treatment options
Elevated PSA
book treatment
Further testing to determine the cause, lifestyle changes, medication, or monitoring.
PSA (prostate-specific antigen) is a protein made by the prostate. High PSA levels may indicate prostate issues, including infection, BPH, or prostate cancer.
Common Symptoms
Often no symptoms, urinary symptoms may correlate with prostte enlargement.
treatment options
BPH (Enlarged Prostate)
book treatment
Medications, minimally invasive procedures (such as UroLift or Rezūm), laser or other surgeries.
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that can make urination difficult.
Common Symptoms
Frequent urination (especially at night), weak urine stream, trouble starting or stopping urination.
treatment options
Kidney Stones
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Increased fluid intake, pain management, medications, shockwave therapy, or surgical removal.
Kidney stones are hard deposits of minerals that form in the kidneys and can cause pain when they pass through the urinary tract.
Common Symptoms
Severe back or side pain, blood in the urine, nausea, frequent urination.
treatment options
Overactive Bladder (OAB)
book treatment
Lifestyle changes, pelvic floor therapy, medications, bladder Botox injections, nerve stimulation therapies.
Overactive bladder causes frequent, sudden urges to urinate, sometimes leading to accidental leakage.
Common Symptoms
Strong, sudden urges to urinate, frequent urination (more than 8 times a day), and occasional incontinence.
treatment options
Urinary Incontinence
book treatment
Pelvic floor exercises, medications, nerve stimulation, bladder Botox, urethrsl bulking and surgical sling placement.
Urinary incontinence is the loss of bladder control, leading to leaks or accidents.
Common Symptoms
Leaking urine when coughing or sneezing (stress incontinence), sudden urges followed by leakage (urge incontinence).
treatment options
Interstitial Cystitis (IC)
book treatment
Diet changes, bladder instillations, medications, pelvic floor therapy, and nerve stimulation therapies.
IC, also known as bladder pain syndrome, is a chronic condition that causes bladder or urethral pain and pressure, often mistaken for recurrent UTIs.
Common Symptoms
Bladder pain, frequent urination, urgency, and discomfort during sex.
Understanding Your Urologic Health
At Elevate Urology, we specialize in diagnosing and treating a wide range of urologic and sexual health conditions. Below, you’ll find easy-to-understand information on common conditions, their symptoms, and available treatment options.
General Urology
treatment options
Erectile Dysfunction (ED)
book treatment
Lifestyle modifications, oral medications, penile injections, vacuum pumps, shockwave therapy, and penile implants.
Common Symptoms
Difficulty getting or keeping an erection, reduced sexual desire.
treatment options
Low Testosterone (“Low T”)
book treatment
Lifestyle modifcations and hormone replacement therapy (HRT) through injections, gels, or pellets.
Low testosterone occurs when the body doesn’t produce enough of this key hormone, which affects energy, mood, muscle mass, and sexual function.
Common Symptoms
Fatigue, low sex drive, erectile dysfunction, weight gain, depression, and reduced muscle mass.
treatment options
Peyronie’s Disease
book treatment
Oral medications, injections, traction therapy, shockwave therapy, and surgery in severe cases.
Peyronie’s disease is a condition where scar tissue forms inside the penis, causing it to bend or curve, which can lead to pain and difficulty with erections.
Common Symptoms
A noticeable bend or curve in the penis, pain with erections, erectile dysfunction, or lumps under the skin of the penis.
Male Birth Control - Vasectomy (No-Scalpel Technique)
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A vasectomy is a safe, permanent form of birth control for men who are certain they no longer want to father children. Using the no-scalpel technique, this minimally invasive procedure offers a faster recovery, less discomfort, and a lower risk of complications compared to traditional vasectomy methods.
If you’re considering a permanent birth control option, schedule a consultation to learn more about vasectomy and whether it’s right for you.
Erectile dysfunction (ED) is the inability to get or maintain an erection firm enough for sex. It can be caused by physical factors like poor blood flow, nerve damage, or low testosterone, as well as psychological factors like stress or anxiety.
Men's Health
why choose a no-scalpel vasectomy?
Short recovery time – Most men resume normal activities within a few days
Minimally invasive – No stitches, smaller incision, and quicker healing
Highly effective – Over 99% success rate in preventing pregnancy
Quick procedure – Typically completed in under 30 minutes
The no-scalpel vasectomy works by blocking the sperm-carrying tubes (vas deferens), preventing sperm from mixing with semen. It does not affect testosterone levels, erections, or sexual function.
treatment options
Recurrent Urinary Tract Infections (UTIs)
book treatment
Antibiotics, vaginal estrogen therapy (for postmenopausal women), probiotics, supplements, and lifestyle modifications.
Recurrent UTIs occur when infections keep returning, leading to bladder irritation and discomfort.
Common Symptoms
Frequent, painful urination, urgency, burning sensation, and foul-smelling urine.
treatment options
Painful Sex (Dyspareunia)
book treatment
Hormone therapy, pelvic floor therapy, lubricants, and specialized treatments for nerve pain.
Pain during sex can be caused by various factors, including hormonal changes, pelvic floor dysfunction, or nerve issues.
Common Symptoms
Pain before, during, or after sex, vaginal dryness, burning, or discomfort.
treatment options
Lichen Sclerosus
book treatment
Topical steroid creams, moisturizers and barrier creams, laser treatments, surgical intervention in severe cases with scarring
Lichen sclerosus is a chronic inflammatory skin condition that most commonly affects the genital and anal areas, though it can appear elsewhere on the body. It causes patches of thin, white, fragile skin that may lead to discomfort, itching, pain, or scarring over time. While it can affect anyone, it is more common in postmenopausal women.
Common Symptoms
Itching and irritation in the genital or anal region, white thinning, or wrinkled skin that may tear easily, pain or discomfort during intercourse or urination, scarring and skin changes that can lead to tightening around vaginal or penile tissues
treatment options
Bladder Prolapse (Cystocele)
book treatment
Pelvic floor therapy, pessary devices, or surgery for severe cases.
Bladder prolapse occurs when the bladder drops from its normal position and bulges into the vaginal wall, often due to weakened pelvic floor muscles.
Common Symptoms
A feeling of fullness or pressure in the pelvis, difficulty emptying the bladder, frequent UTIs.
treatment options
Menopause Symptoms & Hormone Replacement Therapy (HRT)
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Hormone replacement therapy (HRT), lifestyle adjustments, and non-hormonal treatments.
Menopause is a natural transition where the body produces less estrogen, leading to symptoms that affect overall health and well-being.
Common Symptoms
Hot flashes, night sweats, mood changes, vaginal dryness, and low libido.
Women's Health
book treatment
An orchiectomy is a surgical procedure to remove the testicles, significantly lowering testosterone levels and reducing the need for testosterone blockers for transfeminine individuals.
Transgender Care
At Elevate Urology, we provide compassionate and affirming care for transgender individuals, offering hormone therapy and gender-affirming surgical options tailored to each patient’s needs.
Gender-Affirming Surgery: Orchiectomy
treatment process:
We understand that every individual’s journey is unique, and we are here to provide personalized, respectful, and affirming care every step of the way.
common benefits
Reduction in testosterone, alignment with gender identity, and potential preparation for future gender-affirming surgeries.
transmasculine therapy
Treatment Options
book treatment
Testosterone (injections, patches, gels or pellet implants).
Hormone therapy helps align an individual’s physical characteristics with their gender identity.
transfeminine therapy
Estrogen (pills, patches, or injections) and testosterone blockers (spironolactone, GnRH agonists).
Hormone Therapy for Gender Affirmation
for transmasculine individuals
Testosterone therapy helps develop deeper voice, facial and body hair growth, increased muscle mass, and menstrual cessation.
For transfeminine individuals
Estrogen therapy combined with testosterone blockers can promote breast development, softer skin, and fat redistribution.
This is typically an outpatient procedure with a short recovery time. Hormone therapy may be adjusted post-surgery for optimal results.
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Cosmetic Procedures
benefits of Penile lengthening procedure
Minimally invasive with a short recovery time
Scrotoplasty for Penile Length Optimization
Refines the penoscrotal junction for a more natural appearance
Can create the visual effect of increased length by removing excess skin
Enhances comfort during intimacy and daily activities
This minor outpatient procedure removes excess tissue, refining the natural contour between the penis and scrotum. The result is a smoother, more defined appearance that allows for improved function and comfort.
Scrotoplasty is a safe, effective solution for men looking to improve confidence and comfort without implants or extensive surgery.
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what does the procedure involve?
Minimal downtime with a straightforward recovery process
Lysis of Labial Adhesions & Clitoral Hood Release
Quick, in-office procedure performed under local anesthesia
Gently separates labial adhesions to restore normal anatomy
Clitoral hood release removes excess tissue to improve comfort and function
This procedure can help restore comfort, improve sexual function, and enhance hygiene, especially for individuals with chronic irritation or scarring. If you’re experiencing discomfort from labial adhesions or excess clitoral hood tissue, we can discuss whether this treatment is right for you.
In some men, excess skin creates a penoscrotal web, which can make the penis appear shorter and may cause discomfort during intimacy.
The scrotum in some cases may sag, and can be uncomfortable during intimate activities or even in the bathroom.
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What to expect
• The procedure involves a series of 30-minute treatment sessions, with visible enhancement after the first session.
• No surgery, stitches, or extended downtime—most men resume normal activities the same day.
• Many patients report enhanced sensitivity and firmer erections after treatment.
Why phallofill?
Safe & Reversible – Uses FDA-approved dermal fillers with a proven safety record.
PhalloFILL® Penile Girth Enhancement
As a PhalloFILL®-certified provider, Dr. Shanta Shepherd is one of the few specialists in the country offering this advanced girth enhancement technique.
Non-Surgical & Minimally Invasive – No scalpels, no implants, just a series of simple, safe injections.
Customizable & Buildable – Tailored to your unique anatomy and aesthetic goals.
Noticeable, Long-Lasting Results – Many men experience 1 to 1.5 inches of girth increase, with results lasting for years.
Take the next step in confidence—schedule your consultation with Dr. Shepherd to learn more about PhalloFILL®.
Labial adhesions occur when the labia minora (inner vaginal lips) partially or fully fuse together, often due to chronic irritation, inflammation, or conditions like lichen sclerosus. This can lead to discomfort, difficulty with hygiene, or pain during intimacy. A clitoral hood release may also be performed to address excess tissue that covers the clitoris, potentially improving sensation and comfort.
At Elevate Urology, we offer PhalloFILL®, a non-surgical, FDA-approved hyaluronic acid filler treatment designed to safely and effectively enhance penile girth. This minimally invasive procedure provides customizable, natural-looking results with little to no downtime.
Still have questions?
call (844) 876-3455
Text (972) 663-5588
