Office Based Urological Surgery


What does it mean and why it is so valuable service?

Sooner or later, unfortunately, almost everybody becomes a patient and needs to see a doctor who can recommend surgical procedure to be done. If surgical procedure is done on urinary or genital systems we call it urologic surgery.

When we are thinking about surgery we imagine line at registration desk, long hours of waiting before surgery, sleepy stay after it in a noisy recovery room and at the end – substantial copayment for outpatient surgical admission.

Office surgery provides you similar care with complete pain control and sufficient comfort with a very minimal time consumed and regular office visit copayment. Sedation and pain control is provided by Board Certified anesthesiologist.

What kind of procedure could be done as office surgery?

  • Bladder exam with lighted scope,
  • biopsy and/or removal of bladder lesions,
  • laser procedures on enlarged prostate,
  • prostate stapling (Urolift),
  • prostate biopsy, circumcision,
  • removal of genital lesions
  • vasectomy

All of the above procedures are perfectly suited to be done in the office.

What are main advantages of office based surgery?

First, patient comfort. Why you should suffer with pain, anxiety and discomfort while having bladder exam, prostate biopsy or vasectomy if it could be done under intravenous sedation.

Second, It is definitely time and money saving approach to your urologic care.

Do you have any questions?
Get in touch with Dr. Kotkin.

Latest Articles


Enlarged Prostate (BPH)

Age-associated benign (noncancerous) prostate gland enlargement that can cause urination difficulty.

Impotence / Erectile Dysfunction

The loss of bladder control which demonstrates in involuntary leakage of urine.

Prostate Cancer

One of the most common cancers that occurs in the prostate, a small walnut-sized gland that produces seminal fluid.


Insurance Accepted


Dr. Kotkin accepts most major insurance plans, however, please call our office to verify that we still accept your insurance provider. It is also in your best interest to check your insurance plan’s provider list to be sure it permits you to be seen in our office. Please be aware that your insurance provider may require a referral letter from your primary care provider. It is the responsibility of the patient or guardian to pay any co-payments, and other charges not covered by your insurance provider.
Today, many insurance providers require pre-authorization, second surgical opinions, limitations on hospital days, etc. Please review the rules and limitations of your coverage and inform our office of any restrictions.

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