Palouse Urology Center

Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can affect any part of your urinary tract — from your kidneys to your bladder. Often, stones form when the urine becomes concentrated, allowing minerals to crystallize and stick together.

A kidney stone usually will not cause symptoms until it moves around within the kidney or passes into one of the ureters. The ureters are the tubes that connect the kidneys and bladder.

If a kidney stone becomes lodged in the ureters, it may block the flow of urine and cause the kidney to swell and the ureter to spasm, which can be very painful.

Both Ureteroscopy and Laser Lithotripsy are used at Palouse Urology to treat and address kidney stones.

Urinary incontinence- the loss of bladder control- is a common problem. Many people experience occasional, minor leaks of urine. Others may lose small to moderate amounts of urine more frequently. Palouse Urology uses InterStim Therapy, an FDA-approved treatment for overactive bladder and urinary retention.

Types of urinary incontinence include:

• Stress incontinence: Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.
• Urge incontinence: You have a sudden, intense urge to urinate followed by an involuntary loss of urine
• Overflow incontinence: You experience frequent or constant dribbling of urine due to a bladder that doesn't empty completely.
• Functional incontinence: a physical or mental impairment keeps you from making it to the toilet on time
• Mixed incontinence: you experience more than one type of urinary incontinence

Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.

Vasectomy is a form of male birth control that cuts the supply of sperm to your semen by cutting and sealing the tubes that carry sperm. 

Vasectomy is an outpatient surgery with a low risk of complications or side effects

Vasectomy reversal is surgery to undo a vasectomy. During the procedure, a surgeon reconnects each tube that carries sperm from a testicle into the semen. After a successful vasectomy reversal, sperm are again present in the semen.

The procedure is generally done on an outpatient basis — without an overnight stay. 

Laparoscopic, Robotic-assisted, and Endoscopic surgery options are available at Palouse Urology. Your Urologist will determine the best treatment option for you, and if surgery is recommended, the best surgical approach for your case. 

Bladder cancer is a common type of cancer that begins in the cells that line the inside of the bladder. Bladder cancer has a high rate of reoccurrence, so people with bladder cancer typically need follow-up tests for years after treatment. Blue Light Cystoscopy with Cysview is used at Palouse Urology to detect and remove bladder cancer. BCG treatment and Endoscopic TURBT (Transurethral Resections of Bladder Tumors) are also performed.

Testicular cancer occurs in the testicles (testes). Compared with other types of cancer, testicular cancer is rare and highly treatable. Orchiectomies can be performed.

Prostate cancer is a cancer that occurs in the prostate. It's one of the most common types of cancer. Many prostate cancers grow slowly and are confined to the prostate gland, where they may not cause serious harm. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly.

da Vinci robotic-assisted prostatectomies, TURP (endoscopic transurethral resections of the prostate), and ADT (Androgen Deprivation Therapy) may be used to treat and remove prostate cancers.

Kidney cancer begins in the kidneys. Your kidneys are two bean-shaped organs, each about the size of your fist. They're located behind your abdominal organs, with one kidney on each side of your spine. Laparoscopic Radical Nephrectomies and da Vinci Partial Nephrectomies may be used.

The da Vinci robotic-assisted surgical system can be used to perform urologic procedures including prostatectomies and reconstructions of the ureter and bladder. 

Robotic-assisted surgeries require smaller incisions, which means a quicker recovery for patients, as well as less pain and less invasive procedures. 

Dr. John Keizur has worked as board-certified Urologist since 1995 and founded Palouse Urology in 1996.

In the span leading from his undergraduate studies at Oregon State, Dr. Keizur was accepted into the Health Professions Scholarship program with the U.S. Navy and attended St. Louis Medical School, graduating in 1987.  He then spent a year at the US Naval Hospital in Oakland CA on a general surgery internship. 

The following year, Dr. Keizur was assigned to the US Marines in Okinawa Japan.  Returning from military duty overseas, he began - and completed - a Urology residency at the US Naval Hospital in Oakland CA.  In 1993 he became Department Head of Urology at Naval Hospital Okinawa Japan.  After returning from Okinawa, Dr. Keizur joined the staff at the US Naval Hospital in Portsmouth, VA where he helped train new Urology residents for a year. 

Dr. Keizur provides comprehensive adult and pediatric care including minimally invasive surgery. 

Blue Light Cystoscopy with Cysview is used by urologists to “see” more potential bladder cancer while performing bladder cancer removal surgeries.

“The reoccurrence of bladder cancer is high; missed tumors can contribute to recurrence. In surgery, the Cysview solution will illuminate potential cancers bright pink under a blue light, which can ensure I remove more tumors than are detected through magnification and typical light,” said John Keizur, MD, Urologist with Palouse Urology.    

The da Vinci robotic-assisted surgical system can be used to perform urologic procedures including prostatectomies and reconstructions of the ureter and bladder. 

Robotic-assisted surgeries require smaller incisions, which means a quicker recovery for patients, as well as less pain and less invasive procedures. 

In 2022, the da Vinci Xi replaced the Si model, which was first introduced at Pullman Regional Hospital in 2012. The hospital’s da Vinci robotic-assisted surgical system is used by seven local surgeons for procedures in urology, gynecology, and general surgery. A dedicated robotics team in Pullman Regional Hospital’s operating room has ten years of experience in da Vinci surgeries. 

UroLift is a non-surgical urology procedure to relieve urination complications due to an enlarged prostate.

“It’s a simple procedure that doesn’t require surgery and can replace some medications. Small implants are placed to hold prostate tissue from compressing on the urethra. Most patients experience instant relief and increased urine flow with minimal recovery and no catheter,” said John Keizur, MD, Urologist with Palouse Urology.    

An advanced, minimally invasive Benign Prostatic Hyperplasia (BPH) surgical treatment that uses the power of water delivered with robotic precision. This is a great option for patients with very enlarged prostates. It uses a heat-free waterjet controlled by robotic technology to remove prostate tissue.