About Virginia Urology Learn what makes Virginia Urology, Virginia's #1 Urology Clinic.

Happy New Year! Office Closed Monday January 2, 2017

We wish everyone a healthy happy new year! Our offices will  be closed, Monday January 2, 2017. We will re-open on Tuesday, January 3,


Virginia Urology’s Providers Recognized for Best Bedside Manner

Congratulations to the following Virginia Urology providers for being recognized among the medical community in Our Health Magazine’s annual Best Bedside Manner Awards. :  Urology- Tony Sliwinski, MD, Kent L. Rollins, MD, Robert T. Nelson, Jr., MD, Charles (Chuck) Wadsworth, PA.  For Radiation Oncology award winners are Timothy J. Wallace, MD, PhD and  Judy Chin, MD. We are truly grateful for the… Read more


Dr. Eugene Kramolowsky Retires

After serving Central Virginia for 29 years, Dr. Eugene Kramolowsky retires. We wish him well in the next chapter of his life. Please read a message from Dr. Kramolowsky to his patients below


Drs. Barnes & Moore’s Prostate Cancer Seminar Powerpoint Presentations

In case you missed the Prostate Cancer Seminar on September 14 here are the presentations made by Dr. Blake Moore on Robotic Surgery and Dr. Ryan Barnes on Cryotherapy for Prostate Cancer. Click the screenshots to download and view


Offices Open Regular Time on Tuesday January 26

Our offices will be open as usual on Tuesday January 26. Please use caution when traveling


Monday January 25 Delayed office openings- please read below:

Please be aware that our offices will open  at 10 am with the exception of Tappahannock. The Tappahannock office will remain closed. Please check back often for updates. Thank you


Inclement Weather Information

Virginia Urology is closed this afternoon and Saturday morning due to the weather.  If you have an emergency please call 911 or go to the nearest emergency department


Urological Update Meeting has been RESCHEDULED

Because of this weekend’s impending weather and everyone’s safety, we felt it best that the Urological Update 2016 & More  meeting be rescheduled. The meeting will now be held on February 6 instead of January 23. The venue and times remain the same: Hilton Hotel in Short Pump with breakfast at 7 am. Please confirm… Read more


12/24/2015 VU Phone & Computers are Down

Our phone and computer system have gone down.   We are in our offices seeing our scheduled patients this morning.  If you are having a medical emergency, please go to the nearest emergency room. We apologize for this inconvenience


VU is Having Phone Problems 12/10/2015

Virginia Urology’s phone carrier is reporting problems in the area.  They are working to resolve these issues. Please bear with us as phone calls are being dropped and disconnected. We apologize for this inconvenience


Female Urinary Incontinence Treatments

By Meghana Gowda, MD, FPMRS The involuntary leakage of urine affects over 50% of women and is not isolated to women who are post-menopausal. A recent survey study queried younger women between the ages of 18-50 years old and up to 50% of participants reported leakage. The three most common sub-types of female incontinence are:… Read more


Update on Urinary Tract Infections

Written by Meghana Gowda, MD, FPMRS Symptomatic urinary tract infections(UTI) are one of the more common ailments that can plague a woman throughout her lifespan. The incidence of a UTI is 11% per year with a 5% rate of recurrence or relapse. Recurrence is defined as 2 culture confirmed infections within 6 months or 3… Read more


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

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”… Read more


Urologic News Update

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… Read more


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

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. http://www.auanet.org/resources/quality-improvement-summit.cfm In 2007, the Virginia Urology… Read more


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

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… Read more


Surgical Management of Kidney Stones

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… Read more


Kidney Stone Treatments

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… Read more


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

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… Read more


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

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… Read more


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

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… Read more


Make it easier for patients to get the medications they need

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… Read more


Robot linked with improved Kidney Ca Care

Kidney cancer patients were more likely to undergo partial nephrectomy when treated in hospitals that were early adopters of robotic surgery, according to a recent report that one leading expert calls “some of the best evidence to date of a favorable impact of surgical robots in urologic care.” For the study, which was published in… Read more


Health News Article-Drinking Water and Kidney Stone Prevention

Article Title: To Prevent More Kidney Stones, Drink Water Article Source: http://www.foxnews.com/health/2014/11/04/to-prevent-more-kidney-stones-drink-water/ Article Review: Through this health news article, new guidelines are reviewed from the American College of Physicians concerning kidney stones.  Individuals who have had a kidney stone are encouraged to drink enough fluids to produce 2 liters of urine per day.  This amount… Read more


Myths about UTI’s

What Is A Urinary Tract Infection? A Urinary Tract Infection, also known as a UTI, is an infection that involves the kidneys, ureters, bladder, or urethra. Urine passes through these structures before exiting the body. The upper urinary tract is comprised of the kidneys and ureters. Typically, when a UTI is located in this area,… Read more


Health News Article- Two Foods You Should Consider for Prostate Health

Article Title: Two Foods You Should Consider for Prostate Health Article Source: http://www.huffingtonpost.com/manuel-villacorta/prostate-health_b_6123896.html Article Review: Through this health news article, different foods are discussed that can help keep the prostate healthy. The month of November is dedicated to men’s health issues with “Movember” and prostate health fits perfectly into this category. Prostate cancer is an… Read more


Ways to Deal with an Enlarged Prostate

What Is an Enlarged Prostate? An enlarged prostate is also known as Benign Prostatic Hyperplasia (BPH).  This is a non-cancerous enlargement of the prostate gland. Typically, this enlargement occurs as men age, and over 17 million men in the United States currently are experiencing an enlarged prostate. It’s estimated that at least half of men… Read more


Dr. Robert Brown Discusses New Prostate Cancer Detection on ABC News

UroNav is a revolutionary new test that can better detect prostate cancer with pinpoint accuracy. Invivo brings the power of MRI to the urology suite with the introduction of the UroNav Fusion Biopsy System – the next generation of prostate care. Targeted MR/ultrasound biopsy is poised to become the new standard in prostate care. UroNav… Read more


Health News Article- Incontinence

Article Title: Urinary Incontinence Is Not Just a Normal Part of Aging Article Source: http://www.sfgate.com/health/article/Urinary-incontinence-is-not-just-a-normal-part-of-5820200.php Article Review:             Through this health news article, urinary incontinence is discussed. It is estimated that over 25 million individuals in the United States are affected by urinary incontinence. Women are affected more than men, and while urinary incontinence is… Read more


What Causes Impotence?

Causes of Impotence It has been reported that as many as 30 million men experience erectile dysfunction (ED) or impotence.   Impotence is defined as the inability to attain or maintain an erection of the penis for sexual satisfaction. As a result, a man’s self-esteem can decrease, as impotence becomes more of a problem. There can… Read more


Why Is There Blood In My Urine?

Blood In Urine Blood in your urine, known as hematuria, can be a sign of a serious medical condition.   If you find blood in your urine, you should contact one of our experts at Virginia Urology to identify if there is a cause for concern, and to evaluate if treatment is necessary. Blood in urine… Read more


Health News Article- Prostate Cancer Study

Article Title: Male- Pattern Baldness Linked to Aggressive Prostate Cancer Article Sources: http://time.com/3378366/baldness-prostate-cancer/ http://www.cleveland.com/healthfit/index.ssf/2014/09/baldness_and_prostate_cancer_l.html Article Review: Through this health news article, a recent study was described concerning male-pattern baldness and prostate cancer. Researchers noticed a correlation between a receding hairline and hair thinning along the crown of the head for men 45-years old. However, researchers… Read more


National Prostate Health Month

September is National Prostate Health Month, drawing attention to a question I get every day: Should I get a PSA test, doc? The primary screening tool used to detect prostate cancer is a blood test that detects prostate-specific antigen (PSA) – a protein that is produced by the prostate gland. There is obviously great value… Read more


Health News Article- Female Triathletes & Pelvic-Floor Disorders

Article Title: Female Triathletes at Risk of Developing Pelvic-Floor Disorders and Menstrual Irregularities Article Source: http://www.universityherald.com/articles/10605/20140726/female-triathletes-pelvic-pelvic-floor-menstrual-loyola-exercise.htm Article Review: This health news article detailed research from the Loyola University Health System regarding heightened risks for female triathletes. From the research, it was found that these female athletes typically suffer from: Pelvic-floor disorders Reduced energy Menstrual irregularities… Read more


Is a Vasectomy a Permanent Choice?

Vasectomy Reversal At Virginia Urology, our team of experts face a wide variety of questions related to men’s health. One question that many of our patients ask is if a vasectomy is a permanent choice? While a vasectomy is considered to be a permanent form of birth control, the procedure can be reversed. This procedure… Read more


Struggling with Mesh Related Complications?

What is mesh (also known as transvaginal mesh)? Transvaginal mesh is a net-like implant that has been used to treat pelvic organ prolapse and stress urinary incontinence in women. Most surgical mesh cleared for vaginal procedures is composed of synthetic polypropylene. This substance remains in your body once placed and does not get absorbed. What… Read more


New Test for Prostate Cancer Detection!

A new test can better pinpoint trouble spots and lead to a quicker prostate cancer diagnosis. If you’ve every had a prostate exam, you know it’s uncomfortable at best, the new test from UroNav uses a combination of MRI and Ultrasound technology which allows doctors to be more accurate and precise with biopsies. Watch the full… Read more


Health News Article

Article Title: Stem Cells May Ease Urinary Incontinence, Study Says Article Source: http://health.usnews.com/health-news/articles/2014/07/11/stem-cells-may-ease-urinary-incontinence-study-says Article Review: At Virginia Urology, we are always following the newest research in the urology field. Through this health news article, urinary incontinence is being studied to find if there are new ways to strengthen weak urethra muscles. Stress incontinence typically occurs… Read more


Understanding Pelvic Prolapse

What Is Pelvic Prolapse? While the term “pelvic organ prolapse” might sound technical, it is more simply known as weakening of the pelvic floor. The muscles and ligaments that comprise the pelvic floor include the bladder, rectum, uterus, and vagina. When the muscles of the pelvis weaken, the pelvis structures can in-turn descend into the… Read more


Vote Now – Our Health Magazine Bedside Manner Award!

Help support Virginia Urology by casting your vote. Virginia Urology is nominated for OurHealth magazine’s Bedside Manner Award! Visit our voting page through July 15th. The 2014 Annual Best Bedside Manner Awards, presented by OurHealth magazine and CBS6 in Richmond, honors medical providers who are voted by the local community for their kindness, empathy and… Read more


Third Annual Prostate Cancer Awareness Golf Tournament

July 15, 2014 at 9:00 AM The Prostate Cancer Educational Institute of Virginia, 501-c-3 Sponsorship Levels: Your generous sponsorship allows for the PCEIVa to operate and to provide support for those who need our assistance. A Tournament Sponsorship provides adequate funds to develop and maintain our website for a year. This has been our primary… Read more


Health News Article- Soccer and Prostate Cancer

Article Title: Men with Prostate Cancer Can Benefit From Playing Football, Study Finds Article Source: http://www.hngn.com/articles/34311/20140622/men-prostate-cancer-benefit-playing-football-study-finds.htm Article Review: Through this health news article, just in time for the World Cup, researchers have found that prostate cancer patients have experienced benefits from playing soccer (football).  With this study, the focus group was men that averaged 67… Read more


Treating Incontinence

What Is Urinary Incontinence? When you hear the phrase “urinary incontinence” you may immediate start thinking of a condition that cannot be controlled.  However, our team of experts at Virginia Urology is here to illustrate that there are many treatment options available to help treat the involuntary loss of urine. Through this Virginia Urology blog,… Read more


Exercise Linked to Improved Bladder Cancer Survival

Article Source: Exercise Linked to Improved Bladder Cancer Survival Article Review: At Virginia Urology, we are always researching the latest techniques and methods to keep our patients safe and healthy.  Some of the newest health news related to urology illustrates just how important regular exercise is to increasing the odds of surviving bladder cancer. In… Read more


Early Prostate Cancer Screening and Detection

Understanding Prostate Cancer Prostate Cancer is one of the most commonly diagnosed cancers in the United States, as is the second leading cause of death in men.  In fact, one in six men will be diagnosed with prostate cancer.  With such overwhelming statistics, it is of no wonder that researchers are constantly searching for prevention… Read more


Kidney Stone Symptoms

Treating Kidney Stones at Virginia Urology At Virginia Urology, we are dedicated to helping our patients feel safe and comfortable during every procedure. We understand that kidney stones can be very painful, and we work with you to eliminate the pain fast, and ensure that you can return to your normal activities as soon as… Read more


Does your bladder have you on the run?

If you have to go to the bathroom often and experience urinary leakage, you may want to consider taking part in a medical research study assessing the effects of two medications for overactive bladder. Learn more by reading our informational flyer


Position Statement on Mesh Midurethral Slings (MUS) for Stress Urinary Incontinence

The AUGS and SUFU have come out with a position statement on the use of mesh and mid urethral slings. The midurethral sling is an option for the treatment of stress urinary incontinence (leakage of urine that occurs with coughing , sneezing or laughing). This is explained on our women’s health website. Recently our professional organizations issued a… Read more


Physical Therapy for the Pelvic Floor

Written by: Meghana Gowda, MD & Katherine M. Oxford, DPT- Virginia Urology Women’s Health Many Americans have utilized the benefits of physical therapy. Physical therapy has been well established in the successful treatment of musculoskeletal conditions such as lower back or neck pain. However, it can also be a useful treatment approach for pelvic floor… Read more


Events

In part with Virginia Urology’s long standing commitment for over 70 years to the community’s urological needs, we regularly host informational seminars throughout Central Virginia on a variety of urological topics. Virginia Urology’s seminars are an opportunity for patients to learn more about certain conditions, the latest treatment options and what other patients have to… Read more


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