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Urology & Prostate Services

A Message from the Director, Division of Urology, Stamford Hospital

The Division of Urology at Stamford Hospital is dedicated to providing patient-Michael E. Karellas, Urologic Surgery, Stamford Hospitalcentered, innovative care now and for the future.

We offer advanced technologies combined with evidence based approaches to provide the best urology treatment options for patients with difficult cases, along with cutting edge approaches for patients who require advanced care.

Michael E. Karellas, MD

What is urologic surgery?

Urologic surgery treats conditions of the female and male urinary system, as well as abnormalities of the male reproductive system.

What makes urology at Stamford Health different and unique?

We offer board-certified, fellowship-trained urologists in the areas of urologic oncology and robotic surgery. Rest assured, your care will be handled by an experienced team dedicated to you. From the unparalleled services in the new Stamford Hospital to our nursing team honored by the Magnet Recognition Program®, our approach to your needs are unique and individualized.

Services offered at Stamford Health's Division of Urology

Prostate Cancer Screening, Diagnosis and Treatment

For men with concerns about prostate cancer, we offer the latest technologic advances to better identify, diagnose and treat men with prostate cancer.

Request a Urologic Surgery Consultation

We're here to help. Give us a call at 203.276.8545 or fill out our form to request a consultation.

What is prostate-specific antigen (PSA)?

Prostate-specific antigen refers to a substance produced by cells from your prostate gland and released into your bloodstream. Advanced testing assesses your personal risk of having a high grade prostate cancer, such as Gleason 7 (a term used to describe the prostate cancer scoring system) or above, based on blood levels of PSA and other markers for prostate cancer. If we detect a concerning result, we offer advanced blood testing to more precisely define whether you may need need further evaluation. We routinely incorporate the use of multi-parametric MRI of the prostate in the evaluation which can help determine if a biopsy is indicated.

Your doctor will draw a small amount of blood from your arm, and then will check the blood to see if your PSA level is normal. Your doctor may also use this test to check for any increase in a PSA level compared to your previous PSA test. At this point, cancer won’t be diagnosed, but we’ll be able to tell you if further testing is needed. Your primary care doctor can work with you to administer these tests.

Who is at risk for prostate cancer?

If you’re approaching 50 years of age, we recommend you discuss prostate cancer screening with your physician. However, if you’re high risk, you may want to begin testing as early as 40, with a follow-up test five years later. You may be at high risk if:

  • You’re African American
  • You have a strong family history of prostate cancer

Prostate Biopsy and Prostate Surgery Options

For men who are considering a prostate biopsy, we are able to more accurately target areas of concern within the prostate.

Using the UroNav MRI Fusion platform, we can precisely sample the prostate and detect prostate cancer:

UroNav Fusion Biopsy

For men with prostate cancer who are considering surgery, we routinely perform robotic prostatectomies, or removal of the prostate, with the daVinci Xi Robotic surgery platform. This approach offers a minimally invasive option for patients who require complex surgery leading to more precise surgery, less time in the hospital and a faster recovery.

Robotic Surgery for Urologic Cancers

We are also skilled at robotic surgery for other urologic cancers such as tumors of the kidney and bladder. Some patients with kidney tumors are candidates for a robotic partial nephrectomy (removing the tumor, while leaving the rest of the kidney intact). Robotic surgery often leads to shorter recovery time and an earlier return to normal activity. Preserving normal kidney tissue is an optimal approach for certain patients with kidney tumors.

Robotic Surgery for Non-Cancerous Conditions

We offer robotic approaches for non cancerous urologic conditions as well. Some patients with BPH and a markedly enlarged prostate may benefit from a simple, robotic prostatectomy. For patients with ureteral obstruction due to congenital (at-birth) abnormalities, robotic ureteral surgery is available at Stamford Hospital with the latest robotic technology available.

Voiding Issues from Prostate Enlargement

Men with voiding issues from prostate enlargement (BPH) may benefit from surgical treatment of their condition. We offer minimally invasive laser surgeries which generally are performed on an outpatient basis.

Kidney Stone Treatment

Kidney stones can affect women or men at any time and often cause significant pain and can interfere with a person’s ability to perform their daily routines. For those patients who require surgical management, we offer the various surgical treatment options for all sizes of stones.

Erectile Dysfunction Treatment

Men with erectile dysfunction have a variety of non-surgical treatment options available. However, if these fail, surgical implants are available as an option to offer a return of function.

Vasectomy and Vasectomy Reversal

For men who are sure they don't want a future pregnancy, a vasectomy is a medical sterilization procedure. A vasectomy involves cutting or blocking the vas deferens, in order to prevent sperm from traveling. A vasectomy reversal reconnects the male reproductive tract after a vasectomy, should he wish to do so.

Urologic Conditions Treated at Stamford Health

  • Bladder Cancer
  • Kidney cancer
  • Kidney Stones
  • Prostate Cancer
  • Prostate Enlargement (BPH)
  • Sexual Dysfunction
  • Testicular Cancer
  • Urethra Strictures

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