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Dr. Geller is a graduate of the University of Louisville School of Medicine. His spe- cialty interests include sexual dysfunction and incontinence. Dr. Danko" received his MD degree from Je"erson Medical College of Thomas Je"erson University. His areas of specialty include general urology, kidney stones and prostate disease. MEN'S HEALTH AND UROLOGY Men account for approximately 60 percent of the patients seen by Summa's urology group. Common ma le urologic condi- tions include prostate cancer, testicular cancer, and benign prostatic hyperplasia (BPH). They also see male patients for reproductive issues such as infertility and sexual dysfunction. According to Dr. Spear, male infertility can be due to low sperm production, abnor- mal sperm function or blockages that prevent the delivery of sperm. Diseases, injuries, chronic health problems, lifestyle choices and other factors can also play a role in causing male infertility. "Fifty-percent of the time, the male is a contributing factor in the couple's infertil- ity," Dr. Spear explains. "Assessing the male allows us to first identify if a problem exists and then perform diagnostic studies and evaluations to address the infertility." Techniques he o"ers include varicocele repair, vasectomy reversal, and sperm retrieval for use in in vitro fertilization. Dr. Geller specializes in sexual dys- function in men. He treats patients for conditions such as hypogonadism and erectile dysfunction (ED). "We provide comprehensive evaluation and treatment of ED, o"ering the latest medicines, penile injections and implant surgery," he says. Dr. Geller is also the only physician in the group who performs prostate cryo- ablation, a minimally invasive treatment that can be used as a primary or second- ary line of prostate cancer treatment. "Cryoablation uses small probes, guided into the prostate by ultrasound, to infuse gas to freeze all or part of the prostate," he explains. "The treatment is as e"ective as radioactive seed implants, but with minimal patient discomfort and fewer side e"ects." Partial or focal cryoablation is currently being studied in patients with low-stage, low-risk prostate cancer. The results are promising, according to Dr. Geller. Benefits include preservation of sexual function and even fewer side e"ects than general cryoablation. FEMALE UROLOGY The majority of women referred by their primary care physicians to Summa's urology team have urinary incontinence, urinary tract infections, overactive bladder or pelvic prolapse. Many women think these conditions are just part of get- ting older, and nothing can be done. Dr. Danko" emphasizes that this is not true. "The majority of urologic disorders in women can be ma na ged, a nd most non- operatively," he ex pla ins. "Procedures such as sacral neurmodulation and Botox b l a d d e r i nj e c t i o n s c a n help women rega in blad- der control." Summa's urology team also treats women with bladder and kidney cancer. Advanced therapies include robotic- assisted cystectomies and partial nephrectomy. UROLOGIC ONCOLOGY AND MINIMALLY INVASIVE TECHNIQUES Thousands of men are diagnosed each year with cancer of the prostate, bladder, kid- ney, or testicles. For both men and women, bladder cancer rates in the United States are reportedly the highest worldwide. Advanced minimally invasive techniques have revolutionized treatment and care of various urologic cancers and result in better post-operative management. Summa recently installed the most advanced robot-assisted surgery system, the da Vinci® Xi, for minimally invasive Lawrence L. Geller, MD, performs prostate cryoablation, a minimally invasive treatment that can be used as a primary or secondary line of prostate cancer treatment. Summa Health Medical Group — Urology Specialties + General Urology + Urologic Oncology + Urinary Incontinence + MRI Fusion Prostate Biopsy + Vasectomy/Vasectomy Reversal + Erectile Dysfunction + Prostate Cancer + Male Infertility + Kidney Stones + Prostate Cryoablation PHOTO © SMITHBERGER PHOTOGRAPHY, NORTH CANTON OH M D N E W S . C O M /// M D N E W S C L E V E L A N D /A K R O N / C A N T O N ■ M AY/J U N E 2 017 0 7