Dr. Alexandra Espinola Perks – Urologist | Langley, BC

Dr. Alexandra Espinola Perks is a dedicated Urologist specializing in the diagnosis and treatment of conditions affecting the urinary tract in men and women, and the male reproductive system. Practicing at a urology clinic or hospital department in Langley, BC, she is an integral part of the local medical community. Her practice adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). She provides comprehensive care for a wide range of urological issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. The clinic features modern facilities equipped to deliver thorough and patient-centered urological care.

Dr. Perks graduated with an MD from the University of British Columbia (Canada) and holds specialty certification as a Urologist. She maintains certifications including those from the Royal College of Physicians and Surgeons of Canada, ensuring her practice remains aligned with the latest clinical standards and evidence-based guidelines in urological care.

Her clinical philosophy emphasizes patient-centered care, utilizing advanced and minimally invasive techniques where appropriate, and providing thorough patient education. Dr. Perks is committed to serving patients in Langley with compassion and professionalism, ensuring each individual receives tailored and effective urological treatment. She provides care in English, fostering clear communication and understanding with her patients.

Dr. Alexandra Perks addresses a wide range of urological conditions, including:

Urologic Cancers

• Ureteral & Renal Pelvis Cancer: Cancers that form in the urothelial cells lining the ureters (tubes connecting kidneys to bladder) or renal pelvis (funnel-like part of kidney).
• Testicular Cancer: Cancer that develops in the testicles, a part of the male reproductive system, most common in young men.
• Penile Cancer: A rare type of cancer that occurs on or in the penis.

Female Pelvic Health & Urinary Conditions

• Recurrent Urinary Tract Infections (UTIs) in Women: Frequent bladder or kidney infections requiring investigation and management.
• Urethral Syndrome / Chronic Urethritis: Symptoms of urethral irritation or inflammation without evidence of bacterial infection.
• Stress Urinary Incontinence (SUI): Involuntary leakage of urine during physical activity like coughing, sneezing, laughing, or exercise.

General Urologic Symptoms & Disorders

• Painful Urination (Dysuria): Discomfort or burning sensation during urination, often a symptom of infection or inflammation.
• Urinary Frequency, Urgency & Nocturia: Symptoms of needing to urinate often, suddenly, or frequently during the night, which can indicate various underlying conditions.
• Urinary Tract Infections (UTIs) - Complicated or Recurrent: Infections affecting any part of the urinary system that are frequent, persistent, or associated with underlying factors.

This list is not exhaustive. For personalized advice regarding your specific urological concerns, please consult with Dr. Alexandra Perks.

• Open Urological Surgery (for complex cases): Traditional surgical approaches for conditions not amenable to minimally invasive techniques.
• Bladder Cancer Diagnosis & Treatment: Including transurethral resection of bladder tumor (TURBT), intravesical therapy (BCG, chemotherapy), and radical cystectomy.
• Percutaneous Nephrolithotomy (PCNL): Surgical procedure to remove large or complex kidney stones directly from the kidney through a small incision in the back.
• Overactive Bladder (OAB) Management in Women: Treatment strategies for urinary urgency, frequency, and urge incontinence, including medications and neuromodulation.
• Comprehensive Urological Consultation & Evaluation: In-depth assessment of urinary tract and male reproductive system conditions, including medical history review, physical examination, and diagnostic planning.
• Laser Surgery for Urological Conditions: Employing various laser technologies for treatments such as BPH (e.g., HoLEP, GreenLight), kidney stones, and bladder tumors.
• Adrenal Tumor Urological Evaluation & Surgical Management: Assessing and surgically removing adrenal masses when indicated from a urological perspective.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Perks for care relevant to your needs.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant urological care guidelines. Contact the clinic regarding new patient intake and referral processes.

Dr. Perks practices at a well-equipped urology clinic located in an accessible area near central Langley. The facility is situated within a short distance from local points of interest and is easily reachable via local public transit. The clinic is wheelchair accessible, ensuring comfortable access for all patients. Metered street parking and nearby parking lots are available for those arriving by car, providing convenient options for patients attending appointments or procedures.

Are consultations and treatments with Dr. Perks, a Urologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Urologist like Dr. Perks, as well as most diagnostic tests (e.g., cystoscopy, urodynamics) and provincially insured surgical procedures, are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Some newer technologies, medications, or elective procedures (like cosmetic urology or certain non-insured infertility treatments) may not be covered or may require special authorization. It's always recommended to discuss coverage specifics with Dr. Perks's office or Medical Services Plan (MSP).

Do I need a referral to see Dr. Perks, a Urologist?

Yes, for most urological consultations and treatments covered by provincial health plans in BC, a referral from your family physician or another specialist is typically required to see a Urologist like Dr. Perks. This ensures your care is coordinated and appropriate. Some specific services, like vasectomy in certain private clinic settings, might occasionally be accessed directly, but for general urological assessment or provincially insured care, a referral is the standard pathway.

What is a PSA test and who should have it?

The PSA (Prostate-Specific Antigen) test is a blood test primarily used to screen for prostate cancer. PSA is a protein produced by cells of the prostate gland. The decision to have a PSA test is best made in consultation with your doctor, like Dr. Perks, after discussing the potential benefits, risks, and limitations of screening. Factors such as age, family history of prostate cancer, and ethnicity are often considered. It's not a perfect test, as elevated PSA can also be caused by non-cancerous conditions like BPH or prostatitis.

What treatment options are available for erectile dysfunction (ED) with Dr. Perks?

Erectile dysfunction (ED) has various treatment options available. After evaluating the potential causes, Dr. Perks may discuss lifestyle modifications, oral medications (like PDE5 inhibitors), vacuum erection devices, injection therapy (intracavernosal injections), or in some cases, surgical options like penile implants. The best treatment depends on the underlying cause of ED and individual patient factors and preferences.

What are the treatment options for an enlarged prostate (BPH)?

Treatment for Benign Prostatic Hyperplasia (BPH) depends on the severity of your symptoms and how much they affect your quality of life. Options range from lifestyle changes and medications to minimally invasive procedures (like UroLift, Rezum) and surgical treatments (such as TURP or laser prostatectomy). Dr. Perks can discuss the most suitable options for you based on your individual circumstances. Some options may include medication management, minimally invasive procedures, or surgical interventions, depending on the severity of BPH and patient preference.

What are some common tests a Urologist might perform or order?

Depending on your symptoms and condition, Dr. Perks may perform or order several tests. These can include urinalysis (urine test), urine culture, blood tests (like PSA for prostate health), imaging studies (ultrasound, CT scan, MRI of the kidneys, bladder, or prostate), urodynamic studies (to assess bladder function), and cystoscopy (a scope to look inside the bladder and urethra). She will explain why any specific test is needed and what it involves.

201-5171 221A St
Langley, BC V2Y 0A2

Phone: (604) 514-8530 | Fax: (604) 514-8560

The facility is wheelchair accessible.

Dr. Perks is a licensed Urologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician is typically required for consultations with Dr. Perks for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/325100/Perks%2CAlexandra