Urologic care in Derry, New Hampshire
Our personalized urologic services can positively impact your daily life.
At Parkland Medical Center, our compassionate urologists provide accurate diagnoses and evidence-backed treatments. We care for a number of conditions affecting the bladder, kidneys, ureter, urethra, sphincter muscles and male reproductive system.
Expert advice, available 24/7
Free health-related information is just a phone call away. Our nurses help you understand your symptoms, treatment options and procedures. They will also help you find a provider or specialist and schedule an appointment.
Free health-related information is just a phone call away. Our nurses help you understand your symptoms, treatment options and procedures. They will also help you find a provider or specialist and schedule an appointment.
Urologic conditions we treat
Our physicians work to restore your health by treating urologic disorders, such as:
- Adrenal masses
- Benign prostate hyperplasia (BPH)
- Bladder cancer
- Kidney stones
- Pelvic floor abnormalities
- Pelvic floor dysfunction (PFD)
- Pelvic injuries and complex conditions
- Pelvic organ prolapse
- Pelvic voiding dysfunction
- Prostate cancer
- Prostatitis
- Testicular cancer
- Ureteral blockages
- Ureteropelvic junction obstruction (UPJO)
- Urinary incontinence
- Urinary tract irregularities
Our urologic treatments and services
Our urology specialists study your unique condition before providing you with a comprehensive, personalized care plan.
Prostate health
The prostate is a small male reproductive gland, about the size and shape of a walnut. Your prostate changes as you grow older, and can start to create problems. An example of non-cancerous prostrate change is prostate growth that squeezes the urethra and makes it difficult for you to pass urine.
The three most common prostate changes are:
- Inflammation, also known as prostatitis
- Enlarged prostate or benign prostatic hyperplasia (BPH)
- Prostate cancer
Diagnosing and treating prostate conditions
Symptoms of prostate conditions can appear in men between 30 and 49 years old, but usually don’t present until much later. You may notice:
- Burning when you urinate
- Frequently waking up at night to pass urine
- Less urine flow
- Passing more urine during the day
- Urgent need to urinate
Regular checkups with your doctor can reveal prostate changes that need attention. Your doctor may prescribe antibiotics, anti-inflammatory medications or muscle relaxants to treat your prostatitis. If your doctor suspects prostate cancer, you’ll undergo additional screening and diagnostic tests. We offer prostate biopsy under sedation.
Your treatment plan may include:
- Active surveillance
- Hormonal therapy
- Urologic surgery
- Radiation therapy
Urologic cancer care
About one in eight men will be diagnosed with prostate cancer during their lifetime. Early detection can save your life, so it’s important to get screened. If cancer is detected during your screening, our skilled urologists will work with your primary care physician and an oncology specialist to design and implement your treatment plan. This collaborative approach, along with our network of resources, enables you to participate in a range of therapies and clinical trials.
We treat cancers affecting the:
- Adrenal glands
- Bladder
- Kidneys
- Prostate
- Testicles
If you need help returning to your daily routine before, during or after cancer treatments, we can refer you to a related service, such as physical therapy and rehabilitation.
Urinary incontinence care
Urinary incontinence is the involuntary or accidental loss of urine. Anyone can experience this condition, but adult women are twice as likely as adult men to experience urinary incontinence. Regardless of gender, the risk of urinary incontinence increases with age. You can take steps to reduce its likelihood as well as explore urinary incontinence treatment options, such as:
- Behavioral remedies — Including bladder retraining, fluid restriction, Kegel exercises, pelvic floor exercises and biofeedback to improve muscle function
- Medications — For overactive bladder, prostate enlargement, hormonal imbalances, bladder outlet obstruction, as well as muscle relaxation and spasm
- Sacral neuromodulation — Similar to a pacemaker for the bladder
- Surgery following radical prostatectomy — Such as a bladder sling or artificial urinary sphincter
- Surgical procedures for women — Such as a mid-urethral sling or bladder sling
- Vaginal devices and injections — For stress incontinence
Urogynecology
Our urogynecologists focus on caring for female pelvic conditions. Through our gynecology program, our urogynecologists diagnose urinary and pelvic floor disorders in women and provide the latest treatments to improve your health and comfort.
Urologic surgery
We perform surgery for a variety of disorders, including genitourinary and urologic cancers. Some of the procedures we offer are minimally invasive, which offers you many potential benefits. Our urologic surgeons offer many procedures, including:
- Cystectomy — Removal of the urinary bladder
- Nephrectomy — Total or partial removal of a kidney
- Prostatectomy — Removal of the prostate gland
- Pyeloplasty for ureteral pelvic junction (UPG) obstruction — Repair of kidney blockages
- Sacrocolpopexy — Surgical correction for vaginal vault prolapse