Advanced Urology offers these tests and imaging services in the comfort of our offices.
No Scalpel Vasectomy
For those men who have decided their families are complete, we offer vasectomies in the office. This is a minor procedure done under local anesthesia, from which men typically recover rapidly. We make one or two small openings into the scrotum, through which we are able to control the tube that bring sperm cells up to meet the rest of the semen. It is over 99% effective at preventing pregnancy while being both safe and well tolerated.
General Urologic Tests
Ultrasound of the kidneys, bladder & scrotum and Prostate
Urine Cultures
Lab Blood draws and testing
Prostate Biopsy to identify potential prostate cancer
Urodynamics testing to evaluate the function of, and any blockage of the bladder
Rezūm
Rezūm is a transurethral needle ablation procedure to treat benign prostatic hyperplasia (BPH). Rezūm uses radio frequency water vapor thermal therapy to treat the extra prostate tissue that is causing symptoms such as frequency, urgency, irregular flow, weak stream, straining and getting up at night to urinate.
Inside a hand-held device, radio frequency energy is applied to a few drops of water to create vapor (steam). The water vapor is injected into the prostate tissue that is blocking the flow of urine from the bladder, where it immediately turns back to water, releasing the energy stored in the vapor into the cell membranes. At this point, the cells are gently and immediately damaged, causing cell death. Over time, your body will absorb the treated tissue through its natural healing response.
This will improve your urinary symptoms.
Bladder Instillation
Bladder instillations of BCG or mitomycin can often be done for patients with bladder cancer, to help prevent new tumors from forming and to help combat any microscopic cells that remain. Cocktails of lidocaine, bicarbonate and heparin can be used for people with chronic bladder pain syndromes. Both types of instillations are done through a small catheter.
Botox
The use of Botox (Botulinum Toxin A) has been used for years both cosmetically and medically. It is now FDA approved for use in the bladder to help treat overactive bladder that has not responded to medications. This procedure involves a series of injection of botox into the bladder using a very fine needle. The procedure is done using a small camera, called a cystoscope, and made comfortable by the use of a local anesthestic. Expect about 2 weeks for the medication to kick-in and take effect.
Urgent PC
This is a fairly new procedure meant for patients with overactive bladder symptoms (having to urinate often, urgently and/or having unwanted leakage of urine) when medications have failed. Called percutaneous tibial nerve stimulation (PTNS), it involves the delivery of pulses of electrical stimulation via a small acupuncture sized needle. The pulses are mild and not painful, and are delivered during a 25 minute treatment cycle. A total of 12 cycles are often done on a weekly basis for the maximum benefits. Maintenance programs are also possible for those patients who have a good response, but which starts to fade over time.
Cystoscopy
This is a minor procedure whereby your doctor is able to look directly at your urethra and bladder with a small camera. The procedure is generally well tolerated with local anesthesia, using lidocaine jelly administered through the urethra. Often during the course of the test we may remove an additional sample of urine for specialized testing.
Sacral Neuromodulation
Some patients may not respond well to medications for frequent urination and/or urgency and incontinence problems. In these cases neuromodulation has been found to be effective in a large proportion of patients. Over two thirds of people who have undergone sacral neuromodulation have noticed a decrease of 50% or more in their symptoms. Testing to see if you are a candidate for this minor procedure is done in the office under local anesthesia. A small wire is introduced through a needle and is then used for a 1 week testing period to see if you benefit.
