The daVinci® Surgical System is a
robotic surgical system
consisting of three main components:
The InSite® Vision System which provides the surgeon
with a true minimally invasive 3-D view of the surgical field.
The prostate gland is a muscular, walnut-shaped gland in men. It is located right below the
and surrounds the urethra (the tube that carries urine out of the body). It is responsible for making the fluids that carry sperm. As a man ages,
the prostate begins to slowly enlarge and may begin to squeeze the urethra, causing
problems with urination.
The normal adult prostate weighs 18 grams; measures 3cm in length, 4cm in width,
and 2cm in depth. The prostate is composed of approximately 70% glandular elements
and 30% of fibromuscular stroma. Although anatomically divided into different zones,
the prostate is described as having 2 palpable lateral lobes separated by a central
sulcus and one nonpalpable median lobe that may project into the bladder in older
Typical symptoms of include:
TUMT is one of several alternatives for treating an enlarged prostate, a condition
also known as benign prostatic hyperplasia (BPH). Other
include medications, transurethral resection of the prostate (TURP), transurethral needle ablation (TUNA),
laser surgery and open prostatectomy.
The GreenLight™ Laser Therapy is a treatment
that combines the effectiveness of the traditional surgical procedure known as "Trans Urethral Resection of the Prostate"
(TURP) with fewer side effects.
GreenLight is suitable for most patients
with an enlarged prostate. With over 200,000 procedures performed worldwide, the GreenLight procedure is creating a new standard
of care — a standard that offers freedom from enlarged prostate symptoms.
return home a few short hours after the PVP procedure and can return to normal, non-strenuous activities within days.
The GreenLight laser system delivers the ultimate benign prostatic hyperplasia (BPH) solution — free from
symptoms, free from compromise, free to go!
Urinary incontinence — the loss of bladder control — is a common and often embarrassing
problem. The severity of urinary incontinence ranges from occasionally leaking urine
when you cough or sneeze to having an urge to urinate that's so sudden and strong
you don't get to a toilet in time.
If urinary incontinence affects your day-to-day activities, don't hesitate to see
In most cases, simple lifestyle changes or medical treatment can ease
your discomfort or stop urinary incontinence.
Treatments and drugs
for urinary incontinence depends on the type of incontinence, the severity
of your problem and the underlying cause. Your doctor
will recommend the approaches best suited to your condition. Often a combination of treatments is used.
Treatment options for urinary incontinence range from more conservative approaches,
including behavioral techniques and physical therapy to more aggressive options,
such as surgery.
In most cases, your doctor
will suggest the least invasive treatments first, so you'll try behavioral techniques and physical therapy first and
move on to other options only if these techniques fail.
The success of your treatment
depends most of all on the right diagnosis. Talk to your
doctor about the specifics and possible
complications of any treatment. Ask questions and express concerns to help determine which
treatment is right for you.
Male sexual dysfunction
is one of the most common health problems affecting men and is more common with increasing age. Male sexual dysfunction
can be caused by physical or psychological problems. The June 23/30, 2004, issue of JAMA includes
an article about the various types of male sexual dysfunction and
treatments for them.
MAIN TYPES OF MALE SEXUAL DYSFUNCTION
If you think you are experiencing male sexual dysfunction, see your
A kidney stone is a hard mass developed from crystals that separate from the urine
and build up on the inner surfaces of the kidney. Normally, urine contains chemicals
that prevent or inhibit the crystals from forming. These inhibitors do not seem
to work for everyone, however, so some people form stones. If the crystals remain
tiny enough, they will travel through the
tract and pass out of the body in the urine without being noticed.
may contain various combinations of chemicals. The most common type
of stone contains calcium in combination with either oxalate or phosphate. These
chemicals are part of a person's normal diet and make up important parts of the
body, such as bones and muscles.
A less common type of stone is caused by infection in the
This type of stone is called a struvite or infection stone. A bit less common is the uric
acid stone. Cystine stones are rare.
Pediatric urology is the diagnosis and treatment of congenital (i.e., present at
birth) and acquired urological conditions and diseases in children. Pediatric urologists
treat conditions of the male reproductive tract (e.g., undescended testicle) and
the male and female urinary tracts (e.g., urinary tract infection).
The urinary tract consists of the organs that filter the blood and form urine (kidneys),
the tubes that carry urine from the kidneys (ureters), the organ that stores urine
(bladder), and the tube that carries urine from the bladder and removes it from
the body (urethra).
The most common condition treated by pediatric urologists is urinary tract infection
Other conditions include the following:
Pediatric Urological Examination Most children under the care of a pediatric
urologist are school-aged and younger. UTIs (e.g., cystitis) are most common in
young girls and pediatric urological conditions are usually congenital and treated
at a young age. Conditions such as vesicoureteral reflux and antenatal hydronephrosis
are frequently diagnosed during prenatal ultrasound and hypospadias is usually diagnosed
The pediatric urological examination includes a medical history and a comprehensive
physical examination. A history of symptoms, illnesses, injuries, medications,
prenatal ultrasound, and family history are documented. A urinary catheter
may be inserted into the bladder through the urethra to withdraw urine.
Diagnostic tests include the following:
Vasectomy is a safe and effective method of permanent male contraception. In the
United States, it is employed by nearly 7% of all married couples and performed
on approximately one-half million men per year, more than any other urological surgical
Historically, some men have shied away from vasectomy because they fear pain and
the possible complications. In clinical practice, however, one of the commonest
voiced concerns is that of ‘the needle’ for injection of local anesthetic into and
through the scrotal skin. Efforts to enhance the popularity of vasectomy have led
the Chinese to develop refined methods of no-scalpel vasectomy that minimize trauma,
pain and complications.
Vasectomy reversal is a surgery to undo a vasectomy. After successful vasectomy
reversal, sperm are present in your semen again and you may be able to get your
Statistically, five to ten percent of the over 600,000 men in North America who
annually undergo a vasectomy, will choose to have theirs' reversed at some time.
Reasons for reversing a vasectomy can include the loss of a child, a new marriage,
or just a desire to have more children to complete the family.
In recent years, with the development of better techniques and a larger pool of
skilled microsurgeons to perform the reversal, excellent results can be obtained
with a high chance of obtaining pregnancy. Vasectomy reversal is generally carried
out in hospital as an outpatient procedure using a general anaesthetic. Success
rates vary by individual patient and the surgeon. Two techniques may be employed
depending upon the circumstances:
Most appointments scheduled with in 24 hours.
"When I thanked Dr. I Singh for my surgery and results you replied "that's what I do". In my opinion, based on my experience and research, Dr. I Singh is probably the best in his field. My great fortune was being able to meet up with him!"
In this video, Dr. Vaughan describes the many different aspects of urology and the many functions that urologists have, from diagnosis through surgery.