Delaware Valley Urology, LLC - Urologists, Marlton, NJ- Services

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Specialty Services

Alternative treatments for enlarged prostate
- Our physicians are licensed to perform Indigo laser procedures, a minimally invasive procedure used to reduce enlarged prostates.
- We now offer a new non-surgical treatment for prostate enlargement that is an alternative to taking medication. This therapy, called TUMT (transurethral microwave therapy), is performed in the physician's office and utilizes microwave technology to decrease the size of the prostate.
Bladder training
Cancers of the genitourinary system
Hand-assisted laparoscopic nephrectomy
Hand-assisted or total laparoscopic nephrectomy to remove a cancerous kidney is a relatively new surgical technique with the advantages of a small incision, short hospital stay, and fast recovery time when compared to traditional open surgery. Our surgeons have been trained to perform this procedure. Not every patient is a candidate for laparoscopic surgery so be sure to discuss this option with one of our doctors. Our goal is for you to return to a normal state of mind, body, and health as soon as it is possible.
Impotence/erectile dysfunction
Infertility
Kidney stones
Male infertility problems
Microwave therapy for BPH
Neurourology
Pediatric urology
Prostate disease
Robotic surgery with Dr. Gordon Brown and Dr. Rajen Butani
Urinary incontinence (male and female)
Our Continence Center is dedicated to the diagnosis, management and treatment of urinary incontinence in an understanding and caring environment. Patients receive a comprehensive urologic physical examination and detailed bladder testing. Our state-of-the-art diagnostic equipment and the most up-to-date technology allows us to individually tailor a program that will address the specific needs of each patient.

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Other Services

The following is a list of other services offered:

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Bladder Training

Urinary incontinence includes a spectrum of disorders ranging from simple stress incontinence to bladder instability (overactive bladder) to neurological disorders. Treatment can range from behavioral therapy to medication to surgery, either alone or in combination.

Behavioral therapy includes fluid management, bladder training, and pelvic muscle exercises. Advantages of behavioral therapy are that they are safe, effective, and have no documented side effects.

Many patients are unaware of what or how much they drink. A voiding diary can be used to accurately document drinking and voiding habits. Fluid management may consist of monitoring/controlling amount of water intake and decreasing dietary bladder irritants, such as caffeine.

Bladder training also involves the use of a voiding diary. By seeing how often voiding and incontinence occurs, the use of timed voiding patterns can avoid incontinent episodes. Also, by slowly increasing the interval between voids, the bladder can sometimes be retrained to increase functional capacity.

Pelvic muscle exercises improve urethral resistance and pelvic visceral support, as well as causing a reflex relaxation of the bladder. This may be done with or without biofeedback. Biofeedback is a form of learning in which the patient receives feedback in the form of visual, auditory, or tactile signals reinforcing appropriate pelvic muscle activity. When given verbal instructions alone, only 60 percent of patients are able to produce an appropriate pelvic floor contraction, and 25 percent have counterproductive Valsalva maneuver. Continence is achieved more rapidly with the assistance of biofeedback.

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Microwave therapy for BPH

Many men with benign prostatic hyperplasia (BPH) are currently being treated with alpha blockers such as Hytrin, Cardura, Flomax, and Uroxatral. These drugs obligate the patient to lifelong therapy because their effectiveness ends when the medication is discontinued.

The most effective curative treatment for BPH is surgery, such as transurethral resection of prostate (TURP) or simple open prostatectomy. However, these operative treatments may be associated with undesirable side effects, either from the surgery or the anesthesia involved.

There are newer minimally invasive surgical options for BPH, such as the cooled microwave thermotherapy (Targis). These minimally invasive options yield results that are comparable to the traditional TURP, but without any of the anesthetic risks. The procedure is performed in the office requiring only local anesthesia with sedation, and is tolerated extremely well.

• Practice News •

Top Physicians 2009

Readers' Choice Top Physicians 2009

*As published in
South Jersey Magazine

Top Physicians 2008

*As published in
South Jersey Magazine

Listen to urologists Adam D. Perzin, M.D., and Rajen P, Butani, M.D., discuss current trends and topics in urologic health on WPHT Radio.