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Within the past decade, great state-of-the-art techniques in Urology have been on a rapid rise with the development of better techniques for vasectomy, medical therapy for benign prostatatic enlargement, extracorporeal shock wave lithotripsy, laser & laparoscopic surgery, and endourological advances. As San Diego's leading expert in infertility and sexual dysfunction.
Vasectomy
No Scalpel Vasectomy
Vasclip
Treatment for Enlarged Prostate (BPH)
Targis System (Cooled ThermoTherapy)
TUNA Therapy (Transurethral Needle Ablation)
Field and Method of General Urology
Urology is the medical specialty that deals in the medical and surgical diseases of the kidneys and urinary tract, which include the ureters, bladder and urethra, and the male reproductive system and genitalia.
Urology is one of the few specialties that also dabble in pediatric and plastic/reconstructive techniques. Urologists are second only to Radiologists and Radiotherapists as being the most "radioactive" doctors since we rely strongly on radiographic and ultrosonographic studies. As a result, Urologists are at least as skilled as Radiologists and Ultrasonologists when performing or reading imaging studies of the genito-urinary tract, and these include CAT Scans and MRI's, as well as Radionucleide scans.
Urology is that branch of surgery that specializes on the urinary tracts of both males and females and the reproductive system of males. Physicians whose specialize on Urology are called Urologists.
Endoscopic Surgery in urology includes removing kidney stones, obstruction of ultrapelvic junction, ureteral strictures and tumors. There are 2 ways to perform Endoscopic Surgery.
Retrograde : - The first method is called 'Retrograde' in which the patient is made to lie down with his legs tied up. With the help of an ureteroscope connected to a camera, the surgeon watches the television monitor while he inserts the instrument into the bladder. This is called FIG. Sometimes, a device called 'stent' may be passed into the ureter (connected to the kidney) in order to break kidney stones, blockages, strictures or drain urine.
Antegrade (Percutaneous) : - The other method is called 'Antegrade' or 'Percutaneous' which means reaching the kidney through the skin. Usually patients have a 'nephrostomy tube' inserted into his affected kidney by a radiologist. The patient is anesthetized and then the tube tract is dilated to the size of a nickel diameter.
The Urologist examines the kidney and its strictures using a fiberoptic scope. In most cases, the surgeon leaves a tube in the kidney in order to drain the urine out. After a few days, he injects a dye into the tube and an x-ray is done. If the kidney returns to its normal functioning, then the patient is discharged.
Patients undergoing ureteroscopic surgery can work normally within the next couple of weeks while patients who have undergone percutaneous surgery can resume their daily activities within 2-3 weeks.
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