Urology Clinic : Urology Problems, Urology Surgery & Treatment

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CHWC Urology Clinic

At Bryan Hospital

Fax: 419-633-7594

Hours: Monday–Friday, 8 a.m.-4 p.m.

Offering the full spectrum of urology and urogynecology care.

Dr. Scott Shie, Dr. Nicholai Kiehl and Brandi Alwine, PA-C provide a wide range of urology and urogynecology care at CHWC Bryan Hospital.

Conditions treated at our clinic include:

Overactive bladder
Urinary tract infections
Kidney and bladder stones
Frequent urination
Urinary urgency
Blood in urine
Urinary and fecal incontinence
Fistula
Atonic bladder and retention of urine
Interstitial cystitis and pelvic pain
Contracted bladder and radiation cystitis
Urethral diverticulum
Urethral stricture
Pelvic floor dysfunction
Bladder neck obstruction and contractures
Genital warts
Neurogenic bladder secondary to stroke, spinal cord injury, MS, Parkinson’s, etc.
Cancers of the bladder and kidney

Urogynecology (Urology Care for Women)

Pelvic organ prolapse and mesh problems
Female urinary tract symptoms (increased frequency of urination, urgency, stress incontinence and leakage)
Female sexual dysfunction

Urology Care for Men

Prostate problems
Infertility
Erectile dysfunction
Enlarged prostate with symptoms
Penile conditions
Complications secondary to slings or urinary sphincters
Male stress incontinence and complications related to procedures
Cancers of the prostate and testicles

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Scott Shie, MD

Board Certification: American Board of Urology

Medical Degree: University of Cincinnati College of Medicine

Internship: General Surgery at Akron General Medical Center & Akron City Hospital

Residency: Urology at Akron General Medical Center & Akron City Hospital

Nicholai Kiehl, MD

Board Certification: American Board of Urology

Medical Degree: University of Cincinnati College of Medicine

Internship: General Surgery at University of Louisville

Residency: Urology at University of Louisville

Brandi Alwine, PA-C

Board Certification: National Commission on Certification of Physician Assistants

Master of Science: Physician Assistant Studies at Central Michigan University

Certification: American Academy of Physician Assistants

Physician assistant experience in urology for over 10 years, specializing in treating and evaluating enlarged prostate, recurrent UTI, overactive bladder and other general urology conditions.

Urology is an all-encompassing study focusing on the urinary tract and reproductive health of both men and women. Our world-class team at the CHWC Urology Clinic treats people daily for conditions that range from cancer to urinary tract infections to prolapse.

Urogynecology

Urogynecology is the specific focus on urology care for women, focusing on issues related to the urinary tract and reproductive system. Some common urogynecological conditions our providers treat at the CHWC Urology Clinic include:

Pelvic Organ Prolapse and Mesh Problems

Female pelvic problems can relate to the uterus, bladder, vagina and rectum. Muscles and ligaments hold these internal systems together, but with age and childbirth, muscles can become stretched, causing organs to move and lower from their natural position. Various options—from medical mesh to in-home exercise and therapy—can help repair descended organs.

Urinary Tract Infections

Common urinary tract infection (UTI) symptoms women experience include: urgent urination, stress incontinence, leakage and increased urination frequency.

Kidney and Bladder Stones

Made of thousands of tiny crystals, kidney and bladder stones can form in the bladder or kidneys. These stones can cause pain as they pass through the urinary tract. Treatment ranges from medication management to surgery.

Cancers of the Bladder and Kidneys

Bladder cancer occurs when cancer cells form in the lining that makes up the bladder’s inside wall. If left untreated, cancerous cells can spread to other body parts, including the kidneys. Treatment varies from surgery to radiation or chemotherapy to combat growing cancer cells.

Interstitial Cystitis and Pelvic Pain

This chronic bladder condition causes consistent pain and the urgency to urinate. Typically symptoms of interstitial cystitis will last for six weeks or longer. Typical treatments include therapy, surgery or a range of oral medications.

Urinary Urgency

The frequent urge to urinate can happen in either men or women, although this condition is more common in women. While age and childbirth can cause urinary urgency, this condition is sometimes caused by an underlying disease. Interstitial cystitis, urinary tract infections, vaginal infections and diabetes can cause urinary urgency. This condition can also be a side effect of many commonly prescribed medications.

Urology

Men commonly visit the CHWC Urology Clinic for treatment of conditions and diseases related to the urinary tract and reproductive health. Our team is prepared to treat men suffering a variety of urology-related issues.

Infertility

Aurology provider will work through the diagnosis and recommend a course of action to treat and correct infertility. Anything from lifestyle changes to surgery can help correct infertility in men.

Frequent Urination

A common symptom of kidney stones and a urinary tract infection, sudden frequent urination can also be a sign of an enlarged prostate. Men who suddenly experience frequent urination should see their doctor for analysis and diagnosis.

Cancer

While prostate cancer typically impacts men over the age of 50, testicular cancer is common in men ages 15–34. Overall health, lifestyle and genetics can cause cancer to form. Surgery, radiation therapy and/or chemotherapy can help treat prostate and testicular cancer.

Overactive Bladder

Defined as an uncontrollable and sudden urge to urinate, an overactive bladder is a common condition that can lead to incontinence. An overactive bladder can be caused by age, an enlarged prostate, infection or other underlying diseases such as diabetes.

No one should live with an untreated urological condition. Call today to make an appointment at either of the CHWC Urology Clinic’s convenient locations.

CHWC Urology Clinic at Bryan Hospital: 419-633-7482

CHWC Urology Clinic at Archbold Medical Center: 419-633-7596