Our Services

Our office performs a variety of services and treatments as outlined below. Should the service you seek not appear on the following list, please contact our office to discuss your needs.

In-House Laboratory

Albany Urology Clinic offers an in-house Laboratory, Radiology (X-Ray) Department with CT.

 


 

Bladder Cancer

It is often indicated by blood in the urine. Bladder Cancer may be deep or superficial and both are treated differently. If superficial, a close watch with periodic cystoscopy, with or without instillation of medication into the bladder is used. If deep, aggressive surgery with bladder removal and reconstruction may be necessary.

 


 

Kidney Stones

Kidney stones usually present with flank pain and bloody urine. Some stones, if small enough and in proper position, can be managed unadventurously and allowed to pass. If kidney function is disturbed, or pain too severe, or if infection is present, or if the stone is too large to pass, the stone is treated. Various minimally invasive procedures are available including "shock wave", and endoscopy with laser to fragment and remove stones. Once the stone is out, it is analyzed, and in addition, a metabolic workup is performed with blood and urine tests to figure out the cause of stones and implement a strategy for prevention. This may include diet modification, supplements, and/or medication.

 


 

Blood in Urine

Known as Hematuria. There is an array of reasons someone may experience this. Infection, stones, and polyps in the urinary tract are a few.

 


 

Male Infertility

If the female partner has a negative infertility work up by her physician, the male partner is evaluated. Review of medical, surgical, or work history may reveal the source. Blood work and semen analysis are common tests.

 


 

Chronic Prostatitis

Painful Bladder Syndrome can imitate infection in the bladder or prostate. It can flare at any time. Diet and fluid management can sometimes lower symptoms. Often, a variety of medications, massage, and bowel management can help with condition.

 


 

Neurogenic Bladder

This is the term used for bladder dysfunction resultant of neurological or surgical injury. Neurogenic bladders require special management in order to minimize recurrent urinary infections, and preserve kidney function. It can result for spinal cord injury, stroke, brain injury, Parkinson's or Alzheimer's diseases, multiple sclerosis, post-polio syndrome, tabes dorsalis, and after certain types of pelvic or back surgeries.

 


 

Circumcision

This procedure can be performed for boys and men who have persistent infection and scarring of the foreskin.

 


 

Overactive Bladder

Extremely common in women but also occurring in men, urinary leakage can occur with stress maneuvers (such as exercise, coughing, sneezing) or with uncontrollable urge or frequency. More significant cases of urge incontinence can be treated with medication usually, and in severe cases with bladder neuromodulation ("InterStim"). Stress incontinence, if bothersome, can be treated with minimally invasive procedures such as "slings" or urethral injections with high degrees of success and satisfaction.

 


 

Elevated PSA

Prostate Specific Antigen is the most studied tumor marker for prostate cancer. Although an elevated PSA does not always mean prostate cancer is present. It can be used in conjunction with "free PSA" and other tests in order to help guide treatment. Prostate biopsy is the only way to diagnose prostate cancer. Other very common causes of elevated PSA can be prostate enlargement or prostate infection.

 


 

Penile Implant

In certain men who have erectile dysfunction that has failed all other therapies, a penile prosthesis is a reliable way to permanently achieve erections. Inflatable and semi-rigid models can be placed as an outpatient.

 


 

Enlarged Prostate

Benign Prostate Hypertrophy (BPH) or Enlargement (BPE) occurs in men beginning in their 40s or 50s. As it encroaches on the urethra, an enlarged prostate can give men the following symptoms: urinary urgency, frequency, waking up at night to void often, weakened stream, hesitancy and intermittency of stream and a sense of incomplete emptying. A change in diet and medication is used for early treatment. As symptoms progress, medications are often used. In severe cases, procedure can be performed to remove the obstructing prostate tissue, such a microwave thermotherapy, TURP (transurethral resection of the prostate), or a Laser TURP.

 


 

Prostate Cancer

The most commonly diagnosed cancer in men, prostate cancer can be curable even if aggressive. Most standard treatments have similar cure rates, but treatment recommendations will vary based on age, stage, and grade of the cancer. Common curative options include radical prostatectomy (whether "open" or robotic using the da Vinci system), external beam radiation or radioactive seed implantation. da Vinci robotic prostatectomy offers equivalent cancer cure rates when compared to standard open robotic prostatectomy with improvement in quality of life parameters, as well as less catheter-time and hospital stay.

 


 

Erectile Dysfunction

A common finding in aging men, it can be due to low testosterone, stress, injury, poor blood flow into the penis or even medication. Lifestyle changes and exercise can restore potency, but if not successful, a variety of treatments are available including oral medication, injection medication, vacuum devices and implants.

 


 

Prostate Infection

Acute bacterial infection of the prostate can present with urinary difficulty, frequency, stream intermitency, perineal pain, burning and some sometimes fever. This can be a one time or a recurrent problem. Sometimes, prostate infection can lead to an elevated PSA. Chronic prostatitis, sometimes known as Chronic Pelvic Pain Syndrome, is not caused by infection, but is a pain syndrome similar to Interstitial Cystitis. Treatment is focused at the specific symptoms, yet it can difficult to manage at times.

 


 

Female Pelvic Organ Prolapse

Cystocele (Bladder Drop), Rectocele (Rectal Drop), Perineal Laxity (weak perineum) and Enterocele (bowel descent) are all pelvic hernias that create protrusions through the vagina. Often, women will feel a "bulge" or sense heaviness in the vagina, back pain, difficulty with urination, constipation, or feel they are "sitting on a ball". If severe, it may completely protrude through the vaginal opening. Surgical correction to restore proper anatomy, vaginal length and caliber is done minimally invasively through the vagina, often with mesh or grafts. Sexual function is restored or preserved. These conditions often occur with urinary incontinence. 

 


 

Testis Cancer

Common cancer in men ages 18-45. Sometimes radiation or chemotherapy is necessary after surgery, but cures rate are very high.

 


 

Incontinence

Extremely common in women but also occurring in men, urinary leakage can occur with stress maneuvers (such as exercise, coughing, sneezing) or with uncontrollable urge or frequency. More significant cases of urge incontinence can be treated with medication usually, and in severe cases with bladder neuromodulation ("InterStim"). Stress incontinence, if bothersome, can be treated with minimally invasive procedures such as "slings" or urethral injections with high degrees of success and satisfaction.

 


 

Urinary Tract Infections

Often occurring in women, there is a wide range of reasons why women would experience recurrent infections. These must be differentiated from persistent or sub-optimally treated infections. Recurrent UTIs can occur in men, children, and in those with neurogenic bladders. Chronic infections may warrant x-ray evaluation of the kidneys or even cystoscopy. Prostate infection can occur in men and can be chronic in nature as well.

 


 

Hydrocele

Fluid surrounding the testicle can cause discomfort and scrotal enlargement. It can occur at birth, as a result of infection or injury, and even tumors.

 


 

Vasectomy

Elective sterilization in men takes usually under 30 minutes and is done under local anesthesia in the office. It is considered permanent and is minimally invasive. A man is not considered cleared for unprotected sex unless the semen analysis reveals no sperm at follow up.

 


 

Kidney Cancer

Depending on the size and position determines treatment. If small, it can be removed while sparing the rest of the kidney, or in select cases, frozen and destroyed, sparing the rest of the kidney. If the kidney must be removed, it can be done minimally invasively by laparoscopy, reserving open surgery for large tumors or those not amenable to other techniques.

 


 

Varicocele

Boggy and enlarged veins near the testicle can cause ache and scrotal enlargement. Often they are found by accident and are asymptomatic, but may need to be treated if pain is present, infertility is diagnosed or testis size is affected.