Featured Services

Clinical Lab

At the Urology Center, we conveniently provide onsite diagnostic testing for a variety of conditions. This allows us to provide most test results within 24 hours. This enables our physicians (and referring physicians) to provide prompt and accurate diagnosis of a patient's condition to support more effective and timely treatment. 

Our clinical lab is certified by the state of South Carolina and all of the laboratory technicians are certified by the American Society of Clinical Pathology (ASCP), a national organization that sets and maintains high standards for excellence in the practice of clinical laboratory testing.


Some of the clinical tests we provide include: 

  • Automated Urine Analysis with microscopic evaluation

  • Prostate-Specific Antigen (PSA) – used in the diagnosis of prostate cancer

  • Free and Total PSA (also called PSA-f or FPSA) – helps your urologist decide whether a prostate biopsy is necessary

  • Testosterone – male hormone responsible for sex drive and muscle mass

  • Complete Blood Count (CBC) – used as a screening test for various disease states including anemia and inflammatory processes

  • Basic Metabolic Profile or BMP – a standard set of tests for sodium, potassium, chloride, glucose, BUN and creatinine levels in your blood. It reveals important information about the status of your kidneys, blood sugar, electrolytes and blood pH balance

  • Post Vasectomy Sperm Check – to ensure success of the procedure

  • Urine Pregnancy Test – a fast and accurate determination of pregnancy in women

  • BladderChek™ – a rapid test for the detection of the protein which is abundant in
    urine of persons with risk factors or symptoms of bladder cancer or with a history of bladder cancer

 
 

CT Scan

CT (computed tomography) scan, sometimes called CAT scan, is a noninvasive diagnostic test performed by specialized X-ray equipment combined with sophisticated computers. It creates a three-dimensional picture of the inside of a patient’s body. The machine circles a patient’s body and scans an area from every angle within that circle. The machine measures how much the X-ray beams change as they pass through the body.

A CT scan is an excellent way to view the organs inside your abdomen and pelvis. It is especially useful for looking at solid organs, such as the liver, pancreas, spleen, kidneys, bladder and reproductive system. It enables our physicians and radiologists to easily and accurately diagnose potential problems.

 

Benefits to patients

  • A fast and accurate diagnostic tool for studying the abdomen and pelvis and provides detailed, cross-sectional views of body tissue.

  • Supports more accurate diagnosis and treatment of abnormal tissue conditions and cancerous growths.

  • Provides for more accurate detection, diagnosis and treatment of urinary and reproductive diseases.

Examples of the most frequent types of CT Scans we perform include:

  • Abdominal scans

  • Pelvic scans

  • Scans with and without contrast for more accurate viewing

 

da Vinci Robotic Surgery

If you or a loved one has been diagnosed with a condition that may require surgery, you owe it to yourself to learn about all of your medical options, including the most effective, least invasive surgical treatments available.

The da Vinci® Surgical System provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon's hands at the controls of a state-of-the-art robotic platform. The da Vinci System enables surgeons to perform even the most complex and delicate procedures through very small incisions with unmatched precision. Dr. Hull and Dr. Ellis have performed over 800 da Vinci robot-assisted procedures at Spartanburg Regional Institute for Robotic Surgery in Spartanburg, SC. Procedures performed in include prostatectomies, mephrectomies, partial mephrectomies, ureterolithotomies, pyeloplasties.

For the patient, benefits may include:

  • Significantly less pain

  • Less blood loss

  • Less scarring

  • Shorter recovery time

  • A faster return to normal daily activities

  • And in many cases, better clinical outcomes

da Vinci Prostatectomy

Facing any kind of urologic surgery creates a great deal of anxiety for most men. Among your concerns is: “Will my body function normally following surgery?” Traditional open urologic surgery – in which large incisions are made to access the pelvic organs – has been the standard approach when surgery is warranted. Yet common drawbacks of this procedure include significant post-surgical pain, a lengthy recovery and an unpredictable, potentially long-term impact on continence and sexual function.

da Vinci Surgery, a minimally invasive approach that utilizes the latest in surgical and robotics technologies, is ideal for delicate urologic surgery. This includes prostatectomy, in which the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function.

 

Learn More: Minimally invasive options for urologic surgery
Learn More: da Vinci Prostatectomy

Click here to see Chart 1: Outcome Comparison: Surgery vs. Radiotherapy

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits. 

1 Johnson W, Demaria E. Surgical treatment of obesity. Curr Treat Options Gastroenterol. 2006 Apr;9(2):167-74.

For additional information on minimally invasive surgery with the da Vinci® Surgical System, visit www.davincisurgery.com.

 

Pathology Lab

When the urologist feels that it is necessary to perform a biopsy, based a patient’s clinical history, symptoms, physical exam and/or laboratory results, tissue samples are sent to our pathology laboratory for processing. The urologist may also order a urine cytology test if needed. A board certified pathologist, looks at the tissue or urine under a microscope to determine if disease is present.
The Urology Center of Spartanburg Department of Pathology began operations in May of 2007. It was the first clinician practice owned pathology laboratory in South Carolina. All biopsy and urine cytology specimens are processed and diagnosed in-house by a highly trained technical staff and a board-certified pathologist.
 

An average of 600 prostate biopsy cases, 500 bladder biopsy cases and 1500 urine cytology cases are processed per year.

There are several advantages to an in-house pathology laboratory:

  • There is an increased interaction between the urologist and the pathologist. This allows both doctors to have a more complete picture of the patient’s overall condition leading to better patient care.

  • There is more control over the specimen by processing it on site. This allows the same quality standards that are applied to all other aspects of patient care at the Urology Center of Spartanburg to be applied to biopsy and urine cytology specimens.

  • The urologist receives a comprehensive picture (from the patient's medical history, office examination, and office procedures) of the necessary steps in providing complete urological care.

Preoperative Assessment

Once it’s been determined that surgery is a necessary part of a patient’s treatment, the Urology Center provides an overall assessment of the patient’s health and medical history before the scheduled surgical procedure. This preoperative assessment, usually done 3 or 4 days prior to surgery, takes approximately 1-3 hours to complete.

The assessment may include a medical evaluation of the patient, a review of any existing health conditions that should be considered, a consultation between the anesthesia staff and the surgical team, and an evaluation of the need for further medical tests. It provides our surgical team with all the information they need about the patient and his or her condition before surgery.

The Preoperative Assessment generally includes a review of:

  • Lab work and results

  • Electrocardiogram (EKG)

  • Patient assessment

All your needs in one convenient location

For patients, our preoperative services are easy and convenient. If additional diagnostic tests are needed before surgery, they can usually be done within 24 hours. All members of the surgical team are in one place. This allows for an efficient and effective pre-surgical assessment and communication of information among the surgical team members.

 

Testosterone Replacement Therapy

Testosterone deficiency, or male hypogonadism, results when the body does not produce enough of the male sex hormone, testosterone.  This condition can be common in men over 50.  Testosterone plays a critical role in male sexual development and helps maintain energy levels, sex drive, bone health and fertility.
 
Symptoms of low testosterone levels include:

  • Decreased sex drive

  • Erectile dysfunction

  • Growth of breast tissue

  • Infertility

  • Muscle weakness

  • Bone strength loss

  • Diminished body hair

  • Mood disorders

 
Diagnosis
Diagnosis is made through bloodwork testing.  Additional testing may include hormone tests, semen analysis, testicular biopsy and imaging tests.
 
Treatment
Our treatment options include testosterone replacement in the form of one of the following:

  • Patches

  • Gel

  • Tablets

  • Pellets

  • Intramuscular injection

 
 

Treatment Center

One of the main benefits for patients of the Urology Center of Spartanburg is being able to receive diagnosis, laboratory testing, screening and medical treatment all in one convenient location. Our Treatment Center works in cooperation with our Surgical Center to offer a broad range of medical therapies and treatments of urological issues.

Some of the treatments and serious conditions we treat include:

  • Bladder cancer – We provide a variety of sophisticated diagnostic techniques and technologies to diagnose and treat bladder problems including cancer. Standard cancer treatments include surgery, radiation therapy, chemotherapy and biologic therapy. 

  • Interstitial Cystitis (painful bladder) – Although this chronic and painful condition currently has no cure, we provide several modern therapies to help patients manage its symptoms, to feel better and live a more normal life. 

  • Prostate cancer – The more standard treatments for prostate cancer include surgery and radiation therapies, though we also use a procedure called urinalysis hormone ablation therapy. This therapy removes the chemical hormone that “feeds” cancer cells and can stop or slow the growth and spread a tumor.

 

Urinary incontinence is an involuntary leakage of urine. It is a common and distressing medical problem that is often treatable through proper diagnosis and therapies. Our urologists focus first on the medical conditions causing the incontinence. Then through a variety of tests we determine the cause and proper therapy to improve the problem.

Some of the therapies we use to treat incontinence include:

  • Pessary care – This alternative therapy for women uses the insertion of a removable medical device into the patient’s vagina to support and tighten weak muscles in the pelvic area to improve or restore urinary continence.

  • E-Stim – This therapy uses electrical stimulation to retrain and strengthen weak urinary muscles and improve bladder control.

  • Biofeedback – With this modern therapy, patients are taught to exercise and strengthen pelvic and abdominal muscles. A simple instrument records small electronic signals that are produced when the patient successfully contracts the correct muscles, helping him or her gain greater control over urinary muscle activity.

  • Geneveve
    Viveve, a women’s sexual health company based in California, has introduced a treatment specifically meant to treat vaginal laxity in women: Geneveve™. Vaginal laxity is a common issue for women due to childbirth or aging. There are many symptoms associated with vaginal laxity in women, including:

    • Stress urinary incontinence (dribbling after you cough, sneeze, laugh, or exercise)

    • Urge incontinence (strong or sudden need to urinate)

    • Looseness of the vaginal wall or lack of tightness

    • Vaginal dryness & lack of lubrication during sexual activity

    • Lack of sensation & sexual desire

If you or a family member is experiencing the symptoms incontinence, there is no need to suffer. Contact the Urology Center and schedule an appointment with one of our urologists today.

Ultrasound & X-Ray

Early and accurate diagnosis is the best course for treatment of any urological problem. An early examination could uncover potential warning signs that might lead to more serious, but preventable, health issues. At the Urology Center we offer a range of modern diagnostic imaging technologies and highly skilled physicians to help determine the source of a patient’s urologic and reproductive issues.

 

Some of the diagnostic and treatment technologies we use include:

Diagnostics

  • Renal ultrasound – Uses sophisticated sound waves (sonogram) to produce pictures of the inside of the body. It is used to detect obstructions in the kidney and to detect circulation problems in the renal (kidney) arteries.

  • Scrotal ultrasound – Ultrasound imaging of the male scrotum is the primary imaging method used to evaluate disorders of the testicles. This diagnostic procedure is ordinarily used reveal tumors, detect injury or trauma, diagnose pain or swelling and evaluate the causes of infertility.

  • TRUS (transrectal ultrasound) and biopsy – A technique that uses an ultrasound probe inserted into the rectum to allow a physician to visually examine a man’s prostate and diagnose problems. The ultrasound image allows the physician to accurately obtain needle tissue samples (biopsy) to diagnose the presence of cancer cells.

 

KUB – Abdominal X-Ray 

KUB (kidney, ureter, bladder) abdominal X-rays are used as a specific diagnostic tool by our physicians to locate problems in the urinary system, especially kidney stones.

Penile Doppler Ultrasound

Dr Pryor and The Urology Center is one of the only centers in the state that offers diagnostic imaging of blood flow to the penis to assess the exact cause of erectile dysfunction. This is an individualized approach to not only finding out the cause of a man's erectile dysfunction, but also can provide information to find out the best form of treatment.

Erectile Dysfuction (ED Cure)

Treatments

  • AccuLoc® – This is a type of image-guided treatment that involves implanting gold markers to locate and align a cancerous tumor for more accurate radiation therapy.

  • Brachytherapy – This type of cancer treatment uses tiny, radioactive capsules (called seeds) that are implanted into a cancerous prostate gland. The seeds emit radiation that kills the malignant tumor.

 

Urodynamics

Urodynamics refers to a group of tests or procedures used to examine and diagnose continence disorders. The goal of these procedures is to determine the source of the problem with urine leakage or blocked urine flow. The type of test used depends on the particular symptoms of the problem. Urodynamic tests help your doctor or nurse see how well your bladder and sphincter muscles work. They help diagnose symptoms such as:

  • Incontinence

  • Frequent urination

  • Sudden, strong urges to urinate

  • Problems starting a urine stream

  • Painful urination

  • Problems emptying your bladder completely

  • Recurrent urinary tract infections

 
Uroflowmetry

This test measures the amount of urine a patient release for test purposes, and the flow rate (how fast the urine comes out). It is used as a factor in evaluating the function of the urinary tract.


Cystometry

This test is designed to determine how well a patient’s bladder is working. It measures how much the bladder can hold, how much pressure builds up inside the bladder as it stores urine, and how full it is when the patient feels the urge to urinate.​