Mesh Misadventures, Misinformation, and Delayed Treatment- A Case Presentation

Posted: August 15, 2015

Written by Meghana Gowda, MD, FPMRS Case presentation: A 59 year old patient presents with vaginal pain, difficulty sitting for prolonged time intervals, and new onset vaginal bleeding. She denies any significant medical co-morbidities with the exception of pelvic organ prolapse and associated incontinence. Surgical history is significant for hysterectomy remotely and unspecified “bladder tacking” […]

Urologic News Update

Posted: August 13, 2015

Virginia Urology is recognized among the medical community as experts in the field. We are proud to present the 1st edition of Urological Update. This is intended to provide useful information for our colleagues as well as anyone interested in urologic health. Virginia Urology is here to help. Please contact us at 804-288-0339 if we […]

Virginia Urology’s prostate Biopsy infection rate is among lowest in the country

Posted: July 21, 2015

The American Urological Association held its inaugural Quality Improvement Summit in January 2014, and this conference focused on reducing infectious complications related to ultrasound guided prostate biopsy of the prostate. At this national summit, Dr. Michael Franks reviewed the Virginia Urology experience using a standardized biopsy and management protocol. In 2007, the Virginia Urology […]

LOW-DOSE CT Scan – The New Standard for Our Kidney Stone Patients

Posted: July 15, 2015

By Matthew J. Bassignani, MD – Medical Director, Radiology Department Patients with stones and cancer are increasingly aware of excess radiation exposure associated with multiple CT scans. While medical radiation is typically safe for patients it is still important to be aware of the doses used. At Virginia Urology, we strive to ensure that the radiation […]

Surgical Management of Kidney Stones

Posted: July 7, 2015

By Eugene Kramolowsky, MD Patients who are unable to pass their stone or have significant pain often elect to undergo a procedure to fragment or remove their stone.  The least invasive commonly used procedure is extracorporeal shock wave lithotripsy (ESL).  This procedure fragments the stone without the need of instrumentation.  Over 20,000 ESL procedures have been […]

Kidney Stone Treatments

Posted: June 26, 2015

By Eugene V. Kramolowsky II M.D. Almost one in ten Americans will experience urinary calculi in their lifetime.  Often patients present with urinary colic pain and ureteral obstruction.  In the acute setting, medical management includes controlling pain, nausea, and vomiting, and care is often done in the emergency room setting.    The patients with ureteral stones 5-mm […]

Link Between Use Of ED Medications After Radical Prostatectomy And Biochemical Recurrence.

Posted: February 6, 2015

Medscape (1/28, Mulcahy) reports that research published in Journal of Urology suggests that there may be “an association between the use of erectile dysfunction (ED) drugs after radical prostatectomy and biochemical recurrence.” The investigators “were surprised by the findings; they had hypothesized that the drugs would be protective because multiple lab studies and an observational […]

Smoking May Be Linked To Worse Outcomes In Prostate Cancer Patients.

Posted: February 3, 2015

HealthDay reports that research published in BJU International suggests that smoking may be linked to worse outcomes in patients with prostate cancer. Investigators found “that the likelihood of surviving prostate cancer for a decade without experiencing any disease recurrence was about 66 percent among patients who had never smoked.” Comparatively, the percentage dropped to 52 […]

Targeted Fusion-Guided Approach To Prostate Biopsy May Improve Detection Rates Of High-Risk Cancers

Posted: January 29, 2015

Medscape reports that research published in the Journal of the American Medical Association suggests that “a targeted fusion-guided approach to prostate biopsy improves detection rates of high-risk cancers while finding fewer low-risk cancers when compared with the standard approach of 12 core biopsy that is currently used in clinical practice.” This “new approach electronically superimposes […]

Make it easier for patients to get the medications they need

Posted: January 23, 2015

In this Op-ed, Virginia Urology physician Dr. Monahan worked with the Medical Society of Virginia focusing on the increase in prior-authorization required for medications and the interruption in care that is negatively impacting patients. Below is a except and a link to the entire article which is featured in the Richmond Times Dispatch. Many patients […]