Urological Outpatient Surgery Center
The Urology Group earned The Joint Commission’s Gold Seal of Approval for accreditation by demonstrating compliance with national standards for health care quality and safety in ambulatory care organizations. The Joint Commission is a non-profit organization that accredits and certifies more than 19,000 hospitals, healthcare organizations and programs in the U.S.
The Urology Center offers a broad spectrum of outpatient surgical procedures in the comfort of one outpatient facility.
Whenever possible, it is preferable to treat patients in an outpatient (ambulatory) setting. The Urology Center's Urological Outpatient Surgery Center at our Norwood Campus is the highest-volume urology-only surgery center in the country, with more than 14,000 surgeries performed annually - typically at a lower cost than traditional hospitals.
We perform many outpatient procedures, including:
Prostate biopsy: Diagnostic tissue testing for cancer cells.
A biopsy is a sample of tissue taken from the body so that it may be examined more closely for cancer cells or other diseases. Your physician usually will recommend a biopsy if a physical exam or related test indicates abnormalities in an area of the body. Biopsies are outpatient procedures that typically require either local or short general anesthesia.
There are several kinds of biopsies, but most are performed with a needle. In some cases, if the tissue is difficult to access, laparoscopic surgery may be necessary.
Cystoscopy: Examining the affected area through a tiny camera.
A cystoscopy is a test that enables the physician to see inside the bladder and urethra using a thin, flexible tube with a tiny, lighted camera. This instrument is called a cystoscope.
The cystoscope is inserted into the urethra and slowly advanced into the bladder, providing the physician a view of areas of the bladder and urethra that usually do not show up well on X-rays. Tiny surgical instruments can be inserted through the cystoscope to remove tissue or urine samples. Further, small bladder stones and some small growths may be removed during cystoscopy, eliminating the need for more extensive surgery.
Ureteroscopy: Removal of kidney stones with a thin, telescopic instrument.
A ureteroscopy is a procedure sometimes recommended for the treatment of kidney stones. It involves the insertion of a thin, telescopic instrument, called a ureteroscope, into the urinary tract to remove the stone(s).
Physicians recommend ureteroscopy to remove stones that are stuck in the ureter and sometimes for stones in the kidney.
A ureteroscopy is typically an outpatient procedure requiring general anesthesia. The surgeon does not make any incisions, but rather inserts the ureteroscope into the ureter through the urethra and bladder, where the kidney stone is located. Smaller stones can be removed all in one piece. Larger stones may need to be broken up before removal. Several types of instruments can be used to break up stones, but most surgeons prefer a laser.
The surgeon may also use the ureteroscope to push a kidney stone that is stuck in the ureter back up into the kidney. After the stone is returned to the kidney, the stone may be broken up using lithotripsy.
What To Expect After Surgery:
Ureteroscopy has a more than 95 percent success rate. Most people are able to go home the same day as the procedure. If hospitalization is necessary, the stay is usually no more than one to two days.
For several hours after the procedure you may have a burning feeling when you urinate. This feeling should go away within a day and can be mitigated by drinking a lot of water. Your doctor may also recommend medicine to numb the burning. There may be blood in your urine for two to three days. Many times a stent will be placed in the ureter for several days. A stent is a plastic tube that allows the kidney to drain properly and the ureter to heal. It may result in the frequent urge to urinate and may cause blood in the urine.
Lithotripsy: The breaking down of kidney stones using shock waves.
Lithotripsy is a procedure for the treatment of kidney stones. Also called ESWL (extra-corporal shock wave lithotripsy), it employs high-energy shock waves to break the stones into tiny pieces, allowing them to pass through the urinary tract and out of the body.
The procedure is typically recommended for people with a kidney stone that could pass into the ureter and cause blockage or pain. Lithotripsy may work best for stones in the kidney but can also be used for stones in the ureter. The procedure is not recommended for women who are pregnant or patients with bleeding problems.
A lithotripsy is an outpatient treatment that takes about an hour. General anesthesia is required.
The procedure takes place on a water-filled cushion atop the examination table, on which you lie while the surgeon uses X-rays or an ultrasound to locate the stone. Next, high-energy shock waves, called sound waves, will pass through your body until they hit the stones and break them into small pieces. These small pieces move through the urinary tract and out of the body more easily than a large stone.
Your surgeon may use a stent if you have a large stone. A stent is a small, short tube of flexible plastic mesh that will hold the ureter open, enabling the small stone pieces to pass without blocking the ureter.
What To Expect After Surgery:
After a lithotripsy, stone fragments usually pass in the urine for a few days and cause mild pain. If you have a larger stone, you may need another treatment.
- Vasectomy: A safe procedure for male sterilization.
Hernia treatment: To fix a protrusion through a weakness in the abdominal wall muscles.
The standard treatment for all hernias is conventional hernia-repair surgery (herniorrhaphy). While it is possible to simply live with a hernia and monitor it, there are risks. The main risk is that the protruding organ may become strangulated and have its blood supply halted, causing infection, gangrene, intestinal perforation, shock or even death.
Surgical repair is recommended for inguinal hernias in men under age 60 or in symptomatic hernias (hernias that cause pain or discomfort).
For open hernia repair surgery, a single incision is made in the groin. For laparoscopic hernia repair surgery, three tiny incisions are made in the lower abdomen.
Mesh patches of synthetic material are usually used to repair hernias. Patches are sewn or tacked over the weakened area in the abdominal wall after the hernia is pushed back into place. The benefit of the patch is that it reinforces the weakened abdominal wall, reducing the risk that a hernia will recur.
What To Expect After Surgery:
Most people who have hernia repair surgery are able to go home the same day. Recovery takes about three weeks, after which the patient most likely will be able to return to light activity after three weeks. Strenuous exercise should wait until after six weeks of recovery.
Incontinence slings: An internal support to lift the urethra to normal position and correct incontinence.
A physician may recommend urethral sling surgery for male patients who leak after their prostate is removed as part of cancer treatment. The procedure is routinely used to correct stress incontinence and is sometimes recommended after other surgeries have failed.
This surgeon places support material, or a sling, directly under the urethra and attaches it to the pubic bone to lift it back to its normal position. This lifting also exerts pressure on the urethra so it can better retain urine.
The sling material is usually made of a woven plastic mesh material, which provides permanent repair.
What To Expect After Surgery:
Most patients go home the same day as the surgery. You should avoid strenuous activities for two to four weeks. Most patients have very little pain after the procedure and can go back to normal activities within a few days.
Penile prosthesis: A device implanted in the penis, usually to treat erectile dysfunction.
Transurethral Resection or Laser Vaporization of the Prostate: A tiny instrument with an electrical loop or laser is inserted into the penis and removes obstructing tissue.
- Brachytherapy: A treatment for prostate cancer in which the surgeon inserts radioactive material (“seeds”) directly into the tissues that harbor cancerous tumors.
Bladder biopsy: Sampling or removal of tissue from the bladder lining.
Botox injection: Botox is injected directly into the bladder muscle.
Botox can be used to treat overactive bladder and other urinary issues. The physician injects Botox directly into the bladder muscle during a cystoscopy (a procedure that enables the doctor to view the affected area through a tiny camera).
The drug partially paralyzes the bladder, relaxing it so that it can store more urine, but leaves enough control to empty the bladder voluntarily. The treatment is not permanent – it typically lasts about nine months – and can cause side effects including urinary tract infection.
InterStim: Sacral nerve stimulation (InterStim therapy): A tiny pacemaker is implanted near the tailbone.
- Men’s Sexual and Urological Issues
- Women’s Urological and Pelvic Issues
- Prostate Issues
- Urological Issues
- Enlarged Prostate
- Prostate Cancer