Minimally Invasive Urologic Surgery

The Central Maine Urology Centers (CMUC) urologists are experts in a number of minimally invasive and laparoscopic surgeries and procedures

The centers surgeons perform most urologic abdominal surgeries -- including kidney, bladder and prostate procedures -- using laparoscopic instruments and ultrasound guidance techniques.

The benefits of minimally invasive urologic surgery include less blood loss, reduced use of narcotics for pain relief, shorter hospital stays, and briefer recovery time.

Incisions required for laparoscopic surgery are small so scarring is minimal. In some cases, incisions can be located so that scars are less noticeable, if not hidden.

Outstanding Surgeons

CMUCs urologists are skilled in providing surgical and medical care for a variety of diseases and conditions. Their training and experience in minimally invasive surgery makes them uniquely qualified to perform procedures that achieve effective results while reducing discomfort and speeding recovery.

Minimally invasive urologic surgery procedures offered at Central Maine Medical Center:

  • Adrenal Tumors -An adrenal gland is located on the top of each kidney. These glands are part of the bodys endocrine (hormonal) system. Benign and malignant adrenal tumors can be removed by a laparoscopic adrenalectomy.

  • Bladder Tumors - CMUC urologists use endoscopic techniques to remove both cancer and non-cancerous tumors from the bladder. These procedures include:
    Transurethral Resection of Bladder Tumor (TURBT) - Transurethral bladder resection, also called a TURBT, is the standard treatment for non-invasive bladder cancers. It is the most common and effective treatment of early-stage bladder cancer.

  • Cystectomy - A major surgical procedure called a cystectomy is used on patients with advanced-stage bladder cancer, including cancer that has spread into the bladder walls. This is also used in recurring bladder cancers that defy lesser invasive treatments.

    • Partial cystectomy, also called segmental cystectomy, is the removal of the diseased portion of the bladder. This procedure is mainly used in a select group of patients with normally functioning bladders and one tumor. It is often followed by radiation or chemotherapy.

    • Radical cystectomy is used in the most invasive bladder cancer cases to remove the entire bladder and some surrounding tissue, and create a urinary reservoir constructed from intestinal segments.

  • Stress Urinary Incontinence - CMUC urologists treat urinary incontinence problems for both men and women.

  • Kidney Cancer - Minimally invasive surgery for treating kidney cancer involves the use of a laparoscope passed through a series of small incisions in the abdominal wall. This instrument is used to remove all or part of the diseased kidney. Laparoscopy has also been successfully combined with two other surgical techniques, called cryosurgery and radiofrequency ablation (RFA), to destroy small kidney tumors in select patients. Cryosurgery, or cryoablation, uses freezing temperatures (achieved by using liquid nitrogen or carbon dioxide) to destroy diseased tissue.

  • Laparoscopic Procedures for Cystic Disease - Diseased kidneys can be removed through small incisions using special laparoscopic techniques, including tissue morcellation. Other procedures, including laparoscopic cyst unroofing, are used to treat large painful kidney cysts.

  • Kidney and Urethral Stones - Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive treatment of kidney stones. The lithotriptor attempts to break up the stone with minimal collateral damage by using an externally applied, focused, high-intensity acoustic pulse. The sedated or anesthetized patient lies down in the bed of the apparatus, with the back supported by a water-filled coupling device placed at the level of the stones. A fluoroscopic x-ray imaging system or an ultrasound imaging system is used to locate the stone and aim the treatment.

Prostate Disease and Prostate Cancer

CMUC urologists treat prostate disease and prostate cancer including:

  • Green light laser evaporization for BPH (Benign Prostatic Hyperplasia)
  • Transurethral electroevaporation of the prostate (bipolar button/plasma energy)
  • Transurethral incision of the prostate (TUIP) is a type of prostate surgery done to relieve mild urinary symptoms caused by prostate enlargement, a condition known as benign prostatic hyperplasia (BPH) that fails to respond to medical therapy
  • Brachytherapy radioactive seed implants for prostate cancer is highly successful in well selected thus avoiding major surgery or lengthy radiation therapy
  • Vasectomy and Male Infertility
  • Vasectomies are performed in the office. Urologists also provide counsel to patients for male infertility issues.