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Urology and Andrology

Anesthesiology and Pain Relief Center

The Department of Urology and Andrology specializes in diseases of the urinary tract and male genital organs, such as adrenal gland, kidney, ureter, bladder, prostate gland, testis, urethra, and penis.

Medical services

Approximately 20 urologists work together to provide daily care in the outpatient clinic and the inpatient ward. The outpatient clinic is open from Monday to Friday to provide general medical services, specialized outpatient services and urologic examinations. There are 17 specialized outpatient clinics handling consultations and treatment for different types of tumors, lower urinary tract symptoms and intractable disease.

Diagnosis and treatment policy

With a patient-oriented approach, an individualized treatment plans are developed at department conferences and treatment is provided based on a team approach.

Specialties

The department specializes in the treatment of prostate cancer and other malignant tumors (tumors of the kidney, renal pelvis, ureter, bladder, prostate and testis). We also provide chemotherapy. Medical care for patients with adrenal tumor, lower urinary tract symptoms, interstitial cystitis, urinary incontinence, pelvic organ prolapse, urolithiasis, late-onset hypogonadism renal transplantation, and hemodialysis are also provided.

Target diseases

Cancer and benign tumors

adrenal tumor, renal cancer, renal pelvic cancer, ureteral cancer, bladder cancer, prostate cancer, testicular cancer, penile cancer, prostatic hyperplasia, renal angiomyolipoma

Urolithiasis

nephrolithiasis, ureterolithiasis, cystolithiasis

Difficulty of voiding

overactive bladder, interstitial cystitis, neurogenic bladder

Female urology

stress incontinence, pelvic organ prolapse (cystocele, uterine prolapse, vaginal stump prolapse)

Late-onset hypogonadism(LOH)/ Male infertility

erectile dysfunction (ED), male infertility

Chronic kidney diseases

peritoneal dialysis, renal transplantation, hemodialysis.

Congenital abnormality

ureteropelvic junction stricture, undescended testis

Infectious diseases

pyelonephritis, cystitis, prostatitis, epididymitis

Advanced treatments/ Specialized treatments

  • Robot assisted laparoscopic radical prostatectomy
  • laparoscopic nephrectomy/ adrenalectomy
    laparoscopic partial nephrectomy
  • Small incision endoscopic surgery (adrenal gland, kidney, prostate )
  • Brachytherapy
  • Bladder hydrodistension
  • Bladder injection of Botulinum toxin
  • Flexible transurethral lithotripsy (f-TUL)
  • Urinary incontinence surgery (TOT procedure), pelvic organ prolapse surgery (TVM procedure)

Frequently performed tests

Outpatients
  • Drip infusion pyelography (DIP)
  • Retrograde pyelography (RP)
  • Retrograde urethrography (RUG)
  • Uroflometry
  • Urodynamic study
  • Urinary incontinence test
Inpatients
  • Prostate biopsy (transrectal ultrasound-guided biopsy taking 12 tissue cores from the prostate gland under intravenous anesthesia)
  • Renal biopsy
Yukio Homma

Yukio Homma

Departments/Divisions

Urology and Andrology

Titles

M.D. , Ph.D.

Expertise/Specialties

Urological Tumor, Urological Surgery, Endourology, Prostatic Disease, interstitial Cystitis, Overactive Bladder

Research Interests

Cancer Biology, Pathophysiology of Voiding Dysfucntion, Clinical Assessment

Languages

Japanese/ English

See More

Diseases selectively treated in this department and treatment methods for them

Diseases
  1. Prostate cancer
  2. Bladder cancer
  3. Renal cancer
  4. Testicular cancer
  5. Urolithiasis
  6. Interstitial cystitis
  7. Overactive bladder and urinary incontinence
  8. Benign prostatic hyperplasia
  9. Pelvic organ prolapse
  10. Renal failure
Treatment methods
  1. Prostate cancer: robot-assisted radical prostatectomy; endocrine therapy; radiotherapy (brachytherapy or external beam radiotherapy)
  2. Bladder cancer: transurthral resection; intravesical BCG therapy; radiotherapy; radical cystectomy
  3. Hormone-refractory prostate cancer: chemotherapy and virustherapy
  4. Renal cell cancer and ureteral cancer: laparoscopic surgery
  5. Metastatic renal cell cancer: pharmacotherapy with new drugs; dendritic cell therapy
  6. Metastatic urothelial cancer: chemotherapy; peptide therapy
  7. Testicular cancer: radical orchiectomy; retroperitoneal lymph node dissection; chemotherapy; radiotherapy
  8. Interstitial cystitis: bladder hydrodistention; intravesical heparin and lidocaine instillation therapy
  9. Difficulty of voiding and overactive bladder: pharmacotherapy with various drugs; botox injection into the bladder wall
  10. Stress urinary incontinence: TOT surgery; artificial urinary sphincter placement
  11. Pelvic organ prolapse: transvaginal mesh (TVM)
  12. Chronic renal failure: hemodialysis; peritoneal dialysis; renal transplantation

Numbers of major operations and treatments performed

Name of operation/treatment Number (laparoscopic surgeries)
1 Adrenalectomy 18(7)
2 Radical nephrectomy and nephroureterectomy 60(35)
3 Partial nephrectomy 32 (robot-assisted:5)
4 Cystectomy 24
5 Pyeloplasty 4
6 Transurethral resection of the prostate 4
7 Radical prostatectomy 98 (robot-assisted:98)
8 Prostatic needle biopsy 284
9 Brachytherapy 10
10 Transurethral resection of the bladder tumors 164
11 Extracorporeal shock wave lithotripsy 15
12 Ureteral stenting 169
13 Internal shunt placement 14
14 Peritoneal dialysis-related surgery 10
15 Surgeries for urinary incontinence and pelvic organ prolapse 24
16 Bladder hydrodistention 41

(2014)

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