In-Office Procedures

Cystoscopy is a diagnostic procedure that uses a thin, flexible scope to look directly inside the urethra and bladder. It is fundamental to urologic evaluation.

It is commonly used to evaluate blood in the urine, recurrent urinary tract infections, suspected bladder tumors, and unexplained voiding symptoms.

Performed in-office with local anesthesia, cystoscopy allows real-time visualization of the lower urinary tract and immediate identification of abnormalities.

Findings guide further treatment or surveillance and often clarify a diagnosis in a single visit.

Prostate biopsy is a procedure to sample prostate tissue for laboratory analysis when cancer is suspected, typically prompted by an elevated PSA or abnormal MRI.

Samples are examined by a pathologist to confirm whether cancer is present and, if so, to grade its aggressiveness.

The practice uses targeted, image-guided techniques to improve accuracy and to focus sampling on areas most likely to harbor significant disease.

Biopsy results directly inform treatment planning, including the choice between active surveillance, surgery, focal therapy, or radiation.

Bladder biopsy is the removal of a small tissue sample from the bladder lining for laboratory analysis, usually to evaluate suspicious areas or diagnose bladder cancer.

It is most often performed during cystoscopy, allowing direct visualization and targeted sampling in a single procedure.

The sample is examined under the microscope to determine whether abnormal cells are present, what type, and how invasive they appear.

Biopsy results are essential for accurate staging and for choosing the right treatment in bladder disease.

Urodynamics testing is a set of diagnostic tests that measure how well the bladder stores and releases urine. It is used to investigate incontinence, retention, and complex voiding dysfunction.

Sensors assess pressure, flow, and bladder behavior during controlled filling and emptying, producing detailed information about lower urinary tract function.

This data helps pinpoint the exact cause of symptoms in patients whose problems are not easily explained by simpler tests.

Results guide targeted, individualized treatment rather than empiric trial-and-error therapy.

Pelvic floor therapy is a non-surgical, rehabilitative treatment that strengthens and coordinates the pelvic floor muscles to address incontinence, pelvic pain, and certain voiding problems.

Sessions may include guided exercises, manual techniques, and education to improve awareness and control of the pelvic floor.

It is often a first-line, conservative approach used before or alongside other interventions.

Many patients achieve meaningful symptom improvement and improved quality of life without surgery or long-term medications.

Botox bladder treatment is an in-office therapy in which Botox is injected into the bladder muscle to calm overactivity. It treats urge incontinence and overactive bladder that has not responded adequately to medications.

The injections reduce involuntary contractions that drive urgency, frequency, and leakage.

The procedure is performed through a cystoscope with local anesthesia, typically in a short office visit.

Effects usually last several months, and the treatment can be repeated safely over time.

Circumcision is a surgical procedure to remove the foreskin of the penis, performed in adults for medical, hygienic, or personal reasons.

Common medical indications include recurrent balanitis, phimosis, paraphimosis, and chronic inflammation that does not respond to conservative measures.

The practice performs adult circumcision with attention to patient comfort, anesthesia choice, and cosmetic outcome.

It is typically performed as an outpatient procedure, and recovery is generally straightforward with appropriate aftercare and follow-up.

Vasectomy is a safe and highly effective form of permanent male contraception that interrupts the tubes (vas deferens) that carry sperm.

It is a quick in-office procedure performed under local anesthesia, with most men returning to normal activity within a few days.

Vasectomy does not affect testosterone, sexual function, or ejaculation volume in a noticeable way for most patients.

Because the procedure is intended to be permanent, the practice counsels patients carefully before scheduling to ensure they are confident in their decision.

The Artemis MRI-Fusion prostate biopsy is a precision biopsy that fuses previously captured MRI images with live ultrasound, letting the urologist target suspicious areas of the prostate with high accuracy.

It is used when a prior MRI or an elevated PSA raises concern for prostate cancer and a tissue diagnosis is needed.

During the procedure, the MRI roadmap is overlaid on real-time ultrasound so specific lesions are sampled directly rather than relying on random sampling. The Artemis platform records the exact location of every biopsy site, enabling reliable comparison for future biopsies or to guide focal therapy.

Performed in-office under local anesthesia, it improves detection of clinically significant cancers while reducing sampling of insignificant disease — supporting confident diagnosis and individualized treatment planning.

The UroCuff test is a non-invasive, catheter-free study that evaluates how the bladder and prostate function in men experiencing urinary symptoms.

It is used to work up symptoms such as weak stream, hesitancy, urgency, frequency, and incomplete emptying — distinguishing whether the problem comes from obstruction (such as an enlarged prostate) or from a weak, underactive bladder.

During the test, a specialized inflatable cuff is placed around the penis and measures pressure and flow during normal urination. The data are analyzed to characterize voiding mechanics without the discomfort of a catheter-based study.

Quick and comfortable, performed entirely in-office, the UroCuff test helps guide accurate, individualized treatment — especially when deciding between medical therapy and procedural treatment for BPH. [PRACTICE TO VERIFY: confirm intended test — original note read "UroCov."]

Intravesical therapy is a treatment in which medication is delivered directly into the bladder through a catheter to treat non-muscle-invasive (localized) bladder cancer.

It is used after endoscopic tumor resection to treat residual disease, reduce the risk of recurrence, and lower the risk of progression to more advanced cancer.

By concentrating therapy inside the bladder, the medication acts on cancerous and at-risk cells lining the bladder wall while limiting whole-body exposure and side effects. Treatment is given as a planned series of in-office instillations, typically followed by ongoing cystoscopic surveillance.

Intravesical therapy is a cornerstone of bladder-preserving care for appropriately selected patients with non-muscle-invasive disease. [PRACTICE TO VERIFY: confirm agent/protocol offered.]

Xiaflex is an injectable enzyme therapy for Peyronie's disease — a condition in which scar tissue (plaque) inside the penis causes curvature and can make erections painful or difficult.

It is used in men whose curvature, pain, or difficulty with intercourse is significant enough to warrant treatment and who meet established criteria for therapy.

The enzyme is injected directly into the plaque to break down the collagen responsible for the bend. Treatment is delivered as a planned series of in-office sessions, often paired with gentle modeling techniques between visits to help reshape the affected tissue.

For appropriate candidates confirmed through careful evaluation, Xiaflex can meaningfully reduce curvature and improve function without surgery.