We provide a range of services to diagnose and treat conditions involving the urinary system.
Screenings and Diagnosis
If you suffer from symptoms such as urinary difficulties, incontinence, pain, or erectile dysfunction, it’s important to find out the reasons why so you can be treated. We offer diagnostic procedures in our office which include:
Cystoscopy involves inserting a small scope into the bladder to assess the size of the prostate and possibe causes of bladder symptoms such as blood in the urine, frequent urinary tract infections, incontinence, overactive bladder and painful urination. A cystoscopy can be done in our office.
We’ll perform urodynamic evaluations to check for bladder sensation, stability, and competence of the internal sphincter in women. These studies help determine if a surgical bladder suspension is required to treat urinary incontinence or whether medication should be used. In men, we use urodynamics equipment to evaluate flow and diagnose bladder obstruction.
Ultrasound & Biopsy of Prostate
Ultrasound and biopsy of the prostate is performed to check for prostate cancer. This is usually performed if your prostate specific antigen (PSA) level is high or when the doctor detects a prostate nodule during a rectal exam. The ultrasound is used to identify any suspicious areas, and a needle is then passed under ultrasound guidance to these specific areas for a biopsy.
A prostate-specific antigen (PSA) blood test can reveal the presence of prostate cancer. However, PSA levels can also be elevated due to an enlarged or an inflamed prostate. We’ll talk to you about whether you should have a PSA test. A diagnosis of prostate cancer would not be made on the results of a PSA test alone. Other tests involve digital rectal exams and a prostate biopsy. PSA screenings may also be used after a cancer diagnosis to evaluate the effectiveness of treatment.
Office Treatments and Services
For your convenience, we can do many procedures in our office.
Removal of Bladder Tumors
We can remove small bladder tumors or lesions in our office by using special tools that can be passed through the cystoscope. Larger tumors may require surgery, a procedure called TURBT or Transurethral Resection Bladder Tumor. Generally, this is done on an outpatient basis, but some patients may need to stay overnight for additional observation and treatment.
When fluid around the testicle causes it to become large enough to be uncomfortable, we usually recommend hydrocelectomy, an outpatient procedure to drain the fluid and remove the sack from around the testicle.
A vasectomy is a short procedure to cut and seal the tube that carries sperm from each testicle. We perform no-scalpel vasectomies, a less invasive technique that uses one puncture and requires no stitches. The procedure is done in our office under local anesthesia.
Removal of Lesions
Lesions that are too large for medical treatment or don't respond to medical treatment may be removed under local anesthesia.
We perform surgeries, including minimally invasive robotic surgery, at New Hanover Regional Medical Center. For more on these procedures, visit these pages on the hospital’s website:
- Prostate Procedures
- Kidney Procedures
- Bladder Cancer Procedures