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Urology care for all

Urology covers medical issues related to the urinary tract, the bladder, conditions of the penis and male reproductive organs, kidneys and other related areas. And for men having reproductive problems (or men who have completed their families), our urology team can provide the care you need.

Make an appointment with one of our urologists today. No referral is needed. Call (804) 828-9331.

Urology Conditions 

Men’s Cancers

Prostate cancer and genitourinary cancers (related to genitals and urination) include masses in areas such as the adrenal glands, bladder, kidneys, prostate, penis, or testicles. We work collaboratively with VCU Massey Cancer Center to provide advanced treatment options, diagnoses, prevention and symptom management. That level of care is only available at a National Cancer Institute-designated cancer center such as ours.

Massey’s Urologic Tumor Center team includes national leaders in cancer care and research from multiple disciplines who work together to provide the highest-quality diagnosis and treatment of prostate and other genitourinary tumors. By pooling their expertise, our doctors are able to make the best decisions and give the most comprehensive advice and information.

Kidney conditions

Two bean-shaped kidneys are located on each side of your spine, just above your belly button. Kidneys filter blood and remove waste and water to make urine before it goes to the bladder. The kidneys and bladder are part of your urinary tract. Kidneys are essential to life and their health is important for your body to function properly.

Renal cysts are fluid-filled sacs that form in the kidney. In most cases, renal cysts do not require treatment, but we will confirm that through imaging and tests. If treatment is needed, our surgeons will discuss with you the best options available to ensure the most care and comfort.

Hydronephrosis is caused by a blockage of urine from the kidney to the bladder. When urine is blocked inside of the kidney, the kidney swells. This could cause infection or scarring of the kidney. If you begin to feel pain in the side, groin or flank in addition to painful urination, it is important to see a doctor. Our team of highly-skilled urologists take the proper precautions to prevent your hydronephrosis from escalating into anything more serious.

Renal masses are tumors that grow in the kidney. Our team of dedicated urologists, along with specialists at VCU Massey Cancer Center, will make your renal health a priority, and find a personalized care plan that meets your individual needs.

Kidney stones are hard crystals made of minerals and acid salts that form inside your kidneys,. They develop when your urine becomes too concentrated. If drinking a lot of water doesn’t do the trick, our team can provide medications or procedures to guarantee the stone has passed, and make sure you are feeling your best again.

UPJ obstructions are conditions that impact your renal function because of a blockage that stops the flow of urine out of your kidney. Urine that is unable to pass out of the kidney and into your bladder can cause infections and permanent kidney damage. To clear the blockage, our team of surgeons will perform the proper procedures necessary to keep you — and your kidney – moving.

Penis conditions

Bowen’s disease is an early form of skin cancer on the penis, and is often treated quickly and easily. Our collaborative team, along with providers from VCU Massey Cancer Center, work diligently to make sure you can go back to feeling comfortable in your own skin.

We collaborate with the Children’s Hospital of Richmond at VCU to make sure that your infant’s circumcision is as painless and simple as possible. We provide multiple options for circumcision of infants up to 12 weeks of age at outpatient offices.

Condyloma, or genital warts, are caused by the Human Papilloma Virus (HPV). These warts usually go away on their own — but in cases where they don’t, our team can perform freezing and cauterization procedures, as well as provide medication to treat it.

For those who are having difficulty ejaculating — whether premature, delayed, or absent — we will work to find the best, personalized treatments for your specific case.

If you cannot keep an erection firm enough during sexual intercourse, you may have erectile dysfunction. Our team will work with you to find a personalized solution to your ED, and work on preventing any additional issues in the future.

Hypospadias is a birth defect in which the opening of the penis is on the underside of the organ, as opposed to at the top. This causes an incorrect flow of urine when using the bathroom. To resolve the condition, we perform a repair surgery to surgically relocate the urethra. The fix is usually done in young infants and will last a lifetime.

Increasing sexual activity or hormone treatment does not always fix the problem of erectile dysfunction. If our team decides that this is your best option, we can surgically insert a penile implant to aide you in intercourse.

Peyronie’s disease is caused by scar tissue inside your penis, causing the organ to become severely bent. Our team will work with you to find the most effective and efficient treatment possible to clear and reshape your penis.

Phimosis can only happen in uncircumcised males. When foreskin cannot be pulled back over the penis, there may be a piece of skin resembling a small rubber band around the head of your penis. Our surgical team can offer you surgical and treatment options to feel your best again.

If your foreskin still covers your entire penis when not erect, you have a redundant foreskin and your penis could be vulnerable to smegma, inflammation, or infections. Our surgical team can perform a circumcision revision to remove the excess foreskin, allowing you to live comfortably and healthily.

Prostate conditions

The prostate is a walnut-sized gland between your bladder and penis.

BPH is when your prostate is enlarged. The condition makes it difficult to urinate and can lead to infection, reduced kidney function and bladder stones. Our team will support you with personalized treatment options that will help you get back to your regular routine.

PSA tests measure the levels of protein that the prostate gland creates. If a PSA test comes back higher than usual, it can mean either prostate cancer, prostatitis, BPH or a urinary tract infection. If we see an elevated level of prostate-specific antigens in your blood, we will work diligently to diagnose and treat the problem, as well as to try to prevent it from happening again in the future.

Prostatitis is the swelling and inflammation of the prostate gland, causing painful or difficult urination. Complications like infection and abscesses can arise from prostatitis, so our diligent team will work to treat your symptoms and make sure that there are no bigger problems present.

Urinary conditions

These conditions impact your ability to pass urine normally.

Inflammation of the bladder (cystitis), painful urination (dysuria), blood in urine (hematuria) and frequent urination as well as incontinence can all be signs of more serious underlying diseases. Our supportive and dedicated staff will run tests to get to the bottom of your pain. Then we will build a personalized care plan to meet your individual needs.

Hypertonicity in the pelvic floor is when a male’s muscles in the pelvic floor become too tense and aren’t able to loosen. This cases problems such as constipation, back pain, frequent urination or difficulty urinating. No matter how complex the situation, our pelvic floor specialists can help you find the best treatment options available in the most uncomfortable situations possible.

Interstitial Cystitis is a chronic disease causing bladder pressure as well as pelvic pain and even pain in your perineum (between the scrotum and the anus). Our providers will help diagnose and treat you with a plan that meets your personal needs and work to prevent any further complications.

Neurogenic bladder is caused by neurologic (brain or spinal cord) damage. With a neurologic bladder, incontinence, frequency, urgency and retention can occur, opening doors for complications like infections and even spinal-cord injuries. Our team of specialized physicians will provide the support and care needed to treat this sensitive condition.

Nocturia is a condition where you frequently have to wake up during the night to urinate. This may be an underlying cause of a more serious issue. Our team of specialized care providers will work to diagnose and treat the problem. We won’t rest until you can.

Severe pelvic and bladder pain can stop you in your tracks. Our team of therapists, surgeons and physicians will help you to manage and find a solution to your pain that may be an underlying causing of a bigger issue.

An inability to fully empty your bladder (retention and voiding dysfunction), sudden urge to urinate (urgency) or being unable to urinate (stricture) could be underlying causes of a more serious issue. With our collaborative team of caretakers, we will find the best way to treat and diagnose you, so that you can enjoy your life again.

UTI

A urinary tract infection (UTI) is an infection in your lower urinary tract. It is not common for men to get UTI’s, but it is possible. If left untreated, UTI’s can lead to serious infections in the kidney. A UTI is easy to treat early on with medications, but we’ll be there to treat you at any stage of the process — whether it’s an UTI, or something bigger.

Scrotal/Testicle conditions

A scrotal cyst is a typically painless, non-cancerous fluid-filled sack on your scrotum. Although these usually do not need any treatment, we will ensure that there are no additional complications by performing the appropriate tests.

A hydrocele is caused by a collection of fluid in the thin skin surrounding the testicle. Your testicle may become swollen or you may experience testicular discomfort. In rare cases, surgery is needed, and we will provide support, care, and pain management as well as keep an eye out for any further concern in the area.

Chronic testicular pain can be in one or both testicles. Pain can be dull or sharp, a sensation of soreness or vague discomfort. Some causes can be from a vasectomy, a history of testicle inflammation, or previous surgery on the testicle — but no causes are certain. No matter the pain, our team of surgeons and physicians will provide the delicate care that you need to treat the pain.

An undescended testicle is usually found in young infants and boys, when their testicle has not moved in to the proper position. Complications can arise with this condition, so seeing a doctor is important. Our team, in collaboration with the Children’s Hospital of Richmond at VCU will suggest the best treatment options and personalized care plans to avoid any further complications.

Providing treatment options for patients

Treatment for urologic conditions may or may not include surgery. Because we see a wide variety of issues every day, we make sure our care team is prepared to provide the best possible care. Our urologists are well versed in internal medicine, gynecology and regularly consult with other specialties.

Surgical options

Under the leadership of Lance Hampton, M.D., who serves as director of Robotic Surgery at VCU Medical Center, our team has performed hundreds of robotic operations for both benign and malignant conditions. The da Vinci Surgical Robot uses a tiny camera (laparoscopic) and gives our surgeons the ability to perform precise operations with extremely small incisions. That means no or fewer nights in the hospital and minimal scarring. To make sure we’re always hitting the mark when it comes to these newer robotic procedures, we have two board-certified, fellowship-trained robotic surgeons on staff to keep us accountable.

Treatments include:

  • Comprehensive surgical options and procedures for patients include cryosurgery, endoscopic surgery, laser surgery, microwave therapy, radiofrequency ablation, robotic surgery, laparoscopic surgery and lithotripsy for kidney stones.
  • Office procedures include prostate biopsy and ultrasound, urodynamic procedures and cystoscopy.

Make an appointment today

If you have concerns or questions related to your urologic needs, call us to set up a visit. Referrals from your doctor are not required. Call (804) 828-9331.

Women living with urologic or gynecologic issues should contact our OB-GYNs, or visit our Women’s Health page.