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Dr. Ferzli's Procedures

Specializing in Minimally-Invasive Surgery

Genitourinary Surgery

About Genitourinary Surgery

The Kidneys are a pair of small organs that sit in the space behind the abdominal cavity known as the retroperitoneum. They filter the blood and help maintain normal fluid and electrolyte balance. The kidneys connect to the urinary bladder by tubes known as the ureters. The urinary bladder is the organ situated at the lower part of the abdomen which stores urine until it is voided.

Bladder Surgery

There are a number of disease processes that can occur in the small intestine that may require surgical management.


The prostate is a gland that is located just below the bladder. The glad surrounds a portion of the urethra, the tube through which urine passes from the bladder to the penis. As part of a man’s reproductive system, the prostate produces some of the fluid that makes up semen.Prostatectomy surgical removal of the prostate may also be performed using laparoscopic techniques. This diagram shows a reconstruction of the bladder neck, after laparoscopic prostate removal.


The urinary bladder is the organ situated at the lower part of the abdomen which stores urine until it is voided.


Bladder Cancer

About 56,000 cases of bladder cancers are diagnosed in the U.S. each year. Environmental causes are thought to be largely responsible for cancer of the bladder. Most people with bladder cancer are diagnosed because of blood in the urine. Early cancer of the urinary bladder can be treated with endoscopic surgery using a camera through the urethra, without making an incision. Later stages of cancer require open surgery to remove the cancer.

Benign Disease:

Other benign conditions of the bladder include bladder diverticulum and urachal cyst. A bladder diverticulum is an out-pouching of the bladder that can cause obstruction to the flow of urine. Most people with bladder diverticula are born with them (congenital diverticula), although some are acquired. The treatment of congenital diverticula is surgery.

A urachal cyst is a fluid filled structure that exists between the bladder and the umbilicus (belly button). It is a remnant of our formation as embryos. If a person has a patent urachal cyst, it can get infected, cause pain, block the flow of urine or rupture. Treatment of a symptomatic urachal cyst is surgical removal of the cyst.

Kidney Surgery

Renal Cancer

Renal cell cancer is cancer of the kidney. There are about 30,000 new cases of renal cell cancer diagnosed in the U.S. each year. Most of these cancers are found inicidentally on CT scan that is performed for other reasons. In some cases theses cancers are discovered because of pain, a mass that is felt or because of blood in the urine. The standard treatment of renal cell cancer is partial nephrectomy (partial removal of the kidney) or radical nephrectomy (complete removal of the kidney). Certain renal cancers require the complete removal of the ureter as well as the kidney. Most nephrectomies are performed laparoscopically. After laparoscopic nephrectomy, most patients leave the hospital in one or two days after the surgery.

For further information, you can ask Dr. Ferzli.