Dr. Perumal, Dr. Almonte, and Jo Ann Tedeschi, RPA-C

We offer urological care of the highest quality for men and women. We are dedicated to providing advanced, innovative care with compassion and attention to details. For more information about particular services available, please contact our office.

Our practice offers the following special services, in addition to routine urological services and surgery:


We offer minimally invasive state-of-the-art radioactive seed implant therapy, called brachytherapy for the treatment of prostate cancer. Our practice has the most extensive experience in this treatment, in this area. Radioactive seed therapy is performed on an ambulatory basis, allowing you to return home the same day. The results are comparable to surgery, with a much lower risk and more rapid recovery.

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Urinary Incontinence

Biofeedback Therapy & Minimally Invasive Surgery

We provide a comprehensive range of state-of-the-art therapies for urinary incontinence in both women and men. We offer the latest nonsurgical therapies for stress and urge incontinence, such as pelvic floor rehabilitation and biofeedback therapy. We also offer medical and surgical options, improved treatments and procedures with lower risk and higher rates of long-term success. We also perform minimally invasive surgeries improving the success, decreasing patient discomfort, and faster recovery time.

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Prostate Screening and Evaluation

Our practice offers the latest prostate screening and evaluation blood tests for prostate cancer, which is the most common cancer in men in this country. It is the second most common cause of cancer related deaths in men. We do state-of-the-art prostate ultrasound examination and prostate biopsy in the privacy, comfort, and convenience of our office.

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We offer various forms of lithotripsy treatments for urinary stone problems including, Extracorporeal shock wave lithotripsy (ESWL), ElectrohydraulicLithotripsy (EHL), as well as Holmium Laser Lithotripsy, to maximize the chances of success. In addition to the procedures, we concentrate on preventive treatment, which is equally if not more important. These treatments are done on an outpatient basis.

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Minimally Invasive Treatment Options for BPH

In addition to medical treatment and conventional surgery, we also offer the minimally invasive, outpatient procedures for prostate enlargement problems (BPH) including Trans Urethral Microwave Hyperthermia (TUMT), Trans Urethral Needle Ablation (TUNA) using radiofrequency waves and Interstitial Laser Coagulation of the prostate (ILC) using Indigo Laser. Most of these can be done in the privacy and convenience of our office as an outpatient.

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In addition to the above, our practice offers evaluation and treatment for the following common urologic conditions:

To find more online resources about urological conditions and procedures, click on the underlined word in the above lists, or check out the resource links on our Links page.

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