Services

Urology

Compassionate expertise for men and women

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At Adventist Health St. Helena, we combine personalized treatment with compassionate care to address a wide range of urological conditions. Our urologists use the latest technologies to diagnose and treat conditions of the male and female urinary tract, and the male reproductive organs, offering both surgical and non-surgical solutions to help you achieve the best results.

Comprehensive care for all urological concerns

From accurate diagnosis through personalized treatment, we provide the highest quality care for the following conditions and more.

  • Bladder cancer
  • Enlarged prostate
  • Erectile dysfunction
  • Kidney disease or cancer
  • Kidney, ureter, or bladder stones
  • Prostate cancer
  • Testicular cancer or mass
  • Urinary incontinence
  • Women’s pelvic disorders

Our approach

Urological conditions can be debilitating, uncomfortable, and difficult to talk about. Rest assured our urologists will treat you with compassion and respect, so you can feel at ease with discussing your concerns. Combining our expertise with advanced technologies and treatment options, we’ll arrive at an accurate diagnosis and personalized treatment plan that may include non-surgical or surgical solutions. Learn more below.

Diagnosing symptoms and discussing options

Urological problems can be complicated because symptoms can mean different things. In a discreet and comfortable setting, your urologist will ask you questions and utilize the latest diagnostic tests if needed to arrive at more definitive answers regarding your condition.

Depending on your diagnosis, your urologist will discuss options for treatment. Many conditions can be resolved through non-surgical methods. For incontinence or pelvic pain, physical therapy offered through our partnership with PT Solutions can be an effective treatment option. For other conditions, medication or medical devices can be helpful. But if surgery is necessary, you can rest assured knowing we offer the latest technology and treatments backed by scientific research and clinical studies.

Surgical solutions

If surgery is necessary, we offer the latest technologies and procedures, including minimally invasive endoscopy and robotic surgery for a faster, more comfortable recovery. Our procedures include:

  • Cancer surgery, including advanced procedures for prostate, bladder, kidney, testicular, adrenal, and ureter cancer 
  • Procedures to treat benign (non-cancerous) prostatic hyperplasia, including transurethral resection of the prostate, laser vaporization, and Urolift.
  • Ureteroscopy, shock-wave lithotripsy, and percutaneous surgery for kidney stones 
  • Injection therapy and penile prosthetics for erectile dysfunction 
  • Urethral reconstruction and urethroplasty for urethral stricture disease 
  • Artificial urinary sphincter placement and male urethral slings for incontinence

Symptoms that might require our care

Should you experience any of the following symptoms, please make an appointment with your primary care provider. Your provider may perform some initial tests or exams and will then make a referral to us if necessary.

  • Abdominal or pelvic pain 
  • Blood in the urine  
  • Erectile dysfunction  
  • Difficulty urinating like normal 
  • Pain or lump in the testicles  
  • Painful urination  
  • Urinary incontinence 
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Provider Spotlight

Meet Paolo Andreassi, MD

Paolo Andreassi, MD, has over 35 years of experience in the medical field. His top areas of expertise are enlarged prostate (BPH), incontinence, malakoplakia, bladder stones, ureteroscopy, and prostatectomy. He is accepting new patients.

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