Urology Specialists Bladder ProcedureUrology Specialists diagnose and treat bladder symptoms such as stress incontinence (incontinencia urinaria), and urinary retention, the cause of over flow incontinence. Urinary incontinence will be analyzed with a flexible cystoscopy, voiding trials, uroflow studies, urodynamic studies, urine cultures, bladder ultrasounds, and urinary stress tests. Dr. Gheiler has many solutions for your particular urinary symptoms such as prolapse surgery to put a dropped bladder back into its proper place. Often the muscles surrounding the urethra (urinary sphincter) become weak and urine may leak out of the bladder when coughing, sneezing, standing up, using stairs, jumping and other activities that put stress on the bladder. This is commonly called stress incontinence or intrinsic sphincter deficiency and may be treated with a medicine holistic technique called kegel exercises to strengthen the muscles of the bladder sphincter.

 Urology Specialists has a bio-feedback system that gives women with stress incontinence, the ability to watch an Electromyography (EMG) screen while performing kegel exercises. This helps them learn, which muscles control the bladder sphincter, and target the correct muscles to contract and relax, so they may exercise the bladder sphincter muscles to bring back urinary continence naturally.

Stress incontinence may also be corrected with urethral bulking agents that are injected in to the tissues of the urethra and increase its thickness which allows the sphincter to stop leaking urine but still allow for urination.  Urinary incontinence and urge incontinence from urinary retention, or an over active bladder may also be controlled by medication, supplements, and neural stimulation. Dr. Gheiler has helped hundreds of patients control incontinence by implanting a neurostimulator in the small of the back. This device stimulates the sacral nerve creating effects on the bladder, sphincter, and pelvic floor.

Urinary symptoms such as microscopic hematuria, gross hematuria, frequent urination, and painful urination may be caused by a UTI. Urinary tract infections are the most common disorder of the urological system because the infection may reside in the kidney, bladder, prostate or urethra. Urine cultures are taken and the type and amount of microorganisms residing in the urinary tract are determined by our urologists.  Medication will then be given and any other problems related to the infection will be addressed at that time.

Urology Specialists program for bladder cancer (cancer vejiga) may entail a cystoscopy with bladder tumor removal, if the cancer bladder invasion is deep, then a bladder surgery called cystectomy (bladder removal) may be required. Similar to prostate cancer surgery a cystectomy can be performed as an open cystectomy, a laparoscopic cystectomy, and the da Vinci surgery cystectomy. This urologic surgery also includes creating a neo-bladder or a stoma for urine to collect into a bag attached to the abdomen.
Urology specialist’s surgeons Dr. Edward Gheiler and Dr. Fernando Bianco will analyze the extent of the cancer bladder invasion as they are performing the cystectomy. They may make the determination to remove just a part of the bladder keeping the bladder functional while keeping you cancer free. This surgery is called a partial cystectomy which is based on how far the cancer has grown into the bladder.

Contact the Urology Specialists today for an appointment.



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