Complex Problems Deserve a Thoughtful Second Look
Patients with persistent symptoms or previous unsuccessful treatment often need more than another procedure.
A Different Starting Point
My approach is to reconsider the diagnosis, understand what has already been tried, review previous testing and surgery, and determine the best next step, which may or may not involve another operation.
01
Reconsider the diagnosis
Persistent symptoms sometimes mean the underlying problem was never fully identified. The evaluation starts from the beginning, not from the last procedure.
02
Review what has been tried
Previous operative reports, imaging, urodynamic studies, and treatment history are reviewed in detail to understand what worked, what did not, and why.
03
Test what still matters
Additional examination or testing is performed only where it will change the recommendation.
04
Decide the next step together
The best next step may be another operation — or it may be non-surgical treatment, a different technique, or watchful management with clear expectations.
Patients I Welcome
- Second opinions and complex-case consultations
- Evaluation after unsuccessful treatment or surgery
- Recurrent urethral stricture
- Failed reconstructive procedures
- Complex BPH and very large prostates
- Persistent urinary retention
- Severe or recurrent urinary incontinence
- Failed continence procedures
- Artificial urinary sphincter evaluation or revision
- Mesh-related complications after pelvic or incontinence surgery
- Complex sling or mesh revision cases
- Refractory overactive bladder
- Complex or recurrent kidney stones
- Revision reconstructive surgery
Frequently Asked Questions
What should I bring to a second-opinion visit?+
Previous operative reports, imaging (including discs or a portal link), urodynamic studies, prior urology records, a current medication list, relevant labs, photo ID, and insurance information. Operative reports and imaging are especially helpful for revision cases.
Does a second opinion mean I will need surgery?+
No. Many patients leave with a non-surgical plan or a clearer understanding of their condition. The purpose of the visit is to determine the right next step, which may or may not involve another operation.
Do I need a referral?+
Many patients can schedule directly. Certain insurance plans may require a referral or prior authorization; our scheduling team can help determine the requirements for your individual plan.
Is telehealth available for a second opinion?+
Yes. In-person and telehealth appointments are available. Some evaluations will still require an in-person examination or testing.