DM Urology - Dennis C. Mancilla, MD

13/06/2026

No large cuts. Less pain. Faster recovery. Better outcomes.

Endourology is a specialized field of urology that uses advanced cameras, scopes, and laser technology to diagnose and treat urinary tract conditions through natural body openings or tiny skin punctures.

Common conditions treated with Endourology include:
✅ Kidney Stones
✅ Enlarged Prostate (BPH)
✅ Ureteral Stones
✅ Kidney Obstruction
✅ Bladder Stones
✅ Selected Urinary Tract Tumors

Why Patients Choose Endourology

🔹 Minimally Invasive Procedures
🔹 Smaller or No Surgical Incisions
🔹 Less Postoperative Pain
🔹 Reduced Hospital Stay
🔹 Faster Return to Daily Activities
🔹 High Success Rates

Modern procedures such as Ureteroscopy (URS), Retrograde Intrarenal Surgery (RIRS), Percutaneous Nephrolithotomy (PCNL), and advanced laser treatments allow many patients to receive effective treatment with quicker recovery than traditional open surgery.

committed to providing endourologic care using modern minimally invasive techniques to help patients return to their normal lives sooner.

06/06/2026

05/06/2026

01/06/2026

01/06/2026

Understanding BPH (Enlarged Prostate): Treatment Options for Better Urinary Health

🚹 Struggling with frequent urination, weak urine flow, or waking up multiple times at night to urinate? You may be experiencing symptoms of Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate.

BPH is a common condition affecting men as they age. While it is not cancer, it can significantly impact quality of life if left untreated.

How is BPH Managed?

🔹 Lifestyle Modifications

* Reduce caffeine and alcohol intake
* Limit fluids before bedtime
* Maintain a healthy weight and active lifestyle

🔹 Medications

* Relax the prostate and bladder neck to improve urine flow
* Help shrink the prostate over time
* Suitable for mild to moderate symptoms

🔹 Minimally Invasive Procedures
For patients who do not respond well to medications or prefer a more definitive solution:

* Office-based therapies
* Laser treatments
* Advanced minimally invasive techniques

🔹 Surgical Management
For severe symptoms, urinary retention, recurrent infections, bladder stones, or kidney problems:

* TURP (Transurethral Resection of the Prostate) – the gold standard surgical treatment
* Laser Prostate Surgery – less bleeding, faster recovery in selected patients
* Other advanced endoscopic procedures depending on prostate size and patient factors

When Should You See a Urologist?

⚠️ Consult a urologist if you experience:
✔ Difficulty starting urination
✔ Weak or interrupted urine stream
✔ Frequent nighttime urination
✔ Sudden inability to urinate
✔ Blood in the urine
✔ Recurrent urinary tract infections

The Good News

Most men with BPH can achieve significant symptom relief and improved quality of life with proper evaluation and individualized treatment.

Don’t let an enlarged prostate control your life. Early consultation leads to better outcomes.

24/05/2026

24/05/2026

Your prostate plays a vital role in men’s health — but many men ignore symptoms until they become disruptive.

Frequent urination, weak urine stream, waking up at night to urinate, or difficulty emptying the bladder may be early signs of prostate enlargement or other prostate conditions. Early evaluation can help prevent complications and improve quality of life.

✅ Stay hydrated
✅ Maintain a healthy lifestyle
✅ Don’t ignore urinary symptoms
✅ Regular check-ups matter — especially for men over 40

17/05/2026

PCNL (Percutaneous Nephrolithotomy)

Advanced Treatment for Large Kidney Stones

Kidney stones can cause severe pain, infection, urinary blockage, and even kidney damage if left untreated. For patients with large, complex, or multiple kidney stones, one of the most effective minimally invasive procedures available today is PCNL.

During PCNL, a small access tract is created through the skin directly into the kidney, allowing specialized instruments to safely break and remove large stones with high precision. This technique is especially beneficial for stones that are too large to pass naturally or cannot be effectively treated with other procedures.

Benefits of PCNL:

✔ Effective for large kidney stones
✔ Minimally invasive compared to open surgery
✔ Higher stone clearance rates
✔ Faster recovery and less postoperative discomfort
✔ Helps preserve kidney function

07/05/2026

Kidney stones may start small — but the pain can be severe.
Stay hydrated, don’t ignore symptoms like flank pain or blood in the urine, and seek early consultation for proper evaluation and treatment.

Healthy kidneys. Better life. 💙