treatment options
Elevated PSA
book treatment
Further testing to determine the cause including state of the art imaging, urine biomarker genetic testing, 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 prostate 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
book treatment
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.
Stress incontinence
Surgical Procedures
Midurethral Sling
Urethral bulking with Bulkamid
Transobturator Male Urethral Sling
Artificial Urinary Sphincter placement
At Elevate Urology, our primary goal is to improve your quality of life. Sometimes, this requires lifestyle changes, medication, various therapies, and other times surgery. Below is a list of the most common surgeries we offer our patients. Please note that this is not an exhaustive list, and that consultation and extensive counselling are required before determining the most appropriate treatments.
BPH
TURP (Transurethral Resection Prostate)
Rezūm Water Vapor Therapy
UroLift System
Greenlight Laser Therapy
treatment options
Urinary Incontinence
book treatment
Pelvic floor exercises, medications, nerve stimulation, bladder Botox, urethral 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 commonly called overactive bladder).
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
urge incontinence
Axonics Sacral Neuromodulation
Penile Plication
Peyronie’s plaque incision and graft
3-piece Penile Prosthesis
Malleable penile prosthesis
Erectile dysfunction
Peyronie's disease
Circumcision
Circumcision revision
Monsplasty
Frenuloplasty
Testicular implant
Urethral diverticulectomy
Labiaplasty
Cosmetic and reconstructive surgery
Ureteroscopy with laser lithotripsy
PCNL (Percutaneous nephrolithotomy)
kidney stones
Transgender care
Orchiectomy
book treatment
treatment options
Erectile Dysfunction (ED)
book treatment
- Lifestyle modifications: Regular exercise, diet, early management of medical conditions.
- Oral medications: Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), also known as phosphodiesterase-5 inhibitors (PDE5-I) can improve blood flow to the penis, making it easier to achieve and maintain erections.
- Penile injections: Injected directly into the penis, medications can achieve erections.
- Vacuum erection devices (VED): Using negative pressure, VEDs can pull in blood allowing for engorgement.
- TRT: In men with low testosterone testosterone therapy can improve sexual function.
- Penile implants: A device can be surgically implanted to achieve and maintain erections.
- Restorative options: Low intensity shockwave therapy (LISWT) and Apex radiofrequency (RF) therapy are newer options, which have the potential to restore erections.
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)
book treatment
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 and other supplements, lifestyle modifications, and non-invasive treatments for vaginal rejuvenation to improve pH and prevent UTIs
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 to address pelvic floor tension, treat painful scars from childbirth
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, surgical and nonsurgical options.
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)
book treatment
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
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
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
MORPHEUS8V
EMPOWERRF by INMODE
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Utilizes radiofrequency and microneedling to restore elasticity, improve lubrication and sexual function, and reduce pain.
At Elevate Urology, we understand that intimate issues such as incontinence, recurrent UTIs, painful intercourse, lichen schlerosis, and vaginal laxity can require multiple treatment modalities. We are proud to offer restorative, safe, non-invasive treatment with Empower RF.
FORMAV
A non-invasive therapy that improves collagen production in the vagina and vulva to enhance lubrication, pH, and sensation while improving pelvic floor function.
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
Lichen Sclerosus
book treatment
Topical steroid creams, moisturizers and barrier creams, laser and RF 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
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
Scrotal Cosmetics
Dependening on your issue, cosmetic correction may be performed to aligned with your desired aesthetic. This can be performed with a neurotoxin such as Botox, or by performing a minimally invasive corrective cosmetic procedure.
Low Intensity Shockwave Therapy (LISWT) a safe, effective solution for men looking to improve erection quality in mild to moderate erectile dysfunction by stimulating new blood vessel growth.
Note: RF and LISWT may not be suitable for everyone. Please consult with your provider to determine whether these therapies are approriate for you.
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what can i expect with empower rf?
Minimal downtime, straightforward recovery process
Nonsurgical Vaginoplasty
Quick, in-office procedures
Aesthetic improvement of the vulva, abdomen, face, and other areas
Reduces scar tissue smoothening the appearance of skin
In some men, excess skin creates a penoscrotal web, which can make the penis appear shorter and may cause discomfort during intimacy. The scrotum may sag or hang low. Other men may experience the opposite, with tight scrotal skin and feeling that their testes are very close to their body. In some cases this can be due to muscles called the cremasteric reflex
book treatment
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?
Noticeable, Long-Lasting Results – Many men experience 1 to 1.5 inches of girth increase, with results lasting for years.
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.
PhalloFILL® is 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.
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.
Take the next step in confidence—schedule your consultation with Dr. Shepherd to learn more about PhalloFILL®.
Suffer from pain with penetration, vaginal dryness, laxity, or interested in enhancing sensation? EmpowerRF by INMODE allows for a nonsurgical vaginoplasty, someitmes referred to as vaginal rejuvenation, with little to no downtime, providing lasting results sure to improve your intimate life!
At Elevate Urology, we understand that sometimes, we need to be uplifted, even in the most intimate areas. We are excited to offer you services that enhance ALL of you, inside and out.
Still have questions?
call (844) 876-3455
Text (972) 663-5588
view phallofill® before & after results
view phallofill profile
Safe & Reversible – Uses FDA-approved dermal fillers with a proven safety record.
Morpheus8
Tone
Radiofrequency (RF) Microneedling used to treat and tighten areas including the face, arms, abdomen, mons pubis, buttocks, and thighs. Additionally, this device can be used to improve the cosmetic appearance of stretch marks and cesarean section scars.
Non-invasive electrical muscle stimulation (EMS) technology to enhance the shape and tone of the abdomen, arms, thighs, and buttocks.
VTone
An intra-vaginal electrical muscle stimulation (EMS) device that strengthens pelvic floor muscles to address various types of urinary incontinence.
ApexRF by INMODE
The Apex Circulatory handpiece is an advanced, non-invasive solution that uses clinically proven bipolar radiofrequency (RF) to safely and effectively improve blood circulation without prescriptions, side effects, or surgery.
Its unique design and pivoting applicator deliver precise, pain-free procedures to promote circulatory wellness. Quick, zero-downtime treatments are conducted in the comfort of your provider's office.
Shockwave Therapy
