General Practitioners

• Primary Care
  Many of our patients are referred to us by other physicians. It is very important that your primary care physician be kept aware of your condition. Please write the name of your referring physician on the personal data sheet that you will be given by one of our receptionists. Also, if this relationship changes, please notify our office staff.
• Male Infertility
  ANDROLOGY focuses on the male reproductive system. It is mainly concerned with male infertility, erectile dysfunction and ejaculatory disorders. Since male sexuality is largely controlled by hormones, andrology overlaps with endocrinology. Surgery in this field includes re-fertilization procedures and the implantation of penile prostheses.
• Emergency Care
  Emergency situations arise, and we will do our best to respond to your problem promptly. In the event of a severe emergency, go immediately to the emergency room of the nearest hospital and ask them to contact your doctor. If the situation arises where you wish to contact your doctor, please call our office 949-646-1131, and your doctor will be in touch with you either directly or through our office staff to provide instructions on how to proceed.
• Constipation
• Erectile Dysfunction
• Urinary Incontinence
  Urinary incontinence is the involuntary loss of urine. It is not a disease but rather a symptom that can be caused by a wide range of conditions.
• Diarrhea
• Pneumonia

Ophthalmologists

• Cataracts
  You may have side effects that can be different depending on the drug used. Side effects can or include stuffy nose, headache, decreased semen production, dizziness and tiredness. A smaller number of patients may have low blood pressure. You may need to stop these medications if you are going to have cataract surgery.
• Cataract Surgery

Gynecologists

• Female Infertility
• Endometriosis
  A couple that has tried unsuccessfully to have a child for a year or more is said to be subfertile meaning less fertile than a typical couple. The couple's fecundability rate is approximately 3-5%. Many of its causes are the same as those of infertility. Such causes could be endometriosis, or polycystic ovarian syndrome.
• Pelvic Pain
• Pregnancy
• Labor and Delivery
  Stress incontinence or effort related incontinence may be due to weakened pelvic floor muscles as well as a weak or damaged sphincter or an abnormal urethra. This condition allows urine to leak when you do anything that strains or stresses the abdomen, such as coughing, sneezing, laughing, exercising, lifting, straining, getting out of chair, bending over or even walking. The major risk factor for stress incontinence in women is damage to pelvic muscles that may occur during pregnancy or childbirth. The major risk factor for men is prostate surgery with damage to the sphincter.

Internists

• Bladder Cancer
  Bladder cancers are categorized by cell type.. The type of bladder cancer you have is important because different types can respond differently to treatments. In addition to the cell type, it is important to know if the cancer is just on the surface (non-invasive) or if it grows into the bladder layers (invasive).
• Urology
  The Orange Coast Urology nurses and office staff are committed to providing compassionate and professional patient care. We look forward to serving you as our patient and appreciate the opportunity to assist your health care needs. Our office staff can answer many of your questions and will always relay your information to your doctor.
• Kidney Cancer
  Surgery is typically recommended as treatment for male reproductive organs and urinary tract organs, including prostate cancer, ureteropelvic junction obstruction (UPJ), bladder and kidney cancer and vesicoureteral reflux.
• Kidney Stones
  Kidney stones (renal lithiasis) are small, hard deposits of mineral and acid salts on the inner surfaces of your kidneys. Normally, the substances that make up kidney stones are diluted in the urine. When urine is concentrated, though, minerals may crystallize, stick together and solidify. The result is a kidney stone. Most kidney stones contain calcium.
• Testicular Cancer
• Endoscopy
  Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy.
• Interstitial Cystitis
  NEUROUROLOGY concerns nervous system control of the genitourinary system, and of conditions causing abnormal urination. Neurological diseases and disorders such as multiple sclerosis, Parkinson's disease, and spinal cord injury can disrupt the lower urinary tract and result in conditions such as urinary incontinence, detrusor overactivity, urinary retention, and bladder sphincter dyssynergia. Urodynamic studies play an important diagnostic role in neurourology. Therapy for nervous system disorders includes clean intermittent self-catheterization of the bladder, anticholinergic drugs, injection of Botulinum toxin into the bladder wall and advanced and less commonly used therapies such as sacral neuromodulation. Less marked neurological abnormalities can cause urological disorders as well -- for example, abnormalities of the sensory nervous system are thought by many researchers to play a role in disorders of painful or frequent urination (e.g. painful bladder syndrome, formerly known as interstitial cystitis).[1]
• Urinary Tract Infection
  Our team of doctors all deal with urinary tract infection, cancer of the urinary system, and surgery of congenital problems. They also diagnose and treat incontinence, and are experienced in endoscopy (surgery that involves a scope enabling the surgeon to view the surgery area inside the body).
• Prostate Cancer
  Our team of doctors all practice cutting-edge prostate cancer treatments in our office, as well as all surgery through the most state-of-the-art facility at Hoag Hospital Cancer Center located in Newport Beach, California.
• Cancer Care
  Our urologists are affiliated with the Hoag Cancer Center in Newport Beach, California, which provides integrated cancer care including robotic laparoscopy for procedures such as radical prostatectomy.

Neurologists

• Multiple Sclerosis
  Other causes can be longer lasting, even permanent. These include such conditions as an overactive bladder, weakness of the muscles holding the bladder in place, weakness of the sphincter muscles surrounding the urethra, birth defects, an enlarged prostate, spinal cord injuries, surgery or diseases involving the nerves and/or muscles (e.g., multiple sclerosis, Parkinson's Disease, spinal cord injury and stroke). In some cases, more than one factor causes incontinence in a single individual. Urgency incontinence, often referred to as overactive bladder (OAB), occurs when the bladder contracts without you wanting it to. You may feel as if you can't wait to reach a toilet and you may lose urine on the way. At times, you may leak urine without any warning at all. A bladder can become overactive because of infection that irritates the bladder lining. The nerves that normally control the bladder can also be responsible for an overactive bladder. In other cases, the cause may be unclear. Risk factors include aging, obstruction of urine flow, inconsistent emptying of the bladder and a diet high in bladder irritants (e.g., coffee, tea, cola, chocolate and acidic fruit juices).

Endocrinologist

• Diabetes Care
• Endocrinology

Radiologist

• Ultrasound
  Post-void residual measurement. This test may be performed to see whether any urine remains after you have attempted to empty your bladder completely. No more than one or two ounces should remain after urinating (voiding). Measurements may be made by inserting a small, soft tube, called a catheter, into the bladder to drain the remaining urine or by using sound waves, called ultrasound, to look at the bladder. When these special sound waves are directed at an organ, such as the bladder, shadow-like images are produced. These images can determine the amount of urine present in the bladder.
• MRI
  The most important distinction made by any staging system is whether or not the cancer is still confined to the prostate. Several tests can be used to look for evidence of spread. These include computed tomography to evaluate spread within the pelvis, bone scans to look for spread to the bones, and endorectal coil magnetic resonance imaging to closely evaluate the prostatic capsule and the seminal vesicles. Bone scans should reveal osteoblastic appearance due to increased bone density in the areas of bone metastasis - opposite to what is found in many other cancers that metastasize.
• X-Rays
• Computed Tomography
  Computed tomography (CT): The CT scan is a special kind of x-ray that takes detailed images of your kidneys and bladder as well as other organs. It can help find enlarged lymph nodes that might contain cancer.
• Chemotherapy
  In contrast, intravesical chemotherapy involves anti-cancer drugs put into the bladder through a catheter. Drugs given this way reach cancer cells in the bladder lining directly. Because it mainly affects the cells lining the bladder, intravesical chemotherapy doesn't make you feel ill or cause your hair to fall out like some intravenous treatments can cause. The main side effects of intravesical chemo are irritation and a burning feeling in the bladder.
• Radiation Therapy
  Radiation therapy is treatment with high-energy rays (such as x-rays) to kill cancer cells and shrink tumors. The radiation may come from outside the body or from radioactive materials placed directly in the tumor. After surgery, radiation can kill small deposits of cancer cells that may be too small to see.

Surgeons

• Minimally Invasive Surgery
  Can be used in Gamete intrafallopian transfer (GIFT) surgery to put the eggs back into the fallopian tubes. The process of minimally invasive surgery has been augmented by specialized tools for decades. However, in recent years, electronic tools have been developed to aid surgeons. Some of the features include...
• Vasectomy
  Our medical group has provided minimally invasive vasectomy procedures to thousands of men in Orange County during the past 20 years. Our staff is trained in answering your questions regarding vasectomies - and scheduling an appointment with one of our doctors.
• Robotic Surgery
  ENDOUROLOGY is the branch of urology that deals with minimally invasive surgical procedures. Different from open surgery, endourology is carried out through instruments, and traditionally, transurethral surgery has been the cornerstone of endourology. Via the urethra, the complete urinary tract can be reached, enabling prostate surgery, surgery of tumors of the urothelium, stone surgery and simple urethral and ureteral procedures. In recent years, laparoscopy has evolved rapidly and will soon replace certain formerly open surgical procedures. Robotic tumor surgery of the prostate is the latest development in endourology and the fastest growing. Today, approximately 80% of prostatectomies in the U.S. are carried out by robotic surgery.
• Laparoscopy
  Dr. Holevas is affiliated with Hoag Hospital in Newport Beach, California, which provides integrated cancer care including robotic laparoscopy for procedures such as radical prostatectomy.
• Reconstructive Surgery
  Reconstructive surgery: If the whole bladder is removed, the body needs another way to store and remove urine. There are several ways to do this. One option is a

Plastic Surgeons

• Botox
  In more difficult cases, Botox injections can be used to paralyze a portion of the bladder. In addition, the bladder can be enlarged using a segment of small intestine. This operation, called augmentation cystoplasty, is very successful in curing incontinence-more than 80 percent of the cases-but its main drawback is the need in 10 to 30 percent of the patients to perform self-catheterization to empty their bladder.
• Laparoscopic Surgery
  Called minimally invasive or bandaid surgery, laparoscopic surgery is a modern surgical technique in which operations in the abdomen are performed through small incisions.
• Cosmetic Surgery
  PLASTIC AND RECONSTRUCTIVE UROLOGY reestablishes functionality of the genito-urinary tract. Strictures of the urethra or the ureter often require reconstructive surgery. Another frequent procedure is the reconstruction of the urinary bladder from small bowel in conjunction with cancer surgery. In children, typical plastic procedures are the surgical correction of hypospadias and epispadias. Cosmetic surgery such as penis enlargement is rarely done in urology.

Dermatologists

• Cyst