General Practitioners

• Osteoporosis
• Cryotherapy
  Cryotherapy: During an operation probes are placed in the prostate. The probes are then frozen which kills the prostatic cells.
• Male Infertility
• Erectile Dysfunction
• Urinary Incontinence
  Hypermobility: A condition characterized in which the pelvic floor muscles can no longer provide the necessary support to the urethra and bladder neck. As a result, the bladder neck drops when any downward pressure is applied and causing involuntary leakage. This condition is the most common cause of stress urinary incontinence.

Gynecologists

• Female Infertility

Internists

• Bladder Cancer
• Urology
  Dr. Bombino moved to Arizona from New Mexico in 1997 where he completed a residency as the chief resident of urology at the University of New Mexico Health Science Center. He was a summa cum laude graduate of Washington State University with a bachelor of pharmacy degree and earned his medical degree at the Chicago Medical School. He is board-certified by the American Board of Urology.
• Kidney Cancer
• Kidney Stones
  Chemolysis: Certain types of kidney stones can be dissolved with the application chemicals. Uric acid stones, for example, can be dissolved with a solution of sodium bicarbonate in saline. Cystine stones may be treated successfully with a combination of acetylcysteine and sodium bicarbonate in saline. Struvite and carbon apatite stones can be treated with an acidic solution of hemiacidrin. The procedure involves infusing the chemical solution into the affected area by means of a ureteral catheter in a series of treatments over time until the stone is dissolved. The patient's urine must be cultured regularly throughout the course of treatment to guard against urinary infection and prevent the buildup of excessive chemical levels, particularly magnesium, which can cause other health problems.
• Testicular Cancer
• Interstitial Cystitis
• Urinary Tract Infection
• Prostate Cancer
  Artificial urinary sphincter (AUS): Sometimes complicated cases of incontinence require implantation of a device known as an artificial urinary sphincter. People who might benefit from this treatment include those who are incontinent after surgery for prostate cancer or stress incontinence, trauma victims and people with congenital defects in the urinary system. The artificial sphincter has three components, including a pump, balloon reservoir, and a cuff that encircles the urethra and prevents urine from leaking out. The cuff is connected to the pump, which is surgically implanted in the scrotum (in men) or labia (in women). The pump can be activated (usually by squeezing or pressing a button) to deflate the cuff and permit the bladder to empty. After a brief interval, the cuff refills itself and the urethra is again closed. Because the artificial sphincter is an implant, it is subject to the risks common to implants, such as infection, erosion (breaking down of tissue) and mechanical malfunction. Yet with appropriate pre-surgical evaluation, operative techniques and postoperative follow-up, many problems can be avoided and incontinent patients can experience an improved quality of life with this device.

Psychiatrists

• Anxiety

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Brachytherapy: Involves the placement of tiny radioactive pellets into the Prostate gland. By utilizing ultrasound to place the seed pellets, damage to surrounding tissues is minimized. Approximately 13,500-16,000 rads of radiation energy is delivered directly to the Prostate. This procedure is performed on an outpatient basis. It is a one time procedure with very effective results. The 10-year follow-up outcome data parallels that of Radical Prostatectomy.
• Radiation Therapy
  External beam radiation therapy: A 25-28 treatment protocol that utilizes External Beam Radiation. Approximately 6800-7400 rads of radiation energy is delivered to the Prostate. There can be some radiation effect on surrounding tissues.

Surgeons

• Vasectomy
  Vasovasostomy: Vasovasostomy is a vasectomy reversal, the re-connection of the severed ends of the vas deferens restoring the flow of sperm through the vas deferens.
• Laparoscopy
  Laparoscopy: Surgery using an laparoscope to visualize internal organ through a small incision. Generally less invasive than traditional surgeries requiring a shorter recovery period.
• Reconstructive Surgery

Plastic Surgeons

• Gynecomastia
  Hormonal therapy: Involves the use of anti-androgens. An androgen is a male hormone needed for the production of testosterone. By depriving the cancer cells of the testosterone they need for growth, tumors regress in size and cellular activity. Side effects include gynecomastia, the enlargement of breast tissue, hot flashes, and loss of libido ( desire to have sex ). Some long term hormonal therapy is associated with the loss of muscle mass, osteoporosis, and malaise ( loss of energy ).

Dermatologists

• Cyst
• Ulcer
  Chancre: A hard, syphilitic primary ulcer, the first sign of syphilis, appearing approx. 2 to 3 weeks after infection. The ulcer begins as a painless lesion or papule that ulcerates. Occurs generally singly, but sometimes may be multiple.