Defining Urological Care
Retreat Doctors' Hospital's Center for Urological Health is the destination for urological care for men and women serving Richmond and Central Virginia. Our board-certified physicians boast more than 75 years of experience, providing a combination of the latest technological innovations and expertise with compassionate, individualized care for each patient. By combining expertise and advanced technology, we ensure patients receive the best possible surgical outcomes.
daVinci Robotic Surgery
As part of the Virginia Institute of Robotic Surgery, the da Vinci Surgical System at Retreat Doctors' Hospital enables our skilled surgeons to have 3-D enhanced vision of the surgical area, providing them with superior vision, precision, and control during your procedure. Minimally-invasive robotic surgery provides many benefits to our patients including:
- Less pain
- Smaller incisions
- Faster recovery
- Less time spent in the hospital
- Less risk of infection
- Quicker return to daily activities
Our Urological Services
At Retreat Doctors' Hospital's Center for Urological Health, we offer treatments ranging from non-invasive methods, to minimally-invasive procedures using robotics and laparoscopy, to complex urologic surgeries. Some common services we provide are:
- Cytoscopy is performed to remove tissue samples for biopsy or to remove small stones. A thin tube called a cystoscope is inserted through the urethra then tiny surgical tools are inserted through the tube to remove the tissue or stones.
- Uteroscopy uses small telescopes sent through the bladder, into the ureter, to look at the stones and either remove them or use a laser to break them apart.
- Nephrectomy is the removal of a kidney that no longer functions, or the removal of a kidney to treat kidney cancer. It’s usually performed using minimally invasive surgery.
- Partial nephrectomy is a procedure that removes the kidney cancer while saving the healthy part of the kidney. The entire tumor is cut out and the kidney is reconstructed.
- Kidney cryotherapy freezes and destroys cancer cells using needles inserted through small incisions. The needles have liquid nitrogen that freezes and destroys cells on contact.
- Biopsy is the removal of sample tissue to examine for the presence of possible cancer or other disease, performed in a variety of ways depending on the location of the affected tissue.
- Prostatectomy is surgery to treat prostate cancer where the prostate is partially or completely removed. It’s usually a minimally invasive procedure but at times may require open surgery.
- Transurethral Resection of the Prostate (TURP) is surgery that helps ease or eliminate urinary problems caused by an enlarged prostate. TURP is performed using minimally-invasive robotic surgery or by using a laser to excise or destroy the excess tissue causing urine flow problems.
- Chemotherapy for bladder cancer including chemotherapy drugs sent directly to the bladder through a catheter.
- Transurethral Resection of the Bladder (TURB) is surgery to diagnose or remove bladder cancer. It‘s done using minimally invasive surgery robotic or by using a laser to remove the cancer and burn away any remaining cancer cells.
- Sling and suspension uses a small piece of woven polypropylene that’s placed under the urethra to improve bladder support and stop leakage. It’s a minimally invasive procedure.
- InterStimTM implantation uses a neuro-stimulator that works like a pacemaker. It is implanted beneath the skin of the buttocks, and an electrode is then inserted next to the sacral nerves in order to regulate your urge “to go.”
- Botox or collagen injections relax the bladder, causing it to expand, increasing storage capacity.
- Urethral dilation opens up or enlarges a urethra that has narrowed and is restricting urine flow. This is performed by inserting tiny tubes that stretch open the urethra.
- Vasectomy is an outpatient procedure performed under local anesthesia during which the tube that carries sperm from the testes is clipped. It is primarily used as a birth control method, but a technique can be used so that a vasectomy reversal is possible.
- Orchiectomy is an outpatient procedure to treat cancer during which the surgeon removes the testicle or testicles, in turn shrinking most prostate cancers.
- Mesh removal is a complex surgery performed on women who have severe complications from transvaginal mesh, which is meant to be a permanent treatment for pelvic floor disorders.
- Tape procedure using TVT (tension-free vaginal tape) or TOT (transobturator tape) is a technique where a tape strip is inserted under the urethra to return a sagging bladder or urethra back to its normal position. The main difference between TVT and TOT is in how the surgeon reaches the urethra. The tape material may also differ.
- Autologous sling uses surrounding pelvic tissue from your own body that’s stitched in place to form a support sling that works like the tape procedures.
- Anterior (top) and Posterior (bottom), or “A and P,” repair for vaginal prolapse and hysterectomy involves an incision made on the top or bottom of the vagina. The tissue underneath the vaginal skin is put together to support the bladder or the rectum. Total vaginal hysterectomy with an A and P repair is the removal of the uterus and cervix through the vagina.
For more information about the Center for Urological Health at Retreat Doctors' Hospital, please contact Clinical Nurse Coordinator, Beth Pulliam, RN, at Elizabeth.Pulliam@hcahealthcare.com or (804) 254-5510.