Available Services
Dr. Yamada's services include the following specialties (comments are specific to Dr. Yamada's practice and may differ from other urologists).
Vasectomy
The vasectomy completed by Dr. Yamada is usually done in the office using a local anesthetic, although it can be done under general anesthesia at an outpatient facility. It consists of a single skin incision measuring no more than a half-inch and is completed in 12-16 minutes. Men generally are able to resume normal work in two days and resume strenuous or athletic activity in two weeks.
Vasectomy Reversal (Vasovasectomy)
This is a microsurgical reattachment of the two ends of each vas deferens tube, each about the size of a spaghetti noodle. Dr. Yamada usually does the procedure through separate right and left-sided incisions in the upper part of the scrotum. Generally the surgery is done under general anesthesia with the patient asleep and it usually takes three hours to perform. Recovery is similar but perhaps a little longer compared to a vasectomy.
Cystoscopy
This is a fiber optic examination of the interior of the bladder. It uses warm water to visualize the lining and contents of the bladder during a 30 to 90 second procedure that is usually completed in the office or an outpatient facility. Local anesthesia is usually employed, although it is sometimes done with general anesthesia or sedation.
Minimally Invasive Treatments
for Prostatic Obstruction
Dr. Yamada may suggest medicine or one of the new and state of the art minimally invasive treatments for prostatic obstruction available. These options include Thermodilation therapy, a relatively new microwave-based treatment of the prostate, or a Photoselective Vaporization treatment with a KTP or Holmium Laser. Each option is completed as an outpatient without the need for hospitalization and can be done under sedation or general anesthesia.
Incontinence Surgery
Not all incontinence is the same; one could have either stress incontinence, or the urge incontinence, or both. It is an important distinction because surgery can fix stress incontinence, but it will make urge incontinence worse. Urge incontinence is generally treated with medication, while stress incontinence is unaffected by incontinence medication. Therefore, surgery for incontinence is only done after an extensive work-up to make sure the right operation is performed; proper testing will delineate what sort of incontinence a person has. A three-channel urodynamic study is performed to evaluate the function of the bladder. Cystoscopy may also be performed.
Vaginal Reconstruction
Repairing and tightening the vaginal vault. Improved sexuality and hygiene. Surgery may include a bladder suspension, repair of cystocele, rectocele or prolapse.
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624 West Duarte Rd. Suite 203 · Arcadia, CA 91007 · 626-446-8595