(843) 556-2545
1844 Wallace School Road, Charleston, SC, 29407

Stone Disease

All Lowcountry Urology doctors have years of experience and training in the latest kidney stone treatment techniques. Most stones are treated using minimally invasive techniques, without using incisions, and with rapid recovery times.


  • Extracorporeal Shock Wave Lithotripsy
    • This procedure involves the use of high intensity sound pulses to break stones from outside the body.


  • Ureteroscopy and Laser Lithotripsy
    • A small telescope in inserted through the urethra and into the ureter and guided to the level of the stone. A small laser is then placed through the scope and used to fragment the stone. The pieces are either allowed to pass spontaneously, irrigated out, or retrieved with a small basket.


  • Cystolithopaxy (Bladder stone removal)
    • A small telescope is inserted into the bladder and either an ultrasound device or laser fiber is used to break the stones. Stone pieces are then extracted through the scope.


Stone Disease

All Lowcountry Urology doctors have years of experience and training in the latest kidney stone treatment techniques. Most stones are treated using minimally invasive techniques, without using incisions, and with rapid recovery times.


  • Extracorporeal Shock Wave Lithotripsy
    • This procedure involves the use of high intensity sound pulses to break stones from outside the body.


  • Ureteroscopy and Laser Lithotripsy
    • A small telescope in inserted through the urethra and into the ureter and guided to the level of the stone. A small laser is then placed through the scope and used to fragment the stone. The pieces are either allowed to pass spontaneously, irrigated out, or retrieved with a small basket.


  • Cystolithopaxy (Bladder stone removal)
    • A small telescope is inserted into the bladder and either an ultrasound device or laser fiber is used to break the stones. Stone pieces are then extracted through the scope.



Female and Male Incontinence

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Many of the doctors of Lowcountry Urology Clinics have extensive experience in the treatment of both male and female incontinence. The procedures listed are minimally invasive, provide durable results, and rapid recovery times.


  • Midurethral Slings
    • A small ribbon of material, similar to silk, is placed under the urethra to provide support and reduce stress incontinence. This procedure may be performed in either women or men.


  • Cystocele and Rectocele Repair (Bladder and Rectal Prolapse)
    • A small vaginal incision is used to repair bulging of either the bladder or rectum into the vaginal canal.


  • Periurethral Injection
    • A scope is inserted into the urethra and a bulking material is injected need the natural sphincter muscle. The bulking agent allows the natural valve area to close tighter and more effectively, reducing episodes of stress incontinence.


  • Male Sling
    • A small ribbon of material with a consistency similar to silk is placed under the urethra to provide additional support. This procedure is performed through a small incision under the scrotum.






Voiding Dysfunction

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  • Diagnostic Cystoscopy
    • A small telescope is placed through the urethra into the bladder to diagnose problems associated with the bladder including irritation, infection, sources of bleeding, and tumors.


  • Bladder Hydrodistention
    • This procedure is helpful in patients who have problems with bladder irritation, urgency, spasm, or other forms of bladder dysfunction. A small telescope is placed through the urethra into the bladder and fluid is instilled into the bladder under mild pressure. The bladder is then drained and the scope is removed.


  • Botox Injection
    • This procedure is helpful in patients who have problems with bladder irritation, refractory urgency, refractory urge incontinence, spasm, or other forms of bladder dysfunction. A small telescope is placed through the urethra into the bladder and botulinum is injected just beneath the bladder surface. The bladder is then drained and the scope is removed.


  • Sacral Neuromodulation
    • This procedure is helpful in select patients with refractory urgency and urge incontinence, chronic pelvic pain, and other forms of bladder dysfunction. A small electrode is placed near the sacral spinal cord and attached to a electrical stimulatory. Electrical pulses are delivered around the nerve roots to allow for improved bladder function.


  • Urethral Dilation
    • This procedure is helpful in select patients with urethral and bladder pain. Several small dilators are placed sequentially into the urethra to safely stretch the opening.






Scrotal Surgery

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  • Hydrocelectomy
    • A hydrocele is the accumulation of fluid around the testicle. The fluid can be safely removed through a small incision on the scrotum and removal of the sac containing the fluid.


  • Orchiectomy
    • This procedure is indicated when a testicular tumor or other testicular pathology is present. The testicle is removed through a small incision in the inguinal area.


  • Epididymectomy
    • This procedure is indicated when an epididymal mass or other paratesticular pathology is present. The epididymal structure is removed through a small incision on the scrotum


  • Spermatocelectomy
    • This procedure is indicated when an epididymal mass or other paratesticular pathology is present. The spermatocele is removed through a small incision on the scrotum.


  • Vasectomy
    • The physicians of Lowcountry Urology Clinics have many years of experience performing vasectomies for the Charleston male community. The vasectomy procedure results in sterilization and is an effective, permanent method of birth control. During the procedure, the surgeon severs each of the vas deferens (ducts that transport sperm from the testicles), then ties or seals them to prevent sperm from exiting the body in the ejaculate. There are various methods of performing the vasectomy procedure but, all are minimally invasive, take around a half hour to perform, cause minimal discomfort, and require brief healing periods of about a week. Lowcountry Urology doctors provide consultation to help choose the right surgical option for each patient.






Male Infertility

At Lowcountry Urology we have several physicians who specialize in treating male infertility. Our doctors are well versed in the latest diagnostic strategies and treatment methods.


  • Vasectomy Reversal
    • Lowcountry Urology doctors advise patients considering vasectomy to think of the decision as a permanent one. However, various life scenarios cause men to seek vasectomy reversal. Unforeseen events such as death of spouse, divorce followed by remarriage, or the death of a child lead some patients to desire reversal of the vasectomy procedure. We have several Urologists at Lowcountry Urology who specialize in vasectomy reversal techniques. Success rates vary by circumstance and time but our doctors are happy to discuss the best surgical course of action with each individual patient.


  • Sperm Aspiration
    • Sperm aspiration is required in the setting of in vitro or in vivo fertilization. After the scrotal skin is anesthetized, a small gauge needle is used to extract sperm from the testicular storage tubules. The sperm are then mated with a female egg in a laboratory environment.



Prostate Diseases: Prostate Cancer or Benign Prostatic Hypertrophy

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  • Greenlight Photovaporization
    • Severe cases of benign prostatic hypertrophy (BPH) cause obstruction of the flow of urine resulting in symptoms such as trouble initiating urination, urinating too frequently, voiding multiple times at night, and a weak urinary stream. Urinary tract infection, loss of kidney function, and bladder stones may also occur. The Greenlight laser is inserted through a small telescope placed inside the prostate. The laser is then used to vaporize the prostate tissue, remove the tissue, and provide for improved urine flow and bladder emptying.


  • Transurethral Resection of the Prostate (TURP)
    • Severe cases of benign prostatic hypertrophy (BPH) cause obstruction of the flow of urine resulting in symptoms such as trouble initiating urination, urinating too frequently, voiding multiple times at night, and a weak urinary stream. Urinary tract infection, loss of kidney function and bladder stones may also occur. In select cases, surgical removal of the prostate tissue is advisable. The TURP procedure involves the placement of a small telescope inside the prostate where an electrified loop is used to remove the prostate tissue. Removal of the tissue improves urine flow and bladder emptying.


  • Prostate Biopsy
    • A biopsy of the prostate gland is indicated in the setting of an elevated prostate specific antigen (PSA) blood test or a palpable abnormality of the prostate on physical exam. A prostate biopsy is used to detect the presence of prostate cancer. The prostate biopsy involves placement of an ultrasound probe into the rectum and a biopsy needle placed through the probe is used to collect samples of prostate tissue. The tissue is analyzed by a pathologist to determine if prostate cancer is present.






Bladder Pathology
  • Cystoscopy and Bladder Biopsy
    • Cystoscopy involves placing a telescope into the bladder to inspect the surface. If a suspicious lesion is encountered, a biopsy is usually indicated. A small area of bladder tissue is removed and the base cauterized. Occasionally, a foley catheter is required after the procedure.


  • Transurethral Resection of Bladder Tumors
    • If the diagnosis of a localized bladder tumor has been made a telescope is inserted into the bladder and used to remove the tumor. The tumor is removed from the bladder surface using a specialized cutting tool and the base is cauterized. The tumor is removed from the bladder and sent to a pathologist for further diagnostic information. This information is used to make further treatment decisions.



Erectile Dysfunction
  • Placement of Penile Prosthesis
    • The surgical treatment of erectile dysfunction often involves the placement of a penile prosthesis. Several types of prostheses exist including malleable, 2 piece, and 3 piece variants. Lowcountry Urology physicians are well versed in the placement of all types of penile prosthetics.



Penile Disorders

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  • Peyronie's Disease Treatment
    • Peyronie’s disease involves a curvature of the penis that hinders sexual function and intercourse. A small plaque or scar tissue area develops that causes deviation of the penis during an erection. Xiaflex is an FDA approved medication for the treatment of Peyronie’s disease as an injection into the plaque. Surgery can also be performed to remove the plaque or offset the curvature.


  • Condyloma Removal
    • Condyloma is caused by a sexually transmitted virus and appears as a wart-like lesion on the penis or genital area. Small condylomas may be treated with medication, but some may require surgical removal or cauterization.


  • Circumcision

    Men who experience the following conditions, may consider circumcision:


    • Phimosis: a condition where the foreskin is constricted and cannot be pulled back over the head of the penis, or glans.


    • Balanoposthitis: a recurring type of infection that causes inflammation of the glands of the penis.


    • Paraphimosis: a rare condition where the foreskin gets stuck in its retracted position, and it cannot be replaced to its usual position. The glans becomes swollen and painful.


    • Other Types of Foreskin or Penile Infections


    • Certain Penile Cancers


    • Many men also choose circumcision for reasons of appearance, culture, hygiene or to help prevent infection, and an increased risk of STDs and HIV. Circumcision involves making a circumferential incision around the penis to remove the excess sleeve of foreskin. Sutures are then used to reapproximate the two edges of skin together.






Podiatric Surgery

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