Men's Urology In Aurora, CO
Ready to address your urological concerns? Call Modern Urology today to schedule your evaluation, or request an appointment online.
Why Choose Modern Urology for Men's Urological Care in Aurora, CO
Modern Urology stands apart from larger hospital-based urology programs by offering personalized, physician-led care where Dr. Fronczak treats every patient directly. Instead of rotating between providers, patients build a relationship with one urologist who knows their history, understands their goals, and creates a treatment plan specific to their needs. This individualized approach leads to better outcomes and a more comfortable experience from the first visit through follow-up care.
The practice focuses on finding the root cause of urological problems rather than simply managing symptoms. Dr. Fronczak stays current with the newest diagnostic and treatment technologies, actively evaluating emerging options so her patients always have access to the most effective care available. Modern Urology also offers both surgical and non-surgical solutions for every condition, giving patients real choices in how they want to manage their health.
One feature that sets Modern Urology apart is the availability of nitrous oxide sedation for in-office urological procedures. Many men delay necessary evaluations and treatments because they feel anxious about the process. Nitrous sedation helps patients stay calm and comfortable during procedures that would otherwise cause stress. This comfort-first philosophy, paired with the highest quality diagnostic equipment, makes Modern Urology one of the most patient-friendly urology practices serving Aurora, Centennial, Parker, Highlands Ranch, and the greater Denver metro area.
Men's Health - CONDITIONS WE TREAT
An enlarged prostate, also called benign prostatic hyperplasia (BPH), is one of the most common urological conditions in men over 45. Modern Urology offers a full range of BPH treatments, from prescription medications and minimally invasive in-office procedures to surgical options, all tailored to the severity of symptoms and each patient’s preferences.
The prostate gland continues growing throughout a man’s life. A normal prostate is about the size of a walnut, weighing around 30 to 40 grams. As it grows, it can compress the urethra, the tube that drains urine from the bladder. This compression makes it difficult for urine to flow freely, similar to a kink in a garden hose.
Roughly 50% of men between ages 50 and 60 experience BPH symptoms. By age 80, that number rises to 90%. Common symptoms include a weak urinary stream, waking multiple times at night to urinate, dribbling, urgency, difficulty starting the stream, straining, and the feeling that the bladder has not fully emptied.
Why You Should Not Ignore BPH Symptoms
When the bladder has to work harder to push urine past an enlarged prostate, it gradually weakens. Over time, a chronically overworked bladder becomes thick, stiff, and poorly functioning. In severe cases, the bladder may lose its ability to squeeze at all, requiring a catheter to drain urine. Untreated BPH can also lead to kidney damage and kidney failure. If your symptom score on a BPH questionnaire is greater than 8, schedule an evaluation.
BPH Treatment Options at Modern Urology
Treatment depends on the severity of your symptoms and how they affect your daily life. Options include:
Prescription medications such as alpha blockers (tamsulosin) and 5-alpha reductase inhibitors (finasteride) can ease symptoms but often come with sexual side effects that many men find unacceptable.
Minimally invasive in-office procedures have transformed BPH treatment in recent years. These options can relieve obstruction with fewer side effects and faster recovery than traditional surgery. Nitrous sedation is offered for all prostate procedures at Modern Urology, making the in-office experience significantly more comfortable.
Surgical procedures including transurethral resection of the prostate (TURP) and robotic simple prostatectomy are available for more advanced cases. Dr. Fronczak actively evaluates new and emerging BPH technologies to ensure her patients always have access to the latest proven options.
Prostate cancer is the most commonly diagnosed cancer in men in the United States and the second leading cause of cancer death in men, after lung cancer. Modern Urology provides comprehensive prostate cancer screening, risk assessment, and advanced diagnostic testing designed to detect lethal cancers early while reducing unnecessary procedures.
When Should Men Start Prostate Cancer Screening?
Dr. Fronczak recommends that men with a life expectancy greater than 10 years undergo regular prostate cancer screening. For men without a family history of prostate cancer, screening should begin at age 50. For men with a family history, or men of African American descent who face a higher risk, screening should start between ages 40 and 45.
Screening involves two components: a PSA blood test and a digital rectal exam (DRE). PSA stands for prostate specific antigen, a protein released by the prostate that circulates in the bloodstream. An elevated PSA is traditionally defined as a value above 4 ng/mL, but changes in PSA over time matter even when the number stays below that threshold. Dr. Fronczak recommends five days of pelvic rest before a PSA test to avoid falsely elevated results.
PSA can be elevated for reasons other than cancer, including a naturally enlarged prostate, infections, recent ejaculation, bike riding, pelvic trauma, or recent urological procedures. That is why a thorough evaluation is essential before jumping to conclusions.
Advanced Prostate Diagnostics at Modern Urology
Modern Urology uses innovative diagnostic methods that go well beyond a basic PSA test. These tools help determine whether a biopsy is truly necessary, reducing the number of men who undergo invasive procedures they do not need. Diagnostic options include:
Genomic testing through blood and urine tests such as 4Kscore, SelectMDX, and ExoDx that calculate the likelihood of detecting significant prostate cancer on biopsy.
Multiparametric prostate MRI imaging that can identify and locate suspicious areas of prostate tissue before any biopsy is performed.
UroNav MRI/ultrasound fusion biopsy that combines MRI data with real-time ultrasound to precisely target suspicious areas during biopsy, improving detection accuracy.
Risk Factors for Prostate Cancer
Family history significantly increases prostate cancer risk. Men whose father had prostate cancer are twice as likely to develop it. If a brother was diagnosed, the risk increases fourfold. When both a father and brother have been diagnosed, a man’s risk is eight times higher. African American men are 1.6 times more likely to develop prostate cancer and face a higher risk of dying from the disease.
Dr. Fronczak uses lab tests, genomic results, imaging, biopsy findings, and thorough patient discussions to make educated decisions about treatment or active surveillance. The goal is always to maximize detection of lethal cancers while avoiding overtreatment of slow-growing, low-risk tumors.
Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for sexual activity, and it is not a normal part of aging at any age. Modern Urology provides a thorough evaluation of the underlying causes of ED followed by a personalized treatment plan that may include oral medications, penile injection therapy, or surgical options.
The evaluation begins with a comprehensive medical history and may include checking testosterone levels, including bioavailable testosterone. If testosterone testing is needed, blood should be drawn before 9 a.m. for accurate results.
How Is Erectile Dysfunction Treated?
Treatment follows a stepwise approach based on each patient’s needs:
Oral medications such as generic sildenafil (Viagra) and generic tadalafil (Cialis) are typically the first option. However, pills alone are often not sufficient for many men, and that is perfectly okay because effective alternatives exist.
Penile injection therapy is considered the gold standard treatment for erectile dysfunction. A very small amount of medication (such as Trimix, Bimix, or alprostadil) is injected into the shaft of the penis and produces a strong erection within about 10 minutes. The needle is extremely small, the medication volume is tiny, and most men report minimal discomfort. Dr. Fronczak provides a supervised trial injection in the office so each patient and his partner can learn the technique, understand proper dosing, and feel confident before using it at home.
Key points for injection success: always start with the smallest effective dose (for example, 0.05 mL), increase gradually over 24 to 48 hours until the desired result is achieved, and never inject more than necessary. Injecting too much can cause a priapism, a prolonged erection lasting more than three to four hours that can permanently damage erectile tissue. Trimix is very safe when used at appropriate doses. Store injectable medication in the refrigerator to extend its potency.
A vacuum erection device and counseling with a sex therapist may also be part of a comprehensive treatment plan. In advanced cases of ED, a penile prosthesis surgery may be recommended.
Low testosterone affects energy, mood, sexual drive, body composition, and overall quality of life. Modern Urology provides thorough testosterone testing and individualized treatment plans to help men restore healthy hormone levels safely and effectively.
Testosterone is measured through a blood test that must be drawn before 9 a.m., when levels are at their daily peak. If the initial result is low, additional bloodwork will be ordered, again requiring a morning draw after an eight-hour fast.
When testosterone levels fall below the normal range, men may experience fatigue, reduced libido, difficulty with erections, loss of lean muscle mass, increased body fat, depressed mood, and anemia. These symptoms are often dismissed as normal aging, but they are treatable.
Testosterone replacement therapy can improve libido, sexual function, energy, lean body mass, mood, and red blood cell production. Dr. Fronczak evaluates each patient’s full hormonal profile before recommending treatment and monitors levels regularly to ensure safety and effectiveness. Treatment options, dosing, and monitoring schedules are tailored to each patient’s health profile and goals.
A vasectomy is a safe, effective, and permanent form of male birth control. Modern Urology performs vasectomy procedures in a comfortable office setting with the option of nitrous oxide sedation to keep patients relaxed throughout the process.
During a vasectomy, the vas deferens (the tubes that carry sperm from the testicles) are cut and sealed. The procedure typically takes about 20 to 30 minutes. Most men return to light activity within a few days and resume full activity within a week.
Dr. Fronczak discusses the procedure, recovery expectations, and any concerns during a pre-procedure consultation so every patient feels fully informed before moving forward. A follow-up semen analysis is performed after the procedure to confirm success.
Kidney stones are one of the most painful urological conditions, and they affect men more frequently than women. Modern Urology evaluates and treats kidney and bladder stones using both medical management and procedural interventions tailored to the size, location, and type of stone.
Symptoms of kidney stones include sudden severe pain in the back or side, pain that radiates to the lower abdomen or groin, blood in the urine, nausea, vomiting, and difficulty urinating. Some stones pass on their own with hydration and pain management, while larger or more complex stones may require intervention.
Modern Urology offers cystolitholapaxy for removal of bladder stones and works with patients on prevention strategies to reduce the risk of recurrence, including dietary changes and metabolic evaluation. If you are experiencing sudden flank pain or blood in your urine, seek evaluation promptly.
Urinary leakage, also called urinary incontinence, is never normal at any age and should not be accepted as an inevitable part of getting older. Modern Urology specializes in evaluating and treating all types of male incontinence, helping patients regain confidence and comfort.
Men experience bladder problems for many reasons. Some are related to the prostate, while others involve overactive bladder, urinary tract infections, kidney or bladder stones, overflow incontinence, or in some cases something more serious like cancer. Different types of incontinence require different treatments, and a man may have more than one type at the same time.
Types of incontinence include overactive bladder (OAB), stress urinary incontinence (SUI), and overflow incontinence. Leakage can also result from urinary tract infections or weak pelvic floor muscles.
Modern Urology believes in starting with conservative approaches when appropriate, including behavioral modifications and pelvic floor physical therapy, before moving to medications or procedural interventions. When conservative measures are not enough, the practice has significant experience with advanced interventions and surgical treatments for all types of incontinence, including urodynamic testing to precisely diagnose the cause.
Beyond the major conditions listed above, Modern Urology provides evaluation and treatment for a range of additional urological concerns that affect men’s health and quality of life. These services include:
Peyronie’s disease evaluation and treatment for men experiencing penile curvature or pain during erections.
Hydrocelectomy for the surgical repair of fluid buildup around the testicle.
Spermatocelectomy for removal of cysts on the epididymis.
Varicocelectomy for the treatment of enlarged veins in the scrotum that can cause pain or affect fertility.
Circumcision for patients ages 14 and older.
Evaluation and treatment of urinary retention when the bladder cannot fully empty on its own.
Dr. Fronczak evaluates each condition thoroughly and discusses all available treatment options, both surgical and non-surgical, so patients can make informed decisions about their care.
EXPERT CARE YOU CAN TRUST
Meet Dr. Carolyn Fronczak, Your Urologist in Aurora
Dr. Carolyn Fronczak is the urologist behind Modern Urology, providing men’s urology in Aurora, CO with a focus on thorough evaluation, honest communication, and personalized treatment. She treats every patient directly, building lasting relationships rather than handing patients off to different providers at each visit.
Dr. Fronczak’s clinical approach centers on finding the root cause of urological problems and working toward prevention whenever possible. She stays actively engaged with emerging technologies and treatment options across all areas of urology, from innovative prostate diagnostics like genomic testing and MRI fusion biopsy to the latest in-office procedures for BPH and advanced treatments for erectile dysfunction.
Patients consistently describe Dr. Fronczak’s style as thorough, direct, and genuinely caring. She takes time to explain conditions in plain language, walks patients through treatment options with honesty about risks and benefits, and ensures that each person leaves the office understanding their diagnosis and their choices. Whether performing a supervised trial injection for ED, guiding a patient through prostate cancer risk stratification, or managing complex bladder issues, Dr. Fronczak combines clinical expertise with a human touch that large hospital systems rarely deliver.
Modern Urology serves patients throughout the Denver metro area, including Aurora, Centennial, Parker, Highlands Ranch, and surrounding communities.
Frequently Asked Questions About Men's Urology
When should I see a urologist for men’s health concerns?
You should see a urologist if you experience any bothersome urinary symptoms, such as a weak stream, frequent nighttime urination, urgency, or leakage. You should also see a urologist if you have difficulty with erections, concerns about low testosterone, testicular pain or swelling, blood in your urine, or if you are due for prostate cancer screening. At Modern Urology in Aurora, CO, Dr. Fronczak evaluates each concern thoroughly to identify the underlying cause rather than simply treating symptoms. Do not wait for symptoms to become severe before seeking evaluation.
What happens at a men’s urology appointment?
Your first visit at Modern Urology typically begins with a detailed medical history and a discussion of your symptoms and concerns. Depending on your reason for visiting, Dr. Fronczak may perform a physical exam, order blood work (such as PSA or testosterone levels), conduct urodynamic testing, or recommend imaging. The goal of every appointment is to understand exactly what is causing your symptoms so treatment can be targeted and effective. Most initial evaluations take 30 to 45 minutes.
At what age should men start prostate cancer screening?
Dr. Fronczak recommends that men without a family history of prostate cancer begin screening at age 50. Men with a family history of prostate cancer, or men of African American descent who face higher risk, should start screening between ages 40 and 45. Screening includes a PSA blood test and a digital rectal exam. Both should be performed in men with a life expectancy greater than 10 years. Early detection through regular screening is the best way to catch prostate cancer when it is most treatable.
Can erectile dysfunction be cured?
Erectile dysfunction can be effectively treated in most men, though the right approach depends on the underlying cause. Oral medications work well for some patients, but when pills are not enough, penile injection therapy is considered the gold standard and produces excellent results for most men. Dr. Fronczak provides hands-on instruction in the office, including a trial injection, so patients feel comfortable and confident with the process. A penile prosthesis is available for men with advanced ED that does not respond to other treatments. The most important step is getting a thorough evaluation to understand what is driving the problem.
What is the best treatment for an enlarged prostate?
The best treatment for an enlarged prostate depends on the size of the prostate, the severity of symptoms, and each patient’s preferences. Medications like tamsulosin can provide relief but often carry sexual side effects. Minimally invasive in-office procedures offer effective symptom relief with fewer side effects and faster recovery. Surgical options like TURP or robotic prostatectomy are appropriate for larger prostates or more advanced cases. Modern Urology evaluates each patient individually and presents all available options so you can choose the treatment that fits your life.
Does insurance cover urology visits and procedures?
Most health insurance plans cover urological evaluations and medically necessary procedures. Coverage details vary by plan, so patients should verify their specific benefits before their appointment. Modern Urology’s office staff can help answer questions about insurance and billing. Do not let uncertainty about cost prevent you from seeking care for symptoms that could indicate a serious underlying condition.
Does Modern Urology offer nitrous oxide sedation for procedures?
Yes. Modern Urology is one of the few urology practices in the Aurora area that offers nitrous oxide sedation for in-office urological procedures. Nitrous sedation helps patients who feel anxious about procedures stay calm and comfortable throughout the process. It is available for prostate procedures, biopsies, and other in-office treatments. Many men who have avoided necessary care due to anxiety find that nitrous sedation changes their experience completely.
Ready for a Confident, Worry-Free Future?
Men’s urology in Aurora, CO does not have to mean long waits, impersonal care, or unnecessary anxiety. Modern Urology offers the advanced diagnostics, proven treatments, and personal attention you deserve. Call today to schedule your appointment with Dr. Carolyn Fronczak, or request an appointment online to take the first step toward better urological health.