Urological Surgery

Dr. Bernard Howerter has been practicing in Coffeyville for over 30 years. Some of the more common procedures that he performs are:

Bladder Lifts

Female bladder control problems and urinary incontinence (bladder leakage) is one of the most common problems affecting aging women. While pelvic floor exercise (such as Kegel exercises) and certain medications can be of some help, only surgery can secure a long-lasting favorable result. Here at CRMC, we have the latest advance in tension-free bladder slings performed by our highly trained surgeons. Our approach is a less invasive procedure and eliminates potential complications.


Cystoscopy, or cystourethroscopy, is a procedure usually performed by a urologist that allows the physician to see the inside of the lower urinary tract (urethra, prostate, bladder neck, and bladder), and detect abnormalities

In this procedure, a cystoscope (thin, telescope-like tube with a light and tiny camera attached) is inserted into the bladder through the urethra (tube that carries urine from the bladder out of the body).

Cystoscopy may be used to evaluate and diagnose the following conditions:

  • Bladder cancer
  • Blood in the urine (hematuria)
  • Chronic Pelvic Pain
  • Frequent Urinary Tract Infections (UTIs)
  • Interstitial cystitis
  • Painful urination
  • Urinary blockage (e.g. enlarged prostate [BPH], narrowing of the urinary tract [stricture], polyps, tumors
  • Urinary incontinence or overactive bladder
  • Urinary stones, kidney and bladder


It is a surgical procedure for the removal of a kidney or section of a kidney due to severe kidney damage from disease, injury, or congenital conditions. These include cancer of the kidney (renal cell carcinoma); polycystic kidney disease (a disease in which cysts, or sac-like structures, displace healthy kidney tissue); and serious kidney infections.

Transrectal Ultrasound

Prostate Biopsy – Your doctor is likely to recommend this test if you’ve had a rectal exam or blood tests that suggest that you might have prostate cancer. For this test, a urologist takes tissue samples from several places in your prostate, to be examined for cancer. A transrectal ultrasound helps the urologist see the prostate during the procedure.

Bladder Resection

Transurethral Resection (TUR) of the bladder is a surgical procedure that is used both to diagnose bladder cancer and to remove cancerous tissue from the bladder. This procedure is also called a TURBT (transurethral resection for bladder tumor). General anesthesia or spinal anesthesia is usually used. During TUR surgery, a cystoscope is passed into the bladder through the urethra. A tool called a resectoscope is used to remove the cancer for biopsy and to burn away any remaining cancer cells.

Prostate Resection

Prostate Resection or Transurethral Resection of Prostate (TURP) – The most common problem for men over 50 is an enlarged prostate (Benign Prostatic Hyperplasia, or BPH). Your doctor may recommend TURP if symptoms caused by an enlarged prostate do not improve with medication. This surgery is used to remove a section of the prostate that is blocking urine flow.


Circumcision can be performed on males of all ages.

Urology Services

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