Urological tests and procedures

We offer a variety of urological tests and procedures that can be performed in the comfort of our Medford office. Here our friendly staff and experienced physicians will provide you with exceptional care, while making you feel as comfortable as possible.


Rezum Water Vapor Therapy is an in-office treatment designed to reduce BPH symptoms in certain men with enlarged prostates.  Rezum Water Vapor Therapy is a minimally invasive procedure that uses the natural energy stored in a few drops of water to treat the excess prostate tissue causing BPH symptoms.  Talk with your doctor to see if Rezum Water Vapor Therapy is right for you.  For more information about Rezum, please visit Rezum.com.


Rogue Valley Urology offers SpaceOAR Hydrogel as an option for men preparing to undergo radiation treatment for prostate cancer.  It is an absorbable gel that creates a temporary space between the prostate and the rectum, designed to reduce radiation dose to the rectum.  It is inserted via a minimally invasive procedure in the office and is naturally absorbed by the body in about six months.  Please visit SpaceOAR.com for more information.


We may perform a cystoscopy to diagnose or treat conditions affecting your bladder and urethra. By inserting a small, hollow tube with a lens called a cystoscope into your urethra and then into your bladder, we can determine the causes of symptoms such as blood in your urine, incontinence, overactive bladder, and frequent urinary tract infections.

Cystoscopy also helps us diagnose bladder stones, some cancers, or an enlarged prostate. In addition, we can pass tiny tools through the cystoscope in order to remove tumors from your bladder or repair other complications. Depending on the reason for your procedure, we may choose to do your cystoscopy in our office using a local anesthetic, as an outpatient procedure with sedation, or under general anesthesia in the hospital.

Prostate Ultrasound and Biopsy

To detect prostate cancer, abnormal growth, or other disorders, we may schedule you for a prostate ultrasound and/or biopsy. An ultrasound may also be used to investigate male factor infertility, blood in the semen, or pain during ejaculation.

Prostate ultrasound (also referred to as trans-rectal ultrasound) uses sound waves to provide images of your prostate and the surrounding tissue. Since the prostate is located on the other side of the rectum wall, we can insert a probe and bounce sound waves off the prostate, without compromising the rectal wall. We can also use this real-time imaging process to guide prostate biopsies, in which a fine needle collects samples of suspicious tissue from your prostate, which is then analyzed in the laboratory to rule out prostate cancer.

Bladder and Kidney Ultrasound

Similar to a prostate ultrasound, we may perform a bladder or kidney ultrasound to diagnose issues affecting these organs. An ultrasound is a painless diagnostic technique that uses sound waves to produce images of internal organs without exposure to radiation. The sound waves are transmitted into the body, where they bounce off your tissues and organs. A bladder ultrasound can be used to measure the amount of urine in the bladder or determine bladder wall thickness, look for stones, or find bladder elevation caused by an enlarged prostate. A renal, or kidney, ultrasound can help us see the size and position of your kidneys, which is useful for identifying kidney obstructions, stones, or masses.


This minor surgery prevents sperm from moving from the testicle into the semen, thereby making you sterile. During the virtually painless procedure, we will cut and seal the tubes that transport sperm. While the testicles will continue to produce sperm for the rest of your life, they will now be reabsorbed into the body. The prostate and seminal vesicles continue to make fluid, and the semen appears no different after the procedure, which usually takes 10-15 minutes to complete. Vasectomy reversal is possible, however the surgery is more difficult and does not always restore fertility. You should not have a vasectomy unless you are sure you no longer want children.


Circumcision is the process of surgically removing the skin covering the tip of the penis. It can be done for religious reasons, family tradition, or more often as a means of preventive health care. The health benefits of circumcision include easier hygiene and lowered risk of urinary tract infections, sexually transmitted infections, and penile cancer. Circumcision is fairly common for newborn boys in the United States, and while it is possible to perform a circumcision later in life, it’s a more complex procedure.


We may schedule urodynamics testing to evaluate your urinary symptoms, including incontinence, frequency, urgency, difficulty, pain, or recurrent urinary tract infections. Urodynamics assess how the bladder and urethra are performing their job of storing and releasing urine. These tests provide us with volume and pressure information so we can see how well your bladder and sphincter muscles work. This allows us to diagnose the cause and severity of your condition and provide you with the best treatment options.


A uroflow study measures the force of your urinary stream. It is often performed to determine the cause of voiding dysfunction, slow stream, burning with urination, bladder pain, or other symptoms. In order to receive an accurate measurement, you should come to the office with a full bladder.

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