Erectile dysfunction (ED) is a condition in which a man can’t achieve or maintain an erection for sexual intercourse. ED is a common occurrence as men age and may be a sign of additional health problems. ED is diagnosed if the condition lasts longer than a few weeks or months Standard treatments include pharmaceutical medications, vacuum pumps, implants or surgery.


Benign prostatic hyperplasia, also known as BPH, is an enlarged prostate. The prostate gland, found only in males, is located below the bladder, and as the prostate enlarges, the gland presses against the urethra. This pressure leads to problems passing urine. BPH is
not a form of cancer and does not develop into cancer.
After skin cancer, prostate cancer is the most common cancer among men. Prostate cancer can be diagnosed through a prostate-specific antigen blood test or a digital rectum exam. Symptoms of prostate cancer include but are not limited to: Blood in the urine, erectile dysfunction, weakness or numbness in the legs, loss of bladder or bowel control, and trouble passing urine (which could be caused by BPH rather than cancer.)
Kidney stones are small, hard deposits comprised of minerals and acid salts formed in thekidney. When kidney stones move through the urinary tract, they may cause frequent or painful urination, nausea, blood in the urine or severe pain in the back, belly or groin. Passing a stone can be quite painful but usually doesn’t cause permanent damage. Most stones can be passed at home, but if stones become lodged or cause extreme complications, surgery may be needed.
Urinary incontinence (UI) is the loss of bladder control and can range from mild leaking tochronic uncontrolled urination. The most common causes of chronic incontinence include: Overactive bladder muscles, weak pelvic floor muscles, nerve damage, or an enlarged prostate (only in men, also known as BPH.)
Bladder cancer most often begins in the cells that line the inside of the bladder. Symptomsinclude but are not limited to: Blood in the urine, frequent urination, painful urination, back pain and pelvic pain. Bladder cancer is highly treatable if diagnosed at an early stage.
Kidney cancer, also known as renal cancer, is a disease in which kidney cells becomecancerous and form a tumor. There are not many signs or symptoms of kidney cancer in its early stages; however, in the later stages, symptoms may include: Blood in the urine, back pain below the ribs, weight loss, and fatigue.
Testosterone levels naturally decline in men as they age and sometimes testosterone therapy is needed. Some cases can be treated with lifestyle changes such as weight loss or exercise. Other cases are treated medically with testosterone supplementation. Men who have received low testosterone therapy have reported increased energy, sex drive, and fewer mood swings.
A vasectomy is a safe and effective method for providing permanent contraception. The no scalpel vasectomy is a minimally invasive procedure that is completed without a needle and scalpel. The main difference between a no-scalpel vasectomy and a vasectomy is the way the doctor approaches the vas deferens. In a no-scalpel vasectomy, a small clamp is poked through the skin of the scrotum and then opened to close the vas deferens. This is a quick office procedure with very little bleeding, less discomfort and a 40% quicker recovery with no scar.
High intensity focused ultrasound (HIFU) provides men access to a less invasive treatment option for prostate disease. HIFU has similar rates of effectiveness as other treatment options for prostate cancer, such as surgery and radiation, with lower risk of erectile dysfunction and incontinence. The recovery time is usually a few days, and the procedure can be repeated if necessary.
For men with low levels of testosterone, TESTOPEL® is a pellet available to help restore testosterone levels. While some testosterone therapies require daily or weekly doses, TESTOPEL® is implanted under the skin and slowly release testosterone over time. The pellets are smaller than the width of a dime and can be implanted in office.
A vasectomy is a safe and effective method for providing permanent contraception. The main difference between a vasectomy and a no-scalpel vasectomy is the way the doctor approaches the vas deferens. During a vasectomy, a doctor makes one or two small openings in your scrotum and cuts the vas deferens from each testicle. Once they are sealed, the skin is closed with stitches. Most men can return to work in one to two days.

Diagnostic Testing in office:

Urodynamics is a series of test that looks at how well your bladder, sphincters and urethra are storing and releasing urine. These tests help identify specific problems related to: controlling urine, painful urination, feeling the need to urinate frequently, problems emptying the bladder completely and recurring urinary tract infections. Urodynamic tests can be as simple as observations to precise measurements using sophisticated instruments.
Peripheral Nerve Evaluation (PNE) is a diagnostic evaluation of the sacral nerves and how it relates to bladder function. By performing sacral nerve modulation, we will be able to see if nerve stimulation will relieve you of your overactive bladder symptoms.
Transurethral microwave therapy (TUMT) treats urinary symptoms caused by an enlarged prostate. TUMT is one of the options available for treating an enlarged prostate. During treatment, a small microwave antenna is inserted through the tip of your penis into the tube that carries urine and emits a dose of microwave energy to destroy excess prostate tissue blocking urine flow.
A prostate biopsy examines a small sample of prostate tissue. This test determines if there are cancer cells in the prostate gland and the cause of a prostate-specific antigen in the blood.
This painless diagnostic technique differentiates vascular from nonvascular structures in any location. Ultrasounds are used when any area is considered abnormal.
This outpatient procedure allows us to view the inside of the bladder in detail. We are able to find what’s causing bleeding, blockage or any other abnormalities of the bladder and its lining. The cytoscopy takes about 5 to 10 minutes to complete.