Urology Surgeries in Tustin, CA | Expert Urological Surgeon | Prestige Medical Group
Surgical Care · Tustin & Santa Ana, CA

Surgical expertise.
Exceptional outcomes.

Dr. Lamia Gabal brings 25+ years of surgical experience and robotic precision to every procedure — offering the full spectrum of urological surgeries at Orange County’s leading hospitals and surgical centers.

Our Surgical Philosophy

Precision. Minimally invasive.
Back to your life faster.

Dr. Gabal’s surgical approach starts with one principle: the least invasive technique that achieves the best outcome. From robotic-assisted cancer surgery to in-office procedures, every decision is made with your recovery, function, and quality of life in mind.

Robotic-Assisted Precision
da Vinci robotic surgery allows for exceptional visualization, smaller incisions, less blood loss, and faster recovery than traditional open techniques
Minimally Invasive First
We always evaluate the least invasive option first — many patients who expected open surgery are candidates for laparoscopic or endoscopic alternatives
Top-Tier Affiliated Facilities
Surgeries are performed at 5 accredited Orange County hospitals and surgical centers, chosen for their nursing quality, equipment, and patient outcomes
Surgical Procedures

16 surgical options.
One expert surgeon.

Every surgery listed below is performed by Dr. Gabal at accredited Orange County hospitals and surgical centers — with a commitment to precision, patient safety, and the fastest possible recovery.

Incontinence

Bulkamid

A soft urethral bulking agent injected around the urethra to treat female stress urinary incontinence. Performed under local anesthesia, Bulkamid narrows the urethral opening to reduce leakage. Minimally invasive with minimal downtime and no mesh required.

Minimally invasive
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Kidney & Bladder

Cystolitholapaxy

Endoscopic removal of bladder stones using a cystoscope passed through the urethra. A laser or mechanical device breaks up stones into fragments, which are then removed — all without open surgery. Same-day procedure with rapid recovery.

No incisions
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Pelvic & Female

Elevate Cystocele Repair with Mesh

Surgical correction of anterior vaginal wall prolapse (cystocele) — where the bladder drops into the vaginal space — using a supportive mesh system. Restores normal pelvic anatomy and relieves symptoms of pressure, bulging, and incomplete bladder emptying.

Reconstructive
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Kidney & Bladder

Extracorporeal Shock Wave Lithotripsy (ESWL)

A non-invasive procedure using externally focused shock waves to break kidney or ureteral stones into small fragments that pass naturally through urine. Ideal for stones up to 2 cm in the kidney or upper ureter. No anesthesia or incisions required in most cases.

Non-invasive
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Incontinence

Interstim Sacral Neuromodulation Implantation

A small implantable device (similar to a pacemaker) placed near the sacral nerve to regulate bladder signals and treat overactive bladder, urgency incontinence, and non-obstructive urinary retention. Long-lasting, adjustable, and reversible — performed after a successful trial period.

Implantable device
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Pelvic & Female

Labiaplasty

Surgical reshaping or reduction of the labia minora or majora to address functional discomfort (pain during activity or intercourse) or aesthetic concerns. Performed by Dr. Gabal with precision and discretion using advanced techniques that minimize scarring and recovery time.

Reconstructive
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Incontinence

Mini Arc Suburethral Sling

A small, single-incision mesh sling placed under the urethra to treat stress urinary incontinence in women. Highly effective with a fast recovery — most patients return to normal activity within 1–2 weeks. Avoids the larger incisions of traditional sling procedures.

Minimally invasive
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Pelvic & Female

Pelvic Prolapse Surgery

Surgical correction of pelvic organ prolapse — where the bladder, uterus, rectum, or vaginal walls descend from their normal position. Dr. Gabal offers multiple approaches (native tissue repair, mesh-augmented, laparoscopic) tailored to the degree and type of prolapse and the patient’s goals.

Reconstructive
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Prostate

Prostate Artery Embolization (PAE)

A minimally invasive interventional radiology procedure for BPH that reduces prostate size by blocking blood supply to the enlarged tissue. Performed through a small catheter in the wrist or groin. Preserves sexual function with excellent urinary symptom relief and no surgical incisions.

No incisions
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Prostate

Robotic Laparoscopic Radical Prostatectomy

Minimally invasive surgical removal of the entire prostate gland for prostate cancer using the da Vinci robotic system. Offers superior precision over open surgery with smaller incisions, reduced blood loss, lower complication rates, shorter hospital stay, and better preservation of urinary continence and sexual function.

Robotic precision
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Kidney & Bladder

Transurethral Resection of Bladder Tumor (TURBT)

Endoscopic removal of bladder tumors through the urethra — the primary procedure for diagnosing, staging, and treating non-muscle-invasive bladder cancer. No abdominal incisions. Specimens are sent for pathology to guide further treatment decisions including BCG immunotherapy or surveillance cystoscopy.

Cancer surgery
Prostate

Transurethral Resection of the Prostate (TURP)

The gold-standard surgical treatment for moderate-to-severe BPH when medications and minimally invasive options are insufficient. Prostate tissue obstructing the urethra is removed endoscopically — no abdominal incisions. Results in significant, durable improvement in urinary flow and symptoms.

Gold standard BPH
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Kidney & Bladder

Ureteral Stent Placement

A thin, flexible tube placed inside the ureter to maintain urine flow when the ureter is blocked — by a stone, tumor, stricture, or post-surgical swelling. Temporary stents are commonly placed after ureteroscopy or kidney stone procedures to allow healing and prevent obstruction.

Therapeutic
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Kidney & Bladder

Ureteroscopy

A thin flexible scope is passed through the urethra and bladder into the ureter or kidney to diagnose and treat stones, tumors, and strictures. Laser fragmentation can break up stones of any size for complete removal. The preferred technique for stones in the ureter and larger kidney stones.

No incisions
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Prostate

UroLift®

A minimally invasive BPH treatment using tiny permanent implants to pull enlarged prostate lobes away from the urethra — instantly restoring urine flow without cutting, heating, or removing tissue. Preserves sexual function, has no catheterization, and most patients return to normal activity within days.

Preserves function
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Pelvic & Female

Vaginal Rejuvenation (Surgical)

Surgical tightening and restoration of the vaginal canal and introitus to address laxity caused by childbirth, aging, or hormonal changes. Improves physical comfort, sexual satisfaction, and self-confidence. Dr. Gabal combines surgical precision with an aesthetic sensibility for natural-looking results.

Reconstructive
Your Surgical Journey

From consultation to recovery

Step 01
Surgical Consultation
Thorough evaluation of your condition, imaging review, and honest discussion of all surgical and non-surgical options with expected outcomes
Step 02
Pre-Op Preparation
Complete pre-surgical clearance, anesthesia consultation, and detailed instructions so you arrive fully prepared and confident
Step 03
Surgery Day
Your procedure performed at an accredited OC facility by Dr. Gabal and a highly skilled surgical team using the latest techniques and technology
Step 04
Recovery & Follow-Up
Close post-operative monitoring, clear recovery guidelines, and ongoing access to Dr. Gabal’s team — including Enhanced Access members who have 24/7 direct contact
Affiliated Facilities

Where we operate

Dr. Gabal performs surgeries at five accredited Orange County hospitals and surgical centers — chosen for their nursing excellence, surgical technology, and commitment to patient safety.

St. Joseph’s Hospital
Full-service hospital · Orange, CA
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Orange County Global Medical Center
Full-service hospital · Santa Ana, CA
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Foothill Regional Medical Center
Full-service hospital · Tustin, CA
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La Veta Surgical Center
Ambulatory surgical center · Orange, CA
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Pavillion Surgery Center
Ambulatory surgical center · Orange County
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Enhanced Access Members
Priority surgical coordination

Concierge members receive dedicated pre-op coordination, direct access to Dr. Gabal before and after surgery, and priority scheduling.

Learn about membership
Common Questions

Frequently asked questions

Have a question not answered here? Call us at (949) 825-7650 — we’re happy to discuss your surgical options.

Ready to discuss your options?
Same-day surgical consultations available
Most insurance & Medicare accepted. Tustin & Santa Ana offices.
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What urological surgeries does Dr. Gabal perform? +
Dr. Gabal performs 16 urological surgeries including Bulkamid for incontinence, cystolitholapaxy for bladder stones, cystocele repair with mesh, ESWL for kidney stones, Interstim neuromodulation implantation, labiaplasty, mini arc suburethral sling, pelvic prolapse surgery, prostate artery embolization (PAE), robotic laparoscopic radical prostatectomy, TURBT, TURP, ureteral stent placement, ureteroscopy, and UroLift for BPH.
What are the benefits of robotic prostatectomy? +
Robotic-assisted prostatectomy offers significant advantages over open surgery: smaller incisions (5–6 tiny ports vs. a large abdominal cut), less blood loss and lower transfusion risk, reduced post-operative pain, shorter hospital stay (usually 1–2 days), faster return to normal activity, and better preservation of urinary continence and sexual function thanks to the precision of robotic visualization and instruments.
What is UroLift and how is it different from TURP? +
UroLift uses tiny implants to mechanically hold enlarged prostate lobes away from the urethra — no tissue is cut, heated, or removed. It preserves ejaculatory and erectile function, has a rapid recovery, and is performed under local anesthesia. TURP removes obstructing prostate tissue endoscopically and is better for larger prostates or more severe symptoms, but carries a higher risk of retrograde ejaculation. Dr. Gabal will recommend the most appropriate approach based on your prostate size, symptoms, and goals.
Which hospitals does Dr. Gabal operate at? +
Dr. Gabal performs surgeries at five accredited Orange County facilities: St. Joseph’s Hospital, Orange County Global Medical Center, Foothill Regional Medical Center, La Veta Surgical Center, and Pavillion Surgery Center. The surgical location will be determined based on the procedure type, your insurance, and your preferences.
What is the difference between ureteroscopy and ESWL for kidney stones? +
ESWL (shock wave lithotripsy) is non-invasive — it breaks stones from outside the body using acoustic waves, ideal for smaller kidney stones. Ureteroscopy uses a thin scope passed through the urethra to reach and remove stones directly, often with laser fragmentation. It is more versatile and effective for stones in the ureter, harder stones, or larger stones. Dr. Gabal will recommend the best approach based on stone size, location, composition, and your anatomy.
Does insurance cover urological surgery? +
Most medically necessary urological surgeries — including prostatectomy, pelvic prolapse repair, incontinence procedures, kidney stone surgery, and bladder tumor removal — are covered by Medicare and most private insurance plans. Some elective or cosmetic procedures such as labiaplasty and vaginal rejuvenation may not be covered. Call (949) 825-7650 to verify your benefits before your consultation.

Ready to discuss your surgical options?

Accepting new surgical patients across Orange County. Most insurance and Medicare accepted. Same-day consultations available.