Dr. Nierman offers services for the treatment of most urological conditions, including:

• In-office urodynamics testing
• No-needle, no-scalpel vasectomy
• Transrectal ultrasound of the prostate, with and without biopsies
• Rigid and flexible cystoscopies including retrograde pyelograms and select patients
• Noninvasive bladder scans for residuals
• Medical and surgical treatment for erectile dysfunction, including oral medications
• Medical and surgical treatment for both female and male incontinence including the trans-obturator sling and male sling
• Intra-uretheral suppositories
• Penile injection therapy
• Prostiva radiofrequency transurethral urethral needle ablation of the prostate (TUNA)
• Hormonal treatment for male androgen insufficiency, gels, injections and pellet implants Testopel®
• Microwave therapy for BPH
• In office PSA testing with results in 12 minutes
• In office x-rays to follow kidney stones

As technology advances, more and more less-invasive treatment options are becoming available. Dr. Nierman is committed to remaining in the forefront as this technology evolves and in doing so is able to offer many of these new treatments.

Dr. Nierman provides outpatient procedures for the treatment of enlarged prostate including Prolieve Thermodilatation of the prostate and provides Prostiva radiofrequency needle ablation of the prostate (TUNA)

For the treatment of urinary incontinence, Dr. Nierman offers medical treatment and if necessary the following minimally invasive procedures:

• Medical treatment trans-obturator slings, which can be performed on an outpatient basis.

Brochures are available through the office on most procedures of services, please feel free to call to request them.