Urology Services

men should see a urologist if they have concernsUrology is the field of medicine that specializes in diagnosing and treating conditions related to both the male and female urinary tract and the male reproductive organs.

Often times, men and women who experience discomfort in the urinary tract or men who have concerns about their reproductive organs avoid talking to a doctor because they are uncomfortable discussing their symptoms. Yet, these symptoms can indicate a serious concern that, if found early, can be treated quickly and easily. If you or someone you know are experiencing these symptoms, seek medical help by making a urology appointment.

"Prostate cancer can be fatal, but if it is detected early, there are multiple surgical and non-surgical treatments available that are relatively simple to perform, with very high success rates, and little life interruption," says Dr. Todd Vandenberg

Men should see a urologist if they have these symptoms: 

  • Blood in your urine: Even if you only see the blood now and then, you should seek medical attention immediately.
  • Testicular pain, lump or masses: Pain that persists for two weeks or more should be evaluated.
  • Abnormal prostate exam: If any firmness, nodules or irregularities are detected, a urology specialist should examine you further.
  • Difficulty urinating: Typically caused by an enlarging prostate as men age, this can be effectively treated with medicine or simple office-based procedures.
  • Painful urination: Often caused by an infection, a urologist can determine the infection's cause and recommend targeted treatment.
  • Incontinence (leaking urine): Because urinary incontinence is common, there are a number of possible treatment solutions.
  • Prostate Specific Antigen (PSA) level concern: A rising PSA level in the blood is usually the only early indicator of prostate cancer.
  • Kidney Abnormality: An usual kidney X-ray should be evaluated by a urology specialist.
  • Infertility: Approximately 25% of infertility issues are directly related to the male system. 
  • Erectile Dysfunction: Though this can be an uncomfortable topic to discuss, your urologist can identify and treat the cause. 

Women should see a urologist if they have these symptoms: 

  • Blood in your urine: Even if you only see the blood now and then, you should seek medical attention immediately.
  • Prolonged bladder pain: Mild discomfort can be treated by your doctor, but if you have ongoing bladder pain, ask your doctor for a referral to a urologist. 
  • Recurring urinary tract infections: Urinary tract infections (UTIs) are common, but frequent or recurring UTIs may indicate a larger health problem and should be evaluated by a urologist.
  • Overactive bladder: Frequent urination, urgency of urine, or excessive waking up at night to urinate are all signs of overactive bladder (OAB).  OAB can be easily and successfully treated in most all cases.
  • Urinary incontinence: If you wear sanitary pads throughout the month or avoid intimacy due to leaking urine, a urologist can identify the cause and reduce or eliminate the problem.
  • Pelvic/vaginal fullness or pressure:  This can be a sign of bladder or pelvic prolapse, an easily correctable condition.
  • Kidney abnormality: An usual kidney X-ray should be evaluated by a urology specialist.

The symptoms listed a above may be caused by a wide range of conditions that are diagnosed and treated by a urologist. 

Urology-related diseases include:

  • Prostate cancer
  • Bladder cancer
  • Kidney cancer
  • Testicular cancer
  • Enlarged prostate or BPH
  • Urinary incontinence or leakage of urine
  • Overactive bladder or urinary frequency
  • Prostatitis
  • Urinary tract infection or UTI
  • Hematuria or blood in urine
  • Kidney Stones
  • Erectile dysfunction
  • Male infertility
  • Testosterone deficiency
  • Undescended testicle
  • Pelvic prolapse or “dropped bladder”
  • Varicocele or dilated veins around testicle
  • Hydrocele or fluid around testicle

Urology treatments currently available:

  • Prostate cancer – brachytherapy (seed implant), external beam radiation, cryotherapy (freezing), radical prostatectomy, hormonal therapy, advanced cancer treatments (Provenge® immunotherapy, Xgeva®, Xtandi®), active surveillance, MRI-fusion prostate biopsy (bkFusion™ system)
  • Bladder cancer – intravesical chemotherapy, Cysview® or “blue light”
  • Kidney cancer – cryoablation (freezing), laparoscopic surgery
  • Enlarged prostate or BPH – laser ablation, Urolift®,  Prolieve®
  • Urinary incontinence or leakage of urine – Interstim®, Botox®, surgical repair, urodynamics
  • Kidney stones – laser lithotripsy, extracorporeal shock wave lithotripsy (ESWL)
  • Erectile dysfunction – medical treatment, penile injection therapy, vacuum pump, penile implantation
  • Peyronie’s disease or penile bending – Xiaflex® treatment
  • Testosterone deficiency – topical and injection treatments, Testapel®, Aveed®
  • Pelvic prolapse or “dropped bladder” – pessary, surgical repair

If you have concerns about any of the symptoms listed above, are interested in any of the treatments listed, or would like to speak with a urologist, ask your primary care provider for a referral or call number below to make an appointment.

If you want to see a urologist through Providence Health, call 800-424-3627 (DOCS).

Click here to call for a Urologist at providence Health.