|
 Top
specialists in Urologic Surgery at Mount Sinai offer minimally
invasive procedures and surgeries to treat many conditions
that involve the urinary tract in men, women, and children.
Recent
years have witnessed a dramatic expansion in instrumentation
and consequent capability in treating a variety of urologic
conditions with minimally invasive surgery. These approaches
are preferred whenever possible, since they allow less tissue
damage, faster recovery time, and less scarring than open
surgery. Mount Sinai's physicians offer these state-of-the-art
treatment approaches, including laparoscopy, endoscopy, laser,
and lithotripsy in management of the gamut of urologic problems.
Endoscopic
techniques have previously been used largely in the management
of urologic stone disease. However, refinements and miniaturization
of instruments have permitted the application of these techniques
to other conditions (tumors, reconstructions, and a variety
of inflammatory conditions), greatly expanding the role of
these approaches. The major directions that have been pursued
include the placement of operating instruments directly through
the skin and into the kidneys to access the upper tracts and
then further downward, and also placement of instruments into
the urethra and bladder to access the upper tracts. Mount
Sinai has taken advantage of these advances to provide state-of-the-art
capabilities in addressing each of these areas.
Laparoscopic
surgery involves the performance of procedures through small
openings in the abdominal and pelvic cavity through which
surgical procedures can be performed without the need of making
large incisions.
These
techniques are now routinely used in surgery of the kidney
(particularly for kidney cancer) and for surgery of the adrenal
glands. Partial nephrectomy (where only the tumor is removed
and the major portion of the kidney is allowed to remain intact)
are also being done with increasing regularity.
The Department
has also been a leader in the development of procedures to
remove the bladder and to perform a variety of urinary reconstructions
to accommodate this for bladder cancer, retroperitoneal lymph
node dissection for patients who must undergo this procedure
for treatment of testis cancer, pelvic lymph node dissection
for patients who require this as part of their approach to
prostate cancer, and radical prostatectomy in treatment for
patients with prostate cancer.
These
approaches have resulted in the rapidity of recovery for patients
undergoing such procedures, the rapidity of their resumption
of normal activities (both at work and at home), and a decreased
need for pain medications and hospitalization for recovery.
In addition,
a gamut of reconstructive procedures are also performed using
this approach. This is particularly advantageous for the pediatric
population in which the development of new instrumentation
has permitted children to be operated upon and cured of their
conditions without the need for a large incision, and for
the opportunity of getting back to a normal life with a very
minimum of physical (and psychological) trauma.
back
to top
Contact
Us
If you
need more information or would like to schedule an appointment,
please contact:
The Department of Urology
5 East 98th Street, 6th Floor
New York, NY 10029
212-241-4812
back to top
|
