sjhct-logo.png

Our urology department has a special interest in minimally invasive surgery, endourology, and urological cancers. We aim to improve patient outcomes and experiences with compassionate care and by using state of the art surgical technologies.

Endourology

Kidney stone disease is one of the common conditions afflicting people of all ages. Our center is unique in that it hosts an independent cystoscopy/urology unit providing the best urological care in a timely fashion.

We offer patients with stone disease endoscopic treatments such as semi-rigid ureteroscopy and digital video flexible ureterorenoscopy. Moreover, we are one of few centers in the Canada that offers both antegrade & retrograde percutaneous nephrolithotripsy (PNL) for treatment of large kidney stones.

We have a variety of stone lithotripters to assist in stone fragmentation that include holmium laser, pneumatic, and ultrasonic lithotripsy.

We offer patients the option of Extracorporeal Shock Wave Lithotripsy (ESWL) through collaboration with St Michael’s Hospital. Patients with stone disease are followed up closely and worked up to ensure that future episodes are prevented. We work closely in association with our Nephrologists (kidney specialists) to prevent stone formation in our patients.

Minimally Invasive Surgery and Laparoscopy

Minimally invasive surgery, also often known as laparoscopic or keyhole surgery to patients has recently been developed in the field of urologic surgery. Using a small telescope with built-in magnification mechanism and a variety of long, thin surgical instruments placed through approximately 3-5 incisions (each of which is usually no larger than a dime in size), the surgeon is able to perform minimally invasive surgery for a variety of urologic diseases and problems.

 Patients who have undergone these procedures have enjoyed not only the same diagnostic and therapeutic benefits of traditional open surgery but also greatly reduced postoperative pain, shorter hospitalization, faster recovery, and better cosmetic results.

 The division of urology at St. Joseph Health Center, Toronto has established itself as a pioneer in laparoscopic surgery in this area. Wide arrays of laparoscopic procedures are offered to patients which include:

  • Laparoscopic Radical Prostatectomy

  • Laparoscopic Partial & Radical Nephrectomy, Adrenalectomy

  • Laparoscopic Nephroureterectomy

  • Laparoscopic pyeloplasty

Urologic Cancers

Uro-oncology deals with cancers of the urinary system and male reproduction system. These include cancers of kidney, adrenal gland, ureter, bladder, prostate, urethra, penis and testis. Our centre offers comprehensive medical and surgical management of these cancers.

 All Cancer cases are reviewed by a multidisciplinary oncology team that involves urologists, medical oncologists, radiation oncologists, pathologists and radiologists.

We offer screening for prostate cancer and diagnostic transrectal ultrasound biopsy of the prostate. A stoma care specialist completes our team, and offers great support to our bladder cancer patients undergoing radical cystectomy and ileal conduit or orthotopic neo-bladder (artificial urinary bladder)

Our team of urologists proudly offers patients advanced surgical interventions in dealing with those cancers including laparoscopic radical prostatectomy, laparoscopic Radical & partial nephrectomy, and laparoscopic radical cystectomy.

Other Urology Services

As general urologists, we take interest in all fields of urology. Below is a brief list of specific areas of interest.

URINARY INCONTINENCE

Urinary incontinence is loss of bladder control. Symptoms can range from mild leaking to uncontrollable wetting. It can happen to anyone, but it becomes more common with age.

 Treatment depends on the type of urinary incontinence and what best fits the patient’s lifestyle. It may include simple exercises, medicines, or surgery. We workup patients with urinary incontinence thoroughly to identify the type of urinary incontinence affecting them (Urge Urinary incontinence, or Stress Urinary incontinence). Our center hosts a multichannel urodynamic system that helps us in making the appropriate diagnosis.

 We offer patients with stress urinary incontinence mid urethral slings (TVT, TOT), and artificial urethral sphincters.

Men’s HEALTH

Our team offers great support and treatment options to patients with male health conditions which can vary anywhere from prostate enlargement to sexual dysfunction and aging male syndrome.

 Patients with Benign Prostate Hypertrophy causing bothersome lower urinary tract symptoms are appropriately assessed and if indicated treated with medications. Patients who need surgical intervention are generally treated by endoscopic means through a transurethral resection of the prostate (TURP) or Laser surgery.

We offer patients presenting with Erectile Dysfunction, Premature Ejaculation, Testosterone deficiency syndrome, and Peyronie’s disease support and appropriate interventions.