Urological Surgery

Robotic Services provided by Frederick Health Medical Group

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:

• 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
• Dysfunctional voiding and urinary symptoms

Pediatric Urology Surgical Services at Frederick Health 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