Surgeries and Office Procedures
Central Texas Urology is proud to offer robotic surgery for a variety of urologic conditions.
Any surgery that could previously be performed laparoscopically can now be done using the DaVinci Si surgical system. The instruments used during robotic surgery allow surgeons increased dexterity, precision and maneuverability. Prostate, kidney, bladder and reconstructive surgeries are all being widely performed using the robotic platform with excellent results. Talk to your urologist to see if you are a good candidate for robotic surgery.
Incontinence and overactive bladder symptoms come in many forms and have many different treatment options. Talk to your urologist to see what treatment option is best suited to your condition.
A mid-urethral sling is a minimally invasive procedure performed for stress urinary incontinence. This simple outpatient procedure involves placing a small supportive strip of mesh under the urethra. This gives the body the extra support it needs to decrease or stop urinary leakage.
Sacral neuromodulation, or Interstim, is a procedure performed for severe urge incontinence or refractory overactive bladder symptoms. It can also be performed for urinary retention by helping the bladder to empty. The procedure involves placing a small electrical stimulator that helps the brain and nerves better communicate with the bladder.
For men with erectile dysfunction that does not respond to medical management, several surgical options are available through Central Texas Urology. A penile prosthesis is a device surgically implanted to help men achieve an artificial erection. This is a very safe and widely performed procedure that has helped millions of men with ED due to diabetes, high blood pressure or prior surgeries.
Cystoscopy involves placing a flexible camera into the bladder after local anesthesia is given. This enables the physician to directly visualize the inside of the bladder and is helpful for diagnosing numerous urologic conditions such as blood in the urine, enlarged prostate or incontinence.
TRUS Bx is a transrectal ultrasound guided biopsy of the prostate. This is often performed due to an elevated PSA value or abnormal prostate exam and is done to detect prostate cancer. A rectal ultrasound probe is inserted and the prostate is visualized using real time imaging. Several needle samples of tissue are obtained and sent to a pathologist for microscopic analysis.
A vasectomy is a minor surgical procedure meant to provide permanent contraception. During the procedure, the vas deferens is cut to prevent transport of sperm from the testicles during intercourse. Vasectomies are done using a no scalpel technique under both conscious sedation and local anesthesia. The recovery period is brief and the procedure has no lasting effects on libido or erectile function. Over 200,000 vasectomies are performed safely every year; ask for an initial vasectomy consultation to discuss this in more detail with your urologist today!
TUMT, or Transurethral Microwave Therapy, is used when there is a need to shrink the prostate to reduce the blockage of urine flow. An instrument called an antenna sends out microwave energy and is inserted through the urethra to a location inside the prostate. Microwaves are then used to heat the inside of the prostate. A cooling fluid is placed around the microwave antenna to prevent damage to the wall of the urethra from heat. This procedure is done in office and only requires a local anesthetic or light sedative. It has been proven to be very effective in treating BHP but is not appropriate for every patient.
Stones may form anywhere in the urinary tract, from the bladder to the kidney, and require surgical removal or destruction. Stones in the bladder are often removed with a scope placed into the bladder or by means of open surgery. Kidney stones can be managed with ureteroscopy, ESWL or PCNL, depending on their size and location. Ureteroscopy entails passing a small camera up the urinary tract until the stone is directly seen. It is then broken into small pieces and removed.
ESWL, or extracorporeal lithotripsy, is a minimally invasive treatment in which shockwaves are directed at the kidney stone to break it into pieces small enough for the body to pass naturally.
PCNL, or percutaneous nephrolithotomy, is a procedure done for larger kidney stones. A camera is passed directly into the kidney through the patient’s back and the stones are removed.
BPH, or Benign Prostatic Hyperplasia, is a common condition that refers to the enlargement of the prostate gland. Numerous surgical treatment options are available to help alleviate the bothersome and potentially harmful symptoms associated with growing prostate size. These range from simple office procedures to large open surgeries. The greenlight laser PVP and Olympus plasma button vaporization of the prostate are both cutting edge, minimally invasive treatment options for enlarged prostates. Both can be done on an outpatient basis with minimal recovery time.
PTNS, or Percutaneous Tibial Nerve Stimulation, is a minimally invasive procedure for overactive bladder syndrome. PTNS works by gently stimulating the tibial nerve during 30 minute sessions performed in the office. These impulses are then relayed to the sacral nerve plexus, and then on to the bladder. Talk to your urologist to see if you might be a candidate.
A urodynamic study is a commonly performed procedure done to better evaluate the compliance, capacity and function of the bladder. This is a very helpful procedure that provides a large amount of information to your treating urologist and may direct your future treatment options.
Surgical Options for Cancer
Urologic cancers come in many forms and without warning. At Central Texas Urology, you can always be sure that your physicians know the most up-to-date and cutting edge treatment options for your particular illness. Some cancers, such as bladder cancer, can be managed without any incisions. During a TURBT, or transurethral resection of bladder tumor, a camera is inserted into the bladder and the tumor is removed using a special instrument called a resectescope.
Other tumors can be managed by inserting a camera and instruments into the abdomen to remove the cancer. A laparoscopic nephrectomy is a minimally invasive way to remove kidney cancer, and is now the accepted standard of care for most cases. This allows for a much smaller incision and quicker healing times.
Prostate brachytherapy, or placement of radioactive seeds, is another treatment option for prostate cancer. Dr. Story has been performing this minimally invasive procedure for more than 20 years right here in Central Texas.
Despite all of the advances in technology and healthcare, certain cancers or very large tumors are still treated with open surgery. Our physicians at Central Texas Urology will talk to you and your family in detail regarding the various treatment options and together we will choose the one that is right for you.
Botox injections involve injecting botulinum toxin into the bladder muscle using a camera placed into the bladder. This new treatment is very effective in treating refractory incontinence or neurogenic bladder problems. A 5-minute office procedure could be the key to 6-9 months of improved bladder control.
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Central Texas Urology is proud to offer courteous, friendly, state-of-the-art, efficient care. We feel it is important for you and your family to understand as much as possible about your healthcare. We are dedicated to providing you with the best and latest information and procedures available.