General Practitioners

• Arthritis
• Cryotherapy
  Cryotherapy – liquid nitrogen is delivered into the tumor to freeze and destroy the cancer experience is limited and tumor may reoccur.
• Medical Weight Loss
• Primary Care
  “If you have any of these symptoms, please call your primary care physician or call us to determine for sure whether your prostate condition is benign or cancerous”.
• Male Infertility
  Many couples struggle to conceive. Statistically, about 13-15% of all couples will have fertility problems. Infertility can be caused by either partner, or even by both of them. If the male partner is the source of these issues, then this is known as a case of male infertility. Male infertility does not mean that the man is unable to impregnate his female partner, it simply means that he has a decreased likelihood of doing so.
• Emergency Care
  In the event of life-threatening emergency, please go immediately to the nearest emergency room and ask them to contact us.  If the situation is not that severe, but one in which you would like to call us, please call our office telephone at (440) 891-6500 and our answering service will ask you few pertinent questions (your name and a callback telephone number).  Doctor on call will call you back promptly.
• Constipation
• Erectile Dysfunction
• Electrocardiogram
  Prior to HIFU, patients usually have lab work (Complete Blood Count (CBC), Complete Medical Panel, Urinary Analysis with culture if indicated by your physician) and an EKG in preparation for undergoing anesthesia. If the patient has any significant medical history, he should see his cardiologist or primary physician. The HIFU procedure itself causes no significant bleeding or swings in blood pressure, etc. A nurse will send detailed information after the procedure has been scheduled regarding diet, medications and any additional lab work or tests that may be required.
• Urinary Incontinence
  Sudden Urinary Incontinence (SUI) is a condition among women who have poor bladder control and who loose urine in certain stress situations like coughing, sneezing or exercising. To help correct this problem and restore bladder control, surgical procedures called urethral sling procedures can be used to create a sling around the neck of the bladder and the urethra (tube that carries urine from the bladder) to keep the bladder closed during stress situations.
• Diarrhea

Gynecologists

• Female Infertility
• Pelvic Pain
• Pregnancy
• Labor and Delivery

Internists

• Bladder Cancer
  Topical agents – As in the case of superficial bladder cancer, we have used topical therapy with BCG, Intron, Mitmomycin C, and Thiotepa
• Urology
  Cleveland Urology Associates are committed to providing the highest quality care to patients throughout Cleveland. We specialize in the diagnosis and treatment of BPH. Dr. Kedia and Dr. Lapeyrolerie are dedicated to offering patients a wide range of quality urologic services in a warm and friendly environment to provide the very best care.
• Kidney Cancer
  The growing incidence of kidney cancer is in part due to our ability to detect a renal mass through the increased use of imaging techniques, but also to a real rise in the incidence of the disease as a consequence of genetic and environmental exposures.
• Kidney Stones
  Our program offers a unique approach to the treatment of kidney stones and is designed for all patients who suffer from any type of kidney stone disease – from simple to complex. We offer both innovative surgical and medical treatments and also set a course of long term management for recovery and prevention.
• Testicular Cancer
  Individuals at risk for more serious complications include those who have suffered testicular cancer or testicular disease, though even in these outlying groups rarely encounter serious side effects caused by a vasectomy. Be sure to discuss your own individual risk factors with your doctor to determine if a vasectomy is a safe option for you.
• Interstitial Cystitis
• Urinary Tract Infection
• Prostate Cancer
  Dr. Kedia and Dr. Lapeyrolerie specialize in using HIFU to treat prostate cancer. They will take the time to discuss all of the available prostate cancer treatment options to help determine if HIFU is right for you. Call (702) 316-1616 to schedule an appointment at our office in Cleveland, OH today!

Neurologists

• Multiple Sclerosis

Psychiatrists

• Depression

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  HIFU is a precise and targeted therapy that reduces the risk of complications and impact to quality of life caused by surgery and radiation. HIFU uses ultrasound energy, or sound waves, to heat and destroy specifically targeted areas of tissue. During HIFU, the sound waves pass through healthy tissue without causing damage. However, at the focal point of the sound waves the tissue temperature rises rapidly to 90 degrees Celsius destroying the targeted tissue. The same principles are used when light is focused through a magnifying glass.
• MRI
  In some cases, the entire prostate will be targeted, which would include the tumor as well as any other tissue in the prostate. Think of it as having the prostate removed, without a single incision. However, some physicians, who work with advanced, MRI- guided imaging for diagnosis, can determine the exact location of the tumor in the prostate and may use HIFU to only treat the tumor leaving other tissue in the prostate intact; this is referred to as partial tissue ablation, or focal therapy.
• X-Rays
• Computed Tomography
  The simulation is a specialized radiation planning CT scan, which is performed while you are lying on your back on the simulation table. All of your pelvic organs are delineated and your pelvic anatomy is recreated in the computer in 3-D. Using all of this information, Dr. Field and radiation physicist will then work together to design the best IMRT treatment plan that optimizes the dose to the prostate and minimizes the dose to the bladder and rectum. The planning and quality assurance process may take several weeks to complete.
• Chemotherapy
  Chemotherapy – As in the treatment of advanced bladder cancers, cisplatinum based chemotherapeutic regimens have been used in both a neoadjuvant and an adjuvant setting.
• Radiation Therapy
  “I was diagnosed by my long-time urologist who I had been seeing for 20 years,” said Larry. “He talked to me about the treatment options and I started making plans to have radiation therapy.”
• Radiation Oncology
  Prior to being diagnosed with prostate cancer, Glenn Seymour worked in the field of radiation oncology, and had a background in treatments for prostate cancer.

Surgeons

• Minimally Invasive Surgery
• Cyst Removal
• Vasectomy
  Patients who have previously received a vasectomy will occasionally change their mind later on for a wide variety of reasons. While a vasectomy is a permanent form of birth control, there is a procedure that can reverse it effects.
• Robotic Surgery
• Reconstructive Surgery

Plastic Surgeons

• Laparoscopic Surgery
  Both minimally invasive surgical options require one or a few small incisions that doctors use to insert surgical equipment and a camera for viewing. In laparoscopic surgery, doctors use special long-handled tools to perform surgery while viewing magnified images from the laparoscope (camera) on a video screen.

Dermatologists

• Skin Cancer
  It is estimated that approximately 200,000 new cases will be diagnosed each year. It is the most common non-skin cancer among men and more than 2 million men in the U.S. count themselves as prostate cancer survivors. It is also one of the leading causes of cancer death among men of all races.
• Cyst
• Lesions

Physical Therapists

• Physical Therapy
  There are many different treatment options for pelvic organ prolapse that include both non-surgical and surgical treatments. Non-surgical treatment options include lifestyle and behavior changes, physical therapy or the use of a vaginal device (pessary). Depending on the severity of your pelvic organ prolapse symptoms and general health, it may be recommended to consider surgery. There are different types of pelvic organ prolapse surgeries, so it is important to discuss your options with your physician in detail to ensure that you find a treatment option that is right for you.
• Back Pain

Allergists

• Allergies