Services for Men


Conditions we Treat


Kidney Cancer

The lifetime risk of developing kidney cancer is 1 in 48 people in men and 1 in 83 in women. The incidence increases with age. Some kidney cancers are caused by mutations in a gene,

Bladder Cancer & Ureteral Cancer

The incidence of bladder cancer is 11.6/100,000 people per year. Bladder cancer is more common in men than women by 4-fold. Smoking, including past history of smoking, exposure to

Testicular Cancer

Testicular cancer occurs in young men with an average of 5/100,000 men per year. There is no known cause of testicular cancer, but men with a history of undescended testicle(s) and a family history...

Prostate Cancer

Prostate Cancer is the most common cancer in men, occurring in 119.8 per 100,000 men per year, associated with 20.1 deaths/100,000 men per year.

Urinary Urge Incontinence

Involuntary loss of urine without warning or activity, and often associated with strong urges. Causes are idiopathic (not known), aging, bladder infection, bladder cancer, or bladder inflammation.

Interstitial Cystitis/Chronic Bladder Pain Syndrome

Chronic Bladder Pain is a condition which causes pain in the bladder or urethra particularly when the bladder is full, urinary urgency and frequency. Often patients complain of constant awareness of the

Recurrent Urinary Tract Infections

Synonymous with bladder infections or UTI’s. These are infections of the Irene causing pain with urination and urinary frequency. Treatment is antibiotics.

Urethral Stricture

Scar can form in the urethral wall forming a concentric ring in the tubular structure, termed a urethral stricture. This condition is most common in men and usually caused by sexually transmitted

UPJ

Ureteral Pelvic Junction is the region of the kidney where the ureter inserts into the kidney. UPJ obstruction is a congenital condition where the region is narrow, or a blood vessel

Vesico-ureteral reflux

This condition occurs in more often in children than adults. It is a congenital condition whereby the urine refluxes, or pushes back up, the ureter as the bladder is filling or during urination.

Kidney Stones

Kidney stones form from crystals in the urine and can be composed of calcium oxalate, Uric acid, cystine, or ammonium magnesium phosphate. As stones grow in the kidney they are asymptomatic, but as they move out of the kidney and into the ureter,

Benign Prostatic Hypertrophy (BPH)

BPH is enlargement of the prostate gland, which is an organ that sits at the base of the bladder and produces part of the ejaculate, is very common in men. Enlargement may constrict the urethral,

Erectile Dysfunction

This condition is defined as the inability to achieve or maintain an erection well enough to have intercourse. This condition occurs either due to psychosocial disorders, or organic causes such as

Priapism

This condition is a persistent, often painful erection lasting over 4 hours. Causes include medication, sickle cell anemia, or leukemia. Treatment requires irrigation of the penile bodies that hold the

Pyeronies

This condition occurs when a plaque or scar forms on one side of the penile body (corpora) causing a bend in the penis during erection. This often results in painful intercourse.

Phimosis

Occurs when the foreskin of an uncircumcised man can not be retracted to expose the tip of the penis due to formation of scar in the foreskin. Patients may be offered a circumcision to prevent

Paraphimosis

A condition whereby the foreskin of an uncircumcised man is retracted and not replaced after cleaning/intercourse/or catheter placement. This condition requires urgent attention because

Testicular Torsion

The testicles “float” in the scrotal sac and are anchored in place by a point of fixation. In some men, this anchorage site is absent and the testicle, after activity or spontaneously, twists on the spermatic

Epididymitis

Is an infection of the epididymis of the testicle, which is an appendage of the testis posteriorly located. The infection typically originates in the bladder and quickly spreads to the epididymis.

Hydrocele

Occurs when there is fluid accumulation around the testicle in the scrotal sac. Symptoms are swelling, sometimes quite pronounced, and heaviness of the scrotum.

Spermatocele

Occurs when a benign cyst, or fluid filled collection, forms in the epididymis, the appendage located posterior to the testicle. Spermatoceles can occasionally enlarge and become painful.

Varicocele

Varicocele is a dilated vein located in the veins that drain blood from the testicle. Varicoceles are usually asymptomatic but occasionally can cause symptoms of testicular heaviness or a testicular mass (bag of worms).

Acute Prostatitis

Acute Prostatitis is an infection of the prostate gland occurring in all age groups of men. Symptoms are painful urination, fevers, chills, difficulty urinating, and urinary urgency or frequency. Treatment is antibiotics with good prognosis.


Chronic Nonbacterial Prostatitis

This condition is similar to Chronic Bladder Pain Syndrome, refer to this condition for details.

Treatments we Offer


Brachytherapy

This treatment is offered to men with prostate cancer. Radioactive seeds are placed in the prostate tissue. This treatment result in regression of cancer in many patients, and can be done as an outpatient.

Bladder Augmentation (Augmentation Cystoplasty)

This procedure involves fashioning a piece of intestine, into a patch formation remove from the intestinal tract, and sewn to the bladder to increase the size of the bladder. This is offered to patients who have severe overactive bladder and resulting incontinence or high

Botox Chemodenervation of the bladder

This procedure if offered to women and men with overactive bladder (urgency, frequency, and/or urge incontinence) who have failed alternative therapies such as medication, behavioral therapy, or physical therapy. Botox, a neurotoxin that safely paralyzes muscles

Bladder Diverticulectomy

This surgery removed diverticulum, outpouching of the bladder wall, from the bladder that can cause bladder stones or recurrent infection. The diverticulectomy can either be done through an incision or using Robotic assisted Laparoscopic technique.


Cystectomy

This surgery is offered to patients with bladder cancer or chronic pain of the bladder who require their bladder be removed. The bladder is surgically removed, either with an open incision, or using Robotic Laparoscopic technique, and a new bladder is created out of a bowel segment.

Nephrectomy

This surgical procedure is offered to patient who either have kidney cancer, or chronic infection of the kidney. The kidney is surgically removed, typically laparoscopically or with robotic assisted laparoscopy. This is often an overnight stay in the hospital.


Nephroureterectomy

This surgical procedure is offered to patients with cancer of the ureter or a type of kidney cancer call transitional cell cancer. The procedure involves removal of the kidney and ureter, down to the

Partial Nephrectomy

This surgical procedure is offered to patient who have kidney cancer localized to a region of the kidney and relatively small in size. Part of the kidney is surgically removed, typically by robotic assisted laparoscopic technique.


Penectomy

This procedure entails remove part, or the entirety of the penis for cancer of the penis. A new urethra opening is created at the base of the penis, or in the area below the scrotum (perineum) through which to urinate.


Percutaneous Nephrolithotomy (PNL)

This surgical procedure is offered to patient who have large kidney stones that cannot be removed by lesser invasive procedures. A tube is placed by interventional radiology directly into the part of

Urethroplasty

This procedure is offered to patients who have a urethra narrowing due to scar, that restricts their ability to urinate. The scarred area of the urethra is surgically removed and the urethra is sewn together, either directly, or using a graft from the mouth (buccal graft).


Ureteral Reimplant

This surgical procedure is offered to patients who have a blockage of the ureter, or tube draining urine from the kidney to the bladder. The ureter is sewn into the bladder in a new position in the bladder

Vasectomy

This procedure is offered for sterilization. The vas deferens, or tube carrying sperm from the testicles to the ejaculatory duct, is ligated, or tied off. Often, a piece of the vas deferens is removed to prevent recanulization. Outpatient procedure.


Vasectomy Reversal

This procedure is offered to men who which to have their vasectomy “undone”. The procedure involves sewing the two ends of the vas deferens back together to restore the function of the vas and allow sperm to pass into the ejaculatory duct. This is an outpatient procedure.

Cystolitholopaxy

This surgery is offered to patients who have a bladder stone. The bladder is accessed through a telescope, or cystoscope, per urethra. The stone is vaporized or broken into small pieces using a laser. The pieces are evacuated from the bladder. Occasionally, to treat very

Circumcision

This procedure is either elective or offered to patient who need the foreskin removed.


Extracorporeal Shockwave Lithotripsy (ESWL)

Offered to patients with kidney stones. Electromagnetic energy generated by a lithotripter, focused on the stone which is imaged by x-ray. The EM energy blasts the stones in many small pieces that

Hydrocelectomy

This procedure is offered to patients who have a hydrocele, or large fluid collection around the testicle. This is done through a scrotal incision as an outpatient procedure.


Orchiectomy

This procedure is offered to men who have testicular cancer or who need treatment for prostate cancer. The testicle (s) is/are removed using a scrotal or inguinal incision. This procedure is done as an Outpatient surgery.


Orchidopexy

This procedure is offered to patients who have had testicular torsion. The testicle (s) are anchored to the wall of the scrotum to prevent future torsion.

Pyeloplasty

This procedure is offered to patients who have a blockage of the kidney at the upper part of the ureter. The narrowing is either excised, or the ureter disconnected from the renal pelvis and sewn

Rezum vaporization of the prostate

This outpatient office procedure is offered to patients with BPH, or benign enlargement of the prostate. Water vapor is passed through the prostate under pressure which results in shrinkage of the

Robotic Prostatectomy

This surgical procedure is offered to patients who have prostate cancer. The prostate is surgically removed using Robotic Assisted Laparoscopic technique.


Spermatocelectomy

This procedure involves removing a small cyst from the epididymis of the testicle. This procedure is offered to patients whose spermatocele is painful or unusually large.


TURP (Transurethral resection of Prostate)

This procedure is offered to patients with BPH, or benign enlargement of the prostate. The prostate is shaved from the inside to open the urethra for less restricted voiding. The green light laser,

Ureteroscopy Laser Lithotripsy

This procedure is offered to patients who have a stone in their ureter or kidney that is causing pain. A specialized telescope, or ureteroscope, is passed into the ureter and the stone is fragmented using laser energy. This is an outpatient, minimally invasive technique for treating stones of the urinary tract.

Urinary Diversion

This surgery is offered to patients who have had their bladder removed for cancer or chronic pain. A segment of small intestine or large colon is used to create a reservoir, or ileal conduit, and new

Varicocelectomy

This procedure surgical removed dilated veins around the testicle that can cause pain and infertility. Outpatient procedure.

Services we Offer


Urinalysis

The urine is tested for blood, infection, protein. The urine is usually obtained from a voided sample, but can be obtained from a catheter.

PSA

The blood tested for a protein the prostate secretes. It is a screening test for prostate cancer. If elevated your Urologist may recommend a prostate biopsy or imaging to rule out prostate cancer.

Post Void Residual

This test is a simple ultrasound of the bladder to assess volume in the bladder after voiding. This number should be close to 0cc if a patient is emptying the bladder well. This is used in the evaluation of incontinence and obstructive voiding.

Uroflowimetry

This test is used to measure rate of urine flow per time during urination and is used to assess men for bladder outlet obstruction or BPH. Lower flow rates suggest either an enlarged prostate that is blocking the flow of urine or a bladder contraction that is not strong.

Semen Analysis

This test is used to evaluate men for infertility, as well as to determine if there are sperm in the ejaculate after vasectomy or vasectomy reversal. Men bring a sample of semen obtained at home, in a specimen container provided by our office.

Video Urodynamics

This test is used to evaluate bladder function in patients with urinary incontinence or who are unable to urine well. A catheter is inserted into the bladder, and the bladder filled to capacity.

Ultrasonography

Ultrasound is an imaging modality whereby sound waves are used to take pictures of internal organs. Washington Urology uses ultrasound to image kidneys, bladder, testicles, and the prostate gland.

Cystoscopy

A telescope or cystoscope is placed into the bladder by way of the urethra and the bladder is inspected for pathology such as cancer. This test is used to evaluate patient with blood in the urine, or difficulty emptying their bladder. It is also used to monitor patients who have a history of bladder cancer.

Urethrogram/cystogram

Contrast dye is instilled through a catheter into the urethra or bladder or both. Patient who may have bladder or urethral abnormalities such as a urethral stricture or who have had recent bladder surgery, may require this test.

Ultrasonography

This is a radiologic study that uses sounds waves to take detailed pictures of internal organs. At Washington Urology we image the kidneys looking for stones, tumors or hydronephrosis;

Resources



WUA is pleased to expand our services in Issaquah, with the establishment of our clinic, open Monday through Friday. Now, with better access and availability, Dr. Kripa Kavasseri is accepting new patients in our Issaquah office, conveniently located on the Swedish Issaquah campus. Call today for an appointment close to home!
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