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Urology

Robert R. Kester, MD, FACS is Board Certified in Urology, the specialized brach of surgery treating disorders of the kidney and bladder in male and female, and prostate for men.

Dr. Kester offers diagnostic and treatment options for all general, adult urological cases, including medical, surgical and minimally invasive treatments.

Upon graduation from Jefferson Medical College in Philadelphia, he completed his urology residency at Brookdale University Medical Center in Brooklyn, New York. Dr. Kester completed a subspecialized Fellowship at the University of Miami in voiding dysfunction and reconstructive urology.

He has expertise in the surgical repair of female cystocele and/or rectocele, and sling placement for female incontinence. In addition, he has specialized training and expertise in penile prosthesis implantation.

In-office procedures include cystoscopy, ultrasound, urodynamics, and vasectomy. Office procedures are done with local anesthesia for maximum patient comfort.

Women

  • General Urology: urinary tract infections,

    cystitis, blood in urine, bladder cancer,

    and kidney stones.

  • Stress urinary incontinence: Suburethral

    sling surgery is current standard

    treatment. Recurrent cases of

    incontinence can have revision surgery.

  • Surgical repair of vaginal prolapse

    (cystocete and/or rectocele). Aesthetic

    vaginal surgery is also offered.

  • Surgical repair of urethral diverticulum or

    fistula.

  • Overactive Bladder: First-line treatment

    includes Botox bladder treatments, and

    Interstim neuromedulation in selected

    cases, biofeedback may help.

Men

  • General Urology: blood in urine, urinary

    tract infection, bladder cancer, and

    kidney stones.

  • Treatment of prostate enlargement:

    surgical, medical, and minimally-invasive

    therapies.

  • Prostate cancer detection and

    monitoring: prostate examination and

    PSA blood testing, MRI fusion biopsy is

    indicated to more pricisely detect

    prostate cancers at the earliest stage

    possible.

  • Low testoterone (Low T): hormonal lab

    testing medication treatment and

    monitoring.

  • Vasectomy using no-scapel office

    procedure.

  • Urological reconstruction procedures,

    such as penile prosthesis placement for

    erectile dysfunction, artificial urinary

    sphincter for male incontinence, and

    repair of urethral stricture disease.

  • Don’t be afraid to have your prostate checked! It is painless and should be done yearly over age 50, in addition to PSA blood test.

Bladder Control

Incontinence is a very common health condition that both women and men endure unnecessarily because they are reluctant or embarrassed to seek treatment. It may help to know that this isn’t just a problem in getting older. In fact, more than 13 millon Americans experience incontinence.

Men or women often urinate too frequently, and may feel they do not have enough warning time to get to the restroom. For these urgency and frequency symptoms, oral medication therapy is sometimes ineffective, or poorly tolerated due to side effects (dry mouth is most common). There are other treatments than medicine, and include Botox bladder treatment, and Interstim neuromodulation.

Women more often leak urine, and may also have “dropped” or prolapsed bladder.

Urinary incontinence is most often noticed when coughing or sneezing, and leakage can range from mild to severe. Men more often retain urine, most commonly due to an enlarged prostate. They may have difficulty emptying their bladder, sometimes causing them to push or strain.

Sexual Health

After medical diagnosis, Dr. Kester can assist patients and their partners to decide on their best treatment to acheive a fufilling sexual life.

Regarding sexual health, women may become frustrated experiencing painful intercourse, which occurs more often as they age. The most common cause is vaginal dryness, but others may occur.

Treatments include medication, sucha as hormonal replacement, and the evaluation and treatment for any infectious disease process. Biofeedback treatments can assist in cases of vaginismus, to relax muscle spasms. Newer options include laser.

In terms of sexual health, men become frustrated most commonly with erectile dysfunction (ED), premature ejaculation (PE), or both. ED affects 30 million American men. Most are caused by medical conditions such as vascular disease, hypertension, and diabetes; or are related to side effects of medications and certain surgical procedures.

Treatment options include medications, hormone replacement therapy, penile injection therapy, or vacuum constriction device. In some cases, an inflatable penile prosthesis may be the best choice to correct the problem, and allow for a rigid erection.