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M. Marchand, PA-C

M. Marchand, PA-C

Female
SPECIALTYUrologyCommitted to delivering exceptional medical care Melissa N. Marchand MCMS, PA-C is a board certified Physician Assistant. She completed her Physician Assistant training at Barry University where she received her Master’s degree in clinical medicine. She is a member of the American Academy of Physician Assistants, as well as the Florida Association of Physician Assistants. Melissa is originally from Southern California where she spent most of her life and received her Bachelor of Arts in Social Sciences from the University of California, Irvine. Of Haitian descent, Melissa feels that being fluent in French and Creole gives her the ability to further impact the medical, and more specifically the urological, needs of the South Florida community. Above all, she is dedicated to making patients feel comfortable, informed, and empowered.
SERVICES/TREATMENTS
Telemedicine uses technology to connect patients with providers for comonly, routine concerns. Cost per time may vary.
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.
A medical sterilization procedure for men who are sure they don't want a future pregnancy.
Urinary flow test
Testosterone replacement/per pellet
A radiofrequency sourced treatment for BPH
Condylomas
Transurethral microwave therapy (TUMT)
Includes the cost of drugs.
Ultrasound study of penile blood flow
DMSO or dimethylsulfoxide is a drug placed in the bladder to treat interstitial cystitis or painful bladdewr syndrome
Adolescent
Adult
A painless ultrasound study to determine the amount of urine left in the bladder after emptying.
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.
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.
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.
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.
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.
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.
Follow up visit