Non-Invasive Surgery

We treat a broad range of urological conditions, with minimally invasive and non-invasive surgery in Spokane. Over the years I have performed hundreds of laparoscopic or minimally invasive procedures on the upper urinary tract, including laparoscopic procedures for the kidney, along with extracorporeal shock wave lithotripsy (ESWL) for kidney stones, BOTOX injections to treat bladder instability, and the implantation of testosterone pellets for men with low testosterone.

We perform minimally invasive kidney surgery for the treatment of kidney cancer.  In some cases, a nephrectomy, or complete removal of the kidney, is required. At other times, just part of the kidney is removed, in a procedure known as a partial nephrectomy or nephron sparing. We use laparoscopic techniques to ensure the procedures are as close as possible to non-invasive surgery which involves putting a camera and some surgical instruments through small incisions in the body.  This is done without the need for large cuts, reducing potential blood loss and aiding recovery.

For patients suffering from urinary tract stones, I can use the non-invasive treatment known as Extracorporeal Shock Wave Lithotripsy (ESWL). This involves focusing external shock waves onto the stone, to break it up into small pieces of sand like material. These small pieces can then pass down the ureter, into the bladder, and out the urethra. General anesthesia is required, but the procedure is a very safe and effective form of non-invasive surgery.

Recently we have been treating overactive and unstable bladders with BOTOX injections in the office. If you are considered a good candidate for this procedure after urodynamic testing, we inject BOTOX into your bladder wall, while looking inside through a cystoscope. The procedure only takes about 20 minutes and can have dramatic and satisfying results.

A relatively new, non-invasive treatment option for men with low testosterone (hypogonadism, low T) is the implantation of testosterone pellets under the skin. The testosterone is released slowly over 4 to 6 months, helping with symptoms such as fatigue, muscle wasting, low energy and libido, weight gain, and depression. This procedure is performed quickly and simply, right in the office.

There are other non-surgical treatments for a broad range of other conditions affecting the urinary organs, including prostate cancer, ureteropelvic junction (UPJ) obstruction, bladder cancer, and vesicoureteral reflux.

To discuss how non-invasive surgery could benefit your urological condition, call us today to make an appointment with Dr. Golden, in Spokane Valley, submit the contact form on this page, or call us at (509) 921-0099 today!