Urinary Problems

Enlarged Prostate (BPH)

Benign prostatic hyperplasia (BPH), or enlarged prostate, is one of the most common causes of urinary symptoms in men. With so many treatment options available, the decision can feel overwhelming—we take pride in guiding patients toward the most effective, durable treatments with the best outcomes for their specific circumstances.

RoMIUS Urology provides a full spectrum of BPH therapies, ranging from lifestyle adjustments and medical therapy to advanced minimally invasive and surgical interventions. Our specialists perform state-of-the-art procedures including:

• UroLift®
• GreenLight™ Photovaporization of the Prostate — RoMIUS Urology is a regional Center of Excellence, performing high volumes with outstanding safety and outcomes.
• Transurethral Resection of the Prostate (TURP)
• Prostate Artery Embolization (PAE)
• Robotic Simple Prostatectomy for very large glands or severe obstruction

Each treatment plan is personalized to improve urinary flow, reduce nighttime urination, and enhance bladder emptying—all with an emphasis on long-term success, comfort, and helping patients confidently choose the therapy that best fits their goals and anatomy.

Overactive Bladder (OAB)

Overactive bladder causes urinary urgency, frequency, and sudden uncontrollable urges. RoMIUS Urology takes a structured, evidence-based approach to diagnosis and treatment, tailored to each patient’s symptom pattern and bladder function.

Therapies include:

• Pelvic floor physical therapy
• Lifestyle and behavioral strategies
• Bladder medications
• Sacral neuromodulation (InterStim®) — RoMIUS Urology is a Medtronic Center of Excellence for InterStim therapy and is recognized as the highest-volume provider of sacral neuromodulation in the region.
• Bladder Botox® injections
• Other minimally invasive nerve therapies

Our goal is to restore bladder control and improve long-term reliability, comfort, and quality of life.

Nighttime Urination (Nocturia)

Nighttime urination can significantly disrupt sleep and overall wellbeing. Causes may include prostate obstruction, bladder irritation, fluid imbalance, hormonal changes, or sleep disorders like sleep apnea. We evaluate each contributing factor and tailor treatment with lifestyle modifications, medications, bladder-directed therapies, and prostate interventions to reduce nighttime awakenings and support more restorative sleep.

Bladder Infections (UTIs)

Men with bladder infections require careful evaluation to uncover underlying causes such as urinary retention, prostate enlargement, kidney stones, or bladder dysfunction.
RoMIUS Urology provides streamlined diagnostics, targeted antibiotic therapies, and prevention strategies to reduce recurrence. For patients with recurrent or complicated infections, we perform deeper assessments of bladder emptying, urinary flow, and prostate anatomy to ensure long-term resolution and urinary health.

Chronic Catheter Management

Many men require long-term catheter support due to urinary retention, neurologic conditions, prostate obstruction, or bladder dysfunction. RoMIUS Urology specializes in chronic catheter management, offering individualized care plans that prioritize comfort, safety, and infection prevention.

We provide comprehensive management of:

• Long-term Foley catheters
• Suprapubic catheters
• Intermittent self-catheterization programs
• Catheter change schedules, skin care, and infection mitigation
• Evaluation for catheter-free alternatives such as BPH therapies, bladder procedures, or neuromodulation

Our team focuses on minimizing complications and exploring solutions that may allow patients to return to more natural bladder function whenever possible.

Incontinence Management

Urinary leakage in men often results from prostate surgery, radiation, sphincter weakness, or neurologic conditions. RoMIUS Urology offers the full range of modern treatments, from conservative therapies to advanced surgical correction.

We are recognized as a regional leader and for Artificial Urinary Sphincter (AUS) and Advance Male Sling—the gold-standard surgical treatments for male stress urinary incontinence. Our surgeons are among the most experienced at implantation in the region, with extensive expertise in primary implantation and revision surgery.

Treatment options include:

• Pelvic floor therapy
• Lifestyle modifications
• Medications for urgency
• Male slings
• Artificial Urinary Sphincter (AUS) 

Our goal is to restore continence, confidence, and quality of life through individualized, evidence-based care.

Urethral Strictures

Urethral strictures—narrowing of the urinary channel—can cause weak stream, urinary retention, infections, painful urination, or the inability to empty the bladder completely.

RoMIUS Urology is one of the only regional practices with providers who have advanced, specialized training in urethral reconstruction and complex stricture management. This expertise allows us to diagnose strictures accurately and offer a full suite of treatments, including:

• Endoscopic dilation
• Direct visual internal urethrotomy (DVIU)
• Urethral reconstruction
• Substitution urethroplasty
• Stricture surveillance and long-term management

Our goal is to restore normal urinary flow and prevent recurrence through expert, highly individualized care.