Urology

• Introduction
• Characteristics of this department
• Outpatient schedule
• Medical track record of the clinical department
• Academically certified facility
• Regarding clinical research

Introduction

Our department specializes in treating urinary disorders and ureteral stones.
For prostate cancer, kidney cancer, and bladder cancer, we provide minimally invasive surgeries and drug therapies.
For ureteral stones, in addition to extracorporeal shock wave lithotripsy (ESWL), we actively perform laser lithotripsy using endoscopy.
Furthermore, we plan to introduce fusion biopsy for patients suspected of having prostate cancer, integrating MRI and ultrasound images for more precise diagnostics.

Introduction of Transurethral Water Vapor Therapy (WAVE Therapy)

We have started offering Transurethral Water Vapor Therapy (WAVE Therapy), a new minimally invasive treatment for benign prostatic hyperplasia (BPH).

Using the Rezum System, this procedure injects 103°C water vapor into the enlarged prostate, raising the tissue temperature to approximately 70°C. Over the course of 1–3 months, the treated tissue undergoes necrosis and shrinkage. This method minimizes physical strain and does not leave any foreign objects inside the body.

Compared to conventional thermal therapy, WAVE Therapy utilizes water vapor, ensuring uniform treatment effects through tissue convection. This approach also helps preserve the urethral mucosa and sexual function.

Benefits for Patients

• Treatment takes about 10 minutes
• No need for oral medication
• Low risk of urinary incontinence
• High preservation rate of sexual function
• Can be performed as a day procedure or with short hospital stays
• Suitable for patients who are not eligible for general anesthesia

For more details about WAVE Therapy or patient referrals, please feel free to contact us.

Characteristics of this department

• Based on gender-sensitive medical care, we have separate consultation floors for male and female patients.
• We provide a wide range of treatments tailored to patient needs.

Robot-Assisted Surgery

1. Benefits of Robotic Surgery
   1. Smaller incisions

      Compared to open surgery, robotic surgery results in smaller wounds, leading to faster postoperative recovery.

   2. Reduced blood loss

      The robotic system has a wider range of motion than traditional open or laparoscopic surgery, allowing for precise movements. Additionally, 3D imaging improves surgical accuracy, resulting in less blood loss.

2. Eligible Conditions for Robotic Surgery

   At our hospital, we perform robotic surgeries for :
   Prostate cancer
   Partial nephrectomy for kidney cancer

Main diseases

• Overactive bladder
• Benign prostatic hyperplasia (BPH)
• Urolithiasis (urinary stones)
• Prostate cancer
• Bladder cancer

And more

Main Treatments

• Extracorporeal shock wave lithotripsy (ESWL)
• Transurethral lithotripsy
• Transurethral bladder tumor resection (TURBT)
• Robot-assisted laparoscopic radical prostatectomy
• Transurethral water vapor therapy (WAVE Therapy)

And more

Outpatient schedule

Morning 9:00～12:00（Reception8:00-11:30）/
Afternoon to Evening 13:30～16:30（Reception13:00-16:00）

Female Urology

Male Urology

Medical track record of the clinical department
［October 2023 to September 2024］

• Number of cases by procedure
• Number of cases by anesthesia method

• Surgical method	Number of procedures
  Transurethral removal of urinary stones	14
  Transurethral ureteral stent placement	7
  Bladder malignancy surgery	7
  Percutaneous nephrostomy (renal pelvis) creation	6
  Laparoscopic prostate cancer surgery	4
  Transurethral prostate surgery	3
  Transurethral electrocautery	2
  Testicular (orchiectomy) surgery	2
  Laparoscopic renal (ureter) malignancy surgery	2
  Laparoscopic nephrectomy	2
  Penile fracture surgery	1
  Percutaneous ureteral dilation	1
  Epidural anesthesia (cervical and thoracic)	1
  Renal (ureter) malignancy surgery	1
  Testicular malignancy surgery	1
  Testicular injury surgery (tunica albuginea suturing)	1
  Laparoscopic adrenalectomy	1
  Bladder skin fistula creation	1
  Bladder wall resection	1
  Total number of medical departments	58

• Anesthesia method	Number of cases
  General anesthesia	45
  Spinal anesthesia	18
  Local anesthesia	14
  Nerve block (conductive anesthesia)	4
  No anesthesia	3
  Epidural anesthesia	2
  Total number of medical departments	86

Academically certified facility

• Accredited Training Facility of the Japanese Urological Association (JUA)
  [Japan Urological Association　https://www.urol.or.jp/specialist/inst/]

Regarding clinical research

Click here for more information on clinical research