Men's Urology In Denver, CO
Modern Urology evaluates all urologic issues that men experience
Why Choose Modern Urology
Elevating Patient Outcomes Through Advanced Urological Solutions. Experience Our Innovative Treatment Approaches.
Achieve Optimal Urologic Health with Dr. Carolyn Fronczak's Comprehensive Care for All Patients
Ready to restore your quality of life? You’ve found the right place. Dr. Carolyn Fronczak delivers personalized urological treatment designed to help you thrive, serving patients of every background.
Men's Health - CONDITIONS WE TREAT
Prostate enlargement is medically termed BPH (benign prostatic hyperplasia).
Prostate enlargement triggers urinary difficulties in the majority of men.
The prostate continuously enlarges throughout male aging. A healthy prostate measures approximately 30-40g, comparable to walnut dimensions.
Malignant and benign prostatic tissue expansion can simultaneously exist within the prostate.
A seasoned urologist observed, “Half of men currently consult a urologist, while the other half will inevitably require urological consultation.”
Prostate enlargement can impact men starting at 45 years old.
Half of men experience BPH manifestations between ages 50-60.
Ninety percent of men beyond 80 years develop voiding symptoms from prostatic enlargement.
During prostatic growth, the prostate can compress the conduit draining urine from the bladder. This conduit is the urethra. When the urethra becomes constricted or compressed, urine struggles draining from the bladder (imagine a kinked garden hose). The bladder overworks to expel urine, but an overworked bladder becomes an unhealthy bladder. Over time, an overworked bladder transforms into a thickened weakened poorly functioning bladder—the bladder muscle essentially exhausts itself.
BPH manifestations can include diminished urinary flow, nighttime awakening more than once, post-void dribbling, increased frequency, sudden urgency, hesitancy starting urination, straining during voiding, sensation of incomplete bladder emptying.
Don’t dismiss these warning signs. The bladder can deteriorate until it cannot evacuate urine. When bladder contractility fails, a man may require a foley catheter for bladder drainage, potentially permanent lifelong. When bladder emptying fails, renal insufficiency may occur with possibly irreversible kidney damage.
Complete the assessment here and if your result exceeds 8, schedule a consultation.
If you experience troublesome urinary manifestations, these manifestations may indicate urinary blockage from prostatic enlargement, but could also signal stones, bladder infection, urethral narrowing, overactive bladder, or even malignancy.
Enlarged prostate management includes prescription medications, office-based interventions, or surgical operations.
Medications for prostatic obstruction include alpha blockers (Example – tamsulosin) and 5 alpha reductase inhibitors (Example – finasteride). All prostatic medications carry sexual adverse effects and these sexual adverse effects are frequently bothersome and unwanted.
Office-based interventions have revolutionized the management of manifestations associated with prostatic enlargement.
Surgical operations include transurethral resection of prostate and robotic simple prostatectomy.
Additional prostatic treatments are emerging and Dr. Fronczak actively evaluates innovative and upcoming technologies.
Nitrous sedation is available for all prostatic interventions at Modern Urology.
What is PSA and why does it become elevated?
- PSA represents Prostate Specific Antigen.
- PSA is a biomarker produced by the prostate and travels through the bloodstream. It is released by healthy and diseased prostate cells. PSA exists exclusively in males.
- PSA is measured with a straightforward blood draw.
- PSA serves as a screening tool for prostate cancer.
- If a patient shows an elevated PSA, the cause for the elevation should be assessed by a urologist.
- PSA can be elevated from prostate cancer, but also can be elevated from normal yet enlarged prostate tissue (BPH), infections, recent ejaculation, recent bike riding, pelvic trauma, and recent urologic procedures/foley catheter placement.
- The providers at Modern Urology deliver innovative approaches to assess an elevated PSA.
How do you assess an elevated PSA?
- The advanced technologies available today help make an informed educated decision on the necessity for further testing of an elevated PSA. These advanced tests can and do minimize the need for unnecessary biopsies.
- These innovative tests include but are not limited to:
- Genomic testing – blood and urine tests that determine the probability of detecting prostate cancer with a biopsy.
- Multiparametric Prostate MRI – an MRI that may detect the location of abnormal prostate tissue that may or may not be cancerous.
- UroNav MRI/Ultrasound
- The providers at Modern Urology are actively evaluating emerging and upcoming tests.
FRONCZAK’S POSITION ON PSA SCREENING
PSA screening and a digital rectal exam should be conducted after a discussion of risks and benefits with patients.
PSA screening involves a straightforward blood test that measures the quantity of prostate specific antigen (PSA), a biomarker secreted by the prostate and traveling through the bloodstream. It is released by healthy and diseased prostate cells. PSA exists exclusively in males.
A digital rectal exam is when a provider with a gloved hand, inserts a finger into the anus to palpate the prostate through the rectum for abnormalities and size.
PSA screening and a digital rectal exam (DRE) should both be conducted in men with life expectance of greater than 10 years. The screening can be completed by the primary care provider or a urologist.
I support PSA screening in men with greater than 10 years of life expectancy.
I support initiating screening at age 50 for men without a family history of prostate cancer and initiating screening at age 40-45 for men with a family history of prostate cancer.
An elevated PSA is traditionally defined as a value above 4ng/ml but trend and velocity of changes to this value matters, even in PSA below 4ng/ml.
PSA can be high from prostate cancer, but also high in the settings of larger prostates (BPH), infections, recent ejaculation, recent bike riding, pelvic trauma, and recent urologic procedures/foley catheter placement.
Fronczak recommends 5 days of pelvic rest before obtaining a PSA (pelvic rest = no sex, masturbation, ejaculation, bike riding).
A normal PSA value but an abnormal DRE needs to be further evaluated.
Fronczak offers the latest most innovative approaches to assess an elevated PSA and/or abnormal rectal exam and make an educated decision on the necessity for further testing, such as performing a prostate biopsy. These revolutionary tests can and do minimize the need for unnecessary biopsies.
These innovative options include but are not limited to:
Genomic testing – more specific blood and urine tests that determine the probability of detecting prostate cancer with a biopsy.
4K score, Select MdX, ExoDx, and many others that are being developed.
https://mdxhealth.com/select-mdx-for-patients/
https://www.exosomedx.com/physicians/exodx-prostate-test
Multiparametric Prostate MRI
Why pursue prostate cancer evaluation?
Prostate cancer ranks as the most frequently diagnosed malignancy in men and represents the second leading cause of male cancer mortality (trailing only lung cancer).
Prostate cancer can span from very low risk to very high risk in terms of aggressiveness and medical concern.
Objectives of prostate cancer evaluation and management
- Maximize identification of aggressive prostate cancer
- Precisely characterize the tumor’s biological behavior.
- Risk stratification of the malignancy so we prevent over-treatment of slow-growing cancers and advance with management of potentially aggressive prostate cancers.
What constitutes the evaluation for prostate cancer?
- Assessment for prostate cancer typically starts with a PSA blood test (link to PSA section) and a digital rectal exam.
- There are advanced evaluation options for prostate cancer including genomic profiling, prostate imaging with an MRI, and a prostate biopsy.
Prostate cancer is the most frequently diagnosed malignancy in men in the United States and the second leading cause of cancer mortality in the United States.
Elevated risk of prostate cancer is observed in
- Family history
- Father w prostate ca 2x more likely
- Brother w prostate ca 4x more likely
- Father and brother w prostate ca 8x more likely
- Ethnicity
- African Americans 1.6 x more likely to have disease
- Americans 2.2 x more likely to die of disease
Fronczak utilizes various laboratory tests, genomic profiling, prostate biopsy, physical examination and a comprehensive discussion to help diagnose prostate cancer and make an informed decision on management and/or active surveillance options.
What is erectile dysfunction?
ED is the inability to sustain an erection adequate enough for sexual activity.
It is not normal at any age.
The providers at Modern Urology will conduct a comprehensive evaluation as to the causes and risks associated with erectile dysfunction.
Checking a testosterone level, including bioavailable testosterone may be included in the evaluation.
Please make sure if you are getting your testosterone checked to have your testosterone lab drawn before 9am.
How is ED treated?
Treatment for erectile dysfunction can be medications (sildenafil (Viagra), generic tadalafil (Cialis), or other PDE5i medication), penile vacuum erection device, couples/sex therapy, penile injection, penile prosthesis.
Pills for ED are often insufficient to obtain an adequate erection and that is OK because there are other options.
A vacuum erection device and counseling with a sex therapist may also be discussed.
Gold standard treatment for ED is a penile injection of an erectogenic medication.
Forms of this medication are: Trimix, Bimix, Quadmix, alprostadil (Edex) and many other combinations.
An injection into the penis may sound intimidating or super uncomfortable, but a test dose is done in the office to show patients that this treatment option is not as bad as it sounds. Also the resulting erection is most times excellent.
Dr. Fronczak provides comprehensive instructions in the office and a trial injection to help the patient and his partner understand the injection process, the risks and benefits.
In advanced cases of ED, a penile prosthesis surgery may be indicated.
Treatment can be medications (generic sildenafil, generic tadalafil), penile vacuum erection device, couples/sex therapy, an injection of a very small amount of a medicine into the shaft of your penis to give an erection in less than 10 minutes), penile prosthesis.
Pills for ED are often insufficient to obtain an adequate erection and that is OK because there are other options.
Gold standard treatment for ED is a penile injection.
Trimix, Bimix, alprostadil (Edex) are penile injection medications.
This may sound intimidating or super uncomfortable, but rarely does a guy complain about pain as the needle is extremely small and the amount of medication is also very little. Also the resulting erection is most times excellent.
Fronczak provides comprehensive instructions in the office and a trial injection to help the man and his partner understand the injection process.
Key points to success with injectable medications for erection
Only inject the smallest amount of medication that give you the erection you desire. Injecting too much can cause a priapism.
A priapism occurs when an erection occurs but it does not go away.
If an erection lasts more than 3-4 hrs, it can lead to permanent damage to erectile tissue and permanent erectile dysfunction.
Trimix is very safe if used in the appropriate manner with appropriate dosing.
Fronczak makes sure her patients know that a little bit of this medication goes a long way.
When first starting out with an injectable erection medication, it is important to increase the amount injected slowly over time.
For example start with 0.05ml and then increase on 0.05ml to 0.1ml every 24-48hrs until desired erection is achieved.
If you are not achieving the desired erection, the medication may not be strong enough and you will need to discuss w Dr. Fronczak higher dosing options or the medication may be expired.
Keep the injectable medication in the refrigerator to prolong use past expiration date.
In advanced cases of ED, a penile prosthesis surgery may be indicated.
Testosterone levels should be normal.
Testosterone therapy may enhance libido (sexual drive), sexual function, anemia, lean body mass, and depression.
Testosterone is measured with a blood test that needs to be drawn before 9am.
If testosterone level is low, additional blood tests will be ordered and again these blood tests need to be drawn before 9am and should be drawn after fasting for 8 hours.
Men experience numerous issues with their bladder, sometimes as a consequence of the prostate and sometimes for reasons unrelated to the prostate.
Other possible causes may include overactive bladder, a urinary tract infection, kidney or bladder stones, overflow incontinence, or maybe even something serious like cancer.
If a man has bothersome bladder symptoms including urinary leakage, urinary urgency, urinary frequency, it is never normal nor should be an accepted part of life.
The providers at Modern Urology are specialists in evaluation and management of incontinence.
Different types of incontinence are treated differently. A patient may have more than one type of incontinence.
The providers at Modern Urology will conduct a comprehensive evaluation into the type(s) of incontinence and have significant experience in providing interventions and surgical treatments for all types of incontinence.
No one has to accept urinary leakage, which is also known as urinary incontinence.
Bladder leakage at any age is never normal and should not be an accepted part of life or aging.
Incontinence significantly impacts quality of life—leakage is very embarrassing and management with incontinence pads is very expensive. Leakage and urinary urgency/frequency may also be a sign of something more serious like cancer.
The providers at Modern Urology are specialists in evaluation and management of incontinence.
Different types of incontinence are treated differently.
A patient may have more than one type of incontinence.
Types of incontinence can include: overactive bladder (OAB), stress urinary incontinence (SUI), overflow incontinence.
Leakage can also be from a urinary tract infection and weak pelvic floor muscles.
The providers at modern urology believe in offering patients conservative treatments, such as behavioral modifications and pelvic floor physical therapy, in additional to medications and interventions.
The providers at Modern Urology have significant experience in providing interventions and surgical treatments for all types of incontinence.
- Urodynamic testing
- Evaluation and treatment of urinary retention
- Hydrocelectomy
- Spermatocelectomy
- Varicocelectomy
- Circumcision (ages 14 and up)
- Cystolitholapaxy – removal of bladder stones
Men's Urology In Denver, CO
At Modern Urology, we understand that seeking help for sensitive urological concerns requires courage and trust. That’s why Dr. Carolyn Fronczak has built a practice centered on personalized attention, clinical excellence, and breakthrough treatments that many larger practices simply don’t offer.
What Sets Modern Urology Apart
Board-Certified Expertise Since 2019
Dr. Fronczak brings specialized training and a commitment to staying at the forefront of urological innovation. With 100% board certification, you’re receiving care from a urologist who meets the highest professional standards.
Cutting-Edge Technology in a Comfortable Setting
Our practice offers advanced treatments typically only found at academic medical centers—including UroNav fusion-guided prostate biopsies, latest genomic testing (SelectMDX, isoPSA, 4K score, Decipher), Aquablation for prostate enlargement, and multiple incontinence solutions like sacral neuromodulation and E-coin therapy. We even provide nitrous oxide sedation for your comfort during in-office procedures.
Comprehensive In-Office Capabilities
From high-definition cystoscopy to ultrasound imaging and on-site urinalysis, we handle diagnostics efficiently without sending you across town for basic testing. This means faster answers and more convenient care.
Ready to Reclaim Your Quality of Life?
Don’t let urological concerns control another day of your life. Dr. Fronczak and the Modern Urology team are here to provide expert, compassionate care. Whether you’re dealing with prostate issues, incontinence, erectile dysfunction, or any other concern, help is available. Our Men’s Urology in Denver, CO practice delivers personalized treatment solutions tailored to your specific needs.