David H.C. King, M.D.
Urology
A Member of Urological Surgeons of Northern California, Inc.
320 Dardanelli Lane, Suite 23B
Los Gatos, CA 95033
Phone (408) 866-2500
Fax (408) 596-7031
HAVING SURGERY?
SURGERY
We understand that having surgery can create a lot of stress. Our goal is to help each patient and their loved ones fully comprehend why they need surgery, what is going to happen in the operating room, and what to expect during recovery. Our Registered Nurse is always available to answer your questions if Dr. King is not available.
Now offering
AQUABLATION
for BPH
COMMON PROCEDURES
Vasectomy
Greenlight Laser TURP
A vasectomy is considered a permanent method of birth control. A vasectomy prevents the release of sperm when a man ejaculates.
During a vasectomy, the vas deferens from each testicle is clamped, cut, or otherwise sealed. This prevents sperm from mixing with the semen that is ejaculated from the penis. An egg cannot be fertilized when there are no sperm in the semen. The testicles continue to produce sperm, but the sperm are reabsorbed by the body. (This also happens to sperm that are not ejaculated after a while, regardless of whether you have had a vasectomy.) Because the tubes are blocked before the seminal vesicles and prostate , you still ejaculate about the same amount of fluid.
It usually takes several months after a vasectomy for all remaining sperm to be ejaculated or reabsorbed. You must use another method of birth control until you have a semen sample tested and it shows a zero sperm count. Otherwise, you can still get your partner pregnant.
Laser prostate surgery is a treatment using high powered laser energy to remove or enucleate obstructive prostatic tissue or vaporize tissue with the aim of leaving a wide channel and restoring normal urinary function.
Under anesthesia a small flexible fiber-optic is inserted into the urethra. Light pulses are then sent through this fiber to cut away the obstructing prostatic tissue which is removed from the bladder with a morcellator.
There is minimal bleeding or pain after the procedure.
The procedure takes around 60-90 minutes and is performed under general or spinal anesthesia. You may be allowed to return home on the same day, but sometimes an overnight stay will be required. You can generally be discharged once you are emptying your bladder satisfactorily.
Lithotripsy (kidney stones)
Bladder Botox
Lithotripsy is a procedure that uses shock waves to break up stones in the kidney, bladder, or ureter (tube that carries urine from your kidneys to your bladder). After the procedure, the tiny pieces of stones pass out of your body in your urine.
Extracorporeal shock wave lithotripsy (ESWL) is the most common type of lithotripsy. "Extracorporeal" means outside the body.
To get ready for the procedure, you will put on a hospital gown and lie on an exam table on top of a soft, water-filled cushion.
When you have the procedure, you may be given general anesthesia for the procedure. You will be asleep and pain-free.
High-energy shock waves, also called sound waves, will pass through your body until they hit the kidney stones. If you are awake, You may feel a tapping feeling when this starts. The waves break the stones into tiny pieces.
The lithotripsy procedure should take about 45 minutes to 1 hour.
A tube may be placed through your bladder or back into your kidney. This tube will drain urine from your kidney until all the small pieces of stone pass out of your body. This may be done before or after your lithotripsy treatment.
BOTOX® is a prescription medicine that is injected into the bladder muscle and used:
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To treat overactive bladder symptoms such as a strong need to urinate with leakage or wetting accidents, going too often, and the strong, sudden need to go in adults 18 years and older when another type of medication (anticholinergic) does not work well enough or cannot be taken
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To treat leakage of urine (incontinence) in adults 18 years and older with overactive bladder caused by a neurologic disease who still have leakage or cannot tolerate the side effects after trying an anticholinergic medication
Aquablation therapy is a new type of surgical treatment for benign prostatic hyperplasia (BPH). We are proud to be among the first in California to offer this advanced, minimally invasive treatment.
We believe in helping men suffering from BPH to get their life back and feel like themselves again.
We know choosing a treatment option can be overwhelming, as it often forces men to compromise in some way. This could mean not responding well to medication, or choosing a treatment that only provides limited relief, that may have a long recovery time, or that may even cause issues with sexual function.
Aquablation therapy is a one-of-a-kind procedure that aims to minimize this compromise.
Aquablation therapy is a resective procedure, which means that the prostate tissue causing symptoms is surgically removed. No incision is made in the abdomen, as the prostate is reached through the urethra.
Aquablation therapy is performed in a hospital and is done under anesthesia. The procedure typically takes less than an hour and involves an overnight stay.
As with most BPH procedures, you will wake up with a catheter. Patients typically stay overnight in the hospital. We may send you home with a catheter for a few days or may keep you an additional night in the hospital if you are unable to pee on your own or empty your bladder at the time of discharge.
We know that no one likes staying overnight in a hospital. However, the benefit with Aquablation therapy is that most patients end up leaving the hospital without a catheter.
Once you are home, you may experience mild burning during urination for a couple of weeks. This can be managed with mild pain medication.
For more information, visit aquablation.com/safety-information.