Urologic Surgery

If you need urologic surgery, Essentia's skilled urologists will perform your procedure and provide the necessary follow-up care. Our urologists treat all types of male and female urinary tract conditions in the kidneys, ureters, bladder, and urethra, as well as conditions in the male reproductive system. They perform a wide range of surgical procedures, including vasectomy and circumcision.

What's a Urologic Surgeon?

A urologic surgeon is a urologist with specialized training in the diagnosis and surgical treatment of conditions of the male and female urinary tract, as well as the male reproductive organs.

Surgical Procedures

Below is a list of urologic conditions and the related procedures that your surgeon may perform.

  • Bladder cancer
    • Cystectomy – Removes all or part of the bladder to treat bladder cancer
  • Enlarged prostate
    • GreenLight™ laser therapy – Uses a laser to vaporize enlarged prostate tissue
    • Transurethral resection of the prostate (TURP) – Trims away excess prostate tissue
    • Transurethral needle ablation (TUNA) – Shrinks enlarged prostate tissue using radio waves
    • Transurethral microwave therapy (TUMT) – Heats and destroys prostate tissue
    • Urolift® system treatment – Lifts and holds the enlarged prostate tissue out of the way so it no longer blocks the urethra
  • Erectile dysfunction (ED)
    • Penile prosthesis – Implants inflatable or bendable rods into both sides of the penis
  • Infertility
    • Varicocele repair – Separates an enlarged varicose vein in your scrotum to stop blood flow and improve male fertility
  • Kidney cancer and kidney stones
    • Extracorporeal Shockwave Lithotripsy® (ESWL) – Breaks up kidney or ureter stones using sound waves
    • Partial nephrectomy – Removes part of the kidney to treat cancer, diseases and injuries
    • Nephroureterectomy – Takes out both the kidney and the ureter to treat cancer
    • Percutaneous nephrolithotomy – Removes large kidney stones
  • Prostate cancer
    • Prostatectomy – Removes all or part of the prostate gland
    • Radioactive seed implantation – Places radioactive seeds into your prostate gland to deliver radiation therapy
  • Testicular cancer
    • Orchiectomy – Takes out one or both testes
  • Urinary incontinence
    • Transobturator sling – Lifts and supports your urethra

Minimally Invasive Procedures

Whenever possible, Essentia surgeons treat your condition using advanced technologies and minimally invasive techniques. That means you’ll have less pain and scarring and a quicker recovery.

Robotic-Assisted Surgery

For more than a decade, Essentia has offered robotic-assisted urologic surgery at some of its hospitals. Robotic surgery involves the use of very sophisticated equipment to perform minimally invasive surgical procedures. One or two surgeons operate the robot during each procedure, and this robotic-assisted approach improves the surgeon's view, precision, and control. Robotic surgery has been proven to improve surgical outcomes.

Enlarged Prostate Therapy

Medical Insight: Enlarged Prostate Therapy - Essentia Health Video Transcript

The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight. An older man holds a coffee cup as he chats. Another man wearing a hospital gown sits on an exam table and talks to a woman wearing blue scrubs.

TRACY BRIGGS: For aging men, it's nearly as common as gray hair and wrinkles. According to the American Urological Association, more than half of men over the age of 60 have enlarged prostates. And at the age of 85, that number climbs to 90%.

Text, Benign Prostatic Hyperplasia Prevalence. Two rows of 10 figures, one row on top of the other. On the top row labeled 60 plus, five figures are blue, five are gray. The bottom row labeled 85 plus has nine figures colored in blue and one in gray.

Enlarged prostates can cause a number of urinary symptoms, including a weak stream, frequent or urgency in urination, getting up in the middle of the night to urinate, and a bladder that doesn't empty well.

Graphic of a cross-section of bladder and prostate. The Bladder is empty, and the urethra hangs below the bladder. A prostate surrounds the urethra. The urethra is narrowed where the prostate surrounds it, and it widens again at the base of the prostate. Text, Symptoms - weak stream, frequency, late-night urges, poor output.

Essentia Health urologist Dr. Philip Wanzek in Fargo says the prostate is like a donut. And the urethra that carries urine runs right through the hole in the middle. PHILIP WANZEK: So as the prostate grows enlarged, the channel can become restricted and not be able to open up as well.

A patient in an operating room. Three medical professionals dressed in surgical attire stand over him. Screens display vitals and other important information. Text, Dr. Philip Wanzek, Essentia Health Urologist.

TRACY BRIGGS: But a promising new technique is providing relief. Rezum is a steam therapy for men who have trouble urinating because of enlarged prostates. And Dr. Wanzek is the only physician in the state of North Dakota currently offering this procedure. Dr. Wanzek says they numb the prostate to ease discomfort and then inject steam for nine seconds at a time into the prostate with a small scope anywhere from six to 15 times. He says the heat from the steam is the weapon. PHILIP WANZEK: The tissue will dissolve, and the body will just reabsorb it over time. And eventually the channel inside the prostate will open up so that the urinary symptoms will improve. TRACY BRIGGS: Rezum is an outpatient procedure, so patients are able to go home shortly after the procedure. PHILIP WANZEK: It reduces symptoms by about 50%. And it'll increase the urinary stream by about 50% as well. So better stream, less frequency, less urgency over time. TRACY BRIGGS:

Text, Tracy Briggs, Essentia Health Medical Insight Host

Dr. Wanzek says just about any man with prostate-related urinary problems would benefit from Rezum. And studies have shown men who choose early intervention procedures like Rezum tend to do better in the long run than those who opt for medication alone. With this Essentia Health Medical Insight, I'm Tracy Briggs.

The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight.

Ask for a Referral

You’ll need a referral from your primary care provider or a specialist for this service.

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