Las Vegas Urology Dr Alex Lesani

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Dr Alex Lesani

Did You Know...

Minimally invasive surgical options provide a better patient experience through a number of benefits:

•Significantly less pain

•Less blood loss

•Fewer complications

•Less scarring

•Faster return to normal daily activities

Services & Procedures

Minimally Invasive Urologic Surgery

Minimally invasive options for the treatment of urologic disease are widely available. These treatments often require no or minimal hospital stay.

Prostatic Enlargement or BPH

Laser (KTP or Hol:YAG) is used to ablate prostate tissue to improve urinary flow.

Kidney Stones

Laser fibers and ultrasound probes are used to breakdown kidney stones via tunnels through the skin or with the use of small cameras passed through the urinary tract.

Prostate Cancer

Surgical removal of prostate cancer is now performed using a robotic system which greatly improves visualization and enhances a surgeons maneuverability in small spaces. Instruments are inserted into the body through small keyhole incisions. For additional information, please refer to Surgical Innovations page.

Kidney Cancer

A small cancerous part of the kidney or the entire kidney can be removed through small keyhole incision using laparoscopic (long hand-held instruments) or robotic instruments. Some kidney tumors can be destroyed by a freezing process which preserves the remaining healthy part of the kidney. For additional information, please refer to Surgical Innovations page.

Urinary Tract Obstruction

Small areas of blockage can be repaired using a laser fiber through a small camera to incise scar tissue. Major reconstruction of the urinary tract is done using laparoscopy or robotic-assisted surgery.


The "No-Scalpel" technique is used to efficiently prevent male fertility. It involves a small puncture site and is associated with the least amount of post-operative discomfort.

Urinary Incontinence

Pelvic organ prolapse and stress urinary incontinence can be corrected using innovative surgical techniques in an outpatient setting.

Urologic Surgery

When medication and other non-surgical treatments are either unavailable or cannot relieve symptoms, surgery is the accepted treatment for a broad range of conditions that affect the male reproductive organs and the organs of the urinary tract. These conditions include, but are not limited to, prostate cancer, ureteropelvic junction (UPJ) obstruction, bladder and kidney cancer and vesicoureteral reflux.

Facing any kind of urologic surgery creates a great deal of anxiety for most men. Among your concerns is: "Will my body function normally following surgery?" Traditional open urologic surgery - in which large incisions are made to access the pelvic organs - has been the standard approach when surgery is warranted. Yet common drawbacks of this procedure include significant post-surgical pain, a lengthy recovery and an unpredictable, potentially long-term impact on continence and sexual function.

Fortunately, less invasive surgical options are available to many patients facing urologic surgery. The most common of these is laparoscopy, which uses small incisions. While laparoscopy can be very effective for many routine procedures, limitations of this technology prevent its use for more complex urologic surgeries.

A new category of surgery, introduced with the development of the da Vinci® Surgical System, is being used by an increasing number of surgeons worldwide for prostatectomy and other urologic procedures. This minimally invasive approach, utilizing the latest in surgical and robotics technologies, is ideal for delicate urologic surgery. This includes prostatectomy, in which the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function. Using da Vinci, your surgeon has a better tool to spare surrounding nerves, which may enhance both your recovery experience and clinical outcomes.
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