Urology

Services

Urology physicians have diverse areas of specialization, using state-of-the-art technology to treat medical and surgical diseases throughout the entire urinary tract system in men, women and children.

Why UTMB for Urologic Surgery?
  • Surgeons who treat specific urologic conditions and have years of scientific research complementing advanced surgical training.
  • Multidisciplinary, patient-centered approach combining the expertise of our urologic surgeons with specialists including but not limited to medical oncology, radiation oncology, radiology, pathology, anesthesiology, general surgery and nephrology.
  • We train the next generation of urologists through the UTMB Health Urology Residency Program.
  • One of the first robotic surgery programs in South Texas, providing state-of-the art surgical technology resulting in less pain, shorter hospital stays, and faster recovery.
  • Full-time board-certified urologists actively involved in patient outcome studies.
  • Surgery and patient care in a safe hospital environment with emergency and backup services immediately available.
  • Patient coordinators provide seamless appointment access and patient information.
Services We Offer:
  • Female Urology - providing full services to women with urinary tract disorders including incontinence and pelvic prolapse surgery
  • Genitourinary Reconstruction - diagnosis and treatment of lower urinary tract disorders as well as genitourinary prosthetic surgery
  • Kidney Stones - prevention, diagnosis and treatment including minimally invasive treatment options
  • Men’s Health - diagnosis and treatment of conditions specific to men such as male urinary dysfunction, erectile dysfunction, benign prostate hyperplasia, urinary incontinence, vasectomy, male infertility
  • Pediatric Urology - routine to complex pediatric urologic conditions including circumcision, stones, hypospadias and intersex conditions
  • Robotic and Minimally Invasive Surgery - minimally invasive treatment of urologic conditions using laparoscopy and robot-assisted technology
  • Urologic Oncology - prevention, screening, diagnosis and treatment of urologic cancers

Minimally Invasive and Robotic Urology

At the UTMB Section of Minimally Invasive and Robotic Urology, urologic surgeons offer several robotic assisted and laparoscopic procedures designed to provide a high level of surgical care and precision, while minimizing pain and scarring that is associated with open surgery. We currently have three urologic surgeons experienced in robotic and laparoscopic procedures providing treatments for cancer of the prostate and kidney, as well as reconstructive procedures for benign diseases.

In addition to our surgeons, we have an operative team of anesthesiologists, nurses and technicians who have familiarity in working in the unique operative environment of robotic surgery.

We are proud to announce the introduction of the DaVinci Si Surgical System to our program. This system replaces an earlier standard system which has been in use at UTMB for the past nine years. The new system is the most advanced robotic platform available today.

  • High definition cameras and video with zoom capabilities to improve visualization
  • Enhanced safety features designed to minimize potential risks to patients
  • Dual console technology, allowing 2 surgeons to operate simultaneously
  • Fluorescence imaging, allowing easier identification of blood vessels

Procedures offered by our urologic surgeons include radical prostatectomy, partial or radical nephrectomy, nephroureterectomy, and repair of ureteropelvic junction obstruction.

If you have been diagnosed with prostate or kidney cancer, or ureteropelvic junction obstruction, and are interested in a minimally invasive approach, please call or contact us for an appointment.

Urology at UTMB Health was an early adopter of the robotic platform with the development of the robotic assisted prostatectomy. As use of the surgical robot became more widespread, its use was expanded to treat a number of different complex surgical problems. Robotic surgery has many of the same benefits of laparoscopic surgery including smaller incisions, less pain and quicker recovery time. Procedures that require more delicate dissection, or complex reconstructive maneuvers can be facilitated by the robot, as it allows for exact and precise reproduction of surgeon hand and wrist movements.

Robotic Prostatectomy

Robotic Prostatectomy is a common treatment for clinically localized prostate cancer. The procedure involves complete removal of the prostate and seminal vesicles, as well as reconnecting the bladder to the urethra. The robotic platform allows for improved 3D visualization of the anatomy, and the ability to perform complex reconstruction in the confined space of the pelvis. It is usually performed using five or six tiny incisions in the lower abdomen. Potential advantages over the robotic approach, as compared to a traditional open approach, include decreased blood loss, decreased post operative pain, quicker discharge from the hospital post procedure, and quicker overall recovery from surgery. There are studies suggesting that return of urinary continence and erectile function may be quicker using the robotic approach. [Read more]

Robotic Pyeloplasty

Robotic Pyeloplasty is a treatment for congenital or acquired obstruction of the ureteropelvic junction. It involves removal of a diseased portion of the ureter as it exits the kidney, followed by reattachment of healthy ureter to the kidney. Traditionally this procedure has been done using an open approach through an incision in the flank or side. Laparoscopic approaches were then developed that allowed for the procedure to be performed through small incisions. With the introduction of the robotic platform, the procedure can be completed through small incisions, but with the added advantages of 3D vision and instruments that mimic the wrist movements of the surgeon. This can allow for more precise dissection and reconstruction of the diseased kidney. [Read More]

Robotic Partial Nephrectomy

Robotic Partial Nephrectomy is a treatment option for small, localized kidney tumors. It can usually be performed through four of five tiny incisions. It allows for removal of kidney tumors, without the need to remove the entire kidney. The procedure involves exposure of the tumor, clamping of the renal artery and vein (to minimize bleeding), removal of the tumor, followed by suturing the defect in the kidney that is left after the tumor is removed. Fluorescence imaging is available on the robotic camera and may be used to help localize renal vessels as well as tumors. [Read More]

Laparoscopy:

UTMB’s laparoscopic service line is proud to have three Urologists who are highly trained in the skills of laparoscopic surgery. Laparoscopic surgery offers great benefits to our patients because of decreased recovery time, decreased pain, and a more cosmetic surgical outcome. The procedures are performed through tiny holes made on the abdomen that our instruments are passed through. Through these tiny holes we are able to achieve the same surgery as we can while making a large incision. This avoids a large surgical scar and the associated pain and convalescence from that incision.

They offer the following laparoscopic surgeries:

  • Laparoscopic Nephrectomy (removal of the kidney)
  • Laparoscopic Nephroureterectomy (removal of the kidney, ureter, and a cuff of the bladder.)

Laparoscopic kidney surgery is performed for removal of the kidney due to cancer, or due to a nonfunctioning kidney. Our patients are usually able to go home from surgery within 1-2 days after the surgery.