From office-based procedures to robotic surgery — the full spectrum of minimally invasive urologic care for men and women in Orange County.
Benign Prostatic Hyperplasia (BPH) affects more than half of men over 60, causing symptoms like frequent urination, weak urine stream, and nighttime trips to the bathroom. Dr. Sawkar offers the most advanced minimally invasive solutions available.
Non-surgical, image-guided catheter procedure that shrinks the prostate by reducing its blood supply. No cuts to the prostate, no general anesthesia, same-day discharge. Ideal for large prostates. Learn more →
Tiny implants lift and hold prostate tissue away from the urethra. No cutting, no heat, preserves sexual function. In-office procedure. Learn more →
Robotic waterjet ablation guided by real-time ultrasound imaging. Highly precise tissue removal preserving sexual function across all prostate sizes. Learn more →
Convective water vapor energy delivered directly into excess prostate tissue, causing cell death and shrinkage over 3 months. Learn more →
Good news: You don't have to live with these symptoms. Modern minimally invasive treatments get most patients back to normal within days — without ongoing medications.
From erectile dysfunction to low testosterone, Dr. Sawkar provides comprehensive, confidential care for the full spectrum of men's sexual and hormonal health — restoring vitality, function, and quality of life.
PRP uses concentrated growth factors drawn from your own blood to stimulate tissue repair and new blood vessel formation within penile tissue. By addressing the cellular and vascular damage that causes ED, PRP promotes lasting improvement in erectile function — not just temporary symptom relief.
Focused acoustic waves stimulate angiogenesis — the growth of new blood vessels — directly within penile tissue. This treats the vascular insufficiency that underlies the majority of ED cases. Clinical studies demonstrate durable improvements in erectile function, with many men reducing or eliminating their need for medication.
PDE5 inhibitors (sildenafil, tadalafil) remain effective for many men and can be used as needed or alongside regenerative therapies.
Medication injected directly into the penis provides reliable erections when other options are insufficient. Can bridge treatment while regenerative therapies take effect.
The gold standard for men who haven't responded to other treatments. Highest satisfaction rates of any ED therapy, with concealed, natural-feeling results.
Low testosterone (hypogonadism) is far more common than most men realize — and its symptoms are frequently dismissed as "just aging." Dr. Sawkar evaluates testosterone and related hormones comprehensively and offers individualized replacement strategies.
Common symptoms include fatigue, low libido, difficulty building muscle, mood changes, brain fog, and reduced bone density. Many men find significant improvement in energy, mood, and sexual function with appropriate treatment.
Treatment plans are tailored to each patient's goals — including fertility considerations, since some hormonal therapies can affect sperm production.
Intramuscular or subcutaneous injections — the most common and cost-effective form of TRT with predictable, controllable dosing.
Applied daily for stable testosterone levels without injections — a convenient option for many patients.
Small pellets inserted under the skin every 3–6 months, providing steady hormone levels without daily administration.
Decreased sex drive can stem from hormonal, psychological, or vascular factors. A thorough evaluation identifies the cause and guides effective treatment.
Scar tissue in the penis causes painful curvature that can interfere with intercourse. Treatment ranges from Xiaflex injections to surgical correction depending on severity.
Comprehensive evaluation including PSA, testosterone panel, metabolic workup, and urologic screening — proactive care to catch issues early and optimize long-term health.
ED as a Health Signal: Erectile dysfunction is often an early warning sign of cardiovascular disease, diabetes, or hormonal imbalance. A comprehensive evaluation can uncover treatable underlying conditions — benefiting your sexual health and your overall wellbeing.
Prostate cancer is the most common cancer in men. With early detection and expert surgical care, outcomes are excellent. Dr. Sawkar specializes in robot-assisted radical prostatectomy — the gold standard surgical treatment for localized prostate cancer.
Using the da Vinci Surgical System, Dr. Sawkar removes the prostate with extraordinary precision, carefully preserving the nerve bundles responsible for urinary continence and erectile function. This approach offers superior oncologic control with the best possible functional outcomes.
For patients with more advanced disease, Dr. Sawkar works collaboratively with radiation oncologists and medical oncologists to develop individualized, multidisciplinary treatment plans.
Schedule a ConsultationThe da Vinci Surgical System gives Dr. Sawkar unparalleled precision — magnified 3D vision and instrument articulation that surpasses what the human hand can do alone. This translates to:
Kidney cancer is increasingly detected incidentally on CT scans ordered for other reasons. Early detection is a significant advantage — many tumors can be treated with kidney-sparing surgery that eliminates the cancer while preserving kidney function.
Dr. Sawkar performs robotic partial nephrectomy — removal of only the tumor and a small surrounding margin, while leaving the rest of the healthy kidney intact. This approach:
Tumor removal while preserving the healthy kidney — the preferred approach for most localized kidney cancers.
Complete kidney removal performed laparoscopically for larger or more complex tumors where partial removal is not feasible.
For small, slow-growing tumors, careful monitoring may be the most appropriate initial approach, avoiding unnecessary intervention.
Bladder cancer often first presents as blood in the urine (hematuria). Prompt evaluation is essential. Dr. Sawkar offers comprehensive bladder cancer diagnosis and treatment, from initial cystoscopy through definitive surgery.
For non-muscle-invasive bladder cancer, transurethral resection of bladder tumor (TURBT) is the cornerstone of treatment — a minimally invasive endoscopic procedure to remove visible tumors. This is followed by surveillance cystoscopy on a scheduled protocol to monitor for recurrence.
For muscle-invasive or high-grade disease, Dr. Sawkar evaluates patients for radical cystectomy and coordinates multidisciplinary care including oncology input when appropriate.
Any blood in urine should be evaluated promptly — even a single episode. Most cases turn out to be benign, but early evaluation is always the right choice.
Urinary incontinence is far more common than most people realize — and far more treatable. Dr. Sawkar provides comprehensive evaluation and individualized treatment for both men and women struggling with bladder control.
Leakage with coughing, sneezing, or exercise. Often treated with minimally invasive sling procedures.
Sudden, strong urge to urinate. Treated with medications, Botox bladder injections, or nerve stimulation therapy (InterStim).
Leakage following prostate surgery. Multiple highly effective options including artificial urinary sphincter.
Bladder training, fluid management, pelvic floor exercises (Kegel training).
FDA-approved drugs for overactive bladder, urgency, and frequency symptoms.
Botox bladder injections and nerve stimulation for refractory overactive bladder.
Minimally invasive slings, artificial urinary sphincter for severe cases.
Male factor infertility accounts for approximately 40–50% of infertility in couples. A urologic evaluation can identify correctable causes that may allow natural conception.
Dr. Sawkar evaluates men for varicoceles, hormonal imbalances, ejaculatory dysfunction, and obstructive causes of infertility. Many conditions can be corrected surgically or medically, significantly improving fertility outcomes.
Schedule EvaluationMicrosurgical varicocelectomy to correct dilated veins that impair sperm production and quality.
Evaluation and treatment of hormonal causes of reduced sperm production and low testosterone.