Our Services

Many patients are motivated to learn more about their conditions, potential outcomes, and the treatments available to them.

The following information details some of our more commonly-performed treatments and services. For additional information on all conditions we diagnose and treat, please see our Resources page.

Kidney Stones

We offer the latest in minimally-invasive outpatient management of stone diseases including using "shock waves" with superior equipment, holmium lasers, state-of-the-art small telescopes, and video imaging systems. This translates to faster recovery, outpatient procedures (no overnight hospital stay), and you are often able to resume your normal activities the following day!

• Learn more about ureteroscopy (use of small telescopes to remove / treat stones) from WebMD.
• Learn more about shock wave lithotripsy (use of pressure waves to break up stones) from WebMD.
• Percutaneous nephrolithotomy for faster removal of large stones the size of a quarter (>2cm).
• Learn more about kidney stones from the National Library of Medicine.
• Learn about stone prevention by the use of nutritional supplements.
• Tips on how to prevent stones
  

Vasectomy

"No-scalpel" vasectomies are performed in the office.

Learn more about vasectomy from the National Library of Medicine.

Benign Prostatic Hyperplasia (BPH)
Male Bladder Control Problems

We offer in-office treatments to manage your urinary difficulties. You walk in and out of the office the same day to have this treatment. No needles or catheters required for the majority of patients!

• Learn more about Prolieve™ by clicking here.
• Learn more about BPH.

Laser prostate procedure (Holmium laser) achieves similar results as the traditional TURP ("roto rooter" or "reaming out"), but is usually performed as an outpatient procedure in the hospital. Dr. Hettiarachchi is a preceptor for this procedure.

Even the traditional "roto rooter" (TURP) is enhanced and made safer using the latest and safest technology currently available (saline solution bipolar resection).

Learn more about TURP by watching this video from the National Library of Medicine.

Hematuria (blood in the urine)

Evaluation for bloody urine (hematuria) may include:

• Ultrasound imaging (watch interactive video here.)
• CT Scan ("CAT Scan").  Click here for an interactive tutorial.
• IVP (x-ray) evaluation. Click here for an interactive tutorial.
• Cystoscopy (bladder inspection with a very small flexible telescope) - watch a short video about cystoscopy by  clicking here.
• Urine cytology to look for abnormal cells.
• Specialized urine testing ("FISH" test) to look for bladder cancer cells.
  

Prostate Cancer

We offer Prostate cancer screening and surveillance.

• We offer hormonal therapy.
• We offer radiation therapy, including radiation "seeds" (brachytherapy) treatment as well as other methods of therapy such as Image Guided Radiation Therapy (IGRT).
• Determine risk of cancer spread using the Partin Table.
• Use nomograms to predict various aspects of prostate cancer treatment outcomes (note: this information may be somewhat confusing. Please use in consultation with your physician.)
• For select patients, chemotherapy may be indicated.
• Dr. Hettiarachchi is one of the first urologists in the area to perform cryoablation of prostate cancer.

Learn about prostate cancer surgery.

Learn more about prostate cancer from the National Library of Medicine.

Bladder Control Problems

• Evaluation of bladder function prior to treatment options through complex urodynamics.
• Male and female urinary incontinence
• Minimally invasive female incontinence treatments (such as MiniArc, TVT, TOT, and TVT Secur) are among the many procedures performed.
• Artificial urinary sphincters are also implanted.
• Vaginal prolapse repairs are also performed.
  
• Pelvic floor reconstuction for cystocele(fallen bladder) and rectocele on an outpatient basis.
• Neurogenic bladder
  

Other Prostate Concerns

Repeated Bladder Infections

Evaluation and management for repeated bladder infections may include:

• Ultrasound imaging
• "CAT Scan" (CT Scan)
• Bladder inspection with a very small flexible telescope (cystoscopy) - watch a short video about cystoscopy here.
• Use of nutritional supplements to prevent bladder infections
  

Impotence / Erectile Dysfunction

• Full range of non-surgical treatments are available.
• Penile prosthesis surgery is also offered.
  

Scrotal Swelling / Scrotal Masses

• Spermatocele and varicocele
• Epididymitis and orchitis
• Fluid sac in the scrotum (Adult hydroceles)
• Testicular cancer
  

Male Infertility

Varicocele repairs are sometimes performed to improve fertility.

Kidney Cancer

Full range of treatment options available, including freezing of small tumors and removal of cancer and laparoscopic removal of diseased kidney.

Bladder Cancer

We offer a full range of diagnostic and treatment options. These include many in-office procedures to diagnose the type of bladder cancer. Also, available are other minimally invasive treatment options which maybe combined with  intravesical (medicine placed in bladder) chemotherapy/ immunotherapy.