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Urologist Orlando

Richard R. Lotenfoe, M.D., F.A.C.S. of Urology Health Solutions has been a practicing urologist in Orlando for twenty years. In his years of experience, Dr. Lotenfoe has made sure that he stays on top of new trends, and always embraces modern technological advancements and surgical techniques. As a result, Urology Health Solutions is one of the select groups of urological surgeons in the United States to bring you the most up-to-date, minimally invasive and extreme minimally invasive procedures to his patients, ultimately ensuring that discomfort and side effects are minimized.

Some of the major procedures and treatments that we focus on are:

Erectile Dysfunction

If you're suffering from erectile dysfunction (ED), you only need to call our offices to schedule an appointment. Our physicians are not only specialized to evaluate and manage ED, but in addition they are able to understand and discuss the sensitive nature of the subject. The potential solutions to ED can range from oral medications to a penile implant, but there's yet another procedure that we're able to do at Urology Health Solutions that is known as a Penile Prosthesis.

Penile prosthesis can be either malleable (bendable) or inflatable. It consists of rods surgically implanted within the erection chambers of the penis. The disadvantage to this procedure over the inflatable is that the penis is always semi-rigid. This implant is only used when there is no other alternative, and that the ED has no chance of improving naturally.

Kidney Stones

Concentrated urine can crystallize and become kidney stones that have to the pass out of the body. The way in which kidney stones can form is dependent upon various risk factors; some are hereditary and unavoidable, while others are related to diet and lifestyle. Not drinking enough water (dehydration) or having a diet that consists of too much salt, calcium, oxalates, too much vitamin C or D, or a high protein diet can increase your chances of getting kidney stones. In addition to the diet that you may live with, there's also the dangers of being inactive or sleeping too long, as the body doesn't regulate as well if you're not active. Though these are uniquely lifestyle choices, there's also a handful of diseases that can increase the chances such as hyperparathyroidism, gout, inflammatory bowel disease (Crohn's disease), or even a family history of kidney stones. If you're experiencing kidney stones, or feel you're at risk for getting one, contact our offices and we can help you with your concerns.

Prostate Cancer

Urology lends itself to the realm of prostate cancer, and in Orlando, there's no better prostate cancer doctor than ours. With his many years of experience and choice be as modern as possible, Dr. Lotenfoe can do any of the following procedures:

  • High Intensity Focused Ultrasound (HIFU)
  • Hormone Therapy
  • Cryotherapy
  • Radiation Therapy
  • Radical Prostatectomy

HIFU is a new treatment method that is extremely successful at destroying prostate cancer cells, and Dr. Lotenfoe is one of the few who are able to conduct the procedure. Cryotherapy is yet another method that is highly successful at removing prostate cancer cells, though it requires a more lengthy rest period than HIFU. However, before any procedures are conducted, we take the time to do a prostate biopsy to determine what the best treatment would be for you; because there are other potential reasons why your treatment would have to be unique to you.


We specialize in the no-scalpel no-needle vasectomy procedure, which is known to be significantly safer and easier than the traditional method. Our urologists are capable of performing this particular procedure with ease, and they will ensure that there is very little discomfort felt on the part of the patient. Another benefit to our no-scalpel no-needle vasectomy is that the recovery time is much shorter than the traditional method, so you'll be able to return to a normal life much more quickly. Do be aware that there are still risks involved in this procedure, and that if you experience any complications of your surgery to please give our offices a call and we can assist in returning your urological problem to normal.

Greenlight Laser Therapy

While not all patients are eligible for the Greenlight Laser Therapy, there are still those that have persistent symptoms of an enlarged prostate despite previous attempts at medication and treatment. In the instances where a patient fits this mold, we offer them the Greenlight Laser Therapy. Essentially the process deals with aiming a laser at the cells that pose a problem and instantly vaporizes them. In addition, the laser energy is absorbed by the blood around the area which prevents excess bleeding, making the procedure almost bloodless. This procedure is also traditionally done on an outpatient basis, which means that you'll be able to go home the same day as the surgery. Certain circumstances will dictate whether the patient will return home with or without a catheter.

Dr. Lotenfoe's training and experience as a urologist in Orlando has given him the ability to know what the best treatment would be for any unique patient. As each person is different, there are precautions that need to be taken before prescribing treatment. However, our process of determining treatment is highly advanced, and we can guarantee that the procedure chosen for you will ultimately help your urological problem. Once the specific treatment has been found, our doctors are more than capable of administering the appropriate fix for the issue, and you'll soon find that your problem is a thing of the past. So do not hesitate to call our offices for an appointment or consultation; we are more than happy to accommodate you in any way. Our goal is to get you back to one hundred percent health as quickly as possible and with as little discomfort. 

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