Surgeries & Procedures

Horseshoe Kidney Treatment

Renal fusion, commonly known as horseshoe kidney, involves a fusion of the kidneys that occurs during fetal development, forming a "U" shape similar to a horseshoe. This condition may occur on its own or in combination with other disorders such as Turner syndrome and Trisomy 18, which are both genetic disorders.

Patients with a horseshoe kidney may experience pain, nausea, kidney stones and urinary tract infections. There is a low risk of developing cancerous kidney tumors associated with this condition as well. Patients with a kidney tumor may experience blood in the urine and flank pain, and should seek immediate medical attention. Some patients with horseshoe kidney may not experience any symptoms at all and may not even be aware that they have this condition.

For horseshoe kidneys that do not cause any symptoms, treatment may not be needed. Others may require treatment to relieve symptoms, but this condition can never be fully cured. Treatment for symptoms caused by horseshoe kidney may include antibiotics to treat an infection or surgery to remove kidney stones.

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.


New Strategies for Your Overactive Bladder

The field of neuromodulation is based on an advanced understanding of the complicated neural pathways that affect bladder function. Two new and exciting treatments are available for patients who have had unsuccessful results with medications, patients who want to avoid medications, and those who like to avoid complicated surgeries.

Peripheral Nerve Stimulation (Urgent PC)

This technology is a minimally invasive, office-based procedure with impressive published results for well-selected patients. In the comfort of the office and with no drugs or incisions, your peripheral nerves are stimulated to trigger a feedback mechanism that slowly retrains the bladder to a better function and pattern. 

Sacral Root (Neurostim)

Just like we can pace the heart with a pacemaker, it is possible to influence and “pace” your bladder with a small yet effective device implanted under your skin.

The pacemaker is easy to implant and easy to adjust to your electrophysiological demands. This is an ideal choice for motivated patients that have failed with physical and pharmacological therapies.

Most patients with resistant and severe overactive bladders have wandered from physician to physician, therapy to therapy and drug after drug in a frustrating attempt to find improvement for their condition.

While we cannot promise 100% success for everyone, we can guarantee you these treatments are unlike any others you have tried before and may be the answer you have been searching for!

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.

Pubovaginal Sling

Women who suffer from urinary incontinence and cannot be effectively treated through exercises and medications may consider a pubovaginal sling. This procedure is used to support weak pelvic floor and urethral sphincter muscles. A pubovaginal sling is a synthetic hammock-like device that is wrapped underneath the urethra to stop urine leakage.

This procedure is performed through the vagina and a tiny incision below the belly button. It usually takes about 30 minutes and is performed with general anesthesia. Patients can resume normal activities after two weeks.

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.


Cystometry is a test that evaluates the pressure within the bladder. It is performed on individuals experiencing difficulties with holding or releasing urine, which may have occurred as a result of muscle or nerve problems. Before undergoing cystometry, notify your doctor all of medications you are currently taking, if you are or may be pregnant, or if you have any symptoms of a urinary tract infection. No preparation is necessary for this test, which usually takes about 30 to 60 minutes.

At the beginning of your cystometry, you will be asked to urinate into a uroflowmeter, which will create a detailed report on how long it takes for your bladder to empty, how much urine is released, and other related information. For the next stage of the test, you will be lying down on your back on an examination table, and your technician will clean your urethra and insert a catheter to measure and drain any urine remaining in your bladder. Then, your bladder will be filled with room-temperature water; this time, the catheter will contain a cystometer, which measures bladder pressure and capacity. Each time a catheter is inserted, you will be asked to mention when you first feel the urge to urinate, and then when you absolutely must urinate; at this point, you will either be asked to urinate, or your bladder will be drained through the catheter. After your bladder has been emptied, the catheter is removed and you may resume day-to-day activities.


For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.

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