Urology specialists in Virginia
Urologists provide advanced care for conditions of the male and female urinary system—the bladder, kidneys, ureter and urethra—and the male reproductive system. HCA Virginia's urology specialists deliver this care with compassion, expertise and innovative treatments. Together, we will determine the best treatment to restore your urologic health and quality of life.
For more information about our primary care services or for help finding a doctor, call our free, 24/7 Consult-A-Nurse line.
When to visit a urology treatment center
Visit a urologist if you have any of these symptoms, which may indicate a problem with the urinary tract:
- Blood in the urine
- Difficulty urinating
- Frequent or urgent need to urinate
- Pain in the lower back, pelvis or sides
- Pain or burning during urination
- Urine leakage
- Weak urine flow or dribbling
Men who experience any of the following urologic symptoms should also visit a urologist:
- Decreased sexual desire
- Lump in the testicle
- Trouble getting or maintaining an erection
Our advanced urology care center
We are proud to offer the Center for Urological Health at Retreat Doctors' Hospital, which provides nonsurgical and surgical treatments for urological conditions, disorders and diseases. This includes advanced and innovative technology to manage and treat urinary incontinence in men and women. Here, our specialists design treatment plans just for you, to ensure you receive the high-quality care you deserve.
Urologic and pelvic conditions we treat
The complexity of the urinary tract and male reproductive system can create many equally complex disorders and illnesses. Our urologists work with a multidisciplinary team of providers to diagnose and treat these urologic conditions, including:
Erectile dysfunction (ED) is a condition in which males cannot obtain or maintain an erection that is suitable for sex. One cause of ED is a testosterone (the male sex hormone) deficiency, also called low testosterone or "low T."
However, there are several other causes of ED, such as damaged blood vessels, high blood pressure, high cholesterol, depression and/or anxiety, among others. Our urologists take time to determine the exact cause of your ED, so we can provide you with effective treatments to restore your confidence and quality of life.
Kidney stones are small, hard deposits of mineral and acid salts that form in the kidneys, affecting urination and causing extreme pain. For kidney stone treatment, we offer shock wave lithotripsy. This minimally invasive procedure uses high-energy sound waves to break the stones into tiny pieces that can then exit the body through your urine.
Pelvic organ prolapse
Pelvic organ prolapse is a female pelvic floor disorder. It occurs when organs in the pelvic region—such as the bladder, uterus or rectum—drop due to weakened muscles within the pelvic floor.
The prolapse can be caused by pregnancy and childbirth, obesity, long-term respiratory problems, a hysterectomy or pelvic-area cancer. Women with this disorder typically experience symptoms such as constipation, painful sex, urinary issues and back and/or pelvic pain.
Our women's pelvic health specialists combine urology and gynecologic care to treat pelvic organ prolapse and other female pelvic floor and urinary disorders. Our doctors will work with you to determine the most appropriate treatment, which may include surgery or pelvic floor physical therapy.
Urinary incontinence, also known as bladder leakage, occurs when the pelvic tissues and muscles have weakened. This can cause involuntary leakage of urine and/or increased frequency of urination.
Our urology specialists will help determine the most effective incontinence treatment for you, which may include medication, physical therapy or surgery.
We are experienced in treating all types of urologic cancer, including:
Some symptoms of these cancers may resemble other health conditions, which can make urologic cancers difficult to detect in early stages. For this reason, preventive care and cancer screenings are critical.
If cancer is detected, Sarah Cannon Cancer Institute at HCA Virginia provides comprehensive cancer care. From discovery to treatment and into survivorship, we are with you every step of the way.
Blue light cystoscopy for bladder cancer treatment
Reston Hospital Center introduced blue light cystoscopy in 2019 for the advanced detection of bladder cancer.
Cystoscopy, which uses a scope with a light to look into the bladder, has long been the standard for detecting suspicious areas in the bladder.
Blue light cystoscopy allows surgeons to more easily identify and remove tumors. It uses a combination of hexaminolevulinate hydrochloride, a drug that is taken up by cancer cells, and a blue light that help doctors identify cancerous cells because they glow bright pink against the blue areas of healthy tissue.
The improved detection abilities of blue light cystoscopy can lead to a more complete resection and fewer residual tumors.
Other urologic conditions
We also offer specialized care for these urologic issues:
- Fecal incontinence
- Kidney disease and failure (via our nephrology program at Chippenham Hospital)
- Male infertility
- Overactive bladder
- Painful bladder syndrome
- Urinary tract infections (UTIs)
Diagnosing urologic conditions
To diagnose urologic and pelvic conditions, our urology centers offer a variety of tests, including:
- Computed tomography (CT) scan
- Magnetic resonance imaging (MRI)
- Urine test
- Urodynamic test (measures the pressure and volume inside the bladder)
- X-ray imaging
Urologic and pelvic health treatments
Your urologic treatment will depend on the type of condition you have. Some of our treatments include:
- Biofeedback: This treatment uses electrodes to gather information on how your bladder functions.
- Bladder injections: This is a special injection into the bladder that can cause it to expand, which increases its capacity and decreases urgency.
- Cystocele repair: This procedure treats a prolapsed bladder by strengthening the wall between the bladder and vagina.
- Medication: Medication may be used to treat various urologic conditions, including ED.
- Neuromodulation: This treatment uses electrical impulses to help the bladder work properly.
- Non-mesh surgical options: This involves creating a sling without the use of surgical mesh.
- Kidney transplant: Following kidney failure or chronic kidney disease, a kidney transplant is necessary to preserve life. In these cases, we perform both living donations and paired exchange transplants at Henrico Doctors' Hospital's Virginia Transplant Center
- Pelvic physical therapy: This may include pelvic floor and core muscle exercises, electrical stimulation, manual therapy techniques and ultrasound to strengthen and/or retrain the pelvic muscles.
- Placement of midurethral support: This treatment involves placing a small strip of woven polypropylene under the urethra to improve support and prevent stress incontinence.
- Sacral nerve stimulation: A small implanted device electrically stimulates the nerves affecting the bladder, which helps manage the urge to urinate.
- Sacrocolpopexy: This surgical procedure treats vaginal vault prolapse and uterine prolapse.
- Sphincteroplasty: This surgical procedure is performed to correct fecal incontinence.
- Rectocele repair: This surgical procedure treats a prolapsed rectum by strengthening the walls of the vagina.
Minimally invasive urologic surgery
When urologic surgery is necessary, we use minimally invasive procedures whenever possible. Minimally invasive surgery requires very small incisions, which reduces scarring, shortens your hospital stay and speeds up your recovery.
One type of minimally invasive surgical technology we offer is robotic surgery, which uses tiny surgical instruments. It is ideal for performing procedures in and around delicate, hard-to-reach areas of the body, such as the areas in the urinary system.