Department of Urology

Message from the Director of the Department

The Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences makes progressive approaches in all fields of urology and aims to provide optimal care by standing in the patients’ shoes and by respecting the key principles of “progress, dialogue and kindness.” Not only general outpatient services of urinary tract stones, tumors, infectious diseases and urological impairment but also specialized outpatient services of female urology, neurogenic bladder, urinary incontinence, male infertility and internal secretion, male sexual dysfunction, prostatic gland, tumors, infectious diseases, and urostoma are provided. Using a patient-friendly approach, this general diagnosis and treatment department works on a wide range of urinary diseases, from a combination of less-invasive and effective examination, surgical therapy including robotic surgery, medical therapy with drugs, and holistic medical care providing psychological support.

Director,
Department of Urology
Motoo Araki

Scope of Target Diseases

  • Chronic renal failure (kidney transplantation)
  • Urinary tract and genital tumors: renal cancer, renal pelvis cancer, ureteral cancer, prostate cancer, penile cancer, testicular cancer, adrenal tumor and others, including retroperitoneal tumor
  • Infectious diseases: pyelonephritis, cystitis, prostatitis, epididymitis, and urethritis
  • Urinary tract stones: nephrolithiasis, ureterolithiasis, and cystolithiasis
  • Difficulty of voiding: neurogenic bladder, prostatic hyperplasia, and hyperactive bladder
  • Male sexual dysfunction: male infertility, erectile dysfunction, male climacterium, and hypogonadism
  • Female urology: stress incontinence and pelvic organ prolapse
  • Gender identity disorder
  • Intractable desease: Interstitial cystitis, Bladder pain syndrome

Features and Description of Medical Care

Special outpatient clinic

Renal transplantation outpatient service: more than 90 patients with renal failure underwent renal transplantation; graft survival at 1 year after renal transplantation has been kept at 100%.

Female urology outpatient service: provided by female urologists and nurses for female patients.
Gender clinic: consisting of members from four departments of neuropsychiatry, obstetrics and gynecology, plastic and reconstructive surgery, and urology, and providing comprehensive care to patients with gender identity disorder (GID).
Male sexual dysfunction outpatient service: mainly targeted at erectile dysfunction (ED).
Male infertility and endocrine outpatient service: for raising the pregnancy rate through reproductive medical technology.
Incontinence outpatient service: makes diagnoses by type and aims at appropriate treatment to improve the patient QOL.
Brachytherapy outpatient service: Iodine 125 used for brachytherapy is performed.
Urinary lithiasis and infection outpatient service; ESWL, endoscopic surgeries such as transurethral nephrolithotripsy (TUL) and percutaneous nephrolithotomy (PNL) are performed, with antimicrobial chemotherapy and/or some procedures for infectious diseases.
Interstitial cystitis outpatient service: We have established a specialized outpatient clinic for interstitial cystitis. A novel outpatient treatment is
 

For outpatient visits

Techniques used for health insurance treatments
• Brachytherapy
• Robot Assisted Laparoscopic Radical Prostatectomy: RARP
• Robot Assisted Laparoscopic Partial Nephrectomy: RAPN
• Robot Assisted Laparoscopic Radical Cystectomy: RALC
• Laparoscopic Sacrocolpopexy: LSC • Sacral Neuromodulation: SNM
• Laparoscopic Donor Nephrectomy and Renal Transplantation
• 4.8 Fr Micro-PCNL (Percutaneous Nephrolithotomy)
• Gender Reassignment Surgery • Microscopic Varicocelectomy: Low Ligation
• Laparoscopic surgery for renal or adrenal diseases Techniques conducted as clinical research
• Robot Assisted Laparoscopic Autotransplantation Techniques in medical treatment at a patient’s own expense
• Robot Assisted Laparoscopic Pyeloplasty
▼Clinical research
◎Robotic renal autotransplantation for ureteral stenosis, renal aneurysm, etc… (First and only one institution in Japan as of 2021/10).
◎A specific clinical study for patients with interstitial cystitis.

Centers & Services