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Urology Services

St. Joseph’s urology services use the latest technology, offering a full range of urological procedures to patients across a 16-county area of Upstate New York. The first to acquire and use the da Vinci® Surgical System to perform prostatectomies, St. Joseph's urologists performed 200 cases in the last year alone.

Robot-assisted prostatectomy is less invasive for the patient and more precise in removing prostate cancer than traditional surgery, resulting in fewer complications, less pain and blood loss. The da Vinci® cameras give the surgical team a larger-than-life view of the surgical field, helping them to better make their way around the many structures and nerves that surround the prostate.

The da Vinci® Surgical System makes prostatectomies much safer for patients who often experience shorter hospital stays and recovery times. Surgeons can be more precise using the system, which results in an increased chance of the patient regaining erectile function and continence after surgery. The robotic arms can make precise and flexible surgical moves that a human hand is incapable of making. For the patient, it means a faster, more comfortable return to normal activity.

St. Joseph’s also offers a full range of related urology services. In the past year:

  • St. Joseph’s urologists performed nearly 230 lithotripsy procedures.
  • St. Joseph’s urologists and gynecologists performed 260 sub-urethral slings, which are largely done to treat urinary incontinence.
  • Most of the urological procedures were done in the hospital’s main operating room, but procedures also were performed on an outpatient basis at North Surgery Center in Liverpool, and Northeast Surgery Center in Fayetteville.

Conditions 

Benign Prostatic Hyperplasia (BPH)
An increase in the size of the prostate often associated with significant urinary problems.

Hydrocele
A pathological accumulation of serous fluid in a body cavity.

Urinary Incontinence
The inability to hold urine in the bladder.

Procedures

Extracorporeal Shockwave Lithotripsy (ESWL)
Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive treatment of kidney stones using an acoustic pulse.

Lithotripsy
The physical destruction of gallstones or kidney stones.

Pyeloplasty
Pyeloplasty is the surgical reconstruction or revision of the renal pelvis to drain and decompress the kidney. Most commonly it is performed to treat an uretero-pelvic junction, the junction between the ureter and the renal pelvis of the kidney, obstruction.

Prostate brachytherapy (Prostate seed implants)
Brachytherapy is a type of radiotherapy, or radiation treatment, offered to certain cancer patients. Low dose-rate (LDR) brachytherapy is the type that is most commonly used to treat prostate cancer; it may sometimes be referred to as “seed implantation” or it may also be called “pinhole surgery.” In LDR brachytherapy, tiny radioactive particles the size of a grain of rice are implanted directly into the site of the tumour. These particles are known as “seeds,” and they can be inserted linked together as strands, or individually. Because the seeds are inserted or implanted directly into, or very close to, the tumour, they deliver high doses of radiation to the tumour without affecting the normal healthy tissues around it. LDR prostate brachytherapy (seed implantation) is a proven treatment for early, localized prostate cancer (when the cancer is contained within the prostate).

Robot Assisted Prostatectomy
A prostatectomy is the surgical removal of all or part of the prostate gland. Abnormalities of the prostate, such as a tumor, or if the gland itself becomes enlarged for any reason, can restrict the normal flow of urine along the urethra. There are several forms of the operation, including transurethral resection of the prostate (TURP), open prostatectomy or laparoscopic radical prostatectomy. The least invasive form of this surgery is a Robot Assisted Prostatectomy, done with da Vinci®.

Suburethral Slings
A surgical operation used to treat women with urinary stress incontinence (involuntary loss of urine when you cough, sneeze, jump or run). The suberethral sling is a special tape that is looped under the urethra.

Transurethral Resection of Bladder Tumor (TURP)
TURP is used for benign prostatic hyperplasia (BPH), and sometimes for symptomatic relief in prostate cancer. A cystoscope – a resectoscope which has a 30 degree viewing angle, along with resectoscopy sheath and working element – is passed up the urethra to the prostate, where the surrounding prostate tissue is excised. This is a common operation for benign prostatic hyperplasia (BPH) and outcomes are excellent for a high percentage of these patients (80-90%).

Urinary Incontinence Stimulation
For urinary incontinence, St. Joseph's also offers InterStim® Therapy. After a simple test simulation is found successful, a small stimulator device is surgically implanted under the skin of the lower back in a minimally invasive procedure. It sends electrical pulses to the sacral nerves, which stimulate the muscles that control bladder function. 

Ureteroscopy
Ureteroscopy is an examination of the upper urinary tract, usually performed with an endoscope that is passed through the urethra, bladder, and then directly into the ureter. The procedure is useful in the diagnosis and the treatment of disorders such as kidney stones.

For more information on urological surgery, click here.

Resources

For information on the Foley Catheter, view our Foley Catheter Care Guide.
Large Urology Group Practice Association (LUGPA)

Resource Line
Phone: (315) 703-2138
Toll Free: 1-888-STJOES1 (1-888-785-6371)