Award-winning urological care in Richmond, Virginia

At Retreat Doctors’ Hospital, our urologists specialize in conditions affecting the male and female urinary tract and the male reproductive system. Our urological specialists recognize there may be some discomfort or embarrassment surrounding urinary system conditions. However, from your initial appointment to diagnosis, our Center for Urological Health team is with you every step of the way.

To learn more about our urology services and treatments, email Cathy Frank, nurse practitioner, or call (804) 200-1840.

Recognized by Healthgrades as one of America’s Top 100 Hospitals for Prostate Surgery, our urology center brings the latest innovations to patients in central Virginia. Our urologists have the training and expertise to diagnose, treat and manage the most challenging urological conditions.

Recognition


Prostate Surgery Excellence Award 2019

America's Best Prostate Surgery 2019

Prostate Removal Surgery 5-Star Recipient 2019

Urinary diseases and conditions we treat

Urologists at Retreat provide discrete and compassionate care for conditions, including:

  • Bladder cancer
  • Kidney cancer
  • Testicular cancer
  • Urethral cancer
  • Prostate cancer
  • Erectile dysfunction
  • Kidney stones
  • Urinary incontinence
  • Pelvic floor disorders

Urological treatments and services we offer

We offer comprehensive services focusing on prevention and wellness, including:

  • Prostate cancer screenings, such as PSA (prostate-specific antigen) blood tests and digital rectal exams
  • Medicine management
  • Advanced diagnostics (image-guided biopsies and endoscopic procedures)
  • Reconstructive urological surgery
  • Urogynecological procedures (to treat pelvic floor and urinary disorders in women)

Advanced surgical care for urological conditions

We have the most advanced surgical care for most urological conditions. Our urological surgeons use the latest noninvasive and minimally invasive techniques, including endoscopic approaches and daVinci® robot-assisted surgery.

Kidney stones

Kidney stones are hard objects that resemble rocks or crystals. They form when calcium or other minerals in your body bind together and form a solid mass inside the kidney. If this mass continues to grow, it may eventually get stuck while traveling through your urinary tract.

Kidney stone symptoms can be sudden and severe. Common symptoms are nausea, pain in the side, frequent urination, chronic urinary tract infections and blood in the urine. Seek immediate medical treatment if you experience the following symptoms:

  • Unbearable pain
  • Consistent burning or blood during urination
  • Consistent high fever, over 101.5 degrees Fahrenheit
  • Persistent nausea and vomiting

If you have these kidney stone symptoms, dial 911 or visit our emergency room.

Kidney stone treatment options

Treatment options depend on the size and location of your stone and the severity of your symptoms. If your stone is too large to pass naturally, or if it has caused an infection or other complications, we offer procedures to break it up or remove it. These procedures include:

  • Extracorporeal shock wave lithotripsy is a common, noninvasive procedure typically used for kidney stones smaller than two centimeters. A machine sends high-energy “shock” (or pressure) waves into your body, which break the stone into tiny pieces that exit the body when you urinate.
  • Cystoscopy is a surgery that removes tissue samples for biopsies or removes small stones. Urologist specialists insert a thin tube, called a cystoscope, into the urethra and use tiny surgical tools through the tube to remove the tissue or stones.
  • Ureteroscopy uses small telescopes sent through the bladder, into the ureter, to look at the stones and remove them or use a laser to break them apart.
  • Percutaneous nephrolithotomy and nephrolithotripsy are minimally invasive surgical procedures often used to treat large stones. Your urologist accesses your kidney through a tiny incision in your back, then uses small tubes and surgical tools to remove the stone.

Urinary incontinence

Urinary incontinence refers to a loss of bladder control. Symptoms include urine leakage when you cough, laugh or sneeze. You may also have increased urgency or pain during urination. Some people experience temporary leakage caused by medications, constipation or a urinary tract infection. Women often develop incontinence after pregnancy, childbirth, a hysterectomy or during menopause. In men, incontinence can be due to an enlarged prostate.

Some medical conditions, such as hypertension (high blood pressure), obesity and multiple sclerosis, can cause urinary incontinence.

Types of urinary incontinence we treat

At Retreat, we develop customized treatment plans that address the severity and underlying cause of your symptoms. We consider your daily habits and existing medical conditions and tailor treatments to your needs and preferences. Our urologists provide expert diagnosis and treatment for stress, urge, overflow and total incontinence.

  • Stress incontinence is linked to weakened or damaged muscles that prevent urination.
  • Urge incontinence refers to a sudden, intense urge to urinate, followed by involuntary leakage.
  • Overflow incontinence, also called chronic urinary retention, occurs when you are unable to fully empty your bladder.
  • Total incontinence occurs when your bladder can’t store any urine.

Urinary incontinence treatments

There are many ways to treat urinary incontinence, as well as surgical and nonsurgical options.

Nonsurgical urinary incontinence treatments and services:

  • Lifestyle recommendations
  • Exercises
  • Physical therapy
  • Biofeedback
  • Medications
  • Vaginal inserts

Surgical urinary incontinence treatments and services:

  • Botulism toxin (Botox®) or collagen injections help relax and expand the bladder to allow more urine.
  • Urethral dilation expands a narrowed urethra, helping to improve urine flow.
  • Nerve stimulators are devices implanted under the skin to deliver electrical impulses to the nerves involved in bladder control.
  • Sling surgeries may stop leakage by holding the urethra closed when your bladder is under pressure.
  • Bladder suspension surgery supports a dropping bladder by moving it back into its proper position and sewing it in place.
  • UroLift® is an outpatient procedure that lifts and holds enlarged prostate tissue, so it no longer blocks the urethra.
  • Artificial sphincter is an implanted ring that inflates to close the urethra, acting as the muscle.

Testicular cancer

Testicular cancer is the most common in American men between 15 and 35 years old. However, testicular cancer is highly treatable. Our urologists at Retreat can help you, even with an advanced diagnosis. Symptoms of testicular cancer include:

  • Lumps in a testicle
  • Pain or discomfort in a testicle
  • Collection of fluid in the scrotum
  • Pain in the abdomen or groin
  • Back pain
  • Enlargement or tenderness of the breasts