Urology

Urologic disease affects many people throughout their lifetime. Deaconess provides a full range of treatment for its patients, ranging from lithotripsy to break up kidney stones, to bladder suspension to prevent urinary leaking, to cryosurgery or radioactive seed implants for prostate cancer.

Some Common Urinary Tract Problems

Did you know?
•	Cryoablation surgery is a new option for older men with aggressive prostate cancer
•	A neobladder can replace an external appliance for those who must have their bladder removed
•	50% of women and 30% of men will have bladder control problems in their lifetime (American Urological Association)

Treatment Options

Cryoablation for Prostate Cancer Treatment
Neobladder Procedure for Treatment of Bladder Cancer
Surgery such as bladder suspension for leakage, removal of tumors or reduction in the size of the prostate
Radioactive implants (Brachytherapy) for those who have cancer
Acute dialysis for those people with kidney failure being treated for other diseases
Chemotherapy for those who have cancer

Diagnostic Testing

Testing for urinary tract disease includes X rays with and without dye, ultrasound and laboratory tests such at urinalysis or blood tests to determine kidney function.

Brachytherapy (Radioactive seed implantation)

Why Choose Us?
•	Cryoablation, A Minimally Invasive Prostate Cancer Treatment
•	Brachytherapy (radioactive seed implant) for Prostate Cancer—Permanent and Temporary
•	Greenlight Laser treatment for enlargement of the prostate
•	Neobladder procedure for bladder cancer
•	Lithotripsy for the treatment of kidney stones

Brachytherapy is the temporary or permanent implantation of radioactive seeds to kill cancer. It is often used in the treatment of prostate cancer.
Deaconess has provided permanent seed placement for many years. This procedure is done in the operating room under anesthesia and involves inserting the tiny seeds into the prostate.
We will begin high-dose-rate prostate brachytherapy in early 2006. This involves the temporary, surgical placement of a tube directly into prostate. A radioactive seed is then run down the tube and left in place long enough to give the prescribed dose of radiation (up to a few minutes) and then removed. The tubes are left in place and the procedure is repeated the next day.

Talk to your cancer physician to see whether one of these procedures is a good option for you.

Cryoablation

Cryoablation is a minimally invasive treatment for prostate cancer. It freezes the prostate to kill the cancer cells. Patients only need to stay in the hospital for 24 hours, have less postoperative complications and experience a much quicker recovery.

Greenlight Procedure for Noncancerous Prostate Enlargement

An enlarged prostate, even if not cancerous, can prevent urine from exiting the body normally. This procedure uses a special laser to remove excess tissue to stop the blockage.

Neobladder Procedure

This specialized surgery fashions a new bladder to be used for the elimination of urine when cancer or other diseases prevents normal flow through normal channels. This procedure eliminates the need for an external pouch. Talk to your doctor to see if this is an option for you.

Lithotripsy

Lithotripsy is the treatment for stones in the kidney and urinary tract. It uses sound waves to break the stones into pieces small enough to pass through the urinary system.

Dialysis

Dialysis is using a machine to remove impurities from the blood when the kidneys are not functioning as they should. Deaconess offers acute dialysis for people who need dialysis, but are in the hospital for other treatment.