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• Physicians
  • Euclid J. de Souza, M.D. F.A.C.S.
  • John D. Horgan, M.D. F.A.C.S.
  • Bruce E. Lundak, M.D.
  • Andrew F. Trainer, M.D.
  • Emily R. Kean, M.D., F.A.C.O.G.
  • Stefanie L. Bolte, M.D.
  • C. Brent Wakefield, M.D.
  • Rebecca J. McCrery, M.D., F.A.C.O.G., F.A.C.S.
• Mid-Level Providers
  • Michaela Duggan, P.A.-C
  • Traci Wilkinson, P.A.-C.
  • Jennifer Inserra, A.P.R.N.-N.P.
  • Julie D. Wilson, A.P.R.N. -N.P
  • Donalee H. Kennedy, A.P.R.N. -N.P
• Services
  • Conditions, Diseases, & Urological Cancers
  • Pediatric Urology
  • Sexual Medicine
  • State-of-the-Art Therapies
  • Patient Care Guides
  • Prostate Health Education & Screening
  • Testicular Cancer Education & Screening
  • Pelvic Floor Exercises
• Patient Info
  • Appointments and Office Hours
  • Billing/Insurance Information
  • Hospital Affiliations
  • Forms for Your Appointment
  • Notice of Privacy Practices
• Events
• Contact Info
• Locations
  • Bergan Mercy Professional Center
  • Lakeside Urology
  • Bellevue Urology
  • Council Bluffs Urology
• Patient Education
• Glossary
• Career Opportunities

An Array of Services:

• Conditions, Diseases, and Urological Cancers
• Pediatric Urology
• Sexual Medicine
• State-of-the-Art Therapies
• Patient Care Guides
• Prostate Health Education & Screening
• Testicular Cancer Education & Screening
• Pelvic Floor Exercises

Conditions, Diseases and Urological Cancers of the Prostate, Kidney and Bladder

The team of physicians at Adult Pediatric Urology & Urogynecology, P.C., treats a variety of urological conditions, diseases and cancers including

• Adrenal, bladder, kidney, prostate, testicular, urethral/penile cancers, and ureteral (upper tract) tumors,
• Bladder conditions including overactive bladder, urinary incontinence, hematuria (blood in the urine), interstitial cystitis, urinary tract infection and bedwetting,
• Kidney conditions and diseases including hematuria and kidney stones, and
• Prostate conditions and diseases including benign prostatic hyperplasia (BPH) and prostatitis, the two most common prostate problems.

Adult Pediatric Urology & Urogynecology, P.C., takes a multidisciplinary approach to your care. We work closely with the other specialists on your healthcare team to ensure the highest quality care is given.

Pediatric Urology

Adult Pediatric Urology & Urogynecology, P.C., specializes in the diagnosis and treatment of congenital and acquired urological conditions and diseases in children. Our physicians treat conditions of the male reproductive tract and the male and female urinary tracts. The most common pediatric condition treated by our physicians is a urinary tract infection. Other conditions include structural defects in the urinary track, kidney stones and urinary obstructions, and bladder difficulties, such as bedwetting.

Sexual Medicine

Adult Pediatric Urology & Urogynecology, P.C., treats a variety of conditions that are related to the male and female reproductive systems. Our team is experienced in treating the following conditions:

• Erectile dysfunction,
• Female sexual dysfunction,
• Male infertility,
• Peyronie's disease,
• Sexually transmitted disease,
• Testosterone deficiency, and
• Varicocele.

If you are a man who is seeing one of our urologists for sexual health problems, please print and complete the survey below to discuss at your next appointment.

Sexual Health Inventory for Men [PDF]

[ PDF Help ]

State-of-the-Art Therapies The team of physicians at Adult Pediatric Urology & Urogynecology, P.C., offers the latest therapies and treatment of urological problems including the following: Thermotherapy, one of the latest treatments for enlarged prostate (benign prostatic hyperplasia) or BPH, Radiation therapy for prostate cancer, Collagen, BOTOX® and other injections for incontinence, Lithotripsy for kidney stones, Prostate biopsy CT imaging and Ultrasound of the urinary and reproductive systems, Vasectomy, including no-scalpel vasectomy, and Microscopic Vasectomy Reversal, and Urodynamics tests that provide a detailed look at the function of the bladder or urethra.

Patient Care Guides - Preparing for Your Visit

We have provided the following guides to help patients and their families understand and prepare for their office visit.

• What is a Vasectomy? Vasectomy Information for Patients
• Vasectomy Reversal: Vasectomy Reversal Information for Patients
• BCG: General Instructions for Patients Having BCG Instillations
• Prostatic Biopsy Under Ultrasound Guidance: Our Letter to Patients
• Major Dietary Irritants to the Urinary Tract: List of foods and beverages that may irritate the urinary tract. Substitutions for your daily diet
• Prostatitis: Patient Information
• Urodynamics: Evaluating Problems with Urination

Prostate Health Education & Screening

Prostate problems become more common with age. These problems, if caught early, can be treated and cured. The American Cancer Society and the American Urological Association recommend being screened for prostate cancer every year starting at age 50. If you have risk factors, this screening should start earlier. Screening for prostate cancer is done with a physical and digital rectal exam (DRE) and blood tests.

If you are a man who is seeing one of our urologists for prostate problems, please print and complete the survey below to discuss at your next appointment.

AUA Prostate/BPH Symptom Score [PDF]
[ PDF Help ]

Testicular Cancer Education & Screening

Testicular cancer most often affects men between the ages of 15 and 30 years. The good news is that a simple, quick monthly testicular self-exam (TSE) can help find a sign of trouble before it gets serious. Testicular cancer is almost 100 percent curable if caught early. In addition to TSE, regular check-ups with a physician are recommended.