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Capitola Cass Munras Ryan Ranch Salinas

PROCEDURES

Urology

Urologic surgery is the integration of surgical activities for the pelvis—the colon, urogenital, and gynecological organs—primarily for the treatment of obstructions, dysfunction, malignancies, and inflammatory diseases. Common urologic operations include:

renal (kidney) surgery
kidney removal ( nephrectomy )
surgery of the ureters, including ureterolithotomy or removal of calculus (stones) in the ureters
bladder surgery
pelvic lymph node dissection
prostatic surgery, removal of the prostate
testicular (scrotal) surgery
urethra surgery
surgery to the penis

Conditions that commonly dictate a need for urologic surgery include neurogenic sources including spinal cord injury; injuries to the pelvic organs; chronic digestive and urinary diseases; and prostate infections and inflammations. There are many other common chronic and malignant diseases that can benefit from resection, surgical augmentation, or surgery to clear obstructions. These conditions impact the digestive, renal, and reproductive systems.

Male Reproductive Organs

Prostate Laser Vaporization

During photo selective vaporization of the prostate, a laser is used to vaporize excess prostate tissue to enlarge the urinary channel.

Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).

Urinary symptoms caused by BPH can include:

  • Frequent, urgent need to urinate
  • Difficulty starting urination
  • Slow (prolonged) urination
  • Increased frequency of urination at night (nocturia)
  • Stopping and starting again while urinating
  • The feeling you can’t completely empty your bladder
  • Urinary tract infections

Laser surgery may also be done to treat or prevent complications due to blocked urine flow, such as:

  • Recurring urinary tract infections
  • Kidney or bladder damage
  • Inability to control urination (incontinence) or an inability to urinate at all (urinary retention)
  • Bladder stones
  • Recurring blood in urine

A narrow fiber-optic scope is inserted through the tip of the penis into the urethra. By accessing the prostate through the penis, your doctor does not need to make any incisions. The doctor will use the laser to vaporize the prostate tissue blocking urine flow.

After the procedure, the patient may have a urinary catheter in place as urine flow is blocked by swelling.

Laser Vaporization of Prostate Removal

The prostate gland is situated below the bladder, and is attached to it. The urethra runs through the center of the gland. As men age, most will develop prostate enlargement. Symptoms of an enlarged prostate include frequent urination, getting up at night to urinate, weak stream, urgent urination, incomplete bladder emptying, and difficulty controlling urination.  During prostate laser surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. A laser is passed through the scope. The laser delivers energy that is used to shrink or to remove the excess tissue that is blocking the urethra and preventing urine flow.

All lasers use concentrated light to generate precise and intense heat. Laser surgery removes excess prostate tissue by Ablation (the laser melts away excess tissue) or Enucleation (the laser cuts away excess prostate tissue).

Vasectomy

A vasectomy is a minor surgical procedure for male sterilization which prevents sperm from entering the seminal fluid by blocking the vas deferens. As a result, the female egg cannot be fertilized after intercourse. Vasectomy is one of the safest and most effective forms of permanent contraception. As the procedure interrupts the delivery of sperm and does not change hormonal function thus leaving sexual drive and potency unaffected.

In a vasectomy, the tube (called a “vas”) that leads from the testicle is cut and sealed in order to stop sperm from leaving. A minimally invasive vasectomy (also called a No-Scalpel vasectomy) is a technique used to do the procedure through one single puncture. The puncture is made in the scrotum and requires no suturing or stitches.

The primary difference compared to the conventional vasectomy is that the vas deferens is controlled and grasped by the surgeon in a less traumatic manner. resulting in less pain and fewer postoperative complications.



About us

Founded in 1982 by local surgeons desiring to offer an outpatient surgical experience featuring excellent service, superior quality and lower transparent pricing. Today our partners include over 200 of the area's finest surgeons, performing a wide variety of surgeries at five convenient locations, specializing in same day surgical procedures. If MPSC were one of the 447 hospitals in California, it would rank 6th in outpatient surgeries performed behind Stanford, UCLA and three Kaiser Medical Centers*. Along with our world-class surgeons, we offer great affordability and tremendous quality. 99% of our patients recommend our centers of excellence to family members and friends. We are here for you. Tell us how we can help.

*California Office of Statewide Health Planning and Development, Hospital Annual Utilization Data. https://oshpd.ca.gov/HID/Hospital-Utilization, https://alirts.oshpd.ca.gov

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966 Cass St, Ste 150 Monterey, CA

831.333.4144

info@mpscllc.org

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