Cystoscopy: A small, flexible scope with a camera on the end that is inserted into the bladder, allowing a urologist to perform procedures within the bladder.
Diagnostic: To either find bladder tumors or watch (surveillance) to ensure a tumor has not returned.
Bladder Biopsy: The ability to take small amounts of tissue for diagnosis.
Bladder Fulguration: The ability to stop bleeding in the bladder.
Botox Injection: A specialized procedure to insert botox for overactive bladder.
Stent Removal: Removing a temporary stent placed previously for a stone removal procedure.
Urethral Dilation: To stretch open a narrowed urethra.
Difficulty Catheter Placement: Used to navigate a damaged or narrowed urethra when a catheter is needed to drain urine.
Urethral Bulking Agents (macroplastique): For minor incontinence.
Urodynamics: Specialized testing that can help your urologist diagnose complicated issues surrounding your urinary complaints. These tests are varied, but include:
- Post Void Residual (PVR) testing: A small, bedside ultrasound to determine how much urine is retained in your bladder after you complete urination.
- Uroflow: A test that measures how quickly you urinate to determine urinary flow.
- Cystometrogram (CMG): A test that determines how your bladder fills. This helps your doctor determine how to proceed when you are having multiple urinary complaints.
Urologic Ultrasound: A technology using sound waves (no radiation) to visualize portions of the urologic tract. Specific procedures include:
- Prostate ultrasound; For measurement of prostate volume
- Ultrasound guided biopsy of the prostate (TRUS biopsy): For prostate cancer diagnosis
- Kidney ultrasound: To evaluate swelling (hydronephrosis), a back-up of urine in the kidney
- Scrotal ultrasound: To evaluate for flow to the testicle or lesions in the scrotal cord or testicle
- Penile ultrasound: Used in evaluation of erectile dysfunction
Catheter Changes: Urgent or routine placement or changing of catheters.
- Urethral catheters: A catheter through the natural channel used for urine flow
- Supra pubic catheters: a catheter through your abdomen
- Self-catheterization teaching
Bladder Instillations: Placing medicine in the bladder for various causes.
- Bladder cancer: BCG or other chemotherapy for bladder cancer treatment
- Intersitial cystitis / Bladder pain syndrome: To help manage this painful condition
- Antibiotic instillation: For troublesome chronic infections
Hormone Injections for Prostate Cancer
Penile Injections
- For erections, either in conjunction with ultrasound for diagnosis of erectile dysfunction, or teaching for home use to obtain injections
- For penile curvature
Nerve Stimulation: Procedures to help complex urinary difficulties.
- Percutaneous Tibial Nerve Stimulation (PTNS)
- Percutaneous Nerve Evaluation (PNE): Testing for preparation for OR placement of permanent device
Removal of Genital Lesions
- Removal / destruction of genital warts
- Removal of scrotal cysts
Vasectomy: We perform the minimally invasive "no-scalpel" vasectomy in office. This short (15- to 30-minute) procedure is used for permanent male sterilization.
