Urology

The Urology department at Health City Cayman Islands utilizes the most modern high-tech, fiber optic and endoscopic techniques (minimally invasive surgery).

Health City Cayman Islands offers a wide range of urology services to treat conditions of the urinary tract and male reproductive system, including the kidneys, bladder, testes, penis & urethra, and prostate.

The doctors at Health City Cayman Islands are leaders in handling all urological conditions.

Urology services available at Health City include:

Kidneys


  • Stones: For the treatment of both single and staghorn kidney stones, Health City Cayman Islands offers:

    • Laser and ultrasonic intracorporeal lithotripsy

    • Percutaneous nephrolithotomy(PCNL)

    • Retrograde intravrenal surgery (RIRS)





  • Tumors: Both benign and malignant tumors are treated at Health City Cayman Islands via:

    • Radical nephrectomy (Laparoscopic and Open)

    • Partial nephrectomy (nephron sparing surgery)





  • Congenital kidney disorders are treated by:

    • PUJO: open and laparoscopic pyeloplasty

    • Non-functioning kidney (NFK): simple nephrectomy

    • Horseshoe kidney with stones: PCNL, RIRS




Ureter


  • Stones

  • URS – rigid and flexi ureterorenoscopy

  • Stricture

  • Uretero-ureterostomy

  • Tumors

  • Radical Nephroureterectomy and bladder cuff extension

  • Ureterocele

  • Incision

  • Primary obstructive mega ureter (POM); Retrocaval ureter; Ectopic ureter

  • Ureteroeocystostomy


Bladder


  • Infection: UTI and Recurrent UTIs

  • Stones: Cystoltholapaxy (per urethral endoscopic stone removal)

  • PCCL(Per cutaneous cystolithotomy

  • Cystolithotomy(open)

  • Tumors

  • TURBT: trans urethral resection of bladder tumor

  • Radical cystectomy & ileal conduit

  • Radical cystectomy and orthotopic neo bladder construction

  • Urinary Incontinence

  • Management


Testes


  • Infection

  • Tumors

  • Orchiectomy

  • RPLND: Retro peritoneal lymph node dissection

  • Torsion

  • Orchiopexy

  • Undescended testes

  • Orchiopexy


Penis and Urethra


  • Stricture

  • EIU: endoscopic internal urethrotomy

  • Urethroplasty

  • Buccal mucosal graft Substitution urethroplasty

  • Tumors

  • Partial and total penectomy

  • Ilio Inguinal lymph node dissection


Prostate


  • BPH: Benign Prostatic Hyperplasia/Benign enlargement of the prostate (BEP)

  • TURP: Transurethral resection of the prostate

  • HOLEP: Holmium laser enucleation of the prostate

  • Prostate Cancer

  • Radical Prostatectomy


Diagnostic


  • Uroflometry

  • Urodynamics (cystometrogram)

  • Prostate Cancer Screening: Digital rectal exam

  • PSA: Prostatic Specific Antigen

  • Trans rectal ultrasound biopsy (12 core)

  • MRI of the pelvis (for cancer of the prostate)

  • CT Abdomen and pelvis (genitourinary tumors)

  • CT urogram (urolithiasis- stone disease)

  • Intravenous pylography/urography (IVP)

  • Retrograde urethrogram (RGU) (for stricture of the urethra)

  • Voiding cystourethrogram (VCUG) (for stricture of the urethra)

  • Ultrasound KUB (kidney, ureter, bladder) – screening for stones, hydronephrosis, renal/bladder tumors prostatomegaly, post void residual urine

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