General Urology

East Texas Urology Specialists offers quality urology services and state of the art technologies to the patients of East Texas and beyond.

Dr. Price is considered an innovator in his specialty and is nationally respected for his practice of Urology. He works continually to bring the latest technology and information to his Lufkin practice.

East Texas Urology Specialists offers General Urology as well as Urologic Oncology. Men and women who choose Dr. Price can be assured that the care they receive from Dr. Price and his staff will be tailored to fit their specific medical needs.

Kidneys

Kidney Infection

What is a kidney infection?

A kidney infection is a bacterial infection of the kidney. A kidney infection usually originates from a bladder infection. The bacteria move into the kidney from the bladder.

Patients who have kidney stones, neurogenic bladder (an issue in which the bladder does not eliminate urine appropriately), frequent bladder infections, abnormalities of the kidneys and urinary tract and prostate issues such as benign prostate hyperplasia (BPH) in men are more at risk for kidney infections.

What are the symptoms?

Patients suffering from a kidney infection usually have high fever, nausea and vomiting, back pain, side pain, or lower abdominal pain.

A kidney infection requires immediate medical attention and treatment.

How do you diagnose and treat a kidney infection?

The first step in diagnosing a suspected kidney infection is obtaining a urine specimen from the patient. Since most kidney infections are caused by a bladder infection, we also will take a urine culture to determine the proper antibiotic treatment if needed.

If an abnormality is found, we will discuss with you the options to treat the problem and to reduce the possibility of future infections.

Kidney Stones

What are kidney stones?

Kidney stones are salts and minerals in the urine that stick together to form small “pebbles.” These form when a change occurs in the normal balance of water, salts, minerals found in the urine.

Kidney stones can be as small as a grain of sand or as large as golf balls.

They can stay in your kidneys or travel through your urinary tract to be passed in the urine. When the stone travels through the ureter, the tiny tube that moves urine from the kidney to the bladder, it can cause pain and other symptoms.

Most often, kidney stones are caused by not drinking enough water. Some medical conditions, such as gout, cause kidney stones.

What are the symptoms of kidney stones?

The most common symptom of a kidney stone is pain in the back, side or lower abdomen. Intense pain may cause nausea and vomiting. Your urine may appear pink or red, in which case there may be blood in the urine. If you have a fever with any of these symptoms, seek medical attention immediately.

How do you diagnose and treat kidney stones?

Our first step will be to determine the source of your pain. If you have pain in the back and/or side and nausea, we will conduct a urinalysis and urine culture. These will help us determine also if there is blood in the urine.

A CT scan, renal ultrasound or other imaging studies will be ordered to evaluate you for kidney stones and other associated findings.

Treatment for kidney stones is very much based on each patient’s needs once the size of the stone(s) is determined. Some patients may be able to pass small stones through urination while in other cases surgery is needed due to the size of the stone and the condition of the patient.

Dr. Price is highly skilled when determining the treatment of kidney stones. Each patient is treated based on their individual needs. Conservative treatment is chosen over surgical treatment when appropriate.

Kidney Cyst

What is a Kidney Cyst?

A simple kidney cyst is a closed pocket of fluid. They form within the kidneys and one or more can form at any given time.

The simple kidney cyst usually does not cause harm. They are found in many patients, more commonly in patients of advanced age.

The cause of a simple kidney cyst is not completely known. They do not appear to be inherited.

What are the symptoms of a kidney cyst?

There are usually no symptoms for the simple kidney cyst. Usually the physician finds it during an ultrasound or other test being conducted for another reason. There is usually no pain associated with a kidney cyst.

How do you diagnose and treat a kidney cyst?

If the kidney cyst is not causing you any pain or discomfort and not causing any complications, we do not recommend any treatment. We will, however, recommend following the cysts to observe for any changes.

Should a patient have a “complex” cyst, treatment may be indicated. The complex cyst requires periodic checks to determine its growth. Surgical treatment of a complex cyst of the kidney may be required based upon the evaluation per Dr. Price.

Kidney Cancer

What is Kidney Cancer?

Also known as “renal” cancer, kidney cancer is usually a tumor that develops within the kidney.

The most common risk factors for kidney cancer include being older and male, smoking tobacco and being overweight. In some cases, heredity is a factor.

What are the symptoms?

The first, most visible symptom is usually blood in the urine without pain. In some cases, side and back pain may occur as well as unintentional weight loss. Some patients may feel a lump in the lower back or belly.

It is not known what causes kidney cancer, but we do know if it is caught early it can be successfully treated. There are several factors that could put a patient at a higher risk for kidney cancer:

  • Smoking
  • Regular exposure to certain chemicals or minerals, such as gasoline, asbestos and cadmium
  • Excessive use of pain medicine over a long period of time
  • Family history of kidney cancer

How do you diagnose and treat kidney cancer?

We will conduct imaging tests, such as CT, MRI or ultrasound along a part of a full evaluation.

If the diagnosis is kidney cancer, the physician will work closely with the patient to determine the best treatment. Surgery is most often necessary in order to remove the entire kidney or at least a portion of it to ensure removal of the all of the cancer.

The physician and patient will determine the best course of treatment which may include chemotherapy and radiation, medicine and other options.

Bladder

The bladder is a muscular sac in the pelvis. Urine is made in the kidneys and travels down the ureters to the bladder. The bladder stores urine, allowing urination to be infrequent and voluntary.

What is Bladder Cancer?

Bladder cancer is growth of abnormal cells in the bladder. It usually presents as blood in the urine but is not associated with any pain. The cause of bladder cancer is not known. Smokers are at greater risk for developing bladder cancer than non-smokers.

What are the symptoms of Bladder Cancer?

Blood in the urine is the main symptom. Other symptoms may include having to urinate more frequently than you are accustomed or feeling pain when you urinate. In some cases, side/abdominal pain occurs, weight loss and fatigue.

How do you diagnose and treat bladder cancer?

Bladder cancer is usually diagnosed by cystoscopy with a bladder biopsy. The physician will test the patient’s urine for cancer cells. . Some imaging tests, including a CT scan and MRI, are necessary as well.

Dr. Price also can use a small camera to conduct a visible inspection of the bladder. This is a “cystoscopy.”

With a diagnosis of bladder cancer, the physician will work closely with the patient to determine the proper course of treatment.

Treatment depends on the growth of the cancer. Most can be treated without removing the bladder. If the cancer is recurrent, treatment can include anti-cancer therapies directly into the bladder via a catheter inserted into the bladder. This procedure can be completed in the doctor’s office.

In those cases in which the bladder needs to be removed, Dr. Price is highly skilled, using some of the newest medical techniques and equipment, including the da Vinci robot. Patients who require removal of the bladder will be evaluated as a candidate for minimally invasive surgery. Not all patients are good candidates for robotic procedures due to medical history and surgical history.

Incontinence

Dr. Price and his team will evaluate and diagnose incontinence, or urinary leakage, through a physical exam and questions concerning your symptoms.

Incontinence is a difficult and often challenging health issue for many men and women. It is not easily discussed because it is considered to be “embarrassing.”

Incontinence does not need to be a way of life for you. We have treatments to help both men and women. Each patient is different and we will recommend treatments based on your individual needs and lifestyle.

General to both men and women are urinary leakage, frequent urgent urinary leakage, stress incontinence, mixed incontinence,

What is Urge Urinary Leakage?

Urinary leakage is an involuntary leakage of urine for no apparent reason. Patients who suffer from urge urinary leakage experience the sudden need to urinate and release urine before reaching a restroom.

What are the symptoms of urge urinary leakage?

Most patients suffer from the immediate and sudden urge to urinate and can not hold until reaching a restroom. While other patients do not know until urine is release involuntarily.

How do you diagnose and treat urge urinary leakage?

Patients need to visit Dr. Price when they consistently experience the sudden need to urinate and cannot control the release of urine. The physician will conduct a physical exam. Many patients will be asked to keep a diary of their urinary symptoms. This will help determine when, how much and in what circumstances the urinary leakage occurs.

Dr. Price may want to conduct urodynamic testing, which can be done in his office. Urodynamic testing will provide a complete evaluation of how the bladder stores and empties urine.

Treatment includes medicines, regulating urination through timing and surgery. Dr. Price will work closely with each patient to determine the best course of treatment to fit their lifestyle.

Stress Incontinence

What is stress Incontinence?

Stress incontinence is urine leakage during activity, such as coughing, sneezing, lifting, as these activities cause a greater amount of pressure on the abdomen

This is most common in older women and women who have given birth. In men, it is often seen following trans-urethral prostate surgery or surgery for prostate cancer.

What are the symptoms of stress incontinence?

Urine leakage during activity, such as sneezing, coughing, lifting. These activities increase intra-abdominal pressure.

How do you treat stress incontinence?

Self-help techniques can be used to treat mild stress incontinence. Plus, there are several treatments available.

Other methods to help alleviate stress incontinence include

  • Timed voiding - we have you record the times you urinate and when you leak urine. This will give us an idea of your leakage patterns. Doing this can help you avoid leakage problems in the future by going to the bathroom at those times.
  • Bladder training - you can stretch out the intervals at which you go to the bathroom. We will help you develop a schedule in which you wait a little longer to go with that first urge. Over time, you change that schedule and lengthen the time between bathroom visits until you are up to three or four hours between visits.
  • Biofeedback- pelvic floor retraining. Teaches proper Kegel exercises, also known as pelvic floor exercises, to help strengthen the muscles that support the bladder, uterus and bowels. By strengthening these muscles, you can reduce and prevent leakage problems.

Other options:

Surgery- Surgical treatment is an option if the patient has failed conservative treatment.

Mixed Urinary Incontinence

What is mixed urinary incontinence?

This is a combination of stress and urge urinary incontinence.

What are the symptoms of mixed urinary incontinence?

Patients will experience:

  • Sudden urge to urinate
  • Involuntary release of urine
  • Release of urine during activities that put pressure on the abdomen - sneezing, coughing, laughing, straining
  • Frequent urination

How do you treat mixed urinary incontinence?

Dr. Price will work with you to determine the best method to alleviate MUI. There are several treatments possible:

  • Behavior modification
  • Dietary modification
  • Surgery
  • Pelvic floor exercies
  • Biofeedback
  • Combination of the above

Frequent Urination

What is Frequent Urination?

Frequent Urination is needing to go more than eight times a day or waking in the middle of the night to go to the bathroom. Oftentimes, going at night means you’re drinking too much and/or too close to bedtime. It also could mean an underlying health issue.

What are the symptoms of frequent urination?

When frequent urination is accompanied by a fever, an urgent need to urinate, and pain or discomfort in the abdomen - you may have a urinary tract infection.

However, there are other causes of frequent urination:

  • Diabetes - Frequent urination can be a early symptom of both type 1 and type 2 diabetes. The body is trying to rid itself of unused glucose through the urine.
  • Pregnancy - The growing uterus places pressure on the bladder.
  • Prostate problems - An enlarged prostate can press against the urethra, which is the tube that carries urine out of the body, and block the flow of urine. This causes the bladder wall to become irritable. The bladder then begins to contract, causing more frequent urination.
  • Interstitial cystitis - While we do not know the cause of this, it is characterized by pain in the bladder and pelvic region. Other symptoms include urgent and frequent need to urinate.
  • Diuretic use - These medications are used to treat high blood pressure or fluid buildup in the kidney and work to flush excess fluid from the body, which causes frequent urination.
  • Stroke - Damage to the nerves that supply the bladder can lead to problems with bladder function, including sudden and frequent urges to urinate.

How do you diagnose and treat frequent urination?

Diagnosing frequent urination will require a physical exam and discussion of your medical history. Dr. Price will ask several questions including:

  • Medications
  • Pain you have been experiencing
  • If your urine is darker or lighter than usual
  • If you are drinking more than usual
  • Do you have the problems during the day or only at night
  • Do you drink alcohol or caffeinated beverages

Dr. Price also may request some medical tests.

Treating frequent urination may include treating another condition which may be the cause of the issue.. The patient also may suffer from an overactive bladder. In most cases, medication can help control that issue.

Dr. Price will determine, along with you, the best course of treatment for the cause of your frequent urination.