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Urology

Robotic Services provided by Frederick Urology Specialists

Nerve-Sparing Robotic Assisted Radical Prostatectomy

  • Excellent minimally invasive option for treatment of clinically localized prostate cancer with intent for "Cure"
  • Unparalleled visualization and preservation of nerves and muscles key to urinary and sexual function
  • 23 hour stay, less postoperative pain & earlier return to normal activity compared to the open approach
  • Our goal for every patient is to achieve "Trifecta": Surgical cure from cancer or best outcome as predicted by clinical staging, Excellent urinary control and Timely recovery of sexual function

Robotic Assisted Radical Nephrectomy

  • Minimally invasive removal of large and extensively involved cancerous kidney through small incisions
  • Reduced pain, earlier return to normal activity, excellent cosmetic result
  • 95% of patients are discharged within 23 hours

Robotic Assisted Partial Nephrectomy

  • Best treatment for well-defined and localized kidney cancer
  • Minimally invasive removal of cancerous tissue from an otherwise normal kidney to achieve excellent cancer cure while preserving maximum renal function.
  • No large incision, reduced pain, earlier return to normal activity, excellent cosmetic result
  • Most patients are discharged within 24-36 hours

Robotic Assisted Nephroureterectomy

  • Minimally invasive treatment for renal pelvic and ureteral cancer
  • Removal of the involved kidney, ureter, and the bladder cuff
  • No large incision, reduced pain
  • Most patients are discharged within 36 hours

Robotic Assisted Sacrocolpopexy with or without Hysterectomy

  • For many women, pelvic prolapse can include descent of the uterus, vagina, bladder and/or rectum resulting in a "buldging" sensation within the vagina. In some cases, frank protrusion of these organs can occur. This can significantly diminish her quality of life.
  • Minimally invasive surgical technique that provides a safe and durable method for reconstruction of the pelvic floor and its contents without the need for a large abdominal incision with more than 95% cure rate.
  • 23 hour stay, minimal pain, "band aid" incisions
  • Early return to normal activity

Robotic Assisted Pyeloplasty

  • Minimally invasive treatment of UPJ obstruction: blockage between the kidney and the ureter due to kinking or narrowing of the ureter.
  • Significantly less post-operative pain, short stay, earlier return to work and daily activities
  • Excellent functional & cosmetic result for otherwise mostly healthy and young patients

Robotic Assisted Pyelolithotomy

  • Minimally invasive complete removal of very large "staghorn" stones by making a small incision in the renal pelvis (the thin-walled urinary storage sac of the kidney) where the stones are located. Stones are removed intact and removed from the abdomen in a special bag. The incision is closed in the renal pelvis with no damage to kidney tissues
  • A good alternative to percutaneous and endoscopic approach for selected cases
  • 23 hour stay, minimal pain, "band aid" incisions

Robotic Assisted Ablation of Renal Cysts

  • Minimally invasive complete removal and ablation of symptomatic and sometimes very large kidney cysts
  • 23 hour stay, minimal pain

Robotic Assisted Partial and Radical Adrenalectomy

  • Minimally invasive complete or partial removal of adrenal glands for suspicious or functional adrenal masses
  • 23 hour stay, minimal pain

Additional robotic procedures: Vescicovaginal Fistula Repair, bladder diverticulectomy, ureteral reimplantation

  • Minimally invasive treatment of communication between bladder and vagina, large poorly functioning bladder segment, and distal ureteral obstruction or stricture.

Additional Services

Clinical Office based Pediatric Urology:

  • Clinical Evaluation and management of:
  • Dysfunctional voiding and urinary symptoms
  • Pediatric Urinary Tract Infection
  • Vescicoureteral reflux
  • Bedwetting and incontinence
  • Neuropathic bladder
  • Undescended testis, hydrocele, varicocele
  • Hematuria
  • Penile adhesions, adherences, phimosis, redundant foreskin, post-circumcision cosmesis concerns

Pediatric Urology Surgical Services at Frederick Memorial Hospital:

  • Circumcision (excluding neonatal)
  • Meatotomy
  • Orchiopexy for undescended testis
  • Hydrocelectomy
  • Varicocelectomy
  • Labial adhesions
  • Pediatric cystoscopy

Female Urology Surgical Services:

  • Midurethral slings (TVT, TOT) for stress urinary incontinence
  • Robotic Surgery for pelvic prolapse
  • Transvaginal anterior repair of cystocele (bladder prolapse)
  • Interstim® Sacral Neuromodulation for refractory overactive bladder, urge incontinence
  • Intravescical Botox injection for refractory urgency and urge incontinence due to neurological conditions
  • Open and Robotic Vesicovaginal fistula repair
  • Urethral Diverticulectomy
  • Excision of Urethral Cysts, Caruncles
  • Complete bladder-vaginal disconnection and bladder closure/diversion for severe urethral/bladder erosion and incontinence

Sexual Medicine & Prosthetics:

  • Inflatable and Malleable penile prosthesis for erectile dysfunction (primary and redo)
  • Artificial Urinary Sphincter for male urinary incontinence (primary and revision)
  • Medical and Surgical management of Peyronie’s disease
  • Male urethral sling for stress urinary incontinence
  • Penile Rehabilitation protocols for early recovery of sexual function after prostate cancer treatments (Clinical Trials)
  • Subinguinal and Laparoscopic varicocelectomy for male infertility or symptomatic varicoceles
  • Surgical management of urethral stricture (endoscopic, primary repair, graft repair)

Cryotherapy:

  • Prostate Cryotherapy - Minimally invasive treatment of primary prostate cancer or Post radiation prostate cancer recurrence
  • Kidney Cryotherapy - Laparoscopic or percutaneous treatment for small kidney tumors


 

 

 

 

 

                   

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