called hydrowells, can be drained or surgically
corrected.
Vasectomy
Vasectomy is a surgical procedure for male sterilization
and/or permanent birth control. During the procedure, the
vasa deferentia of a man are severed, and then tied/sealed
in a manner such to prevent sperm from entering into the
seminal stream (ejaculate). Vasectomies are usually performed
in a physician's office or medical clinic. Due to the simplicity
of the surgery, a vasectomy usually takes less than 30 minutes
to complete. After a short recovery at the doctor's office
(usually less than an hour), the patient is sent home to
rest. Because the procedure is minimally invasive, many
vasectomy patients find that they can resume their typical
sexual behavior within a week, and do so with minimal discomfort.
Circumcision
Circumcision is the removal of the foreskin, which is the
skin that covers the tip of the penis. In the United States,
it is often done before a new baby leaves the hospital.
There are medical benefits and risks to circumcision. Possible
benefits include a lower risk of urinary tract infections,
penile cancer and sexually transmitted diseases. The risks
include pain and a low risk of bleeding or infection.
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