Midlands Clinic’s Siouxland Urology team performs a full spectrum of urological procedures, from common in-office vasectomies to complex robotic prostate cancer surgery, for men and women across Siouxland. Board-certified specialists like Dr. David Howard, with over 50 years of experience, use advanced technology to treat conditions affecting the urinary tract and male reproductive system.
Patients in Dakota Dunes, North Sioux City, and surrounding areas receive state-of-the-art, patient-centered care for a wide range of urological needs. As part of Midlands Clinic’s comprehensive surgical services, the urology department ensures seamless coordination for all surgical care.
- Midlands Clinic (Siouxland Urology) offers a full spectrum of urology procedures, including common in-office treatments like vasectomies and cystoscopies, and major surgeries for prostate, bladder, and kidney conditions.
- Men receive specialized care for vasectomies, erectile dysfunction, male infertility, and prostate surgeries (including robotic radical prostatectomy for cancer).
- Women receive specialized care for urinary tract infections (the most common urological problem), incontinence, and bladder conditions.
- Advanced procedures like ureteral reconstruction and partial nephrectomy for kidney stone disease are performed by experienced surgeons using modern technology.
Urology Procedures for Men: From Vasectomy to Prostate Surgery
Vasectomy & Vasectomy Reversal: The Most Common Male Urology Procedure
Vasectomy is the most common procedure performed by urologists, offering a permanent birth control solution for men. At Siouxland Urology, this in-office procedure is performed routinely with high success rates. For men seeking to restore fertility, vasectomy reversal is also available.
- Common Procedure: Vasectomy ranks as the most frequently performed urological surgery for males, providing a reliable form of contraception.
- In-Office Convenience: The procedure takes about 30 minutes under local anesthesia, with minimal downtime.
- Reversal Option: Vasectomy reversal can reconnect the vas deferens, with success rates varying based on time since the original procedure.
- Available Locally: Both services are offered at the clinic, ensuring continuity of care from family planning to reversal if needed.
These options highlight the clinic’s commitment to accessible men’s health services. Patients can discuss their long-term reproductive goals with specialists to choose the right path. For more details on vasectomy, see our vasectomy procedure page.
Prostate Surgery: Treating Cancer and Enlargement with Advanced Techniques
Prostate surgery at Siouxland Urology covers both cancer treatment and benign enlargement, using the latest techniques. For prostate cancer, radical prostatectomy removes the entire prostate gland, seminal vesicles, and often pelvic lymph nodes. This can be done via open surgery or with robotic-assisted technology, which provides enhanced 3D visualization, greater dexterity, and smaller incisions.
Robotic prostatectomy typically results in less blood loss, reduced pain, and shorter hospital stays. For benign prostatic hyperplasia (BPH), where the prostate enlarges and blocks urine flow, options include holmium laser enucleation (HoLEP). HoLEP uses a laser to enucleate and remove obstructive prostate tissue; it has become preferred over traditional TURP because it reduces bleeding and recurrence risk, even for larger prostates.
The clinic also offers other BPH treatments like UroLift or Rezūm for milder cases, and in-office procedures for enlarged prostate are available. With Dr. David Howard’s 50+ years of experience, patients receive expert evaluation to determine the best surgical approach for their specific condition and overall health.
Patients can learn more about these procedures on our prostate surgery options page. Minimally invasive techniques like robotic surgery are transforming urological procedures; learn more in our laparoscopy step-by-step guide.
Urology Procedures for Women: Addressing Incontinence and Urinary Conditions
Urinary Tract Infections (UTIs) and Incontinence Treatment
Urinary tract infections (UTIs) are the most common urological problem, particularly in women, with up to 60% experiencing at least one infection in their lifetime. These infections often require diagnostic evaluation, which may include cystoscopy to visually inspect the bladder and urethra for abnormalities. For female incontinence, which can result from childbirth, aging, or neurological conditions, treatments range from pelvic floor muscle exercises and medications to surgical options like mid-urethral slings or bladder neck suspension.
At Siouxland Urology, women receive compassionate, comprehensive care for UTIs, overactive bladder, stress incontinence, and other bladder dysfunctions. The team uses a stepwise approach, starting with conservative therapies and progressing to minimally invasive surgeries when necessary, ensuring each patient understands her options.
For detailed information on incontinence treatments, visit our incontinence treatment page.
Bladder Surgery: Options for Cancer and Dysfunction
Bladder surgery addresses both cancerous and non-cancerous conditions of the bladder.
- Radical Cystectomy: This major surgery removes the entire bladder and is often performed for invasive bladder cancer, typically followed by urinary diversion reconstruction using a segment of intestine.
- Partial Cystectomy: In select cases of localized cancer, only part of the bladder may be removed to preserve function.
- Bladder Dysfunction Procedures: For conditions like neurogenic bladder or severe incontinence, surgeries such as sacral neuromodulation or bladder augmentation may be recommended.
- Comprehensive Care: Siouxland Urology provides full-spectrum bladder care, including intravesical therapies for early-stage cancer and reconstructive options after cystectomy.
These procedures require specialized expertise; the clinic’s board-certified urologists evaluate each patient thoroughly to determine the most appropriate surgical intervention.
Major & Advanced Urology Surgical Procedures: Kidney, Ureter & Reconstruction
Kidney Stone Disease Management & Partial Nephrectomy
Management of kidney stones and kidney tumors involves several procedural options tailored to the specific condition.
| Procedure | Description | Typical Use |
|---|---|---|
| Lithotripsy | Shock wave therapy that breaks kidney stones into tiny fragments that pass naturally in urine. | Small stones (typically under 1 cm) located in the kidney or upper ureter. |
| Ureteroscopy | Thin scope inserted through the urethra and bladder up into the ureter to locate and remove stones with a basket or laser. | Stones in the lower ureter or bladder; can also treat strictures. |
| Partial Nephrectomy | Surgical removal of part of a kidney, often using robotic assistance to preserve healthy tissue. | Kidney tumors, severe blockage, or damaged tissue requiring removal while maintaining kidney function. |
These approaches allow customized treatment based on stone size, location, and patient health. Lithotripsy is non-invasive but may require multiple sessions and has a higher recurrence rate. Ureteroscopy offers direct stone removal with a short recovery.
Partial nephrectomy, whether performed open or robotically, is kidney-sparing surgery that balances tumor removal with preservation of renal function. Siouxland Urology employs all three methods, selecting the optimal technique for each individual case.
For more on kidney stone management, see our kidney stone treatment page.
Ureteral Reconstruction: Surgery for Ureter Repair and Reattachment
Ureteral reconstruction is a specialized surgical procedure to repair, reattach, or reposition the ureters—the tubes that carry urine from the kidneys to the bladder. This surgery is indicated for ureteral strictures (narrowing), traumatic injuries, congenital abnormalities, or damage from prior procedures. Techniques include ureteral reimplantation, where the ureter is reconnected to the bladder; transureteral stenting to bypass obstructions; or using intestinal tissue to replace a damaged ureter segment.
As an advanced reconstructive urology service, it requires high skill and is available at Siouxland Urology for complex cases. Patients referred from across the region benefit from the expertise of surgeons like Dr. David Howard, who has decades of experience in urinary tract reconstruction.
The unique combination of Dr. David Howard’s 50+ years of urological expertise and state-of-the-art technology makes Siouxland Urology a leader in urology procedures across Siouxland. From vasectomy to robotic prostatectomy, patients receive personalized care close to home.
Schedule your consultation today at (605) 217-7000 or visit 455 N Sioux Point Rd, North Sioux City, SD 57049 (hours: Mon-Fri 8:00 AM – 5:00 PM, Fri until 4:00 PM). Explore our Midlands Clinic surgery services for complete information.
Midlands Clinic also provides leading bariatric surgeries; our sleeve gastrectomy guide provides essential details.
Learn about the Roux-en-Y procedure in our gastric bypass article.
Compare bariatric surgeries on our sleeve vs. bypass comparison page.
Prepare for any surgery with our complete surgical treatment guide.
Frequently Asked Questions About Urology Procedures
What is the most common urological problem?
Urinary Tract Infections Also known as UTIs, this is the most common urological disease, with occurrences frequently in women. With up to a 60% chance for women to experience a UTI at least once in their lifetime, this would be something to look out for.
Which hospital is good for urology?
Patients seeking the best urologist in Malaysia can find highly qualified specialists who are experienced in managing a wide range of urological conditions at Sunway Medical Centre.
What are red flags in urology?
Red Flag/Urgently refer patients if: Chronic retention which may present as night time enuresis / over flow incontinence and/ or painless palpable bladder needs renal function checking and refer urgently.
How do I know if my urologist is good?
Choosing a urologist who's board certified is a must. Look for additional credentials, like the FACS fellowship designation, which means the doctor has met rigorous standards set by the American College of Surgeons(ACS).
What are red flags in urology?
Red Flag/Urgently refer patients if: Chronic retention which may present as night time enuresis / over flow incontinence and/ or painless palpable bladder needs renal function checking and refer urgently.