Abdominal mass or lump; blood in the urine; fever; high blood pressure; pain the side or lower back; persistent fatigue; rapid, unexplained weight loss; swelling in the legs and ankles.
Pediatric Care
A graduate of The Citadel, Dr. Fassuliotis received his medical degree in 1983 from Medical University of South Carolina. After completing residency training in Urology at the Medical College of Georgia, he fulfilled a Urology Fellowship in Pediatrics and Oncology in Christchurch, New Zealand. After 3 years as an Assistant Professor at The Medical College of Georgia, he joined Gainesville Urology. He is Board Certified in Urology, and belongs to the American College of Surgeons, American Urological Association, Southeastern Section of the American Urological Association, and the Rinker/Witherington Urologic Society. He is also Past President of the Hall County Medical Society. His clinical interests include, among others, oncology, reconstructive, microsurgery, cryosurgery and robotics for prostate cancer treatment.
Male Infertility
Male infertility is the inability to conceive after at least one year of unprotected intercourse. The cause of male infertility is temporary or permanent affects to sperm from hormone disorders, illness, reproductive anatomy trauma and obstruction, and sexual dysfunction which impair sperm production and/or impair sperm delivery.
Erectile Dysfunction
Urinary Incontinence
For most patients, dVP offers substantially less pain and a much shorter recovery than traditional prostatectomy. Other advantages include reduced need for blood transfusions; less scarring and less risk of infection. Moreover, studies suggest that dVP may offer improved cancer control and a lower incidence of impotence and urinary incontinence.
The symptoms of interstitial cystitis are frequency, urgency, chronic pelvic pain, chronic vulvar pain, chronic urethral pain and/or abdominal discomfort during urination and sex.
Labor and Delivery
Incontinence occurs in both men and women for different reasons. For women, the majority of cases are stress urinary incontinence which is the weakening of the pelvic floors that supports the organs of the lower urinary tract. This is normally due to childbirth, pelvic surgery and/or menopause or estrogen deficiency. For men, incontinence is usually caused by a damaged sphincter often due to the removal of the prostate which cannot squeeze and close off the urethra, causing urine to leak.
Urethral cancer is the formation of cancerous cells in the urethra. The urethra is the tube that carries urine, and in men, semen from the body. This cancer is often associated with invasive bladder cancer which tends to spread to adjacent soft tissue. Urethral cancer is rare and can occur at any age.
Urology
Kidney Cancer
The kidneys are an essential part of the body's urinary system. Each kidney uses miniature filters to separate waste substances from the blood which is then excreted as urine. They also produce three very important hormones: erythropoietin, rennin and vitamin D. The most common kidney cancer is renal cell carcinoma which is 85% of all cases. In RCC, malignant cells develop in the lining of the kidney's tubules and form a mass of cells called a tumor. Kidney cancer accounts for 3% of all adult cancer in the United States.
Kidney Stones
Kidney stones are formed for many reasons. The most common reasons are fluid loss, foods that contain high amounts of chemicals and chronic kidney infections. The stones are caused by chemicals that build up in the kidneys during the normal process of filtering the waste products from the blood and not excreted fully as urine. The stones may stay in the kidney or move into the urinary tract.
Testicular Cancer
Testicular cancer is the formation of cancerous cells in the testicles. The testicles are the male reproductive glands. They are located in the membranous pouch below the penis and are suspended from the body by the spermatic cord. The testicles produce male reproductive cells called sperm and a hormone called testosterone. In 95% of cases, testicular cancer is treated successfully.
Endoscopy
Interstitial Cystitis
Interstitial cystitis is a chronic inflammation and painful condition of the bladder in which causes frequent, urgent and painful urination and pelvic discomfort. Interstitial cystitis is caused by the natural lining of bladder, a protective layer of the bladder, has broken down, allowing toxins to irritate the bladder wall.
Urinary Tract Infection
Urinary tract infection is as a bacterial infection that occurs when bacteria enters the urethra and multiply in the urinary tract. The urinary tract is made up of the kidneys, ureters, bladder and the urethra. The infection is characterized by which part of the urinary tract is infected; lower urinary tract is the urethra and bladder and the upper urinary tract is the ureters and kidneys. This is common infection in men, women and children.
Prostate Cancer
Our lab services insure quick turnaround on a variety of blood tests including the PSA test, one of the most common ways to screen asymptomatic and symptomatic men for prostate cancer.
Transrectal ultrasound (TRUS): in which a probe, emits ultrasonic impulses, is inserted into the rectum and used to project images on a monitor to examine the gland and surrounding tissue for tumors.
X-Rays
Computed Tomography
The CT scan is safe for patients of any age. However, there are pre-testing requirements for patients over 50 and who have a history of renal/kidney problems if IV contrast is involved. Also, if you are pregnant, or think you might be, you should tell the technologist prior to your scan.
Chemotherapy
Treatment for adrenal cancer depends on the stage of the disease at diagnosis. Some of the options include surgery, chemotherapy and radiation. The treatment for patients with functioning tumors usually involves using medications to manage symptoms.
Radiation Therapy
Intensity Modulated Radiation Therapy (IMRT):the latest form of external beam radiation therapy (EBRT) whereby x-rays are created within a linear accelerator (LINAC) and directed to the prostate gland from multiple angles. IMRT allows for high doses of radiation to be given to the prostate (improving the chance of cure) while minimizing the radiation to the surrounding structures (decreasing the chance of complications)
What is a no-scalpel vasectomy? The no-scalpel vasectomy is popular in this country due to the decreased discomfort that men experience with this technique. Our group will provide you with the information needed for this procedure.
Robotic Surgery
A graduate of Stanford University, Dr. Woo received his medical degree from Vanderbilt University. He completed his internship and residency at the University of California Irvine and joined Gainesville Urology in July 2004. He is Board Certified in Urology, a member of the Hall County Medical Society, American Urological Association, and the Endourological Society. He has specialized training in robotic surgery and laparoscopic surgery.
Hysterectomy
Vaginal prolapse occurs when an organ in the pelvis or the top portion of the vagina drops down into or protrudes through the vagina. This condition occurs when the muscles, ligaments and other structures surrounding the vagina are weakened or damaged. Vaginal prolapse is more common in women who have give birth, experienced menopause and/or had a hysterectomy.
The prostate gland is part of the male reproductive system. The gland is located below the bladder. The function of the prostate is to produce fluid. This fluid mixes with the fluid from the seminal vesicles and sperm from the testicles to form semen. The prostate is normally about the size and shape of a walnut. With age, the prostate changes in size. It may become enlarged, a condition called BPH, which is not cancer or form cancerous cells as the prostate changes. Prostate cancer is the most common type of cancer in men, other than skin cancer.