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Renal and Urological Surgery
Offers medical and surgical treatment for urinary tract disorders. A wide range of diseases will be covered including but not limited to, urogenital malignant / benign tumors, neurogenic bladder, urinary incontinence, male infertility, andrology, male sexual dysfunction, adrenal diseases, urolithiasis and urinary tract infections.
Recently, there has been an increase in the number of geriatric patients with multiple medical problems. Our specialists who are also general practitioners will offer specialized and minimally invasive treatment focusing on securing quality of life (QOL). They mainly specialize in malignant tumors of the urinary tract but each of them also specializes in various fields including urolithiasis, infectious diseases, dysuria, male sexual dysfunction, renal transplantation and offer highly specialized treatments.
Highlights of the department
Minimally invasive surgery for malignant tumors:
Laparoscopy and robot assisted surgeries are actively implemented to promote minimally invasive surgery. This kind of surgery is also applicable for cancers of the prostate, kidney and bladder.
Bladder-preserving therapy:
In general, cystectomy and urinary diversion are the most effective treatment for muscle invasive bladder cancer. However we will proactively promote bladder-preserving therapy to increase the quality of life (QOL) of our patients. We have proven evidence of the effectiveness of this surgery.
Active surveillance and pharmacotherapy for early stage prostate cancer:
In general, prostatectomy and IMRT (intensity modulated radiation therapy) will be recommended, however, patients may select active surveillance when appropriate. Hormone treatment and anti-cancer drugs for recurrent cancer will be provided as per guidelines.
Prostatic hyperplasia:
Endoscopic surgery will be offered if symptoms do not improve with pharmacotherapy. TUR-P (transurethral resection of the prostate) and CVP(contact laser vaporization of the prostate)will be performed.
Testicular Cancer:
Testicular cancer is one of the rare cancers which affects young men. Our team has dealt with over 100 cases of metastatic testicular cancer, making our team one of the most experienced in Japan. Our physicians also have a great deal of experience performing retroperitoneal lymph node dissection where necessary.
Conditions related to lower urinary tract, voiding dysfunction and neurogenic bladder:
A specialist who has studied physiology of the urinary tract at the University of Pittsburgh will treat our patients. New types of treatments such as sacral nerve stimulation therapy is also available.
Urinary calculus:
Treatments either with extracorporeal shock wave or endoscopy are available. IUHW Mita Hospital, which is another university hospital in our group, has a Lithotripsy Center that is one of the best in Japan. In coordination with IUHW Mita Hospital, we will proactively treat complicated clinical cases other medical institutions have had difficulties with.
Other specialty fields and unique treatments
- Female urology
- Urinary infectious diseases
- Pediatric urology, etc.