Techniques tailored to your condition
Every patient's anatomy and history is unique. Dr. Wiegand selects from single-port robotic, multi-port robotic, endoscopic, and open surgical approaches to match the right technique to the right patient — including proctoring and training surgeons nationally in advanced single-port robotics.
Urethroplasty
Surgical reconstruction of the urethra for urethral stricture disease. Extensive experience with anastomotic, substitution, and complex reoperative urethroplasty.
Open Surgery Stricture DiseaseOptilume Drug-Coated Balloon
A paclitaxel drug-coated balloon dilation system for urethral strictures — a minimally invasive option that reduces recurrence compared to conventional dilation. Dr. Wiegand is an active clinical investigator and early adopter.
Endoscopic Minimally Invasive Drug-Coated BalloonUreteral Repair & Reconstruction
Surgical correction of ureteral stricture or obstruction between the kidney and bladder, including single-port and multi-port robotic ileal interposition and ureteroneocystostomy for complex cases.
Single-Port Robotic Robotic LaparoscopicArtificial Urinary Sphincter (AMS 800)
Gold-standard implant for male stress urinary incontinence after prostate surgery or radiation. Dr. Wiegand is one of ten national AMS 800 Centers of Excellence — among the highest-volume implanting surgeons in the country.
AMS CoE Incontinence ImplantMale Urethral Sling (AdVance XP)
A minimally invasive sling procedure for mild to moderate post-prostatectomy incontinence — repositioning the urethra to restore natural continence without an implanted device.
Incontinence Minimally InvasiveSacral Neuromodulation
Implantable nerve stimulation for overactive bladder, urgency incontinence, and non-obstructive urinary retention refractory to medications. A core part of Dr. Wiegand's practice for urge incontinence.
Neuromodulation OAB ImplantUrinary Diversion
Creation of a new pathway for urine drainage after cystectomy or bladder failure — ileal conduit, continent Indiana pouch, and orthotopic neobladder. Both open and robotic approaches available.
Open Surgery RoboticNeurogenic Bladder Reconstruction
Comprehensive surgical management including bladder augmentation, Mitrofanoff catheterizable channel, urethral closure, and diversion — individualized to protect kidneys and restore independence.
Neurogenic ReconstructionFistula Repair
Surgical closure of abnormal connections between the urinary tract and surrounding organs — vesicovaginal, urethrorectal, and colovesical fistulae including complex irradiated cases.
Reconstruction Open Surgery RoboticUrologic Trauma Reconstruction
Repair of urological injuries from pelvic fracture, prior surgery complications, or radiation — including posterior urethroplasty, bladder repair, and complex reoperation.
Trauma ReconstructionCancer Survivorship Care
Surgical and non-surgical management of urological complications from cancer treatment — including radiation injury, contracture, stricture, and incontinence in prostate, bladder, and colorectal cancer survivors.
Survivorship Radiation InjurySingle-Port Robotic Surgery
Dr. Wiegand is one of a select group of reconstructive urologists performing complex reconstruction via single-port robotic approach — including pyeloplasty, ureteral repair, and bladder reconstruction — and trains surgeons nationally through the SP Consortium.
da Vinci SP National ProctorSurgery is never the first answer
Conservative & Medical Management
Every patient receives a thorough evaluation for non-surgical options first. This may include catheter management, urodynamic optimization, pelvic floor therapy referral, medication management, or watchful waiting depending on the condition and the patient's goals.
Endoscopic & Office-Based Procedures
Minimally invasive options — including Optilume drug-coated balloon dilation, direct vision internal urethrotomy (DVIU), bladder Botox, and urodynamic-guided catheter management — may be appropriate for select patients or as a bridge to definitive treatment. Dr. Wiegand discusses long-term outcomes data honestly so you can make an informed decision.
Not sure which procedure is right for you?
Schedule a consultation and Dr. Wiegand will walk you through every option — surgical and non-surgical — before any decision is made.
Request a Consultation