General Practitioners

• Osteoporosis
• Cryotherapy
  The treatment for prostate cancer is varied according to the Stage and Grade of the cancer as well as the patient's age. Younger men who develop prostate cancer, if it is confined within the prostate and has not spread to other organs, usually opt for prostate removal (radical retropubic prostectomy). Other options are external radiation and implantation of radioactive seeds. A newer option available for more advanced disease or the older population is cryotherapy (freezing the prostate). This therapy has been available at Cheyenne Regional Medical Center West since 2001 and has met with excellent success across the country. When prostate cancer has spread beyond the confines of the prostate, other options are available including various experimental protocols for chemotherapy as well as manipulation of male hormones to try to deprive the prostate cancer growth. These protocols are available here in Cheyenne through our relationship with medical oncologists and radiation oncologists, and here at Cheyenne Urological, P.C.
• Pediatric Care
  Ellen built clinical experience through multiple clinical rotations. She spent time learning about many different areas of medicine. Including, but not limited to General Medicine, Women’s Health, Pediatrics, and Behavioral Health.
• Family Practice
• Male Infertility
• Emergency Care
• Erectile Dysfunction
• Urinary Incontinence
  There are certainly several different types of urinary leakage. We call urinary leakage, urinary incontinence. When a person has the sudden urge to urinate and leaks before finding toilet facilities, we call this urge incontinence, and it is usually treated with medicine. When a patient leaks urine when they stress, cough, sneeze, step off of a curb, etc., this is called stress incontinence. Mixed urine incontinence is a combination of the two above. These two are usually treated with surgery or biofeedback (pelvic exercise). When patients have had surgery and their urinary sphincter has gotten damaged we call this instrinsic sphincter dysfunction (or Type III urinary incontinence). Occasionally, patients will have a foreign body in the bladder such as a catheter, and this provokes bladder spasms around the catheter, which may stop up or occlude the hole in the end of the catheter. Urine is then forced around the catheter and leakage is experienced. In other words, the type of incontinence determines the treatment - surgery, medicine or bulking agents.

Gynecologists

• Gynecology
• Female Infertility
• Pelvic Pain

Internists

• Bladder Cancer
  Dr. Bryant has had the opportunity to serve Cheyenne and southeastern Wyoming as Urologist with Cheyenne Urological for 20 years both in the clinic and as a surgeon and consultant at Cheyenne Regional Medical Center and High Plains Surgery Center. He practices general urology with an emphasis on prostate, kidney, and bladder cancer, as well as stone disease and pediatric urology. He utilizes the latest technology and in his practice including the Da Vinci Robot for prostate and kidney surgeries.
• Urology
  Dr. Lugg finished his residency in 1996 and received his Boards in Urology in 1998. He was in practice for four years in North Carolina before deciding to move back to the West. He moved to Cheyenne in May 2000.
• Kidney Stones
  Dr. Suleskey is a general Urologist that takes special interest in the treatment of kidney stones, cancers of the urinary tract, incontinence, and erectile dysfunction. Dr. Suleskey has been practicing at Cheyenne Urological since November 2019.
• Interstitial Cystitis
  Ellen enjoys working in a specialty that promotes a team-based approach to patient care, patient education, and evidence based medicine. She enjoys building patient/provider relationships, and creating a unique care plan for each individual. She specifically enjoys managing female incontinence, overactive bladder, interstitial cystitis, and BPH.
• Urinary Tract Infection
  If a patient is still symptomatic three days after starting a medication for a urinary tract infection, several things could be wrong. Either the infection could have been misdiagnosed, the patient might have been placed on the wrong antimicrobial, inflammation might have been present without infection, a viral infection might have been present, or another ailment such as interstitial cystitis or trigonitis (inflammation of the base of the bladder) might be occurring. If a patient is still symptomatic after having been placed on an antimicrobial for 72 hours then I would recommend seeking the attention of a urologist.
• Prostate Cancer
  3 years ago I went to see Dr. Bryant regarding a minor matter. Dr. Bryant talked to me about checking my prostate. Thank God Dr. Bryant was there. I had an aggressive, stage 4 prostate cancer. Dr. Bryant immediately developed a great plan to combat my cancer. He also had me get a second opinion regarding my chemo treatment. With 3 years of treatment, I am now cancer free. Through this whole process, Dr. Bryant and his great staff were extremely considerate of my condition and time. Dr. Bryant kept me fully informed and always was able to answer me and my wife’s questions so we left fully understanding what was occurring in the process. Due to Dr. Bryant's professionalism and the great staff working with me on every appointment during my 3 years with them, I will not miss the shots and blood draws, but I will miss them.

Psychiatrists

• Behavioral Health
• Anxiety

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Involves the placement of tiny radioactive pellets into the prostate gland. By utilizing ultrasound to place the seed pellets, damage to surrounding tissues is minimized. Approximately 13,500-16,000 rads of radiation energy is delivered directly to the prostate. This procedure is performed on an outpatient basis. It is a one-time procedure with very effective results. The ten-year follow-up outcome data parallels that of radical prostatectomy.
• Chemotherapy
  The treatment of bladder cancer depends on what type of cancer exists and in what stage it exists. Superficial bladder cancer can be treated by lasering in the office, resection in an outpatient facility or intra-bladder chemotherapy with a variety of three or four different substances. When the bladder cancer has invaded the muscular wall of the bladder, however, more drastic steps must be taken consisting of removing the bladder and diverting the urinary stream by a piece of intestine, or occasionally a patient has too many severe medical conditions to consider major surgery, and then a combination of radiation therapy to the bladder and chemotherapy can be employed. This actually has a pretty good success rate in the population that is not amenable to surgery.
• Radiation Therapy
  A 25-28 treatment protocol that utilizes external beam radiation. Approximately 6800-7400 rads of radiation energy is delivered to the prostate. There can be some radiation effect on surrounding tissues.

Surgeons

• General Surgery
• Vasectomy
  This is a variable question. If the patient has no complication from the vasectomy and follows the instructions to the T by taking a few days off and not stressing or straining for a week, most are back at their jobs 72 hours after a vasectomy and to full activity within one week. Any complication along the way might make the recovery a little bit longer. If one develops an infection or bleeding following the vasectomy, recovery could be as long as a month, but this is extremely rare (less than 5%).
• Robotic Surgery
• Laparoscopy
  Surgery using a laparoscope to visualize internal organs through a small incision. Generally less invasive than traditional surgeries, requiring a shorter recovery period.

Plastic Surgeons

• Gynecomastia
  Involves the use of anti-androgens. An androgen is a male hormone needed for the production of testosterone. By depriving the cancer cells of the testosterone they need for growth, tumors regress in size and cellular activity. Side effects include gynecomastia, the enlargement of breast tissue, hot flashes, and loss of libido (desire to have sex). Some long-term hormonal therapy is associated with the loss of muscle mass, osteoporosis, and malaise (loss of energy).

Dermatologists

• Cyst
• Ulcer
  A hard, syphilitic primary ulcer, the first sign of syphilis, appearing approx. two to three weeks after infection. The ulcer begins as a painless lesion or papule that ulcerates. Occurs generally singly, but sometimes may be multiple.