Washington Urology performs a wide variety of in-office procedures to treat and diagnose many prominent Urological diagnoses and symptoms. 

Our In-office Services include:


  • No Needle/No Scalpel Vasectomy
  • Treatment for BPH including TUMT Microwave Therapy, Rezūm Water Vapor Therapy, and the UroLift System starting summer 2019 (see videos & brief explanations below).
  • Juvenile Circumcision
  • Kidney, Bladder, Testicular, & Prostate Cancer Screening & Treatment; including Cystoscopy and various  biopsies used for further screening and diagnosis. 
  • Bladder function tests including Uroflow, Urocuff, and Urodynamics
  • Radiation Seeds for Prostate Cancer

Male BPH Treatments

What is TUMT?

Transurethral microwave therapy (TUMT), also known as Cooled ThermoTherapy™ For BPH,  is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate.  A small microwave antenna is inserted through the tip of your penis into the tube that carries urine from your bladder (urethra). The antenna extends until it reaches the area of the urethra surrounded by the prostate. The microwave energy that heats and destroys excess prostate tissue blocking urine 

What is Rezūm

Rezūm is a treatment for BPH that uses the stored thermal energy in water vapor (steam) to treat the extra prostate tissue that is causing BPH symptoms. Inside a hand-held device, radiofrequency energy is applied to a few drops of water to create vapor (steam). The water vapor is injected into the prostate tissue that is blocking the flow of urine from the bladder, which kills the tissue, and over time your body will absorb the treated tissue through its natural healing response.

What is the UroLift System?

The UroLift System uses a revolutionary approach to treating BPH that lifts and holds the enlarged prostate tissue so it no longer blocks the urethra. It is the only BPH treatment performed by a urologist that does not require heating, cutting, or removal of the prostate tissue. The procedure is typically performed using local anesthesia in a physician’s office or ambulatory surgery center. Patients typically return home the same day without a catheter. 

Bladder function and Prostate Cancer Screening



 A Cystoscopy (sis-TOS-kuh-pee) is a procedure that is performed to examine the lining of your bladder and your urethera (the tube that carries urine out of your body from your Kidneys). A hollow tube (cystoscope) equipped with a lens is inserted into your urethra and slowly advanced into your bladder.

The Cystoscopy procedure is used to diagnose, monitor and treat conditions affecting the bladder and urethra.  The entire procedure is done in our office and with the aid of local anesthesia so you wont feel a thing.

 The entire process can be completed in 15-20 minutes. 


Transrectal ultrasound guided (TRUS) biopsy

The Transrectal ultrasound guided biopsy (also known as the TRUS biopsy) is a procedure used by doctors to test and diagnose the presence of prostate cancer in male patients. During this process the Doctor will take samples of tissue from the prostate gland to be tested in a pathology lab for the presence of cancer. 


The Doctor will injects a local anesthetic into the rectum, to completely numb the area. Once it is completely numb, an ultrasound probe is inserted to accurately measure and exam the target area. Once ready,  the samples of prostate tissue are taken by a fine needle that is inserted along the ultrasound probe and into the prostate gland. Once the samples are taken they are sent for analysis which usually takes 7 - 10 days for a full report to be returned. 

The entire process can be completed in 20-30 minutes.