Daniel Urological Center, Inc. offers treatment for but not limited to the following conditions:

o                                We treat Diseases of the Kidney including stone disease, tumors, congenital abnormalities, and acquired disorders. Surgical treatments include conventional open and laproscopic approaches.  We have a state of the art LithoStar Lithotripter for the treatment of kidney and ureteral stones without the need for general anesthesia. We also offer percutaneous stone removal procedures for patients with very large or multiple large stones.  We perform endoscopic stone removal procedures as well utilizing the holmium laser device. We are able to treat renal tumors by all accepted modalities including laproscopic cryoablative procedures, partial nephrectomy, and radical nephrectomy.

o                               We treat Ureteral problems including stones, strictures, tumors, congenital abnormalities, reflux, and obstruction.  We perform reconstructive procedures for ureteral injuries and other indications, utilizing the bladder to form a new ureteral tube or by utilizing intestinal substitution.

o                                We treat Bladder problems including tumors, stones, interstitial cystitis, incontinence, and protrusion of the vagina, bladder, and uterus. Dr. Cope is currently recognized as an instructor for training new physicians on the Interstim procedure for the most severe functional bladder problems which have failed  more traditional management options.

o                                We treat Urinary Incontinence  from a host of different etiologies in both men and women.  The treatment options  include pubovaginal sling procedures, collagen injection, and placement or revision of artificial urinary sphincters.  Over time, some artificial urinary sphincters will cease to function properly whether it is from atrophy of the urethra, mechanical problems, or infection.  Often it becomes necessary to place two urethral cuffs rather than one. Sometimes device failure  will require changing the reservoir pressure, original cuff size, or a combination of all three of these options may become necessary.

o                                We perform Hernia repairs in babies, children, and men when needed. This may mean removal of the hernia sac, reinforcement of the inguinal floor, or both. This is generally performed as an outpatient procedure.

o                                We treat Testicular problems including intermittent or complete torsion, hydroceles, varicoceles, and spermatoceles.  We can perform scrotal ultrasound in our office for the evaluation of testicular masses and tumors.  We treat children for failure of descent or maldescent of the testicles, as well as congenital absence. We offer laproscopic examination for nonpalpable undescended testes thus avoiding a larger incision when appropriate.

o                                Penile problems we treat  include Erectile Dysfunction and evaluation.  We also treat problems with abnormal curvature, which may be a sign of Peyronies’ disease, penile fracture, tight foreskin generally referred to as phimosis, and hypospadias. A comprehensive treatment program of erectile function is available from medical treatments with oral medications, chemical injections therapy, and procedures for the insertion of penile prosthetic devices providing improved spontaneity, confidence, and performance. This treatment although usually regarded by patients as last resort, is far and away the treatment which seems to yield the greatest patient and partner satisfaction.  Most patients actually ask why they were not told to do this sooner.

o                                We take care of Prostatitis and other urinary infectious or inflammatory conditions.  This can lead to various expressions of pain, voiding problems, and performance issues.

o                                We see many men for problems with Male Infertility as well as decreased testosterone levels.  These may be the result of prior vasectomy, varicocele, congenital testicular problems, or even pituitary problems. 

o                                We offer treatments for Benign Prostatic Hyperplasia (BPH) including the Green Light PVP laser procedure, Thermotherapy, open surgical removal, and conventional resection. We are able to provide in office thermotherapy treatments including the Prolieve thermodialtion procedure.  This is a painless office procedure and can be performed in as little as 40 minutes.  It does not require a catheter to be inserted afterward for most men, and  results in rapid symptomatic improvement for most men without the cost of a hospital procedure or the associated anesthesia risk.  The procedure causes the prostate to shrink away over several weeks after the procedure.  Sometimes there will be a transient increase in urinary frequency while the dead tissue is breaking down into the urine.

o                                We screen for and treat Prostate Cancer .  Treatment options include surgical removal, cryotherapy, radioactive seed implantation, hormonal therapies, and external beam radiotherapy. Cryotherapy is a relatively new option compared to the others which has appeal to many individuals.  It allows the prostate tissue to be killed by freezing rather than being removed or radiated. It has the advantage of utilizing a single ice ball to kill the prostate tissue.  This seems to be a real advantage over having 60 to 70 radioactive seeds placed throughout the prostate.  It allows for treatment up to the intestinal border of the prostate as well under continuous ultrasound monitoring.

o                                We offer a full spectrum of Bladder Cancer treatments including bladder instillation of anti-tumor medications, endoscopic resection, complete bladder removal, and surveillance. We work closely with oncologists and radiation oncologists when appropriate through our comprehensive cancer center to offer the best treatments available with an effort to preserve the native bladder whenever possible without compromising your treatment.

o                               There are many types of  Kidney Cancer   which we are able to cure effectively with partial or total nephrectomy.  Sometimes it is appropriate to utilize laproscopic techniques as opposed to open surgery. Yet other tumors often may be treated by cryoablative procedures rather than surgical removal through a laproscope.

o                               As mentioned previously in the section regarding bladder disease,  Interstitial Cystitis and other inflammatory bladder disorders may be treated by a number of surgical and medical means.

o                                We treat acute and chronic Urinary Tract Infection and the associated pathological conditions which may cause them.

o                                Hematuria, or Blood in the urine, is a very common problem we evaluate. This may be due to something very simple or to life threatening bladder, kidney, or ureteral cancers.  Stones are a frequent cause of this problem as well.

o                               We treat all aspects of Female Urology as well including problems related to voiding, sexual function, incontinence, protrusion, and infection.

o                                We offer many office procedures including:  Vasectomy reversal, cystoscopy, removal of genital warts,   and prostate ultrasound and biopsy.  We offer ultrasound of the kidney, bladder, and testis. Ultrasound  bladder residual determinations can be performed which allow us to determine how well you are emptying your bladder without the need to insert a catheter and the pleasures associated with that!  We offer flow studies to determine how well your bladder empties,  PSA testing, testosterone and hormonal testing, stone analysis, urinalysis, semen analysis, and other procedures.

 o                              We are able to achieve Excellent patency results with Vasectomy Reversal.  This can be     achieved in our Mebane office under a local anesthetic or in the hospital under a general anesthetic by Dr. Daniel.  The tremendous cost savings which we are able to offer by performing this service in our office has met with overwhelming popularity.