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The
Urology Service is committed to providing the highest quality patient care
in a compassionate, safe and patient focused manner.
We believe that many aspects of urologic care are best delivered by a multidisciplinary approach and that patient education is of paramount importance in attaining the best outcome.
We also believe that our educational and research missions serve to enhance excellence in patient care and distinguish us for the quality outcomes we provide.
Abnormal
PSA
The Urology Service provides for consultation with patients to determine the
need to pursue an abnormal PSA count. If further diagnostic testing is indicated,
imaging capabilities are available in the office to define the prostate, and
if needed, image-directed prostate biopsies can be performed simultaneously.
Benign
Prostatic Hypertrophy
Diagnostic equipment and medical and surgical prostate therapies are available
to address problems of voiding dysfunction related to enlarged prostate growth.
Erectile
Dysfunction/Impotence
Erectile dysfunction diagnosis and instruction of the patient in specific
impotence treatment modalities occurs in a special erectile dysfunction clinic,
which is separate from the other clinics to allow for privacy and confidentiality.
Causes of impotence and erectile dysfunction treatment options including medication
and surgical therapies are available and are addressed in this erectile dysfunction
clinic.
Female
Urology
Problems of continence and pelvic floor dysfunction in women are addressed
by specially trained urologic physicians. Sophisticated diagnostic equipment
to define the problem and the latest medical and surgical urology treatments
for the disorders are available.
General Urology
Urologic disorders not included in one of the other subdivisions of the department
are addressed by a generalist. Such urology disorders would include but are
not limited to urinary tract infections, dysfunctional voiding, hernia, benign
scrotal conditions, undesended testes and vasectomy.
Incontinence/Voiding
Dysfunction
Female incontinenceissues are addressed in the Female Urology Division by
a specially trained urologic physician. For males, incontinence evaluations
are performed in the General Urology Division. The specific diagnosis may
require testing in the Urodynamics/Neuro-urology Center. The full spectrum
of incontinence treatment is available including medical therapy biofeedback
and surgical procedures including the artificial sphincter.
Infertility Center
We believe that the problem of infertility is best approached as a couple's
issue. Thus, the infertility clinic is staffed by urologists and gynecologists
so that all aspects of an infertility problem may be dealt with in a coordinated
fashion. Surgical correction of male and female reproductive infertility problems
and in vitro fertilization are available.
Laparoscopic,
Endourologic and Minimally Invasive Surgery
We at the MGH have the "operating room of the future" in which special
facilities and equipment have been designed to facilitate minimally invasive
surgical procedures. Examples of procedures which would be performed by this
group include laparoscopic removal of the kidney, laparoscopic radical prostatectomy,
percutaneous and endoscopic stone removal and minimally invasive correction
of congenital abnormalities of the kidney.
Reconstructive
Urology
Procedures performed by physicians with expertise in this area include neobladder
construction in which a new bladder is made when the native bladder must be
removed, reconstructive surgery for penile cancer, restoration of the male
external genitalia injured by infection or trauma and repair of urethral strictures.
Stone
Disease
The treatment of kidney stones and bladder stones is accomplished by minimally
invasive techniques. The entire spectrum of technology and expertise is available
at the MGH. A state-of-the-art shock wave lithotripter is permanently located
on site and is used to break up kidney and bladder stones without the need
for an invasive procedure. Percutaneous, endourologic and laser technology
allow for the removal of stones without the need for an incision or, in selected
cases, using only a keyhole incision.
Urodynamic/Neuro-urology
Testing
Patients with complex voiding dysfunction disorders may be referred by their
physician to this facility. A clinical nurse specialist and two neuro-urology
physicians staff the area. State-of-the-art video urodynamic and biofeedback
equipment allow for a definition of the cause of the voiding dysfunction and
recommendations for specific treatment.
Urology
Cancer Center
This center has physicians from the services of urology, medical oncology,
radiation oncology, pathology and psychiatry. These physicians have special
training and experience in all aspects of urologic cancer care. Social service
and nursing complete the professional compliment. There is a Multidisciplinary
Urology Cancer Clinic which meets twice weekly in which the appropriate physicians
consult with each patient. This multidisciplinary service provides for coordinated
and individualized urology cancer care. The expertise of many physicians is
brought to bear on the problem so that the best approach for both common and
rare conditions of urology cancer may be determined.
Vasectomy
Vasectomy procedures are performed in the office as an outpatient service
by one of our staff urologists with special interest in vasectomy procedures.