Male Infertility: Causes, Diagnosis, and Treatment

Around 13% of couples have difficulty conceiving. And in approximately 1/3 of those cases, male infertility is the issue. (1)  If everything is working properly, during sexual intercourse the male’s body mixes healthy sperm with fluid from the prostate and seminal vesicles to produce semen. The semen is ejaculated into a female’s vagina where it […]

Erectile Dysfunction

What is it? Erectile Dysfunction, commonly referred to as ED, occurs when a man is unable to achieve or sustain an erection that is firm enough for sex. Who does it impact? Most men have occasional issues with erections, but some men struggle to maintain erections on a more regular basis. In fact, ED affects […]

Understanding Prostate Cancer Treatment Options

The prostate is a walnut sized part of the male reproductive system. It is responsible for producing fluid to make semen. (1) Unfortunately, prostate cancer is the second leading cause of cancer deaths for men in the United States. 1 in 6 men are diagnosed with prostate cancer in their lifetime. We recommend that men […]

Low Testosterone

Testosterone is the male sex hormone, and is the hormone at play when males go through puberty. Low testosterone levels occur for a variety of reasons and may indicate an underlying health issue.  What is it? Testosterone Deficiency Syndrome (TD) or Low Testosterone (Low-T) is defined by the American Urology Association as less than 300 […]

Virginia Urology, Experts in Robotic Surgery

When considering surgical options for any urological condition, a top question many patients have is: “How long will it take to recover?”  In addition, you may be thinking… What will my pain levels be? How long will I be out of work? Will I have a scar? If treatment for your particular urological condition requires […]

Peyronie’s Disease

Peyronie’s Disease is diagnosed in about 6% of men between age 40 and 70. While more uncommon in younger men, men in their 30s have also been found to have the condition. (1)  Causes: Peyronie’s Disease occurs when flat scar tissue forms under the skin of the penis, and causes curvature or indentions during an […]

Understanding Urethral Diverticulum

What is it? Urethral diverticulum (UD), is an uncommon condition, that occurs when a pouch, sac, or pocket forms next to or along the urethra. Because of the location, the pouch frequently fills with urine and can cause recurrent infections and other unwanted urological symptoms.  Who does it effect? UD is much more common in […]

PELVIC FLOOR EXERCISES

You know that running strengthens your legs and lifting weights strengthens your arms… but what about the muscles that you don’t see? They may not have anything to do with looking “fit,” but, your pelvic floor muscles are hard at work every day. The pelvic floor muscles surround the urethra, and when working properly, they […]

Introduction To UTIS

A Urinary Tract Infection (UTI) is an infection that impacts any part of the urinary system, including the bladder, kidneys, ureter, and urethra. Typically, symptoms of a UTI develop when bacteria travels up the urethra and into the bladder. 10 in 25 women and 3 in 25 men will develop a UTI at least once. […]

Bladder Cancer – Risk Factors, Symptoms & Treatment Options

The bladder is a hollow, balloon shaped organ in your urinary system and is located in the lower pelvis. It stores urine before it is dispelled from the body. And like most organs, the bladder is susceptible to developing cancer. In the United States, bladder cancer is the fifth most common cancer. That means that […]

Incontinence Happens

Urinary incontinence is the involuntary leakage of urine. While it’s a pretty common symptom (you’re not alone!), urinary incontinence also isn’t considered a normal part of life. There are a variety of treatment options that can help you find relief from your symptoms. Urinary incontinence can be caused by underlying medical conditions, physical problems, or […]

News about our Our Stony Point Office

We have moved our physician offices to the new facility located at 9101 Stony Point Drive at the corner of Stony Point Drive and Stony Point Parkway. It is important to note that the Virginia Urology Surgery Center has not yet moved. We are very excited to be in our new office and offer our patients the most […]

Pelvic Organ Prolapse – What is it and how is it corrected?

You may have heard someone reference the body’s “pelvic floor.” Don’t feel alone if you’re not quite sure what that means. This group of muscles remains a mystery to many people because they’re out of sight. The pelvic floor is a group of muscles and ligaments in the pelvic region that support the bladder, rectum, […]

Prostate Cancer Educational Symposium

Please join The Prostate Cancer Educational Institute of Virginia for it’s annual educational seminar. The meeting is on September 5th at the Bon Secours Heart Institute located at 7001 Forest Avenue, Suite 100 (corner of Glenside and Forest Avenue) Richmond VA  23230. Doors open at 6 pm with program running from 6:30 to 8 pm. Topics […]

When to get a Second Opinion

You may have heard the old adage, “always get a second opinion.” But, seeking out a second opinion can be intimidating. Where should you start? The physicians at Virginia Urology are highly specialized in all aspects of urology and urogynecology. Our practice has over 75 years of experience treating patients, improving outcomes and offering thorough […]

Fly-Fishing Retreat for Male Veterans or Active Military living with Cancer

 Virginia Urology is proud to support Reel Recovery! This program: Fly-Fishing Retreat for Male Veterans or Active Military living with Cancer  is offered in partnership with Project Healing Waters Fly Fishing.                                                       October 22-24, 2018 Graves Mountain Lodge & Rose River Farm in Syria, VA  REEL RECOVERY is a national non-profit organization that conducts fly-fishing […]

Your First Visit to Virginia Urology: What To Expect

Sometimes a trip to the doctor can cause patients a bit of anxiety. That’s especially true when you’re visiting a doctor for the first time. If you’ve been referred to Virginia Urology, or are considering our practice for your healthcare needs, we’d like to put you at ease by walking you through the process, step […]

Kidney Stones Explained

Did you know, approximately 10% of Americans suffer from kidney stones at some point? That’s right. 1 out of 10 people. Those odds are great if you’re playing the lottery, but not ideal when we’re talking about a painful medical condition. First, what are kidney stones? If you haven’t had one yourself, you likely know […]

Vasectomies 101

So, you’re considering a vasectomy.  While the idea of a vasectomy can make men squirm, the procedure is the surgical equivalent to “a walk in the park.” That’s why millions of men across America have used it as a safe and highly effective form of birth control. Who is it for? A vasectomy is a […]

What is Overactive Bladder (OAB)?

Overactive bladder (OAB) is a urological condition marked by the sudden urge to urinate. In some cases, patients also experience increased frequency, leakage and/or nocturia (the need to urinate during sleeping hours). Approximately 15% of women suffer from OAB, and some experts estimate that the real number is even higher because many OAB cases go […]

When Should I See a Urologist?

Often people’s first line of defense when something is wrong with their health is to schedule an appointment with their primary care doctor. Primary care doctors are great resources for common ailments, and can handle many urological issues. But if your symptoms persist or continue to recur your doctor will suggest that you visit a […]

Why Women Need Both a Gynecologist and a Urogynecologist

If you already have a gynecologist that you love, you may immediately dismiss the thought of seeing a urogynecologist. But, not so fast. Women who experience health issues related to the pelvic floor may reap incredible benefits from seeking out the expertise of a urogynecologist. What’s the difference? Gynecologists are doctors who specialize in female […]

Dear Women, Urology Isn’t Just For Men

If you’re a woman, it’s likely that your father, husband, or brother has a relationship with a urologist. But it’s also likely that you’ve never considered visiting a urologist yourself. Many women dismiss the thought of going to a urologist because they think it’s primarily for men. We’ve got some news for you… women benefit […]

What is an Expert in Female Pelvic Medicine and Reconstructive Surgery?

    Female pelvic medicine and reconstructive surgery (FPMRS) is a recognized and board certifiable subspecialty. This field was previously know as female urology or urogynecology. Board certification was introduced because this specialty has become so highly complex and it is important to ensure that physicians practicing this specialty receive the appropriate training. FPMRS  physicians […]

Now Accepting United Health Care Insurance

Virginia Urology is pleased to announce that we are accepting patients that have United Health Care insurance . The only exception is that we do not participate with United Health Care Medicaid CCC Plus (Medicaid Primary Plan). We do participate with the United Healthcare Dual Eligible Plans (Medicare and Medicaid supplement).

VU Top Doctors 2018

Congratulations to the following Virginia Urology physicians  being nominated in Richmond Magazine Top Docs Issue Urology- Dr. Ryan Barnes, Dr. David Glazier, Dr. Charlie Jung,  Dr. David Miller and Dr. Bill Morgan Urogynecology- Dr. David Glazier and Dr. Meghana Gowda Radiation Oncology- Dr. Lang Liebman Pathology- Dr. Dharam Ramnani We are proud of the compassion and […]

We are open!

We are open today to serve you!We do understand that you may need to reschedule your appointment because of the weather. Our phone lines will be busier than usual so please use our patient portal to send message to cancel and reschedule your appointment. https://www.medfusion.net/virginiaurology-18966/portal/… If you are comfortable driving and need to see us, […]

Does taking ibuprofen lead to infertility? Read what Dr. Ellen says about recent study.

There has been recent news about a study that came out that said men taking ibuprofen have a greater chance of infertility.  Dr. Joseph Ellen who specializes in male infertility,  discusses the study reported in the news regarding ibuprofen  and infertility in men.   You should always discuss concerns with your doctor. Many studies sound good but lack data to […]

Our Doctors Voted to have the “Best Bedside Manner”

Richmond’s OurHealth magazine readers have spoken and they say that our doctors have the best bedside manner. Every year we are tops in this category and this year’s winners are no surprise: UROLOGY: First Place: Anthony (Tony) M.  Sliwinski, MD Second Place: David B. Glazier, MD Third Place: Michael  D. Byrne, MD Honorable Mention: Robert […]

Dr. Mark Monahan elected President of the Richmond Academy of Medicine

Congratulations to Dr. Mark Monahan for becoming the newest President of the Richmond Academy of Medicine (RAM). RAM serves more than 2,400 area healthcare professionals who live in the Greater Richmond Metro area. It is dedicated to serving our members and the greater community through comprehensive programs that include legislative, regulatory, economic and social advocacy for […]

Community Talk to learn more about Urolift procedure

Virginia Urology is pleased to present an educational opportunity for you to learn more about the Urolift procedure. This procedure is for men suffering with symptoms of enlarged prostate also known as  benign prostatic hyperplasia (BPH).  This procedure is covered by Medicare and some other insurance  carriers. Dr. Kinloch Nelson will speak on Wednesday, December 6 at […]

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: […]

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 […]

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” […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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, […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]