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Expert Urology

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Pelleve

The Pelleve S5 RF Generator can be used any time a person wants to decrease the severity of wrinkles. It can easily be used in areas where many other treatments may not be effective. It can be used on the face, arms and neck. It is the best choice for patients who are not able to undergo invasive procedures, but still want to reduce the appearance of fine lines and skin laxity.

Cystoscopy

A small lighted tube is placed into the bladder through the urethra under local anesthesia . It is connected to a camera so that the patient and the physician can see the results. The bladder is filled with water during the study. It is performed to inspect the bladder for tumors, ulcers and other anatomical abnormalities that can not be identified by other means. It takes approximately 1 ˝ minutes to complete but please expect to be at the appointment approximately 30 minutes. You can drive yourself to and from the appointment and there is no preparation for this test. After effects may include slight urgency to urinate and burning with urination for a few hours, as well as possible blood in the urine that clears quickly.

Urodynamics

A small catheter is inserted into the bladder to check bladder pressures, a small tube is placed into the rectum to check abdominal pressures and the bladder is filled with water. The physician watches on the computer screen as the bladder is filled and the patient is performing maneuvers such as coughing and straining in order to test for leaking, pressures during voiding, bladder function, etc. It takes approximately 5-7 minutes to complete but expect to be at the appointment from 30-45minutes in order to discuss results and a plan. You can drive yourself to and from the appointment and should arrive with a full bladder ready to void. After effects may include slight urgency to urinate and burning with urination for a few hours, as well as possible blood in the urine that clears quickly.

Transrectal Ultrasound Guided prostate biopsy

A small ultrasound probe is inserted into the rectum in order to visualize the prostate. A local anesthetic is injected into the prostate. Several ultrasound pictures and measurements are taken and then approximately 12 needle biopsies are obtained through the probe, 6 from the right and 6 from the left side of the prostate. It takes approximately 5-7 minutes to complete but expect to be at the appointment at least 30 minutes. You can drive yourself to and from the appointment. Preparation includes an antibiotic for 5 days to start the day prior to biopsy and an enema to clear the rectum the morning of the procedure. After effects may include blood from the rectum and urine for a few days as well as blood from the semen for up to 6 weeks.

Uroflow

This is a non-invasive measurement of the strength of the urinary stream. You should arrive with a full bladder and will be asked to void into a machine that measures the amount of urine voided as well as the flow rate. It is usually followed by an ultrasound measurement of post void residual, to see how much urine is left remaining in the bladder. Takes approximately 30 seconds to complete but expect to be at the appointment from 15-20 minutes. You should arrive with a full bladder. There are no after effects.

Post Void Residual (PVR)

This is a non-invasive measurement of the amount of urine remaining in the bladder after a patient has voided and is performed by ultrasound or bladder scanner. Usually preceded by uroflow testing (see above). There is no specific preparation for this test and there are no after effects.

Trans Urethral Microwave Therapy of the Prostate (TUMT)

A specialized catheter is inserted into the urethra under local anesthesia and connected to an advanced, high tech computer which heats the urethra to the desired temperature for a period of approximately 40 minutes. This is performed for benign prostatic hyperplasia (BPH). Expect to be at the appointment at lesat one hour. Preparation includes starting 5 day course of antibiotics the day prior to the procedure and taking a valium or similar sedative medication one hour prior to the procedure. You should have a driver to and from the procedure due to the sedative. You are also given an injectable pain medicine and an oral anti spasm medicine upon arrival at the office. You will leave the office with a catheter indwelling in the bladder, draining to a bag, for approximately 3 days and instructions will be given to you on how to safely remove the catheter. After effects may include blood in the urine, slight urgency and frequency of urination once the catheter is removed.

Injection of botulinum toxin

This procedure is performed for the treatment of overactive bladder. Local anesthesia is placed into the bladder through a small catheter and allowed to remain for 15-20 minutes to take effect. A cystoscope is placed into the bladder in order to visualize the bladder wall. Several injections of botulinum toxin (Botox) are made throughout the bladder wall intended to weaken and/or paralyze the bladder muscle. The procedure takes approximately 15-20 minutes but expect to be at the appointment for one hour. You will start a 5 day course of antibiotics the day prior to the procedure and take a valium or similar sedative medication one hour prior to the procedure so need to have a driver to and from the office. After effects may include slight urgency to urinate and burning with urination for a few hours, as well as possible blood in the urine that clears quickly. It takes 5-7 days to see the maximum effects from the injections.

MonaLisa Touch

Everyone knows that menopause can bring about highly visible symptoms like hot flashes and night sweats. However, the gynecologic symptoms associated with menopause including vaginal itching, burning, painful intercourse, and dryness can profoundly impact women's daily lives and intimate relationships. We now offer the MonaLisa Touch to provide fast relief for the uncomfortable symptoms caused by genitourinary syndrome of menopause.

How Does the MonaLisa Touch Procedure Work?
The MonaLisa Touch uses a C02 fractional laser to relieve some of the most common symptoms of genitourinary syndrome of menopause. The MonaLisa Touch uses technology similar to that of aesthetic lasers, but is designed to stimulate new collagen production in the vaginal walls. As the existing cells are revitalized, blood flow and lubrication are improved to restore natural gynecologic functions. If vaginal dryness, itching, painful sexual intercourse or urination are affecting your life, the MonaLisa Touch can help alleviate the symptoms of menopause and vaginal atrophy without causing pain or inconvenient side effects.

What to Expect During MonaLisa Touch Treatments
The MonaLisa Touch procedure is performed in the comfort of our office. The laser application itself lasts less than five minutes! Three or four appointments spaced about one month apart are recommended to achieve the best results, but many patients will begin to notice improvement immediately following the first session. MonaLisa Touch treatments are not painful, but an anesthetic cream can be applied to reduce any discomfort experienced during the procedure. Patients should avoid sexual activity for a few days following the procedure, but can otherwise resume their normal routines without experiencing any downtime.

Contact us today to learn more about how the MonaLisa Touch can help improve your gynecologic health!

SculpSure

Look great. Feel great.

Even with diet and exercise, most adults have stubborn areas of fat that seem impossible to get rid of. Now with SculpSure, you can target these problem areas in just 25 minutes without surgery or downtime.

SculpSure is a breakthrough in non-invasive body contouring that treats bothersome areas of fat, helping you achieve the shape you want. The 25 minute procedure uses light-based technology to permanently destroy up to 24%1 of treated fat in problem areas such as the abdomen and love handles.

Achieving a slimmer, more sculpted appearance is possible with the help of SculpSure. Call us at [(949) 825-7650] to schedule a FREE consultation and learn more about your customized SculpSure treatment.

Injection of Macroplastique urethral bulking agent

This procedure is performed for the treatment of stress urinary incontinence. Local anesthesia is placed into the bladder through a small catheter and allowed to remain for 15-20 minutes to take effect. A cystoscope is placed into the bladder in order to visualize the bladder wall and urethra. Several injections of Macroplastique urethral bulking agent are then injected into the urethra, thereby closing off the urethra enough to help with incontinence but still allowing you to be able to void. It takes approximately 15-20 minutes but expect to be at the appointment for one hour. You will start a 5 day course of antibiotics the day prior to the procedure and take a valium or similar sedative medication one hour prior to the procedure so need to have a driver to and from the office. After effects may include blood in the urine, slight burning with urination and the temporary inability to void requiring catheterization.

Posterior Tibial Nerve Stimulation

This is performed for overactive bladder and is also known as “acupuncture for the bladder.” There are 12 weekly sessions. A small acupuncture needle is placed in the skin inside the ankle and attached to a stimulator box for 30 minutes each treatment . There is no preparation and you may drive yourself to and from the procedure. There are no after effects.

Urostym

This is performed for overactive bladder, pelvic floor dysfunction and stress urinary incontinence. There are 8 weekly sessions. Small probes are inserted into the rectum (and vagina on a female patient). You will be asked to squeeze and release the pelvic floor muscles while watching a screen to ensure that you are performing these exercises correctly. There is also a period of stimulation to the pelvic floor muscles for strengthening and retraining of those muscles. You will be given home exercises to perform throughout the course of therapy. The procedure takes approximately 15-20 minutes each session. There is no preparation and you may drive yourself to and from the appointment. There are no after effects.

Catheterization

This is performed in order to obtain a urine specimen, to check a residual urine volume remaining in the bladder or in the case a patient is unable to urinate. Using local anesthetic jelly a small tube is inserted into the bladder through the urethra. The catheter is then usually removed but may be left indwelling to a bag if the reason for placement was that the patient has been unable to urinate on their own. There is no preparation for this test and you may drive yourself to and from the appointment.

Percutaneous trial of Interstim sacral neuromodulation device

This is performed for the treatment of overactive bladder. You will be lying on your stomach and local anesthesia is injected into the skin on the lower back. A small needle is used to identify the nerve that goes to the bladder on each side. A small wire is then placed onto the nerve on each side. These wires remain external and are connected to a remote control box for a trial period of anywhere from 3-7 days. You will be taking antibiotics during the trial period. It takes approximately 20 minutes but expect to be at the appointment for one hour. You may drive yourself to and from the procedure and there is no preparation.

Intravesical instillation of heparin cocktail

This is performed for the treatment of Interstitial cystitis or similar bladder pain syndromes. A small tube is inserted into the bladder through the urethra using local anesthesia. A cocktail of several medications is then instilled into the bladder and the catheter is removed. It takes approximately 60 seconds to perform but expect to be at the appointment for 15 minutes. You will be asked to hold the cocktail for at least one hour; you will not need to remain at the office for this length of time. There is no preparation and you may drive yourself to and from the appointment. After effects may include blood in the urine and slight urethral burning.

Intravesical instillation of Bacille Calmette et Guerain (BCG)

This is performed for the treatment of bladder cancer. A small tube is inserted into the bladder through the urethra using local anesthesia. BCG, an immunotherapy agent that is a weakened form of the tuberculosis bacterium, is then instilled into the bladder and the catheter is removed. . It takes approximately 60 seconds to perform but expect to be at the appointment for 15 minutes. You will be asked to hold the medicine for one hour; you do not need to remain in the office for this length of time. There is no preparation and you may drive yourself to and from the appointment. After effects may include blood in the urine, increased urgency and frequency to urinate and burning during urination.

VAGINAL SUPPORT PESSARIES

A vaginal pessary in a non-surgical treatment option used when there is loss of structural support of the pelvic organs (i.e. bladder, rectum, uterus) and vagina. The pessary is a flexible, removable device that is placed in the vagina and is usually made of silicone. There are a variety of styles and sizes that are used depending on the type of prolapse and its severity. During your office visit, you will be fitted for the appropriate pessary. You may need a few visits in order to select the most comfortable and effective pessary.











Office Hours
Monday - Friday 8:30am - 5:30pm
Contact Info
16300 Sand Canyon, Suite
405 Irvine, CA 92618
Phone: 949-825-7650