Dr. Andrew Anthony Di Pierdomenico

Dr. Andrew Pierdomenico 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.
• Bladder Cancer: Cancer that begins in the cells of the bladder, most commonly in the urothelial cells lining the inside of the bladder.

Female Pelvic Health & Urinary Conditions

• Pelvic Organ Prolapse (Cystocele - Bladder Prolapse): When the bladder drops (prolapses) from its normal position in the pelvis and pushes on the wall of the vagina.
• Urethral Syndrome / Chronic Urethritis: Symptoms of urethral irritation or inflammation without evidence of bacterial infection.
• Recurrent Urinary Tract Infections (UTIs) in Women: Frequent bladder or kidney infections requiring investigation and management.

General Urologic Symptoms & Disorders

• Hematuria (Blood in Urine): Presence of red blood cells in the urine, requiring investigation to determine the cause (e.g., infection, stones, tumors).
• 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.

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

• Prostate Cancer Diagnosis, Staging & Multimodal Management: Including active surveillance, radical prostatectomy (open, laparoscopic, robotic), radiation therapy coordination, and hormone therapy.
• Urethral Conditions in Women (e.g., Urethral Diverticulum, Stricture): Diagnosis and treatment of conditions affecting the female urethra.
• Vasectomy & Vasectomy Reversal Consultations & Procedures: Performing vasectomy for permanent male contraception and offering consultations/procedures for vasectomy reversal.
• Testicular Conditions Management (e.g., Testicular Torsion, Hydrocele, Varicocele, Epididymitis): Diagnosis and treatment of various conditions affecting the testicles and scrotum.
• Second Opinion Consultations for Urological Conditions: Providing expert second opinions on complex urological diagnoses and treatment plans to ensure informed patient decisions.
• Management of Post-Operative Urological Care: Providing comprehensive follow-up and management after urological surgeries to ensure optimal recovery and outcomes.
• Erectile Dysfunction (ED) Diagnosis & Treatment: Comprehensive evaluation and management of ED, including oral medications, injection therapy, vacuum devices, and penile prosthesis surgery.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Pierdomenico 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 Ontario (CPSO) and relevant urological care guidelines. Contact the clinic regarding new patient intake and referral processes.

Lakeridge Health Oshawa is situated in the vibrant neighborhood of Central Richmond Hill, Mill Pond. Easily accessible via Highway 404, the facility is conveniently reachable by public transit, including York Region Transit (YRT) / Viva. The practice is designed to be accessible for all patients, with wheelchair accessibility and ample parking available at or near the facility. Patients coming from different parts of the region can benefit from the well-connected location, ensuring timely and comfortable access to expert urological care.

Are consultations and treatments with Dr. Pierdomenico, a Urologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Urologist like Dr. Pierdomenico, as well as most diagnostic tests (e.g., cystoscopy, urodynamics) and provincially insured surgical procedures, are generally covered by Ontario Health Insurance Plan (OHIP) in ON 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. Pierdomenico's office or Ontario Health Insurance Plan (OHIP).

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

Yes, for most urological consultations and treatments covered by provincial health plans in ON, a referral from your family physician or another specialist is typically required to see a Urologist like Dr. Pierdomenico. 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 treatment options are available for erectile dysfunction (ED) with Dr. Pierdomenico?

Erectile dysfunction (ED) has various treatment options available. After evaluating the potential causes, Dr. Pierdomenico 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 kidney stones and how does Dr. Pierdomenico treat them?

Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain when they pass through your urinary tract. Treatment depends on the stone's size, type, and location. Small stones may pass on their own with increased fluid intake and pain medication. Larger stones or those causing significant symptoms might require procedures like Extracorporeal Shock Wave Lithotripsy (ESWL) to break them up, ureteroscopy with laser to remove or break them, or percutaneous nephrolithotomy (PCNL) for very large stones. Dr. Pierdomenico will also work with you on strategies to prevent future stones.

What does a vasectomy involve if performed by Dr. Pierdomenico?

A vasectomy is a minor surgical procedure for permanent male contraception. It involves cutting or blocking the vas deferens, the tubes that carry sperm from the testicles. Dr. Pierdomenico would perform this procedure, usually in an outpatient setting under local anesthesia. It's a highly effective form of birth control. It's important to discuss the procedure, potential risks, and the fact that it's considered permanent with Dr. Pierdomenico beforehand.

What is a cystoscopy and why might I need one?

A cystoscopy is a procedure that allows your urologist, such as Dr. Pierdomenico, to look directly inside your bladder and urethra using a thin, lighted instrument called a cystoscope. It might be recommended to investigate symptoms like blood in the urine, frequent UTIs, bladder pain, or difficulty urinating. It can also be used to take biopsies or perform minor treatments. He will explain the procedure and any preparation needed.

Lakeridge Health Oshawa
10 Trench St, Department of Anesthesia
Richmond Hill, ON L4C 4Z3

Phone: (905) 883-1212 | Fax: (905) 883-2336

The facility is wheelchair accessible.

Dr. Pierdomenico is a licensed Urologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Pierdomenico for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Di-Pierdomenico-Andrew-Anthony/0295584-103139