F: 713-654-4056
1315 St. Joseph Parkway Suite 1700
Houston, TX 77002
drcornell@urosurgeryhouston.com
General Adult And Prosthetic Urology
| Services |
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Erectile Dysfunction Post-Prostatectomy Incontinence Benign Prostatic Hyperplasia (BPH) Prostate Cancer Vasectomy Low T Men's Health Kidney Stones Urinary Incontinence / Overactive Bladder Women's Health |
| Robert J. Cornell, MD |
Dr. Cornell is a board-certified urologist practicing in downtown Houston, Texas.
He completed his residency training at Baylor College of Medicine in the Scott Department
of Urology and his general surgical training in the Michael E. DeBakey Department
of General Surgery.
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| Prosthetic Urology Specialist |
 Dr. Cornell is respected as one of the nation's foremost prosthetic
urologists. He specializes in placing both the three-piece inflatable penile implant
and artificial urinary sphincter (AUS) through a single scrotal incision in a single
surgical procedure. |
| Prostate Cancer |
 Adenocarcinoma of the prostate is the clinical
term for cancerous tumor of the prostate. Prostate cancer confined to the gland
is usually curable. According to the American Cancer Society (ACS),
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| Vasectomy |
 Vasectomy represents the
most definitive form of male contraception. This 10-15 minute procedure is usually
completed in the office under local anesthesia without the need for a scalpel incision.
This "no-scalpel" technique permits access to each vas deferens-the tube
carrying sperm from the epididymis/testis to the urethra-through
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| BPH - Benign Prostatic Hyperplasia |
 BPH is not simply a case of too many prostate cells.
Prostate growth involves hormones, occurs in different types of tissue (e.g. muscular,
glandular), and affects each man differently. Because of these differences, treatment
will vary in each case.
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| Post-Prostatectomy Incontinence |
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Post-prostatectomy urinary incontinence (PPI) is the involuntary leakage of urine
following radical prostatectomy to treat prostate cancer. PPI represents a specific
form of stress urinary incontinence where increased abdominal pressure from a cough,
sneeze, or simple physical straining results in the leakage of urine
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| Kidney Stones |
 Kidney stones are one of the most common
disorders of the urinary tract. It is estimated that 10 percent of all people in
the United States will have a kidney stone at some point in time. Men tend to be
affected more frequently than women
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Urinary Incontinence / Overactive Bladder
Urinary Incontinence / Overactive Bladder
Over 30 million people in the United States suffer from urinary incontinence or
overactive bladder (OAB). This condition is far more prevalent in women than men.
In the general population, age 15 to 64 years, 10-30% of women, versus 1.5% of men
are affected. Those with OAB often experience urgency at inconvenient and unpredictable
times and sometimes lose control before reaching a restroom. OAB, therefore, interferes
with work, daily routine and intimacy, causes embarrassment, and can diminish self
esteem and quality of life.
With
(OAB), the bladder muscle contracts spastically, sometimes without known cause,
resulting in elevated bladder pressure and the urgent need to urinate. Normal
bladder function is restored when the bladder can relax and fill at low pressure
to reasonable volumes before voluntarily contracting and emptying completely.
Unexpected bladder emptying, or leakage, is defined as urinary incontinence.
Of the several types of urinary incontinence, stress, urge, and mixed incontinence
account for more than 90% of the cases.
For more Women's health click here.
Stress
Urine loss during physical activity that increases abdominal pressure (coughing, sneezing, laughing).Urge
Urine loss with the sudden need to void, caused by an involuntary bladder contraction (also called detrusor instability).Mixed
Both stress & urge components contribute to urine loss.Medical (Pharamcologic) Treatments
Minimally – Invasive Approaches
- Bladder botox injection for severe urgency/urge incontinence
- Intravesical (bladder instillation) agents for interstitial cystitis treatment
Interstim Neuromodulation (sacral nerve stimulation)
The InterStim is an outpatient surgical treatment for severe urge urinary incontenence and pelvic pain resistant to oral medication. InterStim is an implantable device that stimulates the sacral nerves with mild electrical pulses.Neurostimulation may offer several benefits, including freedom from the embarrassment of leaks. It may also help reduce the need to interrupt your sleep due to waking many times during the night to urinate. Side effects may include pain, skin irritation, infection, device problems, and lead (thin wire) movement. These conditions were generally resolvable in the clinical studies performed.
Injectable Bulking Agents
Surgical Treatments
- Artificial urinary sphincter (AUS-800) (post-prostatectomy male incontinence)
- Advance bulbar urethral male sling (http://www.amsadvance.com)
- Mid-urethral sling for female urinary incontinence:
~ AMS Mini Arc
~ Solyx mid-urethral sling
~ Bio-Arc trans-obturator sling - Bone-anchored bladder neck sling (female)
- Simultaneous cystocele-sling repair for stress incontinence associated with vaginal prolapse (CAPS procedure)
Links
- Facing Our Moments (www.facingourmoments.com)
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Penile
Implants
Erectile dysfunction (ED) is the inability to achieve or sustain an erection satisfactory
for intercourse. Over half of men over the age of 40 and more than 75% of men over
75 have some form of ED.
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BPH -
Benign Prostate Hyperplasia
BPH is not simply a case of too many prostate cells. Prostate growth involves hormones,
occurs in different types of tissue, and affects each man differently. Because of
these differences, treatment will vary in each case. |
|
Artificial UrinarySphincter - AUS Over 30 million people in the United States suffer from urinary incontinence or overactive bladder (OAB). This condition is far more prevalent in women than men. In the general population, age 15 to 64 years, 10-30% of women, versus 1.5% of men are affected.
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