Urologic care in Denver
At Rose Medical Center in central Denver, we provide expert urologic and urogynecologic care for our patients. Rose’s urologists provide care for the male and female urinary tracts and the male reproductive system, while our urogynecologists treat conditions of the female pelvic organs, including the bladder, vagina, rectum and uterus.
Our specialists offer a range of minimally invasive and robotic surgical options for treating conditions, like urinary incontinence, prostate cancer and overactive bladder. We use advanced technologies and innovative medical treatments to ensure our patients receive the best care possible.
Minimally invasive urologic surgery
At Rose Medical Center, we offer the most advanced minimally invasive types of urologic surgery available. We utilize a robotic surgical system, which allows our surgeons to operate using miniaturized instruments with extremely precise movement. At Rose, we perform the following robotic and laparoscopic procedures:
- Bladder suspension: Reduces or corrects female stress incontinence by adding support to the bladder and urethra with stitches.
- Cystectomy: Removal of all or part of the bladder.
- Orchiectomy: Removal of one or both of the testicles.
- Prostatectomy: Removal of all or part of the prostate.
Bladder and urinary care
At Rose Medical Center, our team provides comprehensive care for the bladder and urinary system. We utilize robotic and laparoscopic surgical procedures, when appropriate, to help reduce pain and blood loss in the surgical treatment of our patients.
Our specialists provide advanced care for:
- Bladder cancer
- Cystocele repair
- Rectocele repair
- Interstitial cystitis (painful bladder syndrome)
- Prostate cancer
Urinary incontinence and overactive bladder
Loss of bladder control, also called urinary incontinence, is a common complaint, one that is especially frequent in women. Urinary incontinence may result from a range of conditions, including pregnancy, childbirth, menopause, surgery or obesity.
The most common types of urinary incontinence are:
- Stress incontinence: Pressure is put on the bladder with a laugh, cough, sneeze or while lifting a heavy object or exercising.
- Urge incontinence (overactive bladder): Loss of bladder control after experiencing a sudden, uncontrollable urge to urinate; often this results in the leakage of urine before making it to the bathroom.
- Mixed incontinence: Both types of incontinence are experienced.
Treating stress and urge urinary incontinence
If you come to your doctor complaining of symptoms congruent with urinary incontinence, your doctor will first perform a thorough exam to accurately diagnose your condition. A physical exam, urine evaluation, stress test, ultrasound, cystoscopy, X-ray and/or urodynamic test may be performed.
Once you have been given a clear diagnosis, your treatment plan will be created and may include:
- Behavioral modifications: Behavioral modification techniques, such as breathing exercises, or lifestyle changes, like avoiding beverages that irritate symptoms of incontinence, may be suggested.
- Physical therapy: Physical therapy exercises can help strengthen the pelvic floor muscles. Strong pelvic floor muscles increase your ability to hold urine.
- Medication: Anticholinergics may be used to alter the balance between the bladder pressure and sphincter tone; estrogen therapy may be used to strengthen the vaginal wall to treat stress incontinence.
- Percutaneous tibial nerve stimulation (PTNS): This overactive bladder treatment uses mild electrical pulses that are sent through an acupuncture-type needle placed near the ankle, which travels up the tibial nerve in the leg to reach the nerves responsible for bladder control.
- Botulinum toxin injections: This prescription medicine is used to treat overactive bladder symptoms when medications are ineffective. Botulinum toxin is injected through a cystoscope into multiple areas of the bladder muscle. Once there, it works on the nerves to help block signals that trigger overactive bladder.
- Surgery: Urogynecologic surgery is an option for women experiencing urinary incontinence.