Conditions & Treatments

Kidney Stones

Kidney Stones are made of salts and minerals in the urine that stick together to form small "stones." They can be as small as grains of sand or as large as golf balls. They may stay in the kidneys or travel out of the body through the urinary tract. The urinary tract is the system that makes urine and carries it out of the body. It is made up of the kidneys, bladder, and the tubes that connect the kidneys to the bladder (the ureters). The urethra then leads the urine from the bladder out of the body. When a stone travels through a ureter, it may or may not cause pain and/or discomfort.


All treatments, including Extracorporeal Shockwave Lithotripsy (ESWL), Ureteroscopy with Laser Lithotripsy, Percutaneous nephrolithotomy, and Medical Therapy.

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Incontinence & All Other Bladder Infections

Urinary incontinence or the loss of bladder control is a common and often embarrassing problem. The severity of urinary incontinence can range from the occasional leaking of urine when one coughs or sneezes---to having an urge to urinate that is so strong and sudden that one cannot get to a restroom in time. If urinary incontinence affects your day-to-day activities, do not hesitate to call and make an appointment with one of our doctors. In most cases, simple lifestyle changes or medical treatment can ease your discomfort or stop your urinary incontinence entirely.


This includes male and female urology treatments such as medications and minimally invasive procedures, including Urethral Bulking Agents, Slings Cystocele repair (dropped bladder repair), Rectocele repair (dropped rectum repair), and other cutting edge medical care.

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Sexual Dysfunction

Sexual dysfunction in men can manifest itself in the form of sporadic erectile dysfunction (ED) or chronic, complete dysfunction, which is more often referred to as Impotence. Many men experience ED near their middle-age years and are not necessarily psychologically affected by it. However, some men who experience long-term Impotence can allow it to affect their relationships or self-esteem. This is unnecessary, since sexual dysfunction has many causes—most of which are treatable or curable—and often despite one’s age.


Medical treatment including oral medications, injections, vacuum pump and surgical treatments such as penile prosthesis.

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All Prostate & BPH

Inflammatory conditions of the prostate gland can be referred to as BPH (Benign Prostatic Hyperplasia) or prostatitis. Many instances of BPH are the result of a bacterial infection---but not all. Inflammation of the prostate can cause symptoms such as frequent and painful urination or painful ejaculation. If left untreated, these symptoms can reoccur and worsen. It is believed that approximately 50% of men experience BPH during their lifetime. As a matter of fact, according to the National Institutes of Health, BPH accounts for 25% of all office visits related to the genitourinary system by young to middle-aged men.


Medications, minimally invasive office‐based treatments and prostate laser surgeries for enlarged prostate and voiding difficulty.

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The UroLift® System is a new minimally invasive treatment designed to treat lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).

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Prostate Cancer

Prostate cancer is cancer of the prostate gland. It is the second-leading cause of cancer death for men in the United States. About 1 in 35 men will die from it. Growths in the prostate can be benign (not cancer) or malignant (cancer). Prostate cancer cells can spread by breaking away from a prostate tumor. They can travel through blood vessels or lymph vessels to reach other parts of the body. After spreading, cancer cells may attach to other tissues and grow to form new tumors that may damage those tissues. When prostate cancer spreads from its original place to another part of the body, the new tumor has the same kind of abnormal cells and the same name as the primary (original) tumor. For example, if prostate cancer spreads to the bones, the cancer cells in the bones are actually prostate cancer cells. The disease is metastatic prostate cancer, not bone cancer. For that reason, it's treated as prostate cancer, not bone cancer.


All forms of prostate cancer treatment including, cryosurgery, Brachy Therapy (Seed Treatment), radiation, and radical prostatectomies.

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Vasectomy & Vasectomy Reversal

Vasectomy is the most effective available mode of male contraception. The procedure involves interruption or occlusion of the vas deferens, and is typically performed in an outpatient setting under local anesthesia. Reported rates of successful infertility for vasectomy exceed 98 percent.

Besides the fact that a vasectomy is very popular, one must remember that there is no form of fertility control, except abstinence, which is completely free of potential complications. In all, vasectomy remains one of the safest and best forms of permanent contraception, provided that the patient is aware of and understands the potential risks associated with the procedure. The side effects and complications of vasectomy are divided into “early” and “late” categories, depending on when they occur. The risks and complications of the procedure, including potential vasectomy pain, are examined below in greater detail.


If sedation was not used, then the patient may drive himself home. Any discomfort is usually mild, and pain relievers should be used if needed. The local anesthetic begins to wear off after an hour or so. Recovery time after a no-scalpel vasectomy is usually a little less than that after a traditional vasectomy. The following are general guidelines that help ensure a speedy recovery (talk with the doctor who did the procedure for specific instructions):

Apply an ice pack or package of frozen peas (or other such package) to the scrotum for the first 24 hours after the procedure. Wrap the ice pack in a towel. Do not place ice directly on the skin.

Avoid walking or standing as much as possible for a couple of days.

Wear snug cotton briefs or an athletic supporter to help apply pressure against the procedure area and for support of the scrotum for the first week or two after the procedure. Avoid heavy lifting or exercise for at least 2 to 3 days. Doctors commonly allow a return to work within 1 to 2 days unless the job involves physical exertion. In general, avoid activities that cause discomfort.

Wait at least a week before resuming sexual activity; use birth-control methods until the doctor indicates the patient is sterile (see below). Semen will be collected (usually at home) approximately six to 12 weeks after surgery (and possibly even later) and examined under a microscope at the doctor's office or with a new home test kit called SpermCheck Vasectomy Home Test (Alere) to make certain that no sperm remain.

Vasectomy reversal reconnects the pathway for the sperm to get into the semen. Most often, the cut ends of the vas are reattached. In some cases, the ends of the vas are joined to the epididymis. These surgeries can be done under a special microscope ("microsurgery"). When the tubes are joined, sperm can again flow through the urethra.

There are many reasons to undo a vasectomy. You might remarry after a breakup or have a change of heart. Or you might want to start a family over after the loss of a loved one.


Fifteen percent of couples are affected by infertility, which is the inability to conceive after one year of unprotected intercourse. However, infertility treatment is a rapidly changing field, and the combination of proven techniques and recent innovations have given many couples new hope. Doctors’ Desai, Rayan, and Cardenas, are committed to employing the very latest medical science to optimize a couple’s opportunity to conceive under their care.


Work‐up diagnosis and treatment including, Horomone Testing and varicocelectomies

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Urologic Cancer

Urologic cancers include cancers of the bladder, kidney, prostate and testicles are all relatively common. Prostate cancer, for example, is the most common cancer in American men.


These include the diagnosis and treatment of all Urologic Cancers including Organ Sparing and Laparoscopic Surgeries.

A diagnosis of cancer is scary. The best treatment for you will depend on the type, grade, and stage of your bladder cancer. It also depends on your general health and age. You will want to work closely with your doctor to decide on a good treatment plan for you.

Treatment options for bladder cancer that has not entered the muscle (stages Ta, T1 and Tis) include:

  • Surgery to remove the tumor
  • Intravesical therapy
  • Surgery to remove the bladder

Treatment options for bladder cancer that has entered the bladder muscle (stages T2, T3 and T4) include:

  • Intravesical therapy
  • Surgery to remove the bladder
  • Chemotherapy
  • Radiation therapy