Orlando Health Medical Group Urology Services and Specialties

Our team is knowledgeable and specially trained to use innovative, leading-edge treatments such as cryotherapy to treat urological conditions. Cryotherapy is a minimally invasive procedure that uses extremely cold temperatures to destroy malignant and benign tumors.

Our Robotics team uses the da Vinci® Surgical System to perform complex, minimally invasive surgical procedures. This sophisticated system provides our specially trained surgeons a greater range of motion and improved precision in the small, delicate spaces within this area of the body. Some of the leading-edge procedures we offer using the da Vinci Surgical System include:

• Partial Nephrectomy for the removal of tumors in the kidney
• Simple Nephrectomy for the removal of the kidney
• Radical Nephrectomy for the removal of the kidney and surrounding tissue
• Radical Prostatectomy for the removal of the prostate and surrounding lymph nodes
• Pyeloplasty to improve impaired kidney flow
• Sacrocolpopexy for female patients suffering from vaginal or uterine prolapse
• Ureteral Reimplant Surgery to stop urine from backing up into the kidneys
• Nephroureterectomy to treat urothelial cancer of the kidneys or ureter

When choosing a robotic surgery provider, it’s important to know that the surgeon has proven skills and experience in operating the da Vinci Surgical System. One strong indicator that a hospital has surgeons with advanced skills in robotic surgery is if the facility has been designated an “epicenter” by da Vinci technology representative Intuitive Surgical.

The Endourology team of specialists uses minimally invasive techniques to treat kidney stones. In addition to removing these painful stones from the kidney, ureter and bladder, our dedicated team determines the cause of kidney stone development and works with the patient to prevent further episodes. Procedures performed include:

• Extracorporeal shock wave lithotripsy (ESWL), which uses shock waves to break kidney stones into small pieces that can more easily travel through the urinary tract
• Laser lithotripsy, which uses a small telescope and laser to break the kidney stone into tiny fragments that are then removed by “basket” extraction
• Percutaneous nephrolithotomy – the surgical removal of stones through a hollow tube placed into the kidney

The Pelvic Floor/Incontinence team treats patients who are experiencing incontinence and/or conditions impacting the pelvic floor, the muscles that attach the abdomen to the pelvis and provide control over bladder and bowel function. Many treatments are minimally invasive. Procedures include:

• Anterior colporrhaphy to restore the bladder to its normal position
• Posterior colporrhaphy to put the rectum back to its normal position
• Suburethral sling to offer relief from incontinence. The “sling” is positioned to support the mid-urethra
• Bulking agents injected around the urethra to help decrease urinary incontinence
• Sacral nerve stimulation to treat bladder and bowel control
• Intravesical Botox® to treat incontinence or lessen urinary urgency

For incontinence, an artificial genito-urinary sphincter made of silicone may be implanted. The device has an inflatable cuff that fits around the urethra near the point where it joins the bladder. The cuff is inflated to keep urine from leaking. When urination is desired, the cuff is deflated, allowing urine to drain out. For erectile dysfunction, an inflatable penile prosthesis may be inserted. This saline-filled device expands and contracts without losing elasticity.