State-of-the-art technology and unsurpassed expertise are two key ingredients to successful outcomes. At Encore Urology, we have made it our business to offer both. From our fully equipped and beautifully renovated office which  features the latest in laser technology to our expert office staff, we spare no expense.

Each case is unique and treatment decisions depend upon the stage and grade of the disease. Each patient and his family are counseled thoroughly and introduced to all of the appropriate options. Treatment can range from observation with active surveillance to the various forms of radiation therapy, including intensity modulated radiation therapy (IMRT), radiation seed placement or high dose rate brachytherapy (HDR). For patients who elect to undergo surgery, Dr. Figlesthaler performs the daVinci® robotic prostatectomy. Having performed over 1,200 of these procedures, Dr. Figlesthaler is one of the most experienced robotic surgeons in the region. Emphasis during the procedure is on curing the cancer by removing the diseased prostate, while sparing the nerves and urinary sphincters so that bladder control and sexual function successfully recover.

As men age, it becomes more common to feel the need to urinate more often and more urgently, and eventually have difficulty in completely emptying the bladder. These and other symptoms can be caused by an enlarged prostate or BPH. After a thorough evaluation, the condition can often be managed with dietary changes, natural supplements and mild medications, but minimally invasive surgery such as Rezūm Water Vapor Therapy. Rezūm is an alternative office procedure which offers improvement in BPH symptoms for up to 5 years. In addition, we offer the PlasmaButton™ TURP which is the Gold Standard.

Cancer of the urinary tract is common and often requires surgical treatment as well as lifetime surveillance. All of our surgeries are performed either laparoscopically or using robotic minimally-invasive techniques. This allows for sparing of the healthy tissues by removing the tumors and preventing damage to the healthy portions of the bladder or kidneys.

Kidney stones can be caused by numerous physiological defects and are often painful. We use an endoscopic approach with laser and ultrasonic lithotripsy for ureteral stones and large kidney stones as well completely noninvasive shock wave lithotripsy for small and medium-sized kidney stones. Once we clear all of the stones, we perform special urine and blood tests to determine what specific changes can be made in diet or medications to prevent future attacks.

This is one of the most common conditions that effect men of all ages and for many different reasons. There is often both a physiological as well as psychological component to this problem. Color duplex doppler scans can be used to determine if there is proper blood flow to the penis, and treatment may be as simple as oral medications or hormone replacement, but in severe cases outpatient surgery may be an option, including endovascular surgery or placement of a penile prosthesis.

Low energy levels, weight gain, especially in the abdominal area and waist as well as loss of libido and sexual desire can all be symptoms of a testosterone deficiency. Total testosterone levels do not always tell the complete story, and a thorough evaluation is needed before beginning therapy. Once appropriate hormone levels are restored, the results can be life changing.

The no scalpel vasectomy is one of the simplest and painless treatments for a lifetime of birth control for couples that have completed their families. The procedure takes approximately 15 minutes in the office and normal activities can be resumed within a few days. For those who change their minds or decide to start a new family, we perform the vasectomy reversal using microsurgical techniques. We confirm the presence viable sperm cells at the time of surgery.

Bladder control problems affect more than 60% of women over the age of 40 years. Often these problems result from pregnancy and childbirth, which cause enormous stress to the pelvic anatomy. Various defects such as cystocele, rectocele and vaginal vault prolapse can all be associated defects. After a thorough evaluation, all of these conditions can be corrected in a single outpatient vaginal surgery, thus restoring the pelvic and vaginal anatomy to its previous state.

The involuntary loss of urine can be caused by many different anatomical and physiological problems, including childbirth, prolapse, prostate problems, diabetes, strokes, etc. Often there may be a combination of issues. Computerized urodynamic

studies as well as digital flexible cystoscopy offer additional information in more complex cases. Treatments may include dietary modifications, biofeedback, medications or in some cases minimally invasive surgery, such as the sling procedure.

Blood in the urine can be visible (gross) or invisible (microscopic). It can be due to many causes both benign as well as malignant. We perform a painless, but thorough evaluation of the entire urinary tract, including a CT scan, special urine studies as well as digital flexible cystoscopy to determine the cause of this condition and then offer both an explanation and a solution.