Bozeman Health Urology
Bozeman Health Urology provides state of the art diagnostic and treatment of the male and female urinary tract. This includes treatment for cancer, restoring male fertility, treating kidney stones and incontinence. Our goal is to return function enabling you to get back to the activities you love.
Meet Your Urology Team
Our multi-disciplinary team of urologists have specialty training in both surgical and non-surgical treatments. We also have the only board-certified male infertility doctor in Southwest Montana. The Urology team works closely with other specialties including family medicine, internal medicine, pediatrics, gynecology and oncology. This close relationship creates seamless transition of care from diagnosis to treatment.
Gregory H Pritham
MD
Urology
Jason F Skenazy
MD
Urology
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John R Gannon
MD
Urology
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Stewart P Chumbley
APRN, FNPBC
Urology
Cordelia Cluett
PA-C
Urology
Erectile Dysfunction (ED)
Erectile dysfunction (ED) is the inability to get and keep an erection firm enough for sex. ED is very common affecting 30 million men in the United States. If the problem persists, it can often cause relationship issues. You are more likely to develop ED issues as you age, if you have certain diseases, take certain medications, have certain health related issues or have psychological or emotional issues.
If you have any issues with ED, its a good time to make an appointment with a urologist. During your initial exam, your urologist will go over your medical history and your symptoms to decide which treatment will work best for you. There are many treatment options that include medication, counseling and surgery.
Erectile Dysfunction & Treatment
Talk to your doctor about which treatment is right for you. In some cases, two or more treatments may be appropriate. At Bozeman Health Urology, we create individually tailored treatment plans for each patient.
Lifestyle Changes
Your doctor may create a lifestyle modification plan to help you with your ED.
- Quit smoking
- Limit or stop drinking alcohol
- Increase physical exercise and maintain a healthy weight
- Stop using illegal drugs
Counseling
Medication
Surgical Implant or Protheses
Frequent Urination Due to Enlarged Prostate & BPH Treatments
Benign Prostatic Hyperplasia
Do you have trouble urinating or emptying your bladder?
Benign Prostatic Hyperplasia (BPH) is the enlargement of the prostate gland that is not cancerous. The prostate undergoes two main growth periods as a man ages. The first occurs during puberty when the prostate doubles in size. The second period begins around the age of 25 and continues during most of the man’s life. As the prostate gland enlarges it pinches the urethra impeding the expulsion of urine. The enlargement can also cause a weakening of the bladder causing the bladder to not completely empty during urination. BPH is the most common prostate condition in men over the age of 50 affecting more than 14 million men in the United states. For many men, the symptoms of BPH can lead to disruptive sleep, urinary tract infections, bladder damage, kidney damage and bladder stones.
BPH Symptoms
- Urinary frequency – urinating eight or more times per day
- Urinary urgency – the inability to delay urination
- Trouble starting a urine stream
- Weak or interrupted urine stream
- Dribbling at the end of urination
- Frequent urination during periods of sleep
- Urinary incontinence
- Pain after ejaculation or during urination
- Urine that has an unusual smell or color
Benign Prostatic Hyperplasia
There are many options for treating BPH that depend on the severity of your symptoms and prior resistance to other treatments.
Lifestyle Modifitcation
Your urologist can work with you to come up with a treatment plan that consists of some or all of the following.
- Reduce intake of liquids especially when going out in public and before sleep
- Avoiding or reducing the consumption of caffeinated drinks or alcohol
- Avoiding certain medications including decongestants, antihistamines, antidepressants and diuretics
- Training the bladder to hold more urine for longer periods
- Exercising pelvic floor muscles
- Preventing or treating constipation
Medications
Your urologist can prescribe medications that will stop the growth or shrink the prostate to help reduce symptoms of BPH.
- Alpha Blockers which relax the smooth muscles of the prostate and bladder neck to improve urine flow.
- Phosphodiesterase-5 Inhibitors are typically prescribed for erectile dysfunction, but can also work by relaxing smooth muscles in the lower urinary tract.
- 5-Alpha Reductase Inhibitors which blocks the production of DHT, that can accumulate in the prostate and may cause prostate growth. These medications can stop prostate growth and decrease the size of the prostate in some men.
- Combination Medications Some studies have shown greater effectiveness by combining two classes of medications instead of just one.
Minimally Invasive Surgery
- HoLEP procedure uses a light beam to peel tissue and hollow out the prostate. This can lead to improved urine flow and reduction of the pressure on the bladder. The procedure takes about three hours.
- TURP procedure a urologist inserts a resectoscope through the urethra and cuts away parts of the prostate with a wire loop. Special fluid carries the pieces into the bladder which is then flushed out at the end of the procedure.
- UroLift is a minimally invasive outpatient procedure. The urologist inserts implants that hold the prostate away from the urethra relieving urine blockage.
If you are experiencing any of these symptoms, you should make an appointment with our team. There are a several treatment options available including lifestyle modification, medications and surgical treatments. During your initial visit, your urologist will do a physical exam and go through treatment options that will work best for you.
Male Infertility, Sexual Dysfunction, & Treatment
Male Infertility
Male infertility is more common then many couples realize. One in seven couples are infertile meaning they have had unprotected sexual intercourse for one year or longer without conceiving. Male infertility can be caused by low sperm count, abnormal sperm function or blockages that prevent sperm delivery. Often these conditions can cause pressure for couples.
Dr. John Gannon is the only board-certified urologist specializing in male infertility and sexual dysfunction in Southwest Montana and he is one of the top fertility experts in the Northwest United States. Bozeman Health Urology can also assist in sperm collection and storage with our male infertility partners.
- Problems with sexual function including difficulty ejaculating or small volumes of fluid ejaculated.
- Difficulty maintaining an erection
- Pain or swelling in the testicle area
- Inability to smell
- Recurrent respiratory infections
- Abnormal breast growth
- Decreased facial and body hair or other hormonal abnormalities
- Lower than normal sperm count
Male Infertility Treatment
Bozeman Health in Bozeman, Montana, offers comprehensive treatment for male infertility. Their approach involves a combination of advanced diagnostic tools and personalized care to address the underlying causes of infertility. The clinic provides a range of services, including semen analysis, hormonal assessments, genetic testing, and imaging to evaluate reproductive health. Based on the findings, treatment options may include medications, lifestyle changes, surgery (if necessary), or assisted reproductive technologies like sperm retrieval and intrauterine insemination (IUI).
Bozeman Health emphasizes a collaborative approach, working closely with patients to develop tailored treatment plans aimed at improving fertility outcomes. Their goal is to provide compassionate, high-quality care for individuals and couples facing male infertility challenges.
There are many options for treating male infertility. Contact us for more information!
If you are experiencing any of these symptoms, you should make an appointment with our team. There are a several treatment options available including lifestyle modification, medications and surgical treatments. During your initial visit, your urologist will do a physical exam and go through treatment options that will work best for you.
Take Control of Your Reproductive Future
For many individuals and couples, the quest for reliable birth control options can be daunting. The constant need for contraception, potential side effects, and the fear of accidental pregnancy can cast a shadow over intimacy and peace of mind.
A vasectomy is a simple, outpatient surgical procedure designed to permanently prevent pregnancy by blocking the vas deferens, the tubes that carry sperm from the testicles. Unlike female sterilization methods, vasectomy is a minimally invasive procedure with a quick recovery time and minimal risks. At Bozeman Health Urology at Deaconess Regional Medical Center, our expert team can provide nitrous oxide to help minimize pain and anxiety during your procedure.
Vasectomy Benefits
Ready to embrace a future free from the constraints of traditional birth control methods? Vasectomy offers a safe, reliable, and liberating solution for individuals and couples alike. Take the first step towards a life of confidence and freedom – schedule your consultation today and embark on the journey to responsible family planning.
Parental Birth Control
Safety & Reliability
Shared Responsibility
Vasectomy offers a unique opportunity for couples to share the responsibility of family planning.
Simplicity & Convenience
With a quick outpatient procedure, vasectomy fits seamlessly into your busy schedule. Just a one time procedure for a lifetime of peace of mind.
Vasectomy Education
Review the information in this booklet carefully in order to know how to prepare for and what to expect after your surgery.
The following is intended to provide you with general information regarding a vasectomy.
Bladder & Bowel Eccentrics
We’re Here to Help You Take Back Control
Bladder and bowel problems can be frustrating, embarrassing, and isolating. Whether you’re a man or woman, young or older, these issues can affect your daily life. But you don’t have to face them alone.
At our clinic, we’re here to guide you with compassion, expert care, and real solutions that help you regain control and confidence.
When Your Body Isn’t Cooperating
When the nerves that control your bladder or bowel stop working properly, it can lead to:
- Bladder leaks (urinary incontinence)
- Bowel accidents (fecal incontinence)
- Rushing to the bathroom too often
- Trouble emptying your bladder
- Waking up at night to go
These issues affect anyone and they can make everyday life harder than it should be.
We Understand and We Have a Plan
We’ve helped people from all walks of life. Our team listens, cares, and creates a plan that fits your unique needs. Here’s how we help:
- 1) Understand your symptoms We begin by listening and helping you track what’s happening.
- 2) Try simple solutions Diet changes, pelvic floor exercises, and bathroom schedules can make a difference.
- 3) Use medication if needed If lifestyle changes aren’t enough, we may try medicine.
- 4) Explore advanced options If other treatments don’t work, we may recommend nerve stimulation therapy, a proven, long-term solution.
Nerve Stimulation Therapy
Nerve Stimulation Therapy is a small device that helps your nerves communicate properly with your bladder and bowel.
It’s safe, effective, and used by over 375,000 people worldwide.
Why People Choose This Therapy
- Try it first – You can test it before committing
- Long-lasting relief – Many people see big improvements
- Rechargeable or recharge-free options
- Minimally invasive – A simple outpatient procedure
(Courtesy of Medtronic)
Urologic Cancers: What You Need to Know
We also care for patients facing Urologic Cancers, which affect the urinary system and male reproductive organs. These include:
Bladder Cancer
- Symptoms: Blood in urine, frequent or painful urination, pelvic pain
- Treatment: Surgery (TURBT), intravesical therapy, cystectomy, chemotherapy, immunotherapy
Kidney Cancer
- Symptoms: Blood in urine, back pain, abdominal mass, fatigue
- Treatment: Surgery (partial or full nephrectomy), ablation, targeted therapy, immunotherapy
Prostate Cancer
- Symptoms: Often silent early on; later, urinary issues, blood in urine/semen, bone pain
- Treatment: Active surveillance, surgery, radiation, hormone therapy, chemotherapy
Testicular Cancer
- Symptoms: Painless lump, groin ache, scrotal heaviness
- Treatment: Surgery, lymph node dissection, chemotherapy, radiation, or surveillance
Ureter & Renal Pelvis Cancer
- Symptoms: Blood in urine, flank pain, painful urination
- Treatment: Surgery (nephroureterectomy), laser ablation, local or systemic therapy
Coordinated Care: Urology + Cancer Center
Bozeman Health Urology works in close partnership with the Bozeman Health Cancer Center, an ASCO QOPI®-certified center. This designation reflects a commitment to excellence and continuous quality improvement.
Our urology providers and surgeons actively participate in regular tumor board meetings alongside specialists from oncology, radiology, pathology, and supportive care. Together, they review each patient’s case and develop personalized treatment plans that consider every angle of care.
Behind the scenes, our dedicated nurse navigators coordinate appointments and manage the details of each patient’s journey, so patients can focus on what matters most: Healing.
