Prostate Enlargement and Blockage (Benign Prostatic Hyperplasia) - Treatment for difficulty with urination or incomplete bladder emptying due to BPH is available with Laser Therapy to reduce blockage tissue as an outpatient hospital procedure or office-based Prostiva procedure. Dr. Bilowus is highly trained and experienced with all forms of new minimally invasive office-based treatments such as Prostiva RF treatment and Targis microwave treatment.

Prostate Cancer Screening - Prostate physical exam (DRE) should be done in all men after age 40. In men with a family history, no knowledge of family history (adopted), or African-American heritage, PSA blood testing should begin at age 40 annually instead of age 50.

Kidney Stone Lithotripsy (ESWL) - This can now be performed effectively and quickly on stones within the ureter non-invasively (without surgery) with the new Reston Hospital Center Dornier Lithotriptor. Dr. Bilowus is specially trained and very experienced with the Dornier Lithotriptor.

Vasectomy - This procedure is available as an outpatient through the hospital or as a confidential, in-office procedure under local anesthetic. Special financial arrangements are available for patients not covered by insurance.

Vasectomy Reversal (Vasovasostomy) - This procedure can now be done with IV sedation and local anesthetics, using an operating microscope with 10x magnification.