Urology

Urology at Southern Indiana Surgery Center (SISC)

Urology or genitourinary surgery at Southern Indiana Surgery Center (SISC) treats surgical and medical diseases of the male and female urinary-tract system and the male reproductive organs.

Urologists at Southern Indiana Surgery Center (SISC)

Bryan D. Hoff, MD

Dean L. Lenz, MD

Ashley Shumate, MD
Urology

Paula Bunde, MD
Urology

Urological Surgery at Southern Indiana Surgery Center

• Bladder
• Kidneys
• Adrenal glands
• Urethra
• Ureters

Men 

• Epididymis
• Penis
• Prostate
• Testes
• Seminal vesicles

The urological surgeons at SISC have extensive training and expertise in performing the most advance, minimally-invasive surgical procedures affecting these organs.

Common Urological Surgeries

Prostate surgery: Part of an enlarged prostate (BPH/Benign Prostatic Hyperplasia) may need to be removed to restore normal urine flow. In cases involving cancer, a radical prostatectomy (removal of the entire prostate) may be necessary. This can often be performed laparoscopically or robotically. Green light laser therapy can be utilized to remove prostate tissue during a minimally invasive outpatient procedure. In some cases, an innovative, new treatment called the Urolift System allows the prostate tissue to remain uncut and involves lifting it out of the way to unblock the urethra.

Ureteroscopy: A thin, telescopic instrument is inserted into the urinary tract to remove kidney stones. Large stones may need to be broken up during a lithotripsy prior to this procedure.

Lithotripsy: High energy shock waves are used to disintegrate kidney stones into fragments which can then pass through the urinary system.

Bladder incontinence surgery: Several procedures are available to correct incontinence, which commonly occurs in females, especially with age as bladder muscles weaken, but can happen  at any age, often when coughing, laughing, sneezing, or physically straining during exercise. 

• Sling procedure- An incision is made in the lower abdomen and vagina, enabling a sling to be placed around the neck of the bladder for support.
• Tape procedure- Plastic tape is placed around the urethra through a vaginal incision in order to reposition it.
• Colposuspension- The neck of the bladder is lifted laparoscopically and stitched into position to prevent leakage.

Orchiopexy: During this procedure, your surgeon moves an undescended testicle into its proper position and permanently fixes it in place.

Vasectomy: The male’s vasa deferentia is cut, cauterized, and tied to keep sperm from entering the semen, thus preventing pregnancy.

Cystoscopy: An endoscopy via the urethra can be performed to identify the cause of urinary or bladder problems, such as blood in the urine or frequent/unexplained urinary tract infections.

Pelvic organ prolapse surgery: The pelvic organs (vagina, bladder, uterus, urethra, or bladder) can become displaced if the muscles and tissue supporting them become weakened. Several surgeries are offered at SISC to treat pelvic organ prolapse, depending on which organ has prolapsed, including:

• Colporrhaphy- Incorporates sutures to strengthen the vagina to treat vaginal wall prolapse
• Sacrocolpopexy- Uses mesh to lift the vagina into place after vaginal vault prolapse
• Sacrohysteropexy- Mesh is attached to the cervix and sacrum to treat uterine prolapse

Circumcision: Some or all of the foreskin is removed from the penis.

Inguinal hernia repair: The intestine protruding through a weakened abdominal wall or the groin is repaired by closing and reinforcing the area.

Penile implant surgery: For patients with erectile dysfunction with a clear medical cause or those with Peyronie’s disease, a penile prosthesis (malleable or inflatable) can be surgically implanted.

The urology experts at SISC also offer the most advanced surgical procedures available to treat cancers of the prostate, bladder, kidneys and testes, as well as more uncommon cancers, such as penile and ureteral.

Disclaimer: These pages are not intended to provide medical or surgical advice or physician instruction on medical care or treatment. If you are a patient, consult with your doctor about treatment options that may be appropriate for your medical condition.