This is a partial list of the diagnoses we see. Please contact us for information.

Prostate and urinary health conditions

Prostate and lower urinary tract conditions are among the most common urological concerns affecting men, particularly those over 50. Symptoms are often gradual, which means patients may normalize them for years before seeking evaluation. Left unmanaged, these conditions can significantly disrupt sleep, daily activity and overall quality of life.

Prostate and urinary conditions we treat include:

• Benign prostatic hyperplasia (BPH): Common symptoms include a weak or intermittent urine stream, difficulty starting urination, frequent urination and nocturia.
• Prostatitis/Chronic pelvic pain: Symptoms may include pelvic pain, painful urination, painful ejaculation, and in acute bacterial cases, fever and chills. Chronic pelvic pain can be particularly difficult to manage and often requires a tailored, multifaceted treatment approach.
• Overactive bladder: Overactive bladder can affect both men and women and is frequently underreported because patients assume it is simply a normal part of aging.
• Nocturia: Nocturia, or waking two or more times per night to urinate, is a symptom that can stem from several causes including BPH, overactive bladder, fluid intake patterns or systemic conditions. A urologist can help identify the underlying driver and recommend targeted treatment.

Kidney, ureteral and bladder stones

The sudden onset of flank pain, nausea and blood in the urine can be alarming. Many patients arrive at urgent care or the emergency room before ever connecting with a urologist. Understanding the spectrum of stone conditions helps patients know when to seek urgent care and what treatment options are available.

Treatment for kidney, ureteral and bladder stones can involve:

• Observation and increased fluid intake for small stones likely to pass on their own
• Medical expulsive therapy using medications to help relax the ureter and facilitate stone passage
• Shock wave lithotripsy (SWL), a non-invasive procedure that uses sound waves to break stones into smaller fragments
• Ureteroscopy with laser lithotripsy for stones that require direct treatment
• Percutaneous nephrolithotomy for larger stones
• Metabolic evaluation and dietary counseling to reduce the risk of recurrence

Blood in the urine and recurrent infections

If you have been treated for UTIs multiple times in a year without a clear explanation, or if you have noticed blood in your urine even once without an obvious cause, a referral to urology is appropriate.

Hematuria (blood in urine): Treatment typically includes urinalysis, imaging, and in some cases, cystoscopy to examine the bladder directly.

Recurrent urinary tract infections (UTIs):

• In women, recurrent UTIs are relatively common and can often be managed with preventive strategies, but persistent recurrence may suggest an anatomical or functional factor worth investigating.
• In men, any UTI is less typical and often indicates an underlying structural or functional issue, such as incomplete bladder emptying related to BPH or another obstruction, that warrants urological evaluation.

Male reproductive and sexual health conditions

Many men delay seeking help for sexual health concerns for years. A urology appointment is a confidential, clinical conversation. These conditions are common and effective treatments are available.

Conditions we treat include:

• Erectile dysfunction (ED): ED can have vascular, neurological, hormonal or psychological components, and it is often a signal of broader cardiovascular or metabolic health. A urologist can conduct a thorough evaluation to identify contributing factors and recommend appropriate treatment.
• Peyronie's disease and penile curvature: Treatment options include traction devices, oral medications, collagenase injections (Xiaflex) and surgical correction for more advanced cases.
• Hypogonadism, low testosterone and low libido: Treatment may include testosterone replacement therapy or other medications that raise testosterone when clinically appropriate.
• Sexual dysfunction: Ejaculatory concerns such as premature ejaculation, delayed ejaculation or retrograde ejaculation are treatable conditions that a urologist can evaluate and manage.

UT Medicine’s Urology Clinic offers advanced surgical and minimally invasive procedures for common and complex urologic concerns.

This is a partial list of surgeries we perform. Please contact us for information. 

Benign prostatic hyperplasia (BPH) surgery: removes or reduces extra prostate tissue that is pressing on the urethra and making it harder for urine to pass. Surgery can help improve urinary flow, reduce bladder obstruction and lower the impact of BPH on daily life. 

Holmium laser enucleation of the prostate (HOLEP): a minimally invasive laser procedure used to treat BPH. HOLEP can be an effective option for relieving lower urinary tract symptoms caused by prostate enlargement, including weak stream, hesitancy, frequent urination, urgency and incomplete bladder emptying. 

Percutaneous nephrolithotomy: a minimally invasive surgery used to remove large or complex kidney stones through a small incision in the back. During the procedure, the surgeon creates a direct path to the kidney, uses a small scope to locate the stone and breaks it into pieces for removal. Percutaneous nephrolithotomy is often used for larger stones, including staghorn stones. 

Penile surgery and scrotal surgery (minor to complex), including but not limited to: 

• Complex reconstruction of the penis and scrotum 
• Penile implant surgery
• Spermatic cord denervation 

Ureteroscopy: a common option for patients who need a less invasive approach to stone treatment. It is often used for small to medium kidney stones and ureteral stones. If needed, the surgeon may place a temporary ureteral stent to support healing and keep urine flowing after the procedure. 

Vasectomy and vasectomy reversal: 

• Vasectomy procedures are readily available through our clinic.
• Vasectomy reversal requires advanced microsurgical technique and is performed by our fellowship-trained urologists.