Urology
Samaritan’s Urology Center offers comprehensive care for urological diseases and conditions that affect the prostate, genitals and urinary tract. We work in close communication with your primary care physician and other specialists to design a comprehensive, personalized treatment plan that’s right for you.

What conditions do you treat?
We treat:
- Cancers of the genito-urinary tract (prostate, kidney, bladder, testis, penis, adrenal)
- Benign prostate enlargement and related problems
- Kidney and other urinary stones
- Erectile dysfunction (impotence)
- Peyronie’s disease (penile curvature)
- Female sexual dysfunction
- Male infertility and sterilization
- Voiding disorder (frequency, urgency, poor flow, urinary retention, etc.)
- Urinary leakage (incontinence) and bladder control issues (male and female)
- Overactive Bladder
- Hematuria
- Prostatitis
- Varicocele
- Hydrocele
- PSA assessment
What in-office procedures do you provide?
- Vasectomy
- Cyst/lesion removal
- Cystoscopy
- Urodynamics
- Uroflowmetry
- Bladder scan
- Dilation of the urethra
- Prostate ultrasound and biopsy
- Intracavernosal penile injection therapy
- Implantation of testosterone pellets (Testopel)
- Removal of genital growths (laser)
- Intravesical immunotherapy or chemotherapy (for bladder cancer)
- Injection or implantation of LHRH analogs (for prostate cancer)
- MRI/US fusion targeted prostate biopsies with Uronav-Invivo technology
- Xiaflex injection for Peyronie’s disease
What surgical procedures do you provide?
Cancer surgeries:
- Robotic Radical prostatectomy for prostate cancer
- Open Radical cystectomy with urinary diversion for bladder cancer
- Robotic Radical and partial nephrectomy for kidney cancer
- Robotic Radical nephroureterectomy for upper urinary tract cancer
- Open Retroperitoneal lymph node dissection for testis cancer
- Open Groin lymph node dissection for penile cancer
- Radical Orchiectomy for testicular cancer
- Partial or radical adrenalectomy for adrenal tumors
- Transurethral resection of bladder tumors for bladder cancer
Robotic reconstructive surgeries:
- Pyeloplasty for ureteral pelvic junction obstruction
- Ureteroureterostomy or ureteral reimplantation for ureteral strictures
- Vesicovaginal fistula repair
- Bladder diverticulectomy
Kidney Stone Surgeries:
- Ureteroscopy (ureteral endoscopy) with laser lithotripsy and basket extraction
- Extracorporeal shockwave lithotrispy (ESWL)
- Percutaneous nephrolithotomy (PCNL)
- Ureteral stent placement
Transurethral surgery for prostate enlargement:
- Bipolar transurethral resection of the prostate (TURP)
- Bipolar button transurethral electrovaporization of the prostate
Additional surgeries:
Botox injections for urinary incontinence
Circumcision
Ureteroscopy or uretero-pyeloscopy for tumors and other abnormalities of the upper urinary tract
Placement of ureteral stents, conventional and metallic stents (to unblock urinary passages)
Penile procedures (curvature problems, penile prostheses, correction of urethral opening)
Female genital prolapse surgery
Male anti-incontinence surgeries
Female anti-incontinence surgeries
Vasectomy
Groin and scrotal surgery (including tumors & cysts in testes/scrotum)
What should I bring to my appointment?
Before you go, please be sure to gather the following:
- Your driver’s license or other photo ID with a current address. If the photo ID does not have a current address, please bring a current utility bill or other correspondence that includes this information.
- Your current health insurance cards
- A referral from your primary care physician
- Co-pays
- Any imaging (radiology) studies related to the reason for your visit
- A list of written medications
- A list of questions or concerns you have

Silverio Spaziani has lived in Watertown for his whole life, so it’s safe to say he likes to keep it local. Even still, when he needed serious urology care, the thought of leaving the area crossed his mind — that is, until he met Dr. Kevin Chandler at the Samaritan Urology office.
“Dr. Chandler is a hell of a nice man,” Mr. Spaziani says. High praise from a retired UPS driver, who has met a lot of people throughout his decades in the North Country. Mr. Spaziani was referred to Dr.
Chandler by his primary care doctor, who, according to him, said, “I would send my dad to Dr. Chandler.” High praise again, this time from a fellow local physician.
Since being referred, Mr. Spaziani’s journey has been challenging, but it has given him peace of mind. He first had a ureter mass removed by robotic surgery at Samaritan, and then began treatment for a
developing bladder cancer. Thankfully, all of the care and procedures he has needed are available within the Samaritan Health System.
“The robotic surgery was much better than I thought it would be,” Mr. Spaziani said. “A few small holes and an easy recovery for me, it was great. Dr. Chandler explained everything to me so I understood. Everything he said would happen, did, and everything he said would help, has. They even took my calls after hours, as I had questions after surgery.”
“It was a pleasure meeting and taking care of Mr. Spaziani,” Dr. Chandler said. “With the advanced surgical technology we have available here at Samaritan, we were able to minimize his pain and recovery time, letting him quickly get back to living life.”