Treatments & Procedures

DMC’s Urology specialists offer the following urologic specialty procedures. Call 1-888-DMC-2500 with any questions or if you are looking for a treatment or procedure not listed below.

Artificial Urinary Sphincter
Biofeedback & Electrical Stimulation
Bladder Augmentation
Bladder Exstrophy Repair
Bladder Instillations
Blue Light Cystoscopy
Brachytherapy
Continent Urinary Reservoir
Cryotherapy/Cryosurgery
Cysectomy
Cystometrogram
Cystoscopy
Flurodynamics Study (FUDS)
Idiopathic Semen Analysis


Ileal Conduit
Interstim

Lithotripsy
Orthotopic Neobladder
Prostatectomy
Retrograde Urethrogram
Slings
Transurethral Resection of Bladder (TURB)
Transurethral Resection of Prostate (TURP)
Ultrasound Postvoid Residual
Urethroplasty
Urodynamics (UDS)
Uroflow
Vasectomy & Reversal

 

Artificial Urinary Sphincter

Sphincters act as gates within your body, allowing you to control when you want to empty your bladder. They can wear down due to age and other issues, though, sometimes causing incontinence. Using an inflatable cuff to control urine flow, an artificial urinary sphincter helps your incontinence by allowing you to regain control of your urinary function. Once placed, you can inflate and deflate the artificial sphincter as needed, meaning you can get back to the activities you love. TOP

 

Biofeedback and Electrical Stimulation

Biofeedback uses measuring devices to help you become aware of your body's functioning. By using electronic devices or diaries to track when your bladder and urethral muscles contract, you can regain control over these muscles. This treatment can supplement pelvic muscle exercises and electrical stimulation to relieve some types of incontinence. TOP

 

Bladder Augmentation

Designed to increase the size of your bladder, bladder augmentation helps correct issues with incontinence due to your bladders inability to stretch as it fills with urine. Bladder augmentation may also help if you have a small bladder or difficulty emptying your bladder completely. TOP

 

Bladder Exstrophy Repair

Bladder exstrophy repair is surgery to repair a birth defect in which the bladder is inside out and sticks out of the abdominal wall. The pelvic bones are also separated, which makes two surgeries necessary to repair the defect: one to repair the bladder and another to reattach the pelvic bones to each other. Some children are unable to develop enough urinary control and may need surgery again later. TOP

 

Bladder Instillation

This procedure consists of filling the bladder with a medication in liquid form. The drug is delivered directly into the bladder, rather than being taken orally. It's delivered through a catheter, a very thin tube that is inserted into and up the urethra into the bladder. Usually, the solution stays in the bladder for about 15 minutes. TOP

 

Blue Light Cystoscopy

A unique new technology, blue light cystoscopy is used to detect and diagnose bladder cancer in patients with known or suspected bladder cancer. Also known as Cysview®, this newly approved optical imaging procedure helps physicians pinpoint bladder tumors. DMC Urologists were the first to bring this advanced technology to Michigan.

 

Brachytherapy

In some cancers, it can be beneficial to place radiation near the tumor. Bracytherapy uses radioactive seeds implanted in or near the tumor to provide this specialized treatment. TOP

 

Continent Urinary Reservoir

A continent urinary reservoir is alternate method of storing urine that uses a segment of colon to create an internal pouch to store urine. Patients are able to insert a catheter periodically to drain the urine. A small stoma is placed against the skin. TOP

 

Cryotherapy/Cryosurgery

A minimally-invasive treatment that can often be performed as a same-day outpatient procedure, with cryotherapy there is no open surgery and no radiation beams or radioactive seeds. There is little or no pain, side effects are often low, and recovery is typically fast.

During the procedure, your physician inserts thin probes guided by ultrasound imaging. Argon gas is then circulated inside the probe to generate a teardrop of ice cold enough to freeze all of the necessary cells. TOP

 

Cysectomy

At times it may be necessary to remove all or part of your bladder. A cystectomy is the procedure your DMC Urologist can perform to improve your condition. TOP

 

Cystometrogram

A cystometrogram allows us to assess how your bladder and sphincter behave while you store urine and when you pass urine. This test is done for people with urinary incontinence, people who have difficulty with urination, and in people with neurologic diseases that can affect bladder function. This test will measure your bladder capacity and pressure. By doing this we can identify problems such as a small capacity bladder, overactive bladder or high pressure bladder. TOP

 

Cystoscopy

Cystoscopy allows us to visually inspect the interior of your urethra and bladder. This study is often performed in people who have blood in the urine, difficulty emptying the bladder, or infections. We can determine if there are any structural abnormalities including narrowed areas (strictures or contractures), outpouchings (diverticulum), and enlarged prostates in males. Inflammation, bleeding, stones, and tumors can also be identified. It also allows us to evaluate the muscle (sphincter) which regulates the outflow of urine from your bladder. TOP

 

Fluorodynamics Study (FUDS)

A fluorourodynamic study checks the behavior of your bladder and sphincter while you store urine and when you urinate. This study is often performed in people who have urinary incontinence, have difficulty urinating, and/or who have neurologic diseases that affect bladder function. The test is done to measure bladder capacity, bladder and urethral pressures, and monitor the activity of your sphincter. Problems such as a small capacity bladder, overactive bladder, and high pressure bladder can be identified. Problems with the sphincter, such as weakness or uncoordinated contractions, will be seen. Any obstruction to the flow of urine from the bladder, such as an enlarged prostate, can also be identified. TOP

 

Idiopathic Semen Analysis

Semen analysis is a test to measure the amount and quality of a man's semen and sperm. Semen is the thick, white, sperm-containing fluid released during ejaculation. The test is sometimes called a sperm count. TOP

 

Ileal Conduit

An ileal conduit is a small urine reservoir that is surgically created from a small segment of bowel. The ureters that drain urine from the kidneys are attached to one end of the bowel segment. The other end is brought out through an opening in the skin (a stoma). The stoma allows the patient to drain the collected urine out of the reservoir. People who have had an ileal conduit will need to wear a urine collection appliance outside their body at all times. TOP

 

Interstim®

An implantable device, Interstim® can be used to stimulate nerves in order to help you regain control of your overactive bladder and other incontinence issues.  TOP

 

Lithotripsy

Lithotripsy is a procedure used to treat kidney stones that are too large to pass through the urinary tract. It works by sending focused ultrasound energy or shock waves directly to the stone. The shock waves break a large stone into smaller stones that will pass through the urinary system.  TOP

 

Orthotopic Neobladder

This surgery is becoming more common in patients undergoing cystectomy. A segment of bowel is folded over to make a pouch (a neobladder or "new bladder"). Then it is attached to the place in the urethra where the urine normally empties from the bladder.

This procedure allows patients to maintain some normal urinary control. However, there are complications (including urine leakage at night). Urination is usually not the same as it was before surgery.  TOP

 

Prostatectomy

A procedure to completely or partially removal of your prostate gland. There are different types of prostatectomies depending on how your surgeon approaches the surgery. Types of prostatectomies include perineal, radical, robotic and conventional.  TOP

 

Retrograde Urethrogram

A retrograde urethrogram allows us to evaluate any structural abnormalities in the urethra including narrowed areas (strictures or contractures) and outpouchings (diverticulum). This diagnostic test is commonly performed in male patients when narrowing of the urethra is suspected.  TOP

 

Slings

Slings are used to improve urinary incontinence by supporting structures within your urinary system. There are different types of slings depending on where the support is needed, such as pubovaginal, suburethral and trans-obturator.  TOP

 

Transurethral Resection Of Bladder (TURB)

People with stage 0 or I bladder cancer are usually treated with transurethral resection of the bladder (TURB). This surgical procedure is performed under general or spinal anesthesia. A cutting instrument is inserted through the urethra to remove the bladder tumor.  TOP

 

Transurethral Resection of Prostate (TURP)

A transurethral resection (TURP) of the prostate is an operation to remove some or most of an enlarged prostate gland so that urine can flow more freely. Your physician will use a thin, tube-like telescope that has specially adapted surgical instruments called a resectoscope, which is inserted into the opening of your penis and passed up the urethra towards the prostate.

An attachment at the end of the resectoscope is used to cut away part of the prostate, using a tiny loop of wire carrying an electric current. Your physician uses the same instrument, with a different type of electric current, to stop any bleeding. There are no stitches or dressings after this operation.  TOP

 

Ultrasound Postvoid Residual

This test is performed to measure the amount of urine that is left in your bladder after you have made an attempt to empty it completely. It is done with a painless, noninvasive ultrasound.  TOP

 

Urethroplasty

When your urethra becomes damaged, you may need a urethroplasty, which repairs injuries and/or defects in the walls of the urethra. There are different types of urethroplasty, and your surgeon will discuss your options with you. The most common types include anastomotic, buccal mucosal onlay graft, scrotal or penile island flap and Johansen's urethroplasty.  TOP

 

Urodynamics

A urodynamics test looks at how well your bladder, sphincters and urethra are storing and transporting urine. The test will take about one hour and you will be asked to perform a series of tasks depending upon the reason for your study. It isn’t painful, but can be uncomfortable.  TOP
 

 

Uroflow

A Uroflow measures the flow and force of your urine stream. This test is often performed in patients who have obstruction in normal flow of urine or problems with urination. To perform the test properly, it is important that you arrive for your appointment with a normally full bladder and feel the normal urge to urinate.

You will be taken to a private restroom and will be instructed to urinate into a special toilet that is equipped to electronically measure the volume and flow of your urine. A paper recording of the urine flow will be generated. The goal is to have you urinate as you normally would. Forcing urination with a partially full bladder or waiting until your bladder is overfull, distended, and uncomfortable can give inaccurate results on the uroflow test.  TOP

 

Vasectomy & Reversal

There are different techniques in performing a vasectomy, the procedure used to prevent a man from ejaculating sperm. Both the traditional method using a scalpel and the modern “no scalpel vasectomy” method are safe and effective. DMC Urologists prefer the "no scalpel vasectomy" approach since this minimally invasive procedure allows for quick recovery and minimal discomfort.   TOP

Vasectomy Reversal

Vasectomy reversal is a procedure in which reconstructive sperm duct microsurgery is employed with the goal of returning sperm to the ejaculate. Two procedures may be performed in a vasectomy reversal: a straight-forward reversal called a vasovasostomy (VV) or procedure that involves connecting the vas deferens to the ducts closer to the testicle (epididymis) called an epididymovasostomy (EV). The choice of procedure is dependent upon the nature and length of time of the obstruction, the quality of the testis, and the quality of the intravasal fluid.  TOP