Urinary incontinence is common, affecting about 1 out of 3 older people. Some people are incontinent every time they urinate, whereas many others are incontinent intermittently. Many people live with incontinence without seeking medical help because they fear that it indicates a more serious illness or they are embarrassed by it. Others mistakenly believe incontinence to be a normal part of aging and assume that nothing can be done for it. On the contrary, urinary incontinence is never normal and, when it does occur, is often treatable and curable.
Urinary incontinence is not only a problem in itself but also can lead to many other problems and complications, particularly among older people. For example, incontinence can cause a person to avoid activities and interactions with others, which can lead to isolation and depression. In addition, incontinence can increase the risk of skin rashes and pressure sores (from urine irritating the skin) as well as falls (from attempts to reach the toilet quickly).
The Centers offer specialized treatment of urologic malignancy with emphasis on the management of patients with cancers of the kidney (radical nephrectomy), bladder (radical cystectomy), prostate (radical prostatectomy), testis and penis. Patients benefit from innovative surgical techniques for treatment of pelvic and retroperitoneal malignancy as well as reconstructive efforts including “neo bladder”. A multidisciplinary approach is used with all cancer patients, with regular interactions with faculty from both Medical Oncology and Radiation Therapy.
Laparoscopy (Surgery through a “Keyhole”)
Nidan Hospitals has a rapidly developing program in Laparoscopic Urologic surgery ranging from ablative and reconstructive renal surgery. Traditional surgery usually requires long, deep incisions and a lengthy recovery period. Minimally invasive surgery uses a thin, telescope-like instrument called an endoscope, which is inserted through a small incision. Laparoscopic nephrectomy (Removal of kidney through key hole) is replacing open nephrectomy throughout the world and is routinely performed here as well.
Patients have access to a full spectrum of urologic endoscopic equipment and techniques including both flexible and rigid instrumentation. Techniques include trans-urethral surgery of the urethra, prostate, bladder, ureter and kidney, and percutaneous renal surgery. Kidney stones are removed through keyhole (percutaneous nephrolithotomy) and ureteric stones are removed through “microsurgery” (telescopic surgery). The latest methods of minimally invasive stone surgery are also available, with instrumentation for Ultrasonic Lithotripsy and Pneumatic lithotripsy.
The Urologists at Nidan Hospitals specialize in the diagnosis of impotence, reconstructive microvascular surgery, and pharmacological treatment for sexual dysfunction. A variety of treatment options, such as oral agents, Caverject (an injectable therapy), and a prosthetic inflatable penile implant, are used and tailored to fit both the patient’s underlying patho-physiology and lifestyle. Assessment and treatment for male infertility is also provided, and microsurgical procedures (reverse vasectomy), vasectomy and epididymal aspiration are performed. The hospital offers the most advanced treatment available for Benign Prostatic Hyperplasia, commonly called BPH or enlarged prostate.