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disorders. And while incontinence and overactive bladder issues may immediately make you think of women, Dr. Childrey said she hears these same problems in her male patients. The National Association for Continence estimates that 25 million Americans experience transient or chronic urinary incontinence. The difference between the condition in men and women is that women tend to wait longer to seek treatment. On average, women wait six years from the onset of symptoms before seeking treatment. Dr. Reine, who has a special interest in female urology, urges women to get help sooner. "There's no need to be embarrassed about incontinence or to be afraid of available treatments," explained Dr. Reine. "There are several non-invasive options we can use to treat incontinence before moving on to surgery, including medication and pelvic floor rehabilitation." Cape Fear Valley employs several diagnostic tools in the office, such as urodynamics and cystoscopy, to help determine the cause of urological problems. Urodynamics is a study that checks to see how the bladder and urethra are working to store and release urine. The test checks the bladder and sphincter muscles. Those who suffer from enlarged prostates, incontinence, frequent urination, painful urination, recurrent UTIs and those with sudden and strong urges to urinate without being able to produce urine can benefit from this study. The staff can also perform cystoscopies in the office. This procedure allows the physician to see inside the lower urinary tract, including the urethra, prostate and bladder. The procedure is used to assist in prostate surgery and to detect lower urinary tract problems. Diagnostic cystoscopy is usually performed with local anesthesia. Each physician at the clinic treats a wide range of conditions, but each has his or her own areas of special interest. Dr. Reine specializes in female urology and urinary in- continence, kidney stone disease, vasectomies and prostate disease. He performs "no needle" and "no scalpel" vasectomy techniques. He and his colleagues are also able to do prostate biopsies under local anesthesia in the office, eliminating a trip to the hospital. Dr. Salcedo specializes in Endourology, the branch of urology that uses minimally invasive surgical techniques. Endourologists often use small cameras and instruments inserted through the patient's urinary tract to perform procedures, such as prostate surgery, kidney stone removal and urinary incontinence treatment. Dr. Childrey specializes in general urology, treatment of stone disease using laser lithotripsy, enlarged prostate and overactive bladder. Many urology patients are referred through their primary care physician's office; however, patients can self-refer to the clinic. Patients suffering from kidney stones, recurring bladder infections or incontinence and those seeking a vasectomy, do not have to work through their general physician to get an appointment, unless stipulated by their insurance. Patients can contact the office directly to set up an appointment. For Dr. Reine, the clinic's transformation in just three short years from a small office in the Medical Arts Building to "a full-fledged, fully functional urology practice in a stateof-the art facility" is pretty humbling. "Seeing how much we've grown over the years to better serve this community and give care so urgently needed, is something we can all be proud of," said Dr. Reine. "We've come a long way since opening our doors, and we're constantly looking at ways to reach more patients while continuing to provide quality care. "We really hit the ground running and haven't looked back." Anna Haley is the Marketing Coordinator for Cape Fear Valley Health Systems. "Where compassion and care run the business" Cape Fear Crematory, Inc. More cost effective than traditional burial We offer private family viewings Affordable direct cremation Services available 24 hours Family owned and operated for over 30 years 6765 Sandy Creek Road | Stedman, NC 28391 | 910.323.8898 | www.capefearcrematory.com 48 | 2013 Medical & Dental Directory

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