Dr. Michael Daneshvar performs open surgery to treat a variety of conditions and urological problems.
Adrenal Surgery
An adrenalectomy is done to remove one or both adrenal glands. During open surgery, the physician uses traditional instruments and cuts to remove large or cancerous tumors. Patients may need adrenal surgery if the tumor is producing excess hormones or has grown more than two inches. An adrenalectomy may also be necessary if cancer has spread to the adrenal glands from another location, such as the kidney or lung.
Bladder Removal (Cystectomy)
During a cystectomy, the surgeon removes the urinary bladder and creates a new way to store and eliminate urine. The open surgery approach is done with a single incision on the abdomen to provide access to the pelvis and bladder. The risks of open surgery include bleeding, infection, poor wound healing, blood clots in the legs, damage to nearby organs or tissues, and blood clots that travel to the lungs or heart.
BPH Surgery
BPH surgery is necessary if patients have not experienced relief from less invasive treatments or if they experience severe symptoms, such as bladder stones, kidney damage, excessive blood in the urine, inability to urinate, and frequent urinary tract infections. Open BPH surgery is done through a single incision through the abdomen.
Nephrectomy
A nephrectomy is done to remove all or part of a kidney. The two types of surgeries are radical (complete) nephrectomy and partial nephrectomy. An open surgery approach involves making a single incision along the patient’s abdomen or side. The risks include infection, bleeding, and injury to nearby organs. However, the open approach allows the surgeon to perform an operation that cannot be done safely through laparoscopic means.
Retroperitoneal Surgery & Lymph Node Dissection
Retroperitoneal lymph node dissection is a surgical operation that removes lymph nodes from the abdomen. Lymph nodes play an important role in the immune system, helping filter the body and fight disease. The procedure can also be used to determine the stage of cancer. The goal of surgery is to remove the cancer so that it doesn’t spread.
Prostatectomy
Prostatectomy is done to remove all or part of the prostate gland to treat conditions affecting the prostate, including cancer and enlarged prostate. Traditional, open radical prostatectomy requires a large incision to be made in the lower abdomen to remove the prostate and ease urinary symptoms and complications caused by blocked urine flow.
Urinary Diversion (Continent & Incontinent)
Urinary reconstruction and diversion is surgery to create a new way to pass urine out of the body after bladder removal. The three types of urinary diversion options include ileal conduit urinary diversion, Indiana pouch reservoir, and neobladder-to-urethra diversion. Recovery time for urinary diversion ranges from one to two months.
Ureteral & Bladder Reconstruction
Ureter reconstruction is done to repair the long, thin tube that travels from the kidney to the bladder. Bladder reconstruction is done to create a new bladder if the current one isn’t working properly or has been removed to treat another condition. The open surgery approach will require a single opening in the abdomen to reach the organs.
