Urology is the medical specialty concerned with diseases of the urinary tract in men and women, and diseases of the genital tract in men. The specialty combines medical and surgical training and encompasses a wide variety of clinical problems.
The most common complaints or conditions treated in our urology practice are:
- Prostate Cancer
- Kidney Stones
- Blood in the urine (Hematuria)
- Elevated PSA
- Urinary Incontinence
- Urinary Tract Infections
- Bladder Cancer
- Kidney Cancer
- Erectile dysfunction
- Benign enlargement of the Prostate gland (BPH)
- Interstitial cystitis
A brief description of some of our services:
CT scanning is a non-invasive radiologic test that uses specialized x-ray equipment with sophisticated computers to produce multiple images (slices) of the area of the body being imaged.
From a urologic perspective, CT scans are taken of the pelvis and abdomen. These multiple images are taken to determine causes of blood in the urine, recurrent urinary tract infections, to diagnose or rule out the presence of kidney stones, to diagnose or follow-up urinary malignancies and to reveal sources of abdominal pain. CT scans can be performed with just x-ray imaging and/or with the use of oral or intravenous contrast.
CT services are offered to our patients in our office and are performed by a certified CT Technologist.
Renal Ultrasounds are painless sound waves that are used to evaluate the kidneys to rule out obstruction, masses or stones. It is a painless procedure that takes 10 – 15 minutes to perform. A probe is held by the ultrasound technician, coated with gel and rubbed on the upper part of the abdomen that allows excellent imaging of the kidneys. Pictures are taken and become part of the patient’s medical record.
Prostate Ultrasound is a procedure in which the ultrasound technologist places a lubricated probe into the rectum to evaluate the prostate. This can be done to measure the size of the prostate and most commonly to look for evidence of prostate cancer. Prostate ultrasounds are also used as guidance to preform biopsies of the prostate. These ultrasounds take 10-15 minutes to perform. Pictures are taken and become part of the patient’s medical record.
Following imaging of the prostate with the ultrasound probe, a thin needle is used to anesthetize with xylocaine on both sides of the prostate. Following this, under ultrasound guidance, a very small biopsy needle is inserted into the prostate and small samples are taken. Typically 10 -12 biopsy samples are taken in this 30 minute procedure. After the procedure the patient is able to leave the office with assistance and return home. The patient may experience blood in the urine, bowel or semen for up to a month after the procedure.
Urodynamics refers to a group of procedures that are performed to examine voiding (urinating) disorders. A urodynamic test is any procedure designed to provide information to help diagnose and treat urinary disorders. These tests are done to help protect the kidneys and to keep the patient dry. The type of test you take depends on your problem.
Most urodynamic testing focuses on the bladder’s ability to empty steadily and completely. It also can show whether or not the bladder is having abnormal contractions which can cause leakage. This test is a precise measurement using sophisticated instruments. You will have to inform your physician if you are having difficulty starting a urine stream, how hard you have to strain to maintain it, whether the stream is interrupted and whether urine is left in your bladder after urination.
The different tests include:
- Postvoid residual
- Cystometrics (cystometry / cystometrogram)
- Measurement of leak point pressure
- Pressure flow study
Transurethral microwave therapy (TUMT) is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH)
During TUMT, a small microwave antenna is inserted through the tip of your penis into the tube that carries urine from your bladder (urethra). Your doctor extends the antenna until it reaches the area of the urethra surrounded by the prostate. The antenna emits a dose of microwave energy that heats up and destroys excess prostate tissue blocking urine flow.
TUMT is one of several options for treating an enlarged prostate. To determine the right treatment choice for you, your doctor will consider how severe your symptoms are, what other health problems you have, and the size and shape of your prostate.
Vasectomy is a surgical procedure for male sterilization and/or permanent birth control. During the procedure, the vasa deferentia of a man are severed, and then tied/sealed in a manner such to prevent sperm from entering into the seminal stream (ejaculate). Vasectomies are usually performed in a physician’s office or medical clinic. There are several methods by which a surgeon might complete a vasectomy procedure, all of which occlude (seal) at least one side of each vas deferens.
Due to the simplicity of the surgery, a vasectomy usually takes less than 30 minutes to complete. After a short recovery at the doctor’s office (usually less than an hour), the patient is sent home to rest. Because the procedure is minimally invasive, many vasectomy patients find that they can resume their typical sexual behavior within a week, and do so with minimal discomfort.
Cystoscopy is the close visual examination of the urinary tract. Using a special telescope like instrument called a cystoscope, the doctor can look for problems in your urethra and bladder (and prostate if you’re a man). The procedure may be done in your doctor’s office or a hospital. First your doctor will numb your urethra, and you may be given medication to help relax. Then the cystoscope is inserted. Sterile fluid expands the bladder and makes it easier to examine. When the procedure is finished, the cystoscope is removed.