We practice team medicine based on evidence and guidelines, and treatment methods are discussed by all surgeons in the department for all urological diseases. For radical prostatectomy, we aim for reduction in urinary incontinence and preservation of sexual functions, and also incorporate brachytherapy for prostate cancer. We also put effort in endoscopic surgeries, such as the laparoscopic surgery for kidney cancer. For urological benign diseases, laparoscopic surgeries for adrenal tumors and HoLEP surgeries for benign prostatic hypertrophy are conducted.
Since the surgical assistant robot ‘da Vinci’ was implemented in August 2011, robot-assisted radical prostatectomy for prostate cancer has been conducted. Robot-assisted surgeries allow the surgeon to control a robot arm that moves freely under magnified 3D vision. In addition to the minimally invasive laparoscopic surgery, this allows a more precise and accurate surgery. Currently in the United States, approximately 90% of all radical prostatectomy are conducted with robotic assistance. We are now preparing to start partial nephrectomy for kidney cancer. There are terms and conditions for patients who can receive robot-assisted surgeries.
Diseases and Expertise
We proactively provide treatment especially for the following diseases.
Surgeries (radical prostatectomy), radiation treatment (external beam, brachytherapy; cooperative treatment with the Radiation Oncology department.) Approximately 100 cases of radical prostatectomy conducted annually.
Holmium-Laser Enucleation of the Prostate (HoLEP.) Laparotomy will not be conducted even for a large hypertrophy.
Partial nephrectomy and arthroscopic surgeries (laparoscopic surgeries/Robot-assisted surgeries) will be conducted to preserve kidney functions.
Laparoscopic surgeries for adrenal tumors such as Primary Aldosteronism and Pheochromocytoma
Testosterone Supplementation Therapy
A program to recover sexual function after a prostate surgery
Bladder Construction Surgery
Surgery using the intestinal canal for patients who have removed their bladder for cancer
Tension-free Vaginal Mesh surgery for Pelvic Organ Prolapse
Trans-Obturator Tape for women with urinary incontinence
Urinary Tract Reconstruction
Urinary Tract Reconstruction for Radiation Bladder Disturbance
*The following examinations/treatments are not conducted*
・ Urinary Lithiasis (Nephrolith/Ureteral Lithiasis)
・ Male Infertility
Cystoscopic examinations are almost always conducted with a flexible cystoscope (A soft videoscope like a gastroscope.)
From August 2011, surgery assistance robot 'da Vinci' has been implemented.
Number of Operations (2012)
|Prostate Cancer||Total prostatectomy with robotic assistance||75|
|Total prostatectomy with laparotomy||20|
|Benign Prostatic Hypertrophy||HοLEP（Endoscopic Therapy using Laser）||127|
|Bladder Cancer||Transurethral Resection of Bladder Tumor（TURBT）||64|
|Total cystectomy Self-catheterization Bladder Substitution||4|
|Total cystectomy Ileal Conduit||6|
|Total cystectomy Orthotopic Bladder Substitution||5|
|Renal Pelvis/ Ureteral Cancer||Total nephroureterectomy using a laparoscope||7|
|Kidney Cancer||Total nephrectomy with laparotomy||1|
|Total nephrectomy using a laparoscope||5|
|Partial nephrectomy with laparotomy||15|
|Partial nephrectomy with robotic assistance||7|
|Adrenal Gland Disease||Laparoscopic adrenalectomy||8|
|Pelvic Organ Prolapse||TVM（Operation using Mesh）||9|