General Practitioners

• Osteoporosis
• Warts
• Cryotherapy
  There is currently no cure or treatment for HPV. Most inflections are fought off by the body’s immune system and go away on their own. Abnormal cells can be removed by biopsy to help decrease the chance of abnormal cells reproducing. Removing abnormal cells can be treated through colposcopy, cryotherapy and LEEP treatments.
• Medical Weight Loss
• Primary Care
  To be eligible for the Chronic Care Management program you must be a Medicare beneficiary and have multiple (two or more) chronic conditions expected to last at least 12 months, or until end of life. If you are unsure if your conditions qualify contact your primary care provider and they will be able to assist you further.
• High Cholesterol
• Emergency Care
  “Early” side effects are those that occur within the first 30 days of the procedure. They may include: Discomfort-It is not unusual to have some tenderness and/or bruising between the scrotum and rectum. There may be slight bleeding from this area for the first 2 weeks. If this persists or amounts to more than an ounce of blood within 24 hours, contact your physician. Blood in urine-There may be blood in the urine for several days following implantation. However, if large clots are passed with urine, or if it is difficult to urinate, call your physician. Drinking plenty of fluid can help move liquids through the bladder, thus decreasing or preventing clots from forming. Burning and difficulty with urination-After the urinary catheter is removed (usually within the first 24 hours) some men have difficulty urinating. You will be instructed on how to catheterize your bladder in the event you are unable to urinate. If you have the urge to urinate and cannot, or you are unable to do self-catheterization, you will need to go to an emergency room for evaluation and care. You may also have burning during urination. If this becomes a problem for you, please contact your physician. Ejaculation – You will probably experience diminished, discolored, delayed and/or dry ejaculate for several months to a year, which may be permanent in nature. This may happen immediately, or be delayed, but it is considered to be a common side effect after seeding.
• Constipation
• Erectile Dysfunction
• Electrocardiogram
  General Study Visits: At these visits the study team will collect information from you about any changes in your medication or general health. Vitals, labs, EKG or other tests may be administered.
• Urinary Incontinence
  Patients may notice a bulge in the vagina, and may even have to reduce this bulge manually in order to urinate or defecate. Patients may also have urinary incontinence accompanying the prolapse. This surprisingly may improve as the prolapse worsens. Furthermore, patients can also complain of constipation, and dyspareunia (painful intercourse), back pain and can have recurrent urinary infections.

Gynecologists

• Female Infertility
• Pelvic Pain
  Despite the name, shockwave treatment does not have anything to do with electricity or electric shocks. Rather, this form of treatment uses low-intensity pulsed acoustic energy waves that are applied to different treatment zones on the penis and on the perineum to help improve overall blood flow in the patient’s body and increase their natural erectile function. It can also effectively treat pain associated with Peyronie’s disease and chronic pelvic pain syndrome (CPPS).
• Pregnancy
• Labor and Delivery
  Pelvic prolapse or vaginal vault prolapse is a very common condition characterized by the herniation of pelvic organs, bladder (cystocele), rectum, (rectocele), small intestine (enterocele), uterus, or vagina. These organs herniated due to weakness of support structures in the pelvis. The supporting muscles can become torn or stretched due to a number of things, including childbirth or age. Other risk factors for pelvic prolapse include: genetics, connective tissue disorder, obesity, and frequent constipation.

Internists

• Bladder Cancer
  Your doctor will perform a detailed history and physical examination, including a rectal and pelvic exam. Tests that may be done to look for bladder cancer include...
• Urology
  The American Urology Association (AUA) labels low testosterone as less than 300 nanograms per deciliter (ng/dL). There are many signs and symptoms of Low Testosterone. Your doctor will help make sense of your own situation. Symptoms of Low Testosterone may include...
• Kidney Cancer
  Kidney cancer is a form of cancer that develops in the kidneys. Your kidneys are two bean-shaped organs, each roughly the size of your fists, and are located behind the abdominal organs, one on each side of the spine. Their main function is to remove waste products and excess fluids from the body through urine. Additionally, the kidneys are responsible for balancing the body’s fluids, releasing hormones that regulate blood pressure, producing an active form of vitamin D that promotes strong and healthy bones, and controlling the production of red blood cells. With that said, when cancer forms in the kidneys, more than just the kidneys are affected.
• Kidney Stones
  Certain people with diseases like diabetes or an abnormal urinary system. Also kidney stones can increase the risk of UTIs.
• Testicular Cancer
  Testicular cancer is a form of cancer that develops in the testicles, which are located in the scrotum, a loose bag of skin beneath the penis. Testicles produce male sex hormones and sperm for reproduction. Testicular cancer starts when cells begin to grow out of control. Cells located in almost any part of the body can become cancerous and spread to other parts of the body.
• Cervical Cancer
  High-risk or oncogenic HPV strains, mostly commonly types 16 and 18, can lead to cancer. These strains can cause cervical, vaginal, vulvar and penile cancers. HPV strains cause normal cells to turn into abnormal cells and when the body can’t fight them off it can lead to cancer. Early stages of cervical cancer often don’t cause signs or symptoms, therefore is it is important for women to have regular Pap tests to detect precancerous changes in the cervix.
• Interstitial Cystitis
  In some cases of chronic prostatitis, this simple evaluation is the only test needed to make a concise diagnosis and begin treatment. Sometimes, a person may have vague or unusual symptoms. In these cases, the doctor will consider other diagnoses, such as interstitial cystitis, urethritis, benign enlargement of the prostate or even prostate cancer. In these situations, your doctor could recommend additional blood or urine tests, an ultrasound of the prostate, an examination of the bladder with a lighted telescope, or a needle biopsy of the prostate.
• Urinary Tract Infection
  A urinary tract infection occurs when bacteria gets into the urinary tract and infects the system. Occasionally, the kidneys may become infected as well, causing a serious UTI, which could result in kidney damage. Many women who have one UTI will experience others in their lifetime. It is estimated that nearly 20% of women who have an episode of urinary tract infection will have another, 30% of those will have a third infection, and approximately 80% of those with recurrent infections will experience even more.
• Prostate Cancer
  In general, men who have small, early stage prostate cancers may be considered for a radiation seed implant. Several tests are necessary to ensure that radiation seed implantation is an appropriate treatment for your prostate cancer. With more advanced cancer some patients are candidates for a combination treatment consisting of seed implantation and the addition of external beam radiation with or without hormone blockade.
• Cancer Care

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Ultrasound – This allows the doctor to get a proper visualization and determine the nature of the lump, such as if they are solid or fluid-filled. Ultrasounds also tell your doctor if the lumps are inside or outside of the testicle.
• MRI
  Imaging tests – These could range from an MRI, CT, or positron emission tomography (PET) scans to allow your doctor a better understanding of the situation within your adrenal glands and to determine if the cancer has spread
• Radiology
• X-Rays
• Computed Tomography
  An improvement over standard radiation was 3D-conformal radiation, which utilized CT scans in the planning process. The prostate, rectum, and bladder were circled on a computer screen showing the CT images. Any number of radiation beams could be used, and the computer shaped the beams to precisely match the contour of the prostate. Beams could be angled so that they missed most of the bladder and rectum, but passed through the prostate.
• Chemotherapy
  In certain cases, some men may be born with conditions that cause Low Testosterone such as Klinefelter syndrome, Noonan syndrome, or ambiguous genitalia – when the sex organs develop in ways that are not typical in appearance. Others may develop Low Testosterone because of damage to the testicles, cancer-related removal of the testicals, chemotherapy or radiation, pituitary gland disease that leads to a hormone deficiency, infection, or autoimmune disease – when the body produces antibodies that attack its own cells.
• Radiation Therapy
  Our facility relies on a specially trained team for IGRT (Image Guided Radiation Therapy) delivery. This team includes the radiation oncologist, medical radiation physicist, medical dosimetrist, radiation therapists, and radiation therapy nurse.
• Radiation Oncology
  IGRT (Image Guided Radiation Therapy) has also been used at UCA along with IMRT to optimize the accuracy and precision of the radiation therapy. IGRT is an advanced technology that allows radiation to be delivered to tumors with more precision than was traditionally possible. One of the challenges encountered when radiation is delivered to a tumor is that the tumor can move based on the patient’s day to day position on the treatment table, as well as internal organ motion. IGRT uses imaging technology with the ability to obtain X-ray images or CT images (cone beam CT) with the linear accelerator prior to and during the radiation treatments. The CBCT uses radiation beams to obtain the x-ray images and allow the radiation oncologist to visualize a patient’s anatomy with organs such as the prostate, bladder and rectum, or implanted fiducial markers, with each radiation treatment. The patient’s position can be adjusted with millimeter accuracy using IGRT, assuring that the radiation treatment is delivered to the planned target by adjusting for internal organ movement. IGRT sets the stage for allowing the radiation oncologist to safely increase the radiation dose to tumors while minimizing side effects. IGRT is performed daily during the radiation treatment the radiation oncology facility

Surgeons

• Minimally Invasive Surgery
• Vasectomy
• Robotic Surgery
  We were the first in the region to perform robotic surgery for prostate cancer. This has allowed us to assemble one of the most experienced prostate cancer teams in the world.

Plastic Surgeons

• Botox
  In your body, certain chemicals travel from nerve cells to muscle cells to make your bladder contract so you can urinate. With OAB, these muscles contract uncontrollably and you frequently feel like you have to empty your bladder. Botox calms the nerves that trigger the OAB muscle. This results in eliminating or substantially reducing leakage episodes, reducing the strong need to urinate right away and reducing the number of times that you need to empty your bladder daily. It generally will last 6-10 months. When your symptoms return, you can talk to your doctor and have the treatment done again. Usually, similar results are seen each time, and it can be done as many times as needed.
• Laparoscopic Surgery
  Studies of several thousand patients show that laparoscopic surgery is as effective as an open prostatectomy with less post-operative pain, fewer complications, shorter hospital stay and a faster recovery time.

Dermatologists

• Lesions
  The only way to 100% prevent genital herpes is to abstain from sexual activity. The lesions are highly contagious when present, so abstain from sexual activities during the breakouts. Other ways to avoid getting an STD include using condoms correctly.

Physical Therapists

• Physical Therapy
  Axonics Therapy is indicated for patients who have failed conservative treatments, such as lifestyle changes, physical therapy, or medications.
• Back Pain