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Urology and Andrology

The Department of Urology and andrology is a medical specialty that involves diseases of the urinary and genital organs including adrenal gland, kidney, ureter, bladder, prostate, testis, urethra, and penis.

Medical services

We have about 25 urologists working at both the outpatient clinic and inpatient ward. Outpatient clinic is open from Monday to Friday. There are about 15 specialized clinics covering a wide variety of urologic conditions.

Diagnosis and treatment policy

Our department is strongly committed to high quality urologic services for diagnosis, treatment, and management of wide variety of urologic diseases. Therapeutic options are discussed at our weekly conference and our urologists provide a taylor-made individualized treatment based on a team approach.

Field of Specialties

Our doctors have extensive experience and are well experienced in oncology and robotic surgery. More than 100 cases of robot-assisted radical prostatectomy are p er formed each year with e xcellent oncologic outcome and low complication rate. Robot-assisted partial nephrectomy is also performed in order to demonstrate nephron-sparing procedure. Robot assisted radical cystectomy is performed using an intracorporeal urinary diversion technique. In addition, well trained doctors provide sufficient medical care to various urologic diseases such as adrenal tumor, voiding dysfunction, interstial cystitis, urniary incontinence, pelvic organ prolapse (laparoscopic sacrocolpopexy), urolithiasis, renal failure (renal transplant, hemodialys, and peritoneal dialysis)

Urologic diseases treated at our hospital

Cancer and benign tumors

Adrenal tumor, renal cell carcinoma, renal pelvic carcinoma, ureteral cancer, bladder cancer, prostate cancer, testicular cancer, penile cancer, prostatic hyperplasia, renal angiomyolipoma

Urolithiasis

Renal stone, ureteral stone, bladder stone

Urinary disorder

Overactive bladder, interstitial cystitis, neurogenic bladder

Female urology

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

Andropause/ Male infertility

Erectile dysfunction (ED), male infertility

Chronic kidney diseases

Peritoneal dialysis, renal transplant, blood purification

Congenital abnormality

Ureteropelvic junction stricture, undescended testis

Infectious diseases

Pyelonephritis, cystitis, prostatitis, epididymitis

Advanced/specialzed medical treatments

  • Robotic surgeries (radical prostatectomy, partial nephrectomy, radical cystectomy, pyeloplasty)
  • Laparoscopic surgeries (radical prostatectomy, nephrectomy/adrenalectomy, partial nephrectomy)
  • Bladder hydrodistension
  • Pelvic organ prolapse surgery (robot-assisted sacrocolpopexy)

Frequently performed tests

Outpatients
  • Cystoscopy
  • Retrograde pyelography (RP)
  • Uroflometry
  • Urodynamic study
  • Urinary incontinence test
Inpatients
  • Transperineal prostate biopsy (random 18 cores + target biopsy)
  • Kidney biopsy
Haruki Kume

Haruki Kume

Departments/Divisions

Urology and Andrology

Titles

M.D. , Ph.D.

Expertise/Specialties

Robotic Surgery, Laparoscopic Surgery, Endoscopic Surgery, Kidney Cancer, Urinary Tract Cancer, Bladder Cancer, Prostate Cancer, Testicular Cancer, Adrenal Tumor, Renal failure, Peritoneal Dialysis

Research Interests

Molecular Biology, Genome Research

Languages


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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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