In the presence of an abnormal PSA and/or an abnormal digital rectal exam, a transrectal ultrasound guided biopsy of the prostate is performed. This procedure takes about 10 minutes and requires very little preparation or downtime.
A cystoscopy is simply a scope (camera) placed in the bladder. This is the most commonly performed urological procedure and is used to diagnose a wide range of ailments. The urethra is numbed using a lidocaine gel prior to the cystoscope insertion and you will be given an antibiotic to take while in the office. This procedure takes a minimal 60 seconds to complete.
Testosterone pellets are placed underneath the skin in the upper outer portion of the buttocks in both men and women. This is a form of long term testosterone replacement therapy, lasting 3-5 months. Replacing testosterone can improve symptoms of decreased libido (sex drive), lack of energy and motivation, depressed mood and lack of stamina.
Urinary incontinence can be an embarrassing and difficult issue. For men and women who have not found relief with medications or other treatments for incontinence, PTNS is the next step. This is a non-surgical, non-invasive treatment performed in our office. A small, acupuncture sized needle is placed behind the ankle bone and this is attached to a stimulator. The nerve is stimulated for 30 minutes while you sit comfortably in a chair with no pain!
Instillations are when medication is placed directly within the urinary bladder for treatment purposes. A small catheter is placed in the bladder while liquid medication gently placed in the bladder, then the catheter is removed entirely.
A solution of BCG (live bacteria) or Mytomycin- C (chemotherapy agent) is placed directly into the bladder once a week for 3-6 weeks. This is typically done after a resection of a bladder tumor.