General Practitioners

• Osteoporosis
• Fibromyalgia
  The exact cause of interstitial cystitis (IC) remains a mystery, but researchers have identified a number of different factors that may contribute to the development of the condition. Many researchers believe a trigger (caused by one or more events) may initially damage the bladder or bladder lining, and ultimately lead to the development of IC. Symptoms range from mild to severe. For some patients, the symptoms may come and go, and for others, they don't go away. IC/BPS is not an infection, but it may feel like a bladder infection. Women with IC/BPS may feel pain when having sex. The more severe cases of IC/BPS can affect your life and your loved ones. Some people with IC/BPS have other health issues such as irritable bowel syndrome, fibromyalgia, and other pain syndromes.
• Cryotherapy
  This freezes the prostate to kill cancer cells. During cryosurgery, your doctor places small needles into the prostate. Cold gas is placed into the needles, freezing the prostate tumor and nearby tissues. After each freezing process (there are usually two), the tissue is able to thaw. This repeated freezing and thawing cycle kills the cancer cells.
• Medical Weight Loss
  If you are concerned about your kidney health or know you have chronic kidney disease (CKD) know that this does not need to change your life in a large way.  May with kidney disease can continue to work and be active.  Treatments exist if kidney function continues to decline.Â
• Pediatric Care
  In the US, the American Urological Association (AUA) and the American Academy of Pediatrics (AAP) each have policy statements on circumcision. Both groups recommend the procedure be offered as a choice to parents. The AUA “believes that neonatal circumcision has potential medical benefits and advantages as well as disadvantages and risks.†The AAP states that “health benefits [from circumcision] are not great enough to recommend routine circumcision for
• Primary Care
  Many UTIs can be treated by a local primary care provider. But for some individuals, urinary tract infections become more difficult to treat. If these infections become more severe or recurrent, they may require a specialist to evaluate potential causes and ways to prevent these troublesome infections in the future.
• Family Practice
  Alexei Rosenthal, DNP, APRN-NP, FNP-C, received her Doctorate of Nursing Practice degree from Nebraska Methodist College in 2019.  She earned her Bachelor of Science in Nursing degree from Creighton University in 2012. Alexei is Board Certified as a Family Practice Nurse Practitioner by the American Academy of Nurse Practitioners. She is a member of the American Association of Nurse Practitioners and the American Urological Association.
• Male Infertility
• High Cholesterol
• Constipation
• Erectile Dysfunction
• Irritable Bowel Syndrome
• Urinary Incontinence
  Urinary incontinence is the unintentional loss of urine. Stress incontinence (SUI) happens when physical movement or activity — such as coughing, sneezing, running, or heavy lifting — puts pressure (stress) on your bladder. It is not related to psychological stress.
• Diarrhea

Gynecologists

• Gynecology
  A urogynecologist, on the other hand, is a specialist who focuses on pelvic floor disorders in women. They are trained in both gynecology and urology and specialize in conditions such as...
• Female Infertility
• Obstetrics
  Amandeep Mahal, MD, FACOG is board certified in female pelvic medicine and reconstructive surgery.  He received his medical degree from Creighton University in Omaha, Nebraska. He completed residency in obstetrics and gynecology at the University of Iowa before pursuing a pelvic reconstructive fellowship at Stanford University in Palo Alto, California. Dr. Mahal is a fellow of the American College of Obstetricians & Gynecologists. His specialties include minimally invasive, natural orifice surgery as well as voiding dysfunction and post-menopausal sexual health management.
• Pelvic Pain
  Prostatitis* and chronic pelvic pain conditions are painful but common. While these conditions are not the end of the game, they can put any player on the sidelines.
• Pregnancy
  Pelvic floor disorders occur when women have weakened pelvic muscles or tears in the connective tissue due to excessing strain on the pelvis. Pregnancy and childbirth, repeated strenuous activity, obesity, aging and menopause, chronic diseases, prior pelvic surgery, fibroids or pelvic tumors, and other factors like tobacco use and genetics can also affect the pelvic strength.
• Labor and Delivery
  Stress incontinence affects one in three women over 45 years old. It is much more common in women than in men. Women most commonly develop SUI from changes that happen in pregnancy or childbirth which weaken the support to the urethra. Chronic coughing, constipation, obesity, aging, smoking, or extreme weight lifting can cause SUI. Genetics may also play a role.

Internists

• Bladder Cancer
  Bladder cancer is a type of cancer that begins in your bladder — a balloon-shaped organ in your pelvic area that stores urine. It begins most often in the cells that line the inside of the bladder. Bladder cancer typically affects older adults, though it can occur at any age. The great majority of bladder cancers are diagnosed at an early stage — when bladder cancer is highly treatable. However, even early-stage bladder cancer is likely to recur after diagnosis and treatment. For this reason, bladder cancer survivors often undergo follow-up tests for years after treatment to look for bladder cancer recurrence.
• Urology
  Team members at Adult Pediatric Urology & Urogynecology, PC enjoy working a flexible schedule in a state-of-the-art facility that puts patient care and convenience first. If you are interested in working with one of the region’s most dynamic teams, we’d love to hear from you. Please download and return the application below to get started. Please note that applicants must be able to travel within the Omaha/Council Bluffs Metro area.
• Kidney Cancer
  Kidney cancer begins when healthy cells in one or both kidneys change and grow uncontrollably, forming a tumor. There are several types of kidney cancer, but renal cell carcinoma is the most common. There are also several types of kidney cancer cells. The most common are clear cells. Knowing which type of cell makes up a kidney tumor helps doctors plan treatment.
• Kidney Stones
  Your doctor may recommend an x-ray exam for many reasons, including diagnosing kidney stones, lung disease, or bone injuries.
• Testicular Cancer
  Testicular cancer occurs in the testicles (testes), which are located inside the scrotum, a loose bag of skin underneath the penis. The testicles produce male sex hormones and sperm for reproduction. Compared with other types of cancer, testicular cancer is rare. But testicular cancer is the most common cancer in American males between the ages of 15 and 35. Testicular cancer is highly treatable, even when cancer has spread beyond the testicle. Depending on the type and stage of testicular cancer, you may receive one of several treatments or a combination. Regular testicular self-examinations can help identify growths early when the chance for successful treatment of testicular cancer is highest.
• Interstitial Cystitis
  Interstitial cystitis (IC)/bladder pain syndrome (BPS) is a chronic bladder health issue. It is a feeling of pain and pressure in the bladder area. Along with this pain are lower urinary tract symptoms which have lasted for more than 6 weeks, without having an infection or other clear causes.
• Urinary Tract Infection
  Adult urinary tract infections(UTI) can be common in women while infections in men are rare.  Urinary tract infections often abbreviated UTI, occur when an overgrowth of bacteria starts affecting the function and biochemistry of the bladder wall and muscles of the bladder.
• Prostate Cancer
  Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. BPH is a very common condition that affects over 40 million Americans and over 500 million aging men worldwide. Over 40% of men in their 50s and over 70% of men in their 60s have BPH1. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.
• Cancer Care
• Lung Cancer
  Metastatic kidney cancer, not lung cancer. It’s treated as kidney cancer, not as lung cancer. Doctors sometimes call the new tumor “distant” disease.

Neurologists

• Multiple Sclerosis
  The bladder may not work right because there is a problem getting the messages from the brain to the bladder and urethra through the nerve pathway. Possible causes include stroke, diabetes, multiple sclerosis, trauma to the spine or pelvis, pressure on the spinal cord from tumors, and a herniated disk. In women, vaginal childbirth can sometimes damage nerve pathways that control going.

Psychiatrists

• Depression
• Mental Health
  Your health care provider may also refer you to a mental health professional. These specialists treat psychological or emotional causes of ED. Even if your ED is not caused by these factors, it may contribute to them. It may be helpful to get counseling, alone or with your partner, in addition to getting medical therapy for ED.
• Anxiety

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• Ultrasound
  Your doctor may recommend ultrasound imaging to rule out any abnormalities of the abdominal area, pelvic area, and/or urinary tract.
• MRI
  A large machine with a strong magnet linked to a computer is used to make detailed pictures of your urinary tract and lymph nodes. You may receive an injection of contrast material. MRI can show cancer in your kidneys, lymph nodes, or other tissues in the
• Radiology
  Our board-certified urologists in Omaha now have many state-of-the-art tools to help diagnose disease in our most private body parts. Urologic Radiology includes several ways to carefully look inside organs like the kidneys, ureters, bladder, and reproductive organs. Our Advanced Imaging tools can be basic like x-rays to more complex tools.
• X-Rays
• Computed Tomography
  CT scans use a combination of x rays and computer technology to create three-dimensional (3-D) images. A CT scan may include the injection of a special dye, called contrast
• Chemotherapy
  Patients with non-muscle invasive cancer located only in the bladder often can receive chemotherapy or immunotherapy drugs after a TURBT via intravesical therapy.
• Radiation Therapy
  Imaging tests are run to find the exact location of the tumor. Then one of two kinds of radiation therapy are used. Brachytherapy (where small, radioactive “seeds†are placed inside in the prostate) is the most common internal radiation. External beam radiation is where the prostate is treated with targeted rays from outside the body.

Surgeons

• General Surgery
  Andrew F. Trainer, M.D., received his medical degree from the University of Missouri at Kansas City School of Medicine. He completed his internship and residency in general surgery and urology at the University of Massachusetts Medical center, and served as registrar in the Department of Pediatric Urology at the Great Ormond Street Hospital for Sick Children in London, England. He has received numerous awards and honors including acceptance in the Alpha Omega Alpha medical school honor society. He is board-certified in urology and a member of the American Urological Association and Nebraska Urological Association.
• Minimally Invasive Surgery
• Vasectomy
  Enjoy a guilt-free weekend on the couch watching football when you schedule your easy, safe and quick vasectomy!
• Hysterectomy
  This can only occur if the woman has had a hysterectomy. It is when the top of the vagina falls in on itself.
• Hip Replacement
  Medicine given before and during surgery to make you sleepy may cause urinary retention right after surgery. Procedures such as hip replacement, rectal surgery, surgery for women’s issues, and surgery to remove hemorrhoids can cause the problem afterward.
• Reconstructive Surgery
  I went to medical school knowing I wanted to work in women's health. I chose Female Pelvic Medicine and Reconstructive Surgery because I found it to be the most rewarding. Incontinence and pelvic floor disorders are socially isolating, impair intimate relationships and can deeply affect a woman's feeling of self and sexuality. My patients share some of their most intimate and personal information with me for which I am extremely honored. It is also a privilege to guide women through their journey to wellness. Options for my patients include more holistic options, biofeedback and lifestyle change, medications, minor procedures, and minimally-invasive surgeries. Every woman is treated as an individual with a plan specifically designed for her.

Plastic Surgeons

• Laparoscopic Surgery
• Gynecomastia
  Men with low T may also experience increases in body fat. In particular, they sometimes develop gynecomastia or enlarged breast tissue. This effect is believed to occur due to an imbalance between testosterone and estrogen within men.

Dermatologists

• Acne Treatment
• Cyst
• Lesions
  Risks: This technique is not recommended for the treatment of new bladder lesions (abnormal areas) because biopsies are required to determine the depth of invasion (stage) and tumor grade.
• Burns

Physical Therapists

• Physical Therapy
  If you are experiencing pelvic floor issues that are affecting your quality of life, a urogynecologist can provide a more specialized approach to your care. They can offer a range of treatment options, including physical therapy, medication, and surgery, to improve your symptoms and restore your quality of life.
• Back Pain

Allergists

• Allergies