Welcome to Delaware Urologic Associates

Brachytherapy is a minimally invasive form of radiation therapy used to treat prostate cancer.
In a brachytherapy treatment, approximately 70-120 tiny radioactive palladium (Pd-103) “seeds” are placed into the prostate gland under ultrasound guidance. The seeds are about the thickness of a fine pencil’s lead and just over 1/8 inch long. Seeds irradiate the cancer from directly within the gland. These tiny sources of radiation are strategically placed inside the gland, allowing for a high dose of radiation directly to the cancer, where you need it the most, with less to the surrounding tissues you’d like to spare. The implanted seeds are small enough that they will not be felt by the patient. Brachytherapy is also called interstitial radiation therapy or seed implant therapy.  | Learn more

The Greenlight laser (PVP, or photovaporization of the prostate) uses a special (green) wavelength of laser light, which immediately vaporizes and removes enlarged prostate tissue. It combines immediate symptom relief and dramatic flow-rate improvements with minimal side effects and fast operative and recovery times. Anything you could possibly find fault with any of the other treatments (bleeding, scarring, impotence, delayed symptom relief, lengthy recovery), doesn’t happen (or happens much less) with the PVP. Any improvement in symptoms the others could provide, the PVP can provide better, and with far less risk. | Learn more

Urinary incontinence (UI) is the sudden, uncontrolled release of urine from the bladder. It affects 13 million people in the United States, with 85% of those being women. An estimated 35% of women over age 50 suffer from some degree of incontinence, and 15% report leaking at least once daily. If these numbers come as a surprise, it’s probably because urinary incontinence is one of those things that no one finds particularly easy to talk about. It can be a nuisance (changing clothes or wearing pads). It can be embarrassing (smelling of urine or wetting oneself). It can be uncomfortable. And sometimes, it is much more - urinary incontinence can limit your life so that you end up restricting or avoiding physical activity, travel or social relationships because of it. | Learn more

Erectile dysfunction (ED) is defined as the consistent inability to achieve an erection rigid enough for the satisfactory performance of sexual relations. Increasing with age, ED can be found in 40% of 40 year old and 70% of 70 year old males. This translates into approximately twenty million men in the United States alone with ED. The whole point of restoring a man’s sexual ability is that it is so vital to his self-esteem and feeling of wholeness. ED is a medical disease with potentially deep psychological effects. Men will often feel that they aren’t men if they can’t perform sexually. No amount of reassurance or consolation from the partner can suffice to fill the void he feels by not being able to function as he considers men should. | Learn more

Urinary stones or calculi are concretions formed by the crystallization of one or more substances normally found in the urine. These calculi can be found anywhere within the urinary tract: the kidneys, ureters or bladder. Most often these stones are formed within the kidney and travel down the ureter towards the bladder, causing a sudden sharp intense pain along the flank which radiates towards the groin. The pain is often intermittent and escalating in nature, and is associated with nausea and vomiting. This complex of symptoms is commonly referred to as “renal colic”. Patients often note difficulty finding a comfortable position and therefore move continuously to try to “shake off” this pain. | Learn more

Laparoscopic Nephrectomy or kidney removal is ideally suited to the surgery of kidney cancer.
Laparoscopy for kidney surgery is usually performed through two or three tiny puncture sites and a 2.5 inch incision (through which the final specimen is removed). These are either centered around the upper left or right side of the belly, depending on which kidney is being operated on. The recovery from this approach is much quicker than with the old twelve inch long muscle splitting incision. Laparoscopic kidney removal minimizes ileus. The proceedure doesnt require detachment of the diaphragm, so pneumonias are rare. The smaller incision shortens post operative stay, minimizes post-op discomfort, has less risk of hernia and scar formation, is more cosmetic and speeds up the patient’s complete return to normal activity. | Learn more

A vasectomy is a minor procedure to help males achieve voluntary sterility.
Because it is low risk, minimally invasive, and highly effective, it is one of the most popular methods of birth control. It is intended to be permanent. In a vasectomy, both vas deferens, the two small tubes that carry sperm from the man’s testicles to his prostate, are sealed to stop the testicle’s delivery of sperm. The procedure is performed as an outpatient, under local anesthesia with a pre-op dose of oral valium, and usually takes only 10-15 minutes. Since vasectomy simply interrupts the delivery of the sperm, and doesn’t affect male hormone levels, the procedure does not change a man’s sex drive or his ability to have intercourse or climax as before. | Learn more