A. Brafman, MD

A. Brafman, MD

Coral Springs - Male
SPECIALTYUrologySUB-SPECIALTY

Surgical

Dr. Aaron Brafman prides himself in practicing the most up-to-date, evidence-based medicine.
SERVICES/TREATMENTS
A new patient visit is the initial appointment undertaken by a patient with health concerns. The purpose of this visit is to address relevant health concerns and possibly order studies to come up with a diagnosis and a treatment plan. On this platform any new health concern will be deemed a new patient visit.
A follow up visit is a visit to usually the same doctor with whom you had your initial or new patient visit and, within a certain time frame and for the same original complaint. This meeting serves to review the management and progress of the health concerns you had at the initial visit.
Telemedicine uses technology to connect patients with providers for comonly, routine concerns. Cost per time may vary.
Follow up visit
A Foley catheter is a small sterile silicone tube inserted down the urethra (often after some numbing jelly has been instilled) to drain the bladder and relieve urinary retention or bleeding. It is held in place with a small water-filled balloon. The urine drains out of the bladder through the catheter and into the drainage bag. The catheter can be removed once the balloon is deflated to see if natural urination is possible.
A renal and bladder ultrasound is a painless non-invasive study of the kidneys and bladder using sound waves to create images of the kidneys and bladder. These studies are good for detecting masses, stones, cysts or drainage problems. Studies should be done with a full bladder so that it is easier to detect bladder wall masses.
An easy way to determine the prostate volume/size is to do an ultrasound study by placing the probe immediately above the pubic bone and directing the sound waves down towards the prostate and measuring its dimensions. The volume can be estimated by height x width x length of prostate x 0.523
A procedure where an ultrasound probe is placed into the rectum and sound waves are used to take images of the prostate so a needle can be guided into various parts of the prostate to take biopsies. Despite the use of local anesthetic injections around the prostate this study can still be uncomfortable and risky because of possible septic after-effects. The study is commonly done to take needle samples of the prostate to rule-out cancer.
Cystoscopy is usually an office procedure done under topical anesthesia. A narrow telescope is inserted down the urethra to examine the inside of the bladder to evaluate urinary bleeding or other urinary conditions. The cystoscopy is commonly done under camera-control and for women the scope maybe rigid while for men it is typically flexible. A slight stretch of the urethra may be required before the instrument can be inserted. Cystoscopy is also used to biopsy an area of the bladder wall or to remove a stent from the ureter.
Urodynamics is a pressure/flow study of the bladder to see how well it holds urine and how well it releases urine. It gives a clue as to how well the bladder muscles and nerves are working and the study is often done on patients complaining of flow and or leakage troubles. The study takes a few minutes and involves the use of a small catheter inserted into the bladder for filling as well as the use of surface electrodes which are applied to the skin near the anus.
A small catheter is inserted into the bladder so various drugs and agents can be poured down the catheter into the bladder. Depending upon the drug the patient will have to wait to urinate for a time in order to let the agent work. Cost of drugs, such as BCG, mitomycin, bladder cocktails, not included.
An injection or shot is a dose of medication delivered by a syringe and needle into a part of the body to treat a disorder. Depending upon the drug and how it's delivered can determine how often and for how long the shots continue.
A small telescope is used to look into bladder and inject botox into the bladder wall. It can be done in the office after instillation of topical anesthesia. Usually 100-300 units are injected in various places into the back wall of the bladder. It's usually done to relieve urge incontinence. Its effects are not immediate and may need several sessions. Its effects are usually not permanent.
A pessary is a soft prosthetic device inserted into the vagina to support the base of the bladder to control stress urinary leakage. There may be slight discomfort on insertion in the office and most need replacing every 3-6 months. It's usually reserved for older women.
A tib/stim is a minimally invasive percutaneous tibial nerve stimulation (PTNS) neuromodulation procedure to relieve urge incontinence. The needle is placed near the nerve at the ankle. Commonly a course of 6 treatments may be required and it is not effective in everyone.
Rezum is minimally invasive office procedure where telescopic thermal ablation of an enlarged prostate can reduce its size and improve flow.
Paraphimosis occurs when the foreskin gets stuck behind the head of the penis after retraction and swells. Left untreated it can become gangrenous. The paraphimosis can be treated by puncturing the swollen skin to reduce swelling and then pulling back the skin over head of penis to its normal position. Sometimes cutting is needed.
6 treatments
Drainage of scrotal abscess
Removal of penile skin lesion
Does not include drug cost
A radiofrequency sourced treatment for BPH
6 in office treatments
4 in office treatments
3 in office treatments