Urology Services for Men and Women
Catholic Health's board-certified urologists provide comprehensive care for a full spectrum of disorders and conditions of the bladder, urinary tract, prostate and reproductive system.
Our team of experts combines clinical excellence with a compassionate, patient-centered approach to provide expert care for a wide range of urological conditions.
We utilize the latest technology and the most advanced medical techniques and therapies, including robotic-assisted and minimally invasive procedures, to treat illness, improve function and restore quality of life.
Conditions We Treat
- Adrenal gland disease
- Benign disease of the prostate
- Bladder and kidney stones
- Bladder and urinary incontinence
- Erectile Dysfunction
- Prostatitis
- Bladder cancer
- Kidney cancer
- Prostate cancer
- Testicular cancer
- Urinary tract cancer
Procedures We Offer
Catholic Health offers advanced surgical and minimally invasive procedures to treat various urological conditions.
A sling procedure ensures you stay completely dry if you have urinary incontinence. The 7MinuteSling™ only takes seven minutes to apply. Patients usually go home the same day. The risk of complications is low.
The 7MinuteSling™ is offered at the Urinary Incontinence and Pelvic Medicine Center at St. Charles Hospital (Port Jefferson, NY).
Aquablation therapy using the AquaBeam Robotic System treats lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH), also known as an enlarged prostate. AquaBeam is the first FDA-approved surgical robot utilizing automated tissue resection to treat LUTS due to BPH.
Aquablation therapy combines real-time, multi-dimensional imaging, automated robotics, and heat-free waterjet ablation for targeted, controlled, and immediate removal of prostate tissue.
This new technology also allows for the preservation of ejaculatory and sexual function. Patients are usually able to return home the next day. Most men can resume all their normal daily activities three to four weeks after surgery.
Catholic Health offers aquablation therapy at St. Catherine of Siena Hospital in Smithtown, NY, and St. Charles Hospital in Port Jefferson, NY.
Cryoablation is a surgical technique that destroys tumors by freezing them. It uses highly specialized cooling rods to freeze tumor cells without affecting vital structures such as blood vessels. Paired with laparoscopic surgery, cryoablation makes the treatment of small to medium renal masses less invasive. That means shorter hospital stays and fewer complications.
The da Vinci surgical system lets surgeons perform minimally invasive procedures with an advanced set of instruments. It is a robotic system that translates the surgeon’s hand movements at a console to real-time movements of the instruments. The instruments have greater range of motion than a surgeon’s hands and the surgery can be done through one or a few small incisions.
This technique offers significant benefits over traditional prostate surgery, including less pain and scarring, less risk of infection and blood loss, and faster recovery and shorter hospital stays.
This is commonly called enlargement of the prostate. The green light laser evaporates the tissue that is blocking the outlet of the bladder. It is most often done on an outpatient basis and has lower risk of significant bleeding and other potential complications that are seen with transurethral resection of the prostate (TURP).
Laparoscopic surgery provides the benefits of minimally invasive surgery with a shorter hospital stay, less blood loss and a quicker recovery time.
Advanced Kidney Stone Treatment
The experienced team of urologists at Catholic Health offers minimally invasive techniques, including stentless procedures, to safely and effectively remove kidney stones. Stentless procedures help patients avoid the discomfort of a stent and facilitate a faster, less painful recovery.
This treatment uses high-frequency sound waves that create strong vibrations to break the stones into tiny pieces that can be passed in urine. This is the most minimally invasive procedure for a stone as nothing enters the body.
A scope is inserted through the urethra and bladder and into the ureter. A laser is then used to break up the stone. A small tube called a stent may be temporarily placed in the ureter to relieve swelling and ensure that the urine flows properly after the stone is removed. This is a form of natural orifice surgery in which no incisions are made in the skin.
A small incision (less than half of an inch in size) is made in the back, and a thin telescopic instrument called a nephroscope is inserted directly into the kidney. An ultrasound probe breaks apart and removes the stones. This is generally utilized for larger and more complex stones.
Advanced Treatment for Erectile Dysfunction
Catholic Health has a team of experienced urologists who offer advanced treatments for erectile dysfunction (ED). Treatment for ED depends on the cause and may include lifestyle changes or medication. If those treatments are unsuccessful, the following treatment options may be effective.
Also referred to as a penis pump: it is a plastic tube that is placed over the penis to help with ED. The device consists of a plastic cylinder and pump, which creates a vacuum that pulls blood into the penis creating an erection, and a constriction ring that helps to maintain it.
More permanent treatments include surgical implants, where a penile prosthesis is surgically inserted. Two types of implants are commonly used to treat ED:
- Inflatable Penile Prosthesis: A pump and two cylinders are placed within the erection chambers of the penis, which causes an erection by releasing a saline solution.
- Semi-rigid Penile Prosthesis: Two semi-rigid but bendable rods are placed within the erection chambers of the penis, to allow manipulation into an erect or non-erect position.
Penile implants are usually not considered until other methods of treatment have been unsuccessful. Implants typically have a high patient satisfaction rate and can be an alternative solution for appropriate patients.
Urology Specialties
Bladder Health
- Bladder Stones
- Urinary Incontinence
- Urinary Tract Infection (UTI)
- Overactive Bladder (OAB)
Kidney Health
- Adrenal Gland Disease
- Kidney Stones
- Kidney Infection
Prostate
- Benign Prostatic Hyperplasia (BPH)
- Prostatitis
- Prostate Cancer
Male Reproductive and Sexual Health
- Erectile Dysfunction (ED)
- Peyronie’s Disease
- Varicocele
Urogynecology & Pelvic Health
Urologic Cancers
- Bladder cancer
- Kidney cancer
- Prostate cancer
- Testicular Cancer
Advanced Diagnosis of Urological Conditions
Urinary evaluations include a detailed medical history and physical examination, an assessment of urinary and pelvic symptoms, a review of personal and family history and lifestyle factors. Additional tests may include:
- Blood tests to detect infection or inflammation
- Urine tests including Post-void residual urine test (PVR)
- Cystoscopy - uses a scope to view the inside of the bladder and urethra
Imaging studies including X-rays, ultrasound, CT, MRI, PET scan, bone scan
Robotic Assisted Surgery
Our experienced surgeons utilize the latest robotic-assisted technology to perform various surgical techniques including:
- Nephrectomy: Partial or total removal of the kidney
- Cystectomy: Removal of the bladder
- Prostatectomy - Removal of the prostate
- Pyeloplasty: Reconstruction of the kidney to relieve blockages
- Sacrocolpopexy: Treatment for pelvic organ prolapse in women
These techniques offer significant benefits over traditional surgery, including less pain and scarring, less risk of infection and blood loss, faster recovery and shorter hospital stays.
Learn more
Advanced Kidney Stone Treatment
The first option is observation and
trying to expel the stone on your own.
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In those cases, we recommend drinking a lot of
water, and we can give medications that help
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open up the urinary tract
and help the stone pass.
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That can be a good option
for small to medium stones.
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For stones that get stuck, there are
three procedures that can be performed.
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One procedure is called a
ureteroscopy laser lithotripsy.
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You basically put a camera up through the
urethra, so you don't make any new cuts into
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the body, and you go up to the stone, and you
sand it down to fine sand using a laser and
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wash it out.
Third option is for larger
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and more complex stones.
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It is also a minimally
invasive treatment option.
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It's called a percutaneous nephrolithotomy.
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With that procedure, we use ultrasound and
X-ray to make a small hole through the skin
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into the kidney, around the size of my pinky,
and we're able to pull the stones out through
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that hole using an endoscopic camera.
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Another minimally invasive option for kidney
stones is to deliver shock waves to the
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stone from outside of your body.
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This breaks the stone into smaller
pieces and allows those pieces to then
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be expelled by the body.
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The fifth option is available for only
some kidney stone formers, and that's
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dissolving the stone.
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A calcium stone cannot be dissolved because
anything that would melt a calcium stone would
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melt your skeleton in the process.
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However, sometimes based on a CAT scan and
different characteristics in your urine,
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particularly if your urine is very acidic, we
can make the diagnosis of a uric acid stone,
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which is around one in six patients, and in
those patients, if you make the urine less
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acidic, the stones will dissolve like magic.