You can feel comfortable bringing your concerns to Adena Urology
Problems with your urological system may be the last thing you want to talk about. But suffering in silence about incontinence, prostate problems, or other conditions won’t make them better. It’s hard to get help if no one knows what you’re going through. But we want you to know you can feel comfortable bringing your concerns to the urologists at Adena Health System.
Urology is the branch of medicine that diagnoses and treats diseases of the male and female urinary tract. Urologists also provide treatment for disorders of the prostate, male reproductive system, and the adrenal glands. We are continually introducing new procedures to help our patients across Southern Ohio, including GreenLight laser surgery, a promising new treatment for enlarged prostate disease.
We specialized in the evaluation and treatment of:
Kidney stones are formed when certain substances in your kidneys create crystals that then form into solid stones. The condition typically results from inadequate fluid intake, and can run in families. As a stone passes through the ureter, it can block the flow of urine and cause severe pain in the abdomen or side of the back. While many stones pass on their own, those that are too large may need some help. They can be:
- Broken into smaller, passable pieces using extracorporeal shock-wave lithotripsy (ESWL), which uses sound or shock waves
- Surgically removed with ureteroscopic Holmium laser lithotripsy, which uses a laser beam that produces thermal energy to dissolve the stone.
- Surgically removed by way of a tube inserted into the kidney in a procedure called percutaneous nephrolithotomy.
Our physicians also offer non-invasive, natural remedies, and educate patients about prevention, risk factors, and recognizing symptoms of kidney stones.
Benign prostatic hypertrophy (BPH) is essentially enlargement of the prostate, is a common condition in men over 60 and by their 70s and 80s, more than 90 percent of men have some symptoms of BPH. As the name implies, it’s typically not cancerous, but its symptoms—frequent urination, especially at night, a weak urine stream, urgency, and urine leakage—can affect quality of life. Adena offers non-surgical and pharmacologic options for treatment, as well as a new minimally invasive surgical option called GreenLight, that uses a laser to vaporize prostate tissue that blocks urine from exiting the bladder.
Prostate, kidney, and bladder cancer all affect parts of the urological system, although in different ways. Our urologists work with patients to talk about treatment options, which can include:
- For prostate cancer: Prostatectomy, the removal of the prostate, is the “gold” standard treatment for most men with cancer of the prostate. At Adena Health System, this procedure can be done minimally invasively with the da Vinci Si Surgical System. Many men may also decide to receive chemotherapy, radiation therapy, or hormone therapy either instead of or in addition to surgery.
- For kidney cancer: According to the American Cancer Society, there are more than 64,000 new cases of kidney cancer each year. Treatment options include radiation therapy, chemotherapy, surgery, and immunotherapy—or a combination of these treatments. Cryotherapy, which uses extremely low temperatures to freeze the cancerous tissue, and radiofrequency ablation (RFA), which uses extremely high temperatures, are also options. The primary treatment is to remove part or all of the affected kidney, a procedure called nephrectomy. A partial nephrectomy can be performed at Adena using the da Vinci Si surgical system.
- For bladder cancer: Radiation and chemotherapy can both help battle bladder cancer. Surgery to destroy the tumor or to remove part or all of the bladder are also treatment options. You may be a candidate for a breakthrough, minimally invasive da Vinci cystectomy, which incorporates the best open surgery techniques and the benefits of a robotic-assisted approach, such as less pain and blood loss, an earlier return to bowel function, and less scarring than open surgery.
Other male urologic issues we treat include:
- Erectile dysfunction (ED)
- Hypogonadism (low testosterone)
- Peyronie’s disease (curvature of the penis)
- Premature ejaculation
- Chronic prostatitis
Adena Urology also offers no-scalpel vasectomy, a less traumatic option for male sterilization than conventional vasectomy. The procedure is performed through a single puncture in the scrotum, which requires no sutures, so recovery time is shorter and postoperative pain is reduced.
Adena Health System offers state-of-the-art urodynamics equipment to properly diagnose female urinary incontinence and voiding dysfunction in women, including:
Interstitial cystitis, which is often misdiagnosed as a urinary tract infection, is a chronic inflammation of the tissues of the bladder wall. Women are 10 times more likely than men to experience this condition, which causes pain when urinating, urinary frequency and urgency, and pelvic pain. Urologists work with patients on dietary changes and biofeedback training, and may prescribe medications or even surgery to help.
Neurogenic bladder is a lack of bladder control that results from a problem with the central nervous system, such as Alzheimer’s disease, a spinal cord injury or tumor, cerebral palsy, multiple sclerosis, stroke, or nerve damage. When messages going back and forth between the bladder and the brain aren’t effective, you can have trouble emptying your bladder, urinary retention, or loss of bladder control. Medications, Kegel exercises to strengthen pelvic floor muscles, a urinary catheter, and some types of surgery are all treatment options depending upon the cause and severity of your problems.
Overactive bladder, which is often called urge incontinence, means that your bladder muscles contract at the wrong times, often causing urine leakage. You also may experience a frequent need to urinate or a sudden and urgent need to urinate. Adena urologists offer non-surgical treatment options for overactive bladder, such as dietary changes, Kevel exercises, bladder training, biofeedback, and medications, and surgical options including:
- PTNS (Percutaneous tibial nerve stimulation)
Stress urinary incontinence is often caused by childbirth, which weakens the pelvic floor muscles that support the bladder and urethra. With this condition, you may lose urine during activities such as laughing, exercising, sneezing, or coughing. Behavioral changes and Kegel exercises to strengthen the pelvic floor muscles may help. If those efforts are unsuccessful, Adena physicians may recommend a minimally invasive procedure called a mid-urethral sling, where surgeons insert a synthetic mesh material that acts as a hammock, or sling, to support the urethra and prevent leakage.
After a vaginal delivery, some women experience weakened pelvic floor muscles leading to vaginal and pelvic organ prolapse. The cumulative effects of gravity, menopause-related estrogen loss, and the damage to supportive tissues caused by pregnancy and childbirth can cause your uterus to slip through the pelvic floor and protrude out of your vagina. For women whose symptoms are life-altering, a surgery called sacrocolpopexy can help them get back to normal. During the procedure, the surgeon uses surgical mesh to provide long-term support to the vagina. While it’s traditionally required a long horizontal incision, it can now be performed at Adena Health System with da Vinci surgery using much smaller incisions, allowing your surgeon to operate with enhanced vision and precision. Robotic-assisted surgery also offers the benefits of less blood loss and a shorter hospital stay.
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Adena Medical Office Building
4439 State Route 159
Chillicothe, OH 45601