Answers, in plain English
Frequently asked urology questions.
Everything patients ask us most — about prostate health, MRI fusion biopsy, BPH treatment, robotic surgery, kidney stones, insurance and what happens at your first visit with our Coral Springs urologists.
Getting started
You can book online through our appointments page, which shows live availability, or call our Coral Springs office at (954) 227-6747 during business hours (Monday–Friday, 8:30 AM–5:00 PM). Same-week appointments are frequently available, and urgent stone or retention symptoms are prioritized.
Sachedina Urology is located at 1670 University Drive, Suite A, Coral Springs, FL 33071. We serve patients throughout Broward and Palm Beach counties, including Parkland, Coconut Creek, Margate, Tamarac, Boca Raton and Fort Lauderdale.
Yes. We accept most major insurance plans, including Medicare. Because coverage varies by plan, we recommend calling our office at (954) 227-6747 before your visit so our team can verify benefits and explain any expected out-of-pocket cost in advance.
Most PPO plans allow you to schedule directly with a urologist without a referral. Some HMO and Medicare Advantage plans require a referral from your primary care physician. Our staff will confirm this for you when you book.
Bring a photo ID, your insurance card, a list of current medications, and any recent imaging, lab work or pathology reports related to your urologic issue. Arriving with prior PSA values or CT scans lets us give you a plan on day one instead of scheduling another visit.
Prostate health & MRI fusion biopsy
An MRI fusion prostate biopsy merges a pre-procedure multiparametric MRI of the prostate with live ultrasound imaging during the biopsy. The software overlays the two images so the urologist can guide the needle directly into the suspicious lesion identified on MRI, rather than sampling the gland at random. It is the most accurate prostate biopsy technique widely available today.
For most men with an elevated PSA or an abnormal MRI, yes. MRI fusion biopsy detects roughly 30% more clinically significant prostate cancers than standard systematic biopsy, while reducing the detection of insignificant cancers that would never cause harm. That means fewer unnecessary treatments and more confidence in a negative result.
Most patients describe mild pressure rather than pain. The procedure is performed in our Coral Springs office using advanced local anesthesia and typically takes about 15–20 minutes. You can usually drive yourself home and resume normal activity the next day.
There is no single number that applies to every man. A PSA above 4.0 ng/mL, a PSA that is rising quickly year over year, or an abnormal digital rectal exam all warrant evaluation. Age, prostate size, family history and ethnicity all matter, which is why we interpret PSA in context rather than as a pass/fail test.
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate that causes weak stream, frequency, urgency and nighttime urination. Treatment ranges from medication to in-office therapies such as Rezūm™ water vapor therapy and UroLift®, to Aquablation® and GreenLight laser or TURP for larger glands. Our practice was the first in Broward County to perform Aquablation®.
Rezūm™ is an in-office water vapor therapy that uses short bursts of sterile steam to shrink the prostate tissue causing BPH symptoms. It takes only minutes, requires no general anesthesia, and preserves sexual and ejaculatory function. It is best suited to men with mild-to-moderate prostate enlargement who want to stop taking daily BPH medication.
Surgery & recovery
The da Vinci® system lets the surgeon operate through several millimeter-sized incisions using instruments with a greater range of motion than the human wrist, guided by magnified 3D vision. We use it for prostatectomy, partial and radical nephrectomy, cystectomy, adrenalectomy, pyeloplasty and complex reconstruction. Patients typically experience less blood loss, less pain and a faster return to normal life than with open surgery.
Most patients go home the day after surgery, have their catheter removed within about a week, and return to desk work in two to three weeks. Full recovery, including return to strenuous exercise, is usually four to six weeks. Continence and erectile function recover gradually over the following months with pelvic floor therapy and rehabilitation.
Cystoscopy, ultrasound, prostate biopsy, urodynamics, vasectomy, PTNS and Rezūm are performed in our Coral Springs office. Robotic surgery, Aquablation, laser stone surgery and lithotripsy are performed at affiliated hospitals and surgery centers — nearly always as outpatient or single-night stays.
Small stones often pass with hydration and medical expulsive therapy. Larger or obstructing stones are treated with ureteroscopy and laser lithotripsy (scarless, through the urinary tract), shockwave lithotripsy, or percutaneous surgery for very large stones. We also run a prevention program using 24-hour urine analysis and metabolic workup so you do not keep repeating the experience.
Men's health & general urology
ED is most often vascular in origin and can be an early warning sign of cardiovascular disease, diabetes or low testosterone. Treatment is highly effective and ranges from optimized oral medication and testosterone therapy to injection therapy, vacuum devices and penile prosthesis surgery for men who do not respond to medication.
Yes. No-scalpel vasectomy is performed in our office under local anesthesia in about 20 minutes. Most men return to work within two days and resume normal activity within a week. A follow-up semen analysis confirms success before you stop using other contraception.
Yes. We care for women with recurrent urinary tract infections, urinary incontinence, overactive bladder, kidney stones, hematuria and bladder cancer. Urodynamic testing and PTNS therapy for incontinence are both available in-office.
Always. Visible blood in the urine — and microscopic blood found on a routine urinalysis — should be evaluated promptly with imaging and cystoscopy, even if it happens only once and is painless. Hematuria is the most common presenting sign of bladder cancer, and it is highly treatable when found early.
You will be cared for by Dr. Nasheer Sachedina or Dr. Azeem Sachedina — both board-certified urologists. Your ultrasound, cystoscopy and biopsy are performed personally by your physician rather than delegated to a technician.
Still have a question? Ask a urologist directly.
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