The Urology Surgery Service provides primary through tertiary care to patients of all ages with disorders of the urinary tract and male and female.

“We are dedicated medical professionals committed to providing our Soldiers, Family Members, Veterans, and Retirees the highest quality care available.”

Definitions

What is Urodynamics?

This is a study of the Urinary Bladder. It involves a series of tests that measure the function and pressure in the bladder as well as the flow of urine through the urethra (passage through which urine is passedout of the body). It provides extremely important information on how much urine the bladder can hold, if there is a blockage, if the bladder is overactive, and bladder strength.

Who may need the Test?

Doctors may recommend Urodynamic testing for patients with Urinary Incontinence (leakage or loss of control of urine) or difficulty passing urine—frequency, urgency, incompletebladder emptying, night time urinating.

Erectile Dysfunction

Impotence or erectile dysfunction is a common treatable condition affecting over 10 million men in the United States. Seventy-five percent of impotence cases are physical in nature, not psychological. Diagnosis begins with a thorough history, physical exam and lab tests. If the cause is physical, treatment may be medical or surgical. If the cause is psychological, counseling and sex therapy may help.

  • Injection Therapy
  • Viagra, Cialis, Levitra
  • Vacuum erection device
  • Inflatable Penile Prosthesis

Kidney Stones

Kidney stones affect 10% of the population. How a particular stone is treated depends on its size, location and composition. It is best if a patient can pass a stone on his or her own. We provide a full line of treatment options including:

  • Medical treatment
  • Extracorporeal Shock Wave Lithotripsy, (ESWL)
  • Ureteroscopic stone removal
  • Percutaneous lithotripsy
  • Open surgery

Prostate Disease

Benign Prostate Hyperplasia (BPH): After the age of 50 or so, many men experience prostate enlargement. The enlargement is known as BPH. Having BPH doesn’t mean you’re any more or less likely to develop prostate cancer. An enlarged prostate may interfere with urine flow. There are three main treatment options for BPH:

  1. Monitoring or “watchful waiting”
  2. Medication
  3. Surgery
  • Standard TURP

PSA Test (screening for prostate cancer): THE prostate specific antigen test is a blood test used to help in the early detection of prostate cancer.  PSA, an ingredient of semen,  is made by the prostate.  Some PSA naturally leaks from the prostate into the blood stream. Problems with the prostate such as prostate infection (prostatitis), benign prostate hyperplasia (BPH) , prostate biopsies   and cancer  may cause an increase of PSA in the blood stream.

Prostate Cancer

Prostate Cancer is the most common cancer in men. It is recommended that all men over the age of 50 have a yearly rectal exam and PSA test. Patients with a family history of prostate cancer and those of African descent should begin screening at age 40. We offer cancer screening, diagnostic tests and a full range of treatment options including.

Incontinence

Incontinence is a symptom, not a disease. It is caused by many different conditions and is common in millions of men and women. We have a number of treatment options to successfully help people regain bladder control. Treatment options include:

  • Behavioral techniques
  • Medication
  • Biofeedback

Surgery

  • Pubovaginal sling
  • Cystocele repair
  • Rectocele repair

Infertility

Vasectomy reversal (Vasovasostomy) continues to be one of the most important ways to help couples have children. The Urology Clinic has extensive experience doing Vasovasostomy with very high patency rates.

A ureteral stent is a soft plastic tube with holes in it. It’s temporarily inserted into the ureter to help drain urine into the bladder. One end goes into the kidney the other end goes into the bladder. A coil on each end holds the stent in place.

Cystoscopy

A cystoscopy is an examination of the inside of the bladder and urethra, the tube that carries urine from the bladder to the outside of the body. In men, the urethra is the tube that runs through the penis. The doctor performing the examination uses a cystoscope — a long, thin instrument with an eyepiece on the external end and a tiny lens and a light on the end that is inserted into the bladder. The doctor inserts the cystoscope into the patient’s urethra, and the small lens magnifies the inner lining of the urethra and bladder, allowing the doctor to see inside the hollow bladder. Many cystoscopes have extra channels within the sheath to insert other small instruments that can be used to treat or diagnose urinary  problems.

A doctor may perform a Cystoscopy to find the cause of many urinary conditions, including;

  • Urinary tract infections
  • Blood in urine (hematuria)
  • A frequent urge to urinate
  • Painful urination, chronic pelvic pain, or painful bladder syndrome
  • Urinary blockage cause by prostate enlargement  or some other abnormal narrowing of the urinary tract
  • A stone in the urinary tract
  • An unusual growth, polyp, or tumor in the urinary tract

Contact

To contact the Urology Department, located on the first floor of the hospital, please call our front desk at 912-435-5515.