General Practitioners

• Warts
• Arthritis
• Cryotherapy
  To diagnose genital warts, your doctor will perform a Gynecological Exam and/or Physical Exam. Once diagnosed, there is no cure for genital warts but treatment can rid the genitals of any warts for a period of time. Some treatments include: Electrocautery, Cryotherapy, laser surgery, and surgical removal of the genital warts.
• Medical Weight Loss
  Somerset Urological Associates will provide patients with a variety of treatment options to boost testosterone. In most cases, a hormone supplement can be administered to raise levels back to a normal state. Usually this is given in a gel form to be rubbed into the shoulders after showering. The hormone is also available as a shot, patch and oral medication. Many men report higher sex drive, increased energy, weight loss, more frequent erections and higher satisfaction of life after treatment.
• Male Infertility
  Male infertility is defined as a man’s inability to impregnate a fertile female. In approximately 40-50% of couples that are having trouble getting pregnant, it is due to male infertility. 15% of couples will experience infertility. If you are having trouble conceiving, male infertility is certainly something that should be discussed with a doctor, especially because there may be medical intervention options to resolve the issue.
• Erectile Dysfunction
• Urinary Incontinence
  Urinary incontinence, otherwise known as overactive bladder, is the inability to control the release of urine from the bladder. There are two main types of incontinence, stress incontinence and urge incontinence. The most common, stress incontinence, occurs when one does anything that puts pressure on the bladder, such as jog, sneeze, or even laugh. Urge incontinence occurs when one has a sudden and strong need to urinate, but can’t reach the toilet in time. This often happens even if there is only a small amount of urine in the bladder. If you or someone you know thinks they might be incontinent, check your symptoms here.
• Diarrhea

Gynecologists

• Female Infertility
• Pelvic Pain
• Pregnancy
• Labor and Delivery
  Urinary incontinence affects approximately 13 million people in the United States, 85% of which are women. Incontinence is more common in women because of pregnancy, childbirth, and menopause; all factors which contribute to the weakening of the bladder muscles. For men, incontinence usually occurs with age due to the enlargement of the prostate. Because the prostate wraps around the urethra, in can restrict the flow of urine and compromise the bladder’s ability to effectively empty. Urinary incontinence is a treatable condition, with many options available.

Internists

• Bladder Cancer
  Bladder Cancer is a type of cancer that begins in your bladder, the balloon-shaped organ in your pelvic area that stores urine. Bladder cancer begins most often in the cells that line the inside of the bladder. Symptoms of bladder cancer include presence of blood in urine, frequent urination, painful urination, back pain, and pelvic pain. These symptoms don’t always point to cancer, but it is important to talk with your doctor if you are experiencing these symptoms. There are several treatment options available to patients of Somerset Urological Associates.
• Urology
  The urology specialty covers conditions of the male and female urinary tract system and the male reproductive system. The urinary tract includes the kidneys, bladder, and associated connective tissues and muscles. The male reproductive system encompasses the prostate gland, penis, testicles, and associated connective structures. Conditions that cause problems of these systems include, but are not limited to, enlarged prostate, benign tumors, and cancer and may require medical attention. In the case of cancer or when lifestyle changes, medicine, and other options do not ease symptoms of other conditions, your doctor may suggest surgery.
• Kidney Cancer
  A diagnosis is the first step on your path to address your cancer. You might be surprised to find out how many other Americans are walking with you on the journey through kidney cancer. In 2019, the American Cancer Society estimates more than 73,000 people in this country will receive a kidney cancer diagnosis.
• Kidney Stones
  One of the most common urologic conditions we treat at Somerset Urological Associates is kidney stones. Patients often come in complaining of unbearable pain, yet do not understand its source. Kidney stones form when urine contains substances such as calcium, oxalate, and uric acid in excess. As your urine attempts to dilute, these substances begin to stick together, forming a crystalized kidney stone.
• Testicular Cancer
  Testicular cancer is the cancer of a male’s testicles, located in the scrotum underneath the penis. The testicles are responsible for creating the male hormone testosterone and sperm. Testicular cancer can affect men of any age, but is most common in young men. While it is generally rare, it is still the most common type of cancer amongst young men.
• Urinary Tract Infection
  A urinary tract infection is the infection of any of the structures that urine passes through in your body, otherwise known as the urinary tract. Urinary tract infections are easily treatable, but if symptoms are ignored the infection can easily spread to you kidneys. Kidney infections are much more serious, therefore it is important to immediately see a professional if you experience symptoms.
• Prostate Cancer
  Prostate cancer occurs when a cancerous growth forms on or within the prostate gland. The prostate is a bodily gland that is responsible for the production of seminal fluid that aids in the transportation of sperm. Prostate cancer develops in the same manner as other cancers through the rapid development of abnormal cells. The cancer may invade nearby tissues and possibly begin to metastasize elsewhere – no longer being confined to the prostate.

Radiologist

• Ultrasound
  When our patients receive abnormal results from a digital rectal exam, or have an elevated prostate-specific antigen blood test, Somerset Urological Associates will perform a prostate ultrasound and biopsy. This examination involves a small probe, about the size of a finger, that is inserted a short distance into the rectum. Once in place the probe will produce high-frequency soundwaves that are captured, recorded, and transformed into video or photographic images of what the prostate gland looks like. As a Somerset Urological Associate’s doctor examines the prostate and any abnormal growths, the prostate ultrasound will allow the doctor to view them at different angles to get a fully encompassing view of what is taking place.
• MRI
  Since 2012, many advances have been made in screening, detection and risk assessment of prostate cancer. We are able to do a better job of discerning which cancers may pose a potential threat to patients. Through advances in prostate MRI imaging, molecular biomarkers and genomic testing, we are better able to identify patients who need treatment and closely monitor those who may not. With these advances in technology, we can reduce the potential harms that inherently exist with the PSA screening process. No one can dispute that the PSA test has limitations, but when used and interpreted appropriately, the test provides valuable information in the diagnosis, pre-treatment staging, risk assessment and monitoring of prostate cancer patients. When combined with some of the newly available assessment tools, we are able to significantly reduce the risk of overdiagnosis and overtreatment of prostate cancer.
• Mammography
  Since 2012, the urologists of Somerset Urological Associates have strongly disagreed with the recommendations of the U.S. Preventive Services Task Force. We feel that these recommendations do a great disservice to men and will likely lead to higher death rates from prostate cancer in the U.S. No urologists or oncologists participated in the formulation of recommendations by this task force. The physicians who constitute this body do not and have not directly treated prostate disease or prostate cancer. In fact, this same task force recommended against mammography for women under 50 years of age. Breast cancer experts refuted those recommendations, which were eventually rescinded.
• Chemotherapy
  Lastly, chemotherapy is the use of drugs to kill cancer cells, usually by stopping the cancer cells’ ability to grow and divide. Systemic chemotherapy is delivered through the bloodstream to reach cancer cells throughout the body. Chemotherapy is popular and effective in killing cancer cells. There are many side effects and risks to chemotherapy, including nausea and vomiting, diarrhea, hair loss, loss of appetite, fever, mouth sores, heart problems, infertility, kidney problems, nerve damage, and risk of second cancer relapse.
• Radiation Therapy
  Image-guided therapy uses recurrent images during the course of radiation therapy to recognize any improvements needed in your treatment. Somerset Urological uses special machines that enable our doctors to capture pictures of the affected area. Most commonly, the images are taken before and after radiation therapy to compare the differences. If the doctor feels there is not enough improvement or something else needs to be done, the image-guided therapy allows him or her to recognize it right away. In some cases, the doctors may have the patient use markers to help better identify the area.

Surgeons

• General Surgery
  Dr. Dhiren Dave graduated Tau Beta Pi from Johns Hopkins University with a degree in Biomedical Engineering in 1998. He earned his M.D. from Vanderbilt University in 2003 and went on to complete his general surgery internship and urologic surgery residency training at UCLA Medical Center in Los Angeles. It was during this time that he cultivated a specific interest in urologic oncology, advanced laparoscopy and minimally invasive surgery.
• Minimally Invasive Surgery
  Laparoscopic surgery, also referred to as minimally invasive surgery, uses a small incision that is centimeters small to perform the procedure through. Once the incision is made, the laparoscope, which is a long fiber optic cable system, is inserted into the body and positioned to the area where the procedure will occur. Small tools like graspers, scissors, and clip appliers are used at the end of the laparoscope to perform movements within the body. The laparoscope is controlled by two handles that the surgeon holds, which track hand movements and rotation.
• Cyst Removal
• Vasectomy
  A vasectomy, also called male sterilization, is a surgical procedure performed on men who no longer wish to have children. A vasectomy blocks the vas deferens tubes, how sperm leaves the testicles, preventing it from mixing with semen. Doctors have been performing vasectomies since the late 1800s and with advances in modern medicine, have condensed the entire procedure to be completed in under a half hour.
• Robotic Surgery
  Somerset Urological Associates is proud to offer laparoscopic and robotic surgery to our patients. This cutting edge technology promotes faster heal time, eliminates pain and discomfort due to large incisions and stitches, and is able to be incredibly precise.
• Laparoscopy
  If laparoscopy or robotic surgery has become your only option to treat your urological issues, Somerset Urological Associates will be there every step of the way, from initial consultation about the procedure, to the end of your recovery period, where you’ll be feeling as good as new.

Plastic Surgeons

• Botox
  Suffering with urinary incontinence may cause a lot of stress and embarrassment, but it doesn’t have to stay that way with the many treatment options available at Somerset Urological Associates. Treatment options include Interstim Neuromodulation, a procedure that stimulates a nerve of the bladder causing the bladder to be less overactive. Botox therapy is another option, where a prescription medicine is injected into the bladder and significantly lessens the amount of leakage episodes. A new and exciting treatment option is Urostym bladder biofeedback, a non-invasive procedure where sensors are placed on the skin to measure muscle activity, and a computer provides an audio and visual response. Other treatment options and more information can be found here.
• 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

• Eczema
  Dermatitis, or eczema, is one of the most common skin conditions, and although rare, can occur on the genitals as well. It affects your skin’s ability to retain moisture, leading to the drying or blistering of the skin surface which causes pain and itchiness. Acute dermatitis refers to the sudden outbreak of a red rash which may be blistered or swollen. Chronic dermatitis is a longstanding rash, often resulting in a permanent darkening of the area of skin. Treatments include bathing less, wearing softer clothing, use of antihistamines, topical steroids, antibiotics, or emollients.
• Lesions
  Genital herpes is another extremely common sexually transmitted infection. Genital herpes is caused by one of the two types of the Herpes Simplex Virus (HSV), herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2). Both types produce two kinds of infections: primary and recurrent. Primary genital HSV infections can be severe, as they present painful blisters, burning during urination, vaginal discharge, fever, headache, and/or fatigue. Recurrent HSV infections are usually milder than the primary infection, though the lesions look similar. Most people will have a recurrence of genital herpes during the first year after a primary infection.
• Psoriasis
  Psoriasis can occur in many forms and can even effect the genital area. It results in large red, inflamed, dry and thickened patches of skin located in the folds of the genital area, similar to the ones that most people generally associate the term “psoriasis” with, occurring in the folds of the armpit, anus, behind the ears, and face. Treatments are usually in the form of topical agents, including coal tar topical and salicylic acid topical, or sometimes in the form of various steroids.

Physical Therapists

• Back Pain