Diagnosis & Treatments

Let us help you address urology issues and improve your quality of life. Below are many of the common conditions that our team can address.

Common conditions we treat

• Benign prostatic hyperplasia (BPH)
• Bladder and prostate problems (including urinary tract infections, prostate enlargement and prostatitis)
• Cystocele incontinence
• Erectile dysfunction (ED)
• Ejaculatory dysfunction
• Genital skin lesions
• High-intensity focused ultrasound (HIFU) for prostate cancer
• Interstitial cystitis
• Kidney disease and other problems
• Kidney stones
• Male incontinence (stress and urge)
• Male infertility
• Male hormones
• Peyronie’s disease
• Premature ejaculation
• Sexual dysfunction
• Testicular pain
• Urinary tract infections
• Urologic cancers (including kidney, adrenal, bladder, prostate, penile and testicular)

Women's health

• Botox® bladder injections
• Coaptite and Durasphere injections for incontinence
• Incontinence surgery
• Pelvic floor rehabilitation therapy
• Sling placement
• Rectocele for prolapse repair
• Cystocele for prolapse repair

Men's health

• BPH surgeries (Rezum, TURP)
• Circumcisions (adult and pediatric)
• Hydrocele, spermatocele and varicocele repair
• Penile curvature corrections (penile plication and grafting)
• Penile prosthesis implantation (penile implant)
• Penile injection / Xiaflex
• Sperm extraction/retrieval
• Spermatic cord denervation
• Varicocele repair
• Vasectomy
• Vasectomy reversal
• Artificial urinary sphincter
• Male sling for male stress incontinence
• Urethral stricture management

Diagnostic tests and medical imaging

• Prostate biopsies
• Cord block
• Cystoscopy: direct visual inspection of the bladder and urethra
• Peak flow rate and uroflow testing (PFR)
• Phlebotomy
• Post void residual testing (PVR or bladder scan)
• Sacral nerve test for urge urinary incontinence
• Urinalysis with microscopy
• Urodynamics including video testing
• Ultrasound

Bladder treatments

• Bladder biopsy and resection
• Bladder catheterization and catheter exchange
• Bladder cancer treatments
• Bladder instillation/hydrodistention (“bladder wash”)
• Intravesical Chemotherapy

Prostate treatments

• Hormone injections
• Prostate biopsy and treatment: Prostate biopsy is a procedure to make the determination as to whether prostate cancer is present
• Prostate brachytherapy and seed placement
• Robotic prostatectomy
• BPH treatments - Rezum and TURP

Kidney treatments

• Lithotripsy (ESWL): Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive means of breaking up kidney or ureteral stones to facilitate passage of smaller fragments later on.
• Ureteroscopy (minimally invasive means of assessing the ureter) with laser lithotripsy (laser kidney stone surgery)
• Percutaneous stone surgery
• Tubeless PCNL

Other Common Procedures

• Cryotherapy and topical chemotherapy
• Testicular cancer surgery
• Ureteral stent removal

Urodynamics

Urodynamics testing is an assessment of how well the bladder does its job of storing and releasing urine. We are pleased to offer this service in our office. Urodynamics is helpful in determining the right treatment for problems such as incontinence or leaking urine, frequent urination, or the feeling of not emptying your bladder completely.

You will be asked to empty your bladder immediately before the test. During the test, your bladder is filled with sterile water. While your bladder is filling you will be asked questions to assess when you begin to feel bladder fullness. You will also be asked to cough to evaluate any amount of leakage of urine and how the bladder muscle functions.

If you feel you have a bladder problem, talk to your provider to see if Urodynamics testing could help you.