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What do I need to do to prepare for my Cystoscopy?

What can I expect after my cystoscopy?

I’m having a vasectomy. What do I need to do to prepare?

What can I expect after my vasectomy?

I have had a prostate biopsy, what can I expect afterwards?

What preparations should I make before hospital or outpatient surgery?

I had a stone removed from my ureter with a camera (ureteroscopy). Now what?

frequently asked questions

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Urologic Cancers

– Any segment of the genitourinary system is capable of developing a cancerous tumor. Most commonly we help diagnose and treat patients with prostate, kidney, bladder and testicular cancers. Prostate cancer is the most common malignancy in men, with a yearly estimated incidence of 230,000 new cases. However, bladder and kidney cancer are also commonly seen, and affect both men and women. Treatment options for urologic cancers range from minimally invasive procedures to radiation to surgery to remove the organ, depending on the situation. An in depth discussion will help us work together to decide which option is right for you.

Prostate Enlargement

As men age, their prostates tend to grow. Over time the growth often can become significant enough to block urine flow, causing difficulties emptying the bladder. This may result in the need to urinate often during the day and night, delays in starting your urinary stream or needing to strain to get urine out. Other symptoms are also possible and, in extreme cases, you may be unable to urinate at all. Often times, medication is sufficient to help combat this problem. If medications do fail, though, we offer minor procedures and outpatient surgery to help you urinate better without having to spend time in the hospital.

Kidney Stones

LoremA commonly found problem, especially in the warm climates of South Florida, kidney stones can be a source of pain ranging from mild aching to severe, intolerable pain. The pain can present anywhere in the back, flank, abdomen and groin/testicles. Many will be able to pass by themselves given time and lots of fluid. Unfortunately, those too large to pass or causing fevers, intolerable pain or vomiting will require surgery. Luckily we have advanced to the point that the vast majority of stones can be effectively treated with only external (outside the body) sound waves or with a camera and laser.


Incontinence, or the inability to hold urine without it coming out of its own accord, is not just a female problem. Many men also have difficulties with urinary control. Leakage may occur due to weakness of the pelvic floor and urethra, a bladder that has spasms, a bladder that is overly full of urine and can’t be emptied, or a combination of the above causes.

Voiding Dysfunction

Incontinence, or the inability to hold urine without it coming out of its own accord, is not just a female problem. Many men also have difficulties with urinary control. Leakage may occur due to weakness of the pelvic floor and urethra, a bladder that has spasms, a bladder that is overly full of urine and can’t be emptied, or a combination of the above causes.

Male General Health

Any issues with the male genital tract are also dealt with by urologists. These include erection and ejaculation problems, abnormalities noticed on exam, skin rashes and lesions, and genital cancers. The issue you are experiencing may be commonplace or rare, but we can help guide you to get the answers and help you need.


A growing proportion of the population are having difficulties achieving a successful pregnancy. In 70% of these cases, a male factor may be at least part of the problem. Our workup and the available treatment options have helped large numbers of people to have the child they always dreamed of.

No Scalpel Vasectomies

For those men who have decided their families are complete, we offer vasectomies in the office. This is a minor procedure done under local anesthesia, from which men typically recover rapidly. It is over 99% effective at preventing pregnancy while being both safe and well tolerated.


We offer the following tests and imaging in the comfort of our office

Ultrasound of the kidneys, bladder & scrotum and Prostate

Urine Cultures

Lab Blood draws and testing

Prostate Biopsy to identify potential prostate cancer

Urodynamics testing to evaluate the function of, and any blockage of the bladder


The use of Botox (Botulinum Toxin A) has been used for years both cosmetically and medically. It is now FDA approved for use in the bladder to help treat overactive bladder that has not responded to medications. This procedure involves a series of injection of botox into the bladder using a very fine needle. The procedure is done using a small camera, called a cystoscope, and made comfortable by the use of a local anesthestic. Expect about 2 weeks for the medication to kick-in and take effect.

TUMT Micro-wave Prostate Thermotherapy

For those men having significant urinary difficulties due to prostate enlargement, we offer microwave thermotherapy. This involves the delivery of microwave energy into the prostate via a catheter. It takes less than an hour and does not require a trip to the hospital or anesthesia. It is a good choice for those men who cannot or don’t want to take medication and would like improvement in their urinary symptoms.

No Scalpel Vasectomy

Bladder Instillation

Bladder instillations of BCG or mitomycin can often be done for patients with bladder cancer, to help prevent new tumors from forming and to help combat any microscopic cells that remain. Cocktails of lidocaine, bicarbonate and heparin can be used for people with chronic bladder pain syndromes. Both types of instillations are done through a small catheter.

This is a minor procedure whereby your doctor is able to look directly at your urethra and bladder with a small camera. The procedure is generally well tolerated with local anesthesia, using lidocaine jelly administered through the urethra. Often during the course of the test we may remove an additional sample of urine for specialized testing.

Some patients may not respond well to medications for frequent urination and/or urgency and incontinence problems. In these cases neuromodulation has been found to be effective in a large proportion of patients. Over two thirds of people who have undergone sacral neuromodulation have noticed a decrease of 50% or more in their symptoms. Testing to see if you are a candidate for this minor procedure is done in the office under local anesthesia. A small wire is introduced through a needle and is then used for a 1 week testing period to see if you benefit. More information on this can be found at this location (link to Medtronics, Interstim).

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