General Practitioners

• Cryotherapy
  This treatment is used to destroy cells by freezing tissue. Cryotherapy involves inserting a probe into the prostate through the skin between the rectum and the scrotum (perineum). Using a specialized probe, the prostate is frozen in an attempt to destroy cancer cells. This method can damage the tissues of the urethra, bladder or rectum. Although progress continues, more time is needed to determine how successful cryotherapy may be as a treatment for prostate cancer.
• Medical Weight Loss
  Tumors of the kidneys can be benign or malignant. The vast majority are discovered as incidental findings on a CT scan of the abdomen that is performed for reasons other than assessing kidney health. In fact, the overwhelming majority of kidney tumors, both benign and malignant, are found when they are essentially asymptomatic. If a kidney tumor does grow undetected it can become symptomatic. Symptoms common to kidney tumors are blood in the urine (visible or microscopic), an abdominal mass in thin patients, flank pain and weight loss.
• Primary Care
  Dr. Steven C. Flashner is a native of Philadelphia. He graduated Phi Beta Kappa from the State Univeristy of New York at Stony Brook. He earned his M.D. degree at Thomas Jefferson University, receiving honors in urology. After a surgical internship at Medical College of Pennsylvania, he served in the Public Health Service in rural Virginia as a primary care physician. During his urology training at Duke University Medical Center, he studied urologic cancer, and earned recognition for excellence in the care of patients with urologic malignancy. Dr. Flashner completed further training at Duke University Medical Center as a fellow in pediatric urology. He served on the faculty at Duke for two years prior to starting his practice in Central Bucks County.
• Smoking Cessation
• High Cholesterol
• Emergency Care
  Our physicians are available 24 hours a day to meet your needs when emergencies occur. If you need urgent attention, go to the nearest emergency room or call 911. The emergency room physician will evaluate your medical problem and consult with us if necessary. If you need us and our office is closed, our answering service will contact us to return your call.
• Erectile Dysfunction
• Urinary Incontinence
  Surgery is the most reliable way to maximally relieve symptoms. But surgery may not relieve all your symptoms, and it puts a man at risk for certain surgical complications, including infection, bleeding, urinary retention, and urinary incontinence and ejaculation of semen into the bladder instead of out through the penis (retrograde ejaculation).

Gynecologists

• Female Infertility
• Pregnancy

Internists

• Bladder Cancer
  Bladder cancer is a malignancy that occurs in the urinary bladder — a balloon-shaped organ in the pelvis that stores urine. Bladder cancer begins most often in the cells that line the inside of the bladder. It typically affects older adults, though it can occur at any age.
• Urology
  Urology is a surgical specialty that deals with diseases of the male and female urinary tract and male sexual function and fertility concerns. Central Bucks Urology provides urology services that provide treatment for your urological concerns.
• Kidney Cancer
  Most malignant kidney tumors are renal cell carcinomas, also referred to as adenocarcinomas. 35,000 people are diagnosed with renal cell carcinoma in the United States each year. Men are more likely than women to get renal cell carcinoma and people in their mid-forties to mid-sixties are at greatest risk for the disease. Rarely is renal cell carcinoma an inherited kidney cancer. Most cases are considered to be due to a sporadic mutation. Approximately 15 to 20% of people found to have renal cell carcinoma have some form of spread of the disease when first diagnosed. The lungs are the most common site of spread. Renal cell carcinoma also tends to metastasize to the adrenal gland, the brain, the bones, the liver and the opposite kidney.
• Kidney Stones
  Ureteropelvic junction obstruction is a partial blockage of the connection site. Such obstruction impedes urine drainage and causes urine to back up in the kidney leading to increased pressure, stagnation of urine and intermittent flank pain. Increased pressure inside the kidney causes deterioration of kidney function and, in rare cases, hypertension. Stagnation of urine can lead to kidney stone formation and increases the risk of infection.
• Testicular Cancer
• Interstitial Cystitis
  The subspecialty of female urology is concerned with the diagnosis and treatment of those urinary tract disorders most prevalent in females. These include recurrent urinary tract infection, voiding dysfunction, incontinence, urethral syndrome and interstitial cystitis. Evaluation of these conditions includes a complete history and physical exam. Additional bladder studies such as cystoscopy and urodynamics may be necessary.
• Urinary Tract Infection
• Prostate Cancer
  Prostate cancer is malignancy of the small, walnut-sized gland that produces semen, the fluid that nourishes and transports sperm. Prostate cancer is one of the most common types of cancer in men, affecting about one in six men in the United States. A diagnosis of prostate cancer can trigger anxiety, not only because prostate cancer can be life-threatening, but also because treatments can cause side effects such as bladder control problems and erectile dysfunction (impotence). Fortunately, both diagnostic methods and treatment techniques for prostate cancer have dramatically improved since the 1980's.

Neurologists

• Multiple Sclerosis
  A number of acute and chronic medical conditions, and the treatment of those conditions, can contribute to ED. Most commonly, ED can result from longstanding diabetes mellitus and cardiovascular disease. High blood pressure and high cholesterol levels may affect normal erectile function, and certain medications to control high blood pressure can cause ED. Neurologic disorders such as Parkinsons, multiple sclerosis and spinal cord injuries are frequently associated with a significant degree of ED. The surgical management of prostate and rectal cancer, as well as pelvic irradiation, can leave men suffering with ED.

Psychiatrists

• Depression
• Anxiety

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Your doctor can diagnose BPH by asking questions about your symptoms and past health and by doing a physical exam. The AUA Symptom Score Index (available at the end of this site) is a questionnaire that determines the severity of symptoms. Initial tests may include a urine test (urinalysis), blood tests (serum creatinine, PSA), and a digital rectal exam. To further evaluate BPH, a transrectal prostate ultrasound can accurately measure the size of the prostate gland and determine its precise shape. Uroflow is a simple test to measure how well the urine flows out. Urodynamics is a more advanced assessment of the bladder’s function. Cystoscopy allows the doctor to directly examine the internal anatomy of the lower genito-urinary tract.
• MRI
  Once a kidney tumor is detected additional radiographic studies might be requested to further characterize the tumor. Ultrasound, CT scan with and without intravenous contrast, MRI, PET scan and angiography (a dye study of the vessels carrying blood to the tumor) can provide valuable information about the size of the tumor and its relationship to the rest of the kidney and nearby organs. Despite the availability of these studies there is sometimes the need for needle biopsy of the tumor to decipher whether it is benign or malignant. On occasion, multiple kidney tumors are identified and can involve both kidneys simultaneously.
• X-Rays
• Nuclear Medicine
  While ultrasound is a very useful screening test, it is not diagnostic of UPJ obstruction. In order to make the diagnosis it is necessary to perform a functional test or one that measures the ability of the kidney to produce and drain urine. Historically, an examination called the intravenous pyelogram (IVP) was used utilized. In this test, a dye is injected into the blood stream and the kidneys remove this substance from the blood. The dye passes into the urine and eventually out of the bladder. The dye is visible on X-ray and the physician can see the shape of the kidney, renal pelvis and ureter. Currently, the imaging modality of choice is a contrasted CT scan; this study can more precisely delineate the pertinent anatomy of the kidney and the adjacent structures. In addition, a renal scan is often obtained: this nuclear medicine study can confirm that obstruction is present and can determine the proportional function of each kidney. In certain circumstances, a ureteral stent is placed endoscopically to relieve the obstruction in order to alleviate symptoms and improve the kidney's function prior to definitive treatment.
• Computed Tomography
  Computerized tomography (CT) scan. A CT scan attempts to determine if the prostate cancer has spread to the tissues adjacent to the prostate gland, to the pelvic lymph nodes, to other organs or to the skeleton.
• Chemotherapy
  Chemotherapy uses drugs to kill cancer cells. Chemotherapy treatment for bladder cancer usually involves two or more chemotherapy drugs used in combination. Drugs can be given through a vein in your arm (intravenously), or they can be administered directly to your bladder by passing through your urethra (intravesical therapy).
• Radiation Therapy
  Radiation therapy uses high-energy beams aimed at your cancer to destroy the cancer cells. Radiation therapy can come from a machine outside your body (external beam radiation) or it can come from a device placed inside your bladder (brachytherapy).

Surgeons

• Minimally Invasive Surgery
• Vascular Surgery
  Despite making proper lifestyle changes and using the medications listed above, some men will continue to experience ED. If sufficiently motivated, these men might be candidates for vacuum erection devices, penile vascular surgery or the surgical placement of a penile prosthesis.
• Vasectomy
  One of the most common and popular means for contraception around the world is vasectomy – a brief, surgical procedure used for male sterilization. It is a popular means of birth control for couples that have decided that their family is complete. It is nearly 100% effective and is intended to be permanent.
• Robotic Surgery
  The da Vinci robotic surgery system allows the surgeon wristed movement of the instruments – this freedom of movement parallels open surgical maneuvers which are critical for precise dissection and optimal reconstruction. Additionally, the surgeon’s vision is dramatically enhanced: the surgical field is viewed at ten-fold magnification, in high-definition, and in 3-D. The vast improvement in visualization permits meticulous delineation between diseased areas from healthy tissues.
• Laparoscopy
  Since 1992, Doylestown Health Urology has provided expert management of the full spectrum of urologic conditions, including cancers of the prostate, kidney, bladder and testes, as well as stone disease, infertility, voiding dysfunction, female incontinence, prostate enlargement, sexual problems, and pediatric urological issues. Located in a state-of-the-art office building and procedure suite, our physicians are able to provide its services in an environment that is both professional and comfortable. The Practice’s four board-certified, Duke University-trained physicians have maintained an ongoing commitment to incorporating new technologies in their delivery of healthcare. The urologists at our Bucks County practice offer a wide spectrum of minimally-invasive surgeries, including: laparoscopy, no-needle no-scalpel vasectomy, Greenlight laser prostatectomy, holmium laser lithotripsy, extracorporeal sound-wave lithotripsy, transvaginal slings for female stress incontinence, and the surgeries using the da Vinci robotic surgical system.

Plastic Surgeons

• Laparoscopic Surgery
  Since the introduction of laparoscopic gall bladder surgery twenty years ago, open surgical approaches have progressively been replaced by minimally-invasive techniques. In the field of Urology, Laparoscopic Nephrectomy (removal of the kidney) gradually became the standard of care for Kidney Cancer. The inherent technical limitations of standard laparoscopic instrumentation inhibited the application of Laparoscopic surgery for most other Urologic surgeries.
• Gynecomastia

Dermatologists

• Ulcer
  Loose stools, rectal bleeding, discomfort during bowel movements or a sense of needing to have a bowel movement (rectal urgency) occur in some patients. In most cases these problems eventually resolve. Incontinence of stool occasionally occurs. For long-term rectal symptoms, medications can help. Rarely, men develop persistent bleeding or a rectal ulcer after radiation. Surgery may be necessary to alleviate these problems. Sexual side effects. Radiation therapy doesn't usually cause immediate sexual side effects such as erectile dysfunction, but most men who have undergone radiation treatment experience sexual problems within two years of treatment.

Physical Therapists

• Back Pain