Award winning urological care in Richmond, Virginia
Retreat Doctors' Hospital's center for urological health is the destination for urological care for men and women serving Richmond and Central Virginia. Recognized by Healthgrades as a Top 100 Hospital for Prostate Surgery, our Center for Urology brings the latest innovations in urologic care to the residents of Central Virginia.
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Expertise and advanced technology
Our board-certified physicians and urology specialists have more than 75 years of combined experience. We are honored to be the recipients of the Healthgrades 2018 Prostate Surgery Excellence Award. By combining expertise and advanced technology, we ensure patients receive the best possible surgical outcomes.
Virginia Institute of 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 3D 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:
Kidney stone management
Ten percent of people will develop a kidney stone in their lifetime and half of the people that experience kidney stones will have a recurrence. The cause of kidney stones is unknown and they can grow in an unpredictable fashion.
What is a kidney stone?
Kidney stones are at type of crystal that can cause pain, infection and in some cases, kidney damage created from substances normally found in the urine. Little is known about what causes kidney stones, and over time, the small stones can pass out of the body, undetected along with urine. Large stones can obstruct the ureter, causing sudden and severe pain.
Do I have a kidney stone?
In addition to severe pain, common symptoms of kidney stones include:
- Flank pain or pain in your side
- Frequent urination and/or UTIs
- Blood in the urine
Kidney stone emergency
Kidney stones can be life threatening. You should seek immediate medical attention by visiting our emergency department or calling 911 if you are experience the following symptoms:
- Intolerable pain
- consistent burning or blood during urination
- A consistently high fever above 101.5
- Persistent nausea and/or vomiting
How do I get rid of kidney stones?
At Retreat Doctors’ Hospital, we are proud to combine the expertise of our emergency medicine physicians with our board-certified urological specialists and advanced technology to ensure our patients receive the best care.
Treatment options include pain management and allowing the stone to pass by itself. We will work to get your pain under control as quickly as possible. Some pain can be treated and managed at home, and in some cases, your doctor can determine whether pain medication is necessary.
For larger kidney stones, the urological experts at Retreat Doctors’ Hospital will surgically treat you for kidney stone removal. Treatment decisions are based on the size of the kidney stone and the location in the urinary system.
- Cystoscopy is a type of kidney stone surgery that removes tissue samples for biopsies or removes small stones. Urologist specialists insert a thin tube, called a cystoscope, through the urethra then insert tiny surgical tools through the tube to remove the tissue or stones.
- Ureteroscopy 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.
Kidney disorder treatment
- Nephrectomy is the removal of a kidney that no longer functions, or the removal of a kidney to treat kidney cancer. This procedure is performed as a 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 removed 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.
Prostate disease and oncological procedures
- 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. This procedure partially or completely removes the prostate using 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 remove or destroy the excess tissue causing urine flow problems.
Bladder disease treatment
- 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 robotic surgery or by using a laser to remove the cancer and burn away any remaining cancer cells.
Urinary incontinence and urethral condition treatments
- Sling and suspension is a minimally invasive procedure that uses a small piece of woven polypropylene placed under the urethra to improve bladder support and stop leakage.
- 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 by inserting tiny tubes that stretches open the urethra.
- Vasectomy is an outpatient procedure performed under local anesthesia during which the surgeon clips the tube that carries sperm from the testes. Primarily used as a birth control method, this 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.
Pelvic floor disorder treatments
- 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 that inserts a tape strip 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 is 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.