Centers of Excellence
The team at Capital Region Urology offers a comprehensive range of urological medical services. We have particular expertise in five areas that we call Centers of Excellence.
Urologic oncology is the sub-specialty within urology that encompasses the evaluation and treatment of cancers, including cancers of the male genito-urinary tract, the female urinary tract, and adrenal glands in both male and female. Following evaluation based on data collected by physical examination, laboratory analysis, and a variety of imaging technologies, our physicians offer highly specialized care in a supportive environment with attention to quality of life issues, providing many therapeutic options ranging from chemotherapy, radiation therapy, minimally invasive surgery, prostatectomy, prostate brachytherapy (seed implant) and simple surveillance.
The field of infertility continues to undergo significant advances, and Capital Region Urology provides focused care for those couples that have been unsuccessful conceiving. The male patient will undergo urologic evaluation, including a complete history and physical examination, a detailed fertility questionnaire, hormonal evaluation and semen analysis. The results of this evaluation and any proposed therapy will be discussed with both patient and spouse and communicated to the partner's treating gynecologist. Treatments may include medication, surgery, sperm harvesting, artificial insemination or assisted reproductive technology. Many times these treatments are combined.
Urinary tract stones originate most frequently within the kidney. While some stones are small and may pass with conservative therapy, they can also grow to a significant size within the kidney, or begin moving down the ureter, blocking the flow of urine and resulting in significant flank and abdominal pain, blood in the urine, and sometimes fever. Capital Region Urology physicians will initiate appropriate therapy including hydration, pain control and the treatment of any associated infection. Further treatment options range from minimally invasive surgery such as shock wave lithotripsy, which utilizes sound wave energy to break the stone, or ureteroscopy, which utilizes a small endoscope to break up or extract the stone. For larger stones, your physician may recommend percutaneous nephrolithotomy, a more invasive surgical procedure that requires a small incision in order for the physician to extract the stone.
Capital Region Urology is in the forefront of robotic surgery. One method implements pure laparoscopy, which involves a small incision to introduce a camera for viewing and small instruments for manipulation. Without the trauma associated with large incisions, there are lower levels of pain after surgery, faster recovery, and lower blood loss compared to open surgery.
Robot-assisted surgery allows the performance of more advanced surgical procedures with greater accuracy and dexterity than pure laparoscopy. Capital Region Urology was the first medical group in the Capital Region to perform urological procedures using the da Vinci® system, the only complete robotic surgical system currently available. This system, which requires specialized training to operate, translates the surgeon's hand movements outside of the patient into movements of the miniature robotic instruments inside the patient.
Urodynamics assesses how the bladder and urethra are performing their job of storing and releasing urine. Capital Region Urology physicians perform urodynamic tests to evaluate the function level of a patient's bladder and sphincter muscles; these tests can help explain symptoms such as incontinence, frequent urination, sudden and strong urges to urinate, problems starting a urine stream, painful urination, voiding disorders, and recurrent urinary tract infections. Testing may involve a simple physical examination, or it may involve imaging equipment that films urination and pressure monitors that record the pressures of the bladder and urethra.