At Dr. Nickolas Tomasic’s Urology Practice, we believe that informed patients make the best decisions about their health. Our Patient Resources section provides essential information on urologic conditions, treatment options, and what to expect during your visit. Whether you’re seeking answers about prostate health, erectile dysfunction, kidney stone treatment, or vasectomy reversal, we’re here to guide you every step of the way.
Your first visit with Dr. Tomasic, a board-certified urologist, will include a detailed discussion of your medical history, symptoms, and diagnostic evaluations. Please bring:
✅ A valid ID and insurance information
✅ A list of current medications and medical history
✅ Any prior test results related to your urologic health
📅 Schedule your consultation today! Our team will ensure you receive the highest level of personalized care.
Urology focuses on the health of the urinary tract and male reproductive system, treating a variety of conditions that impact bladder function, kidney health, sexual wellness, and overall quality of life. Below is an in-depth look at some of the most common urologic conditions and their treatment options.
Benign Prostatic Hyperplasia (BPH) – Enlarged Prostate
BPH is a non-cancerous enlargement of the prostate gland that commonly affects men over 50 years old. As the prostate grows, it can press against the urethra, causing urinary difficulties.
✔️ Frequent urination, especially at night (nocturia)
✔️ Weak or interrupted urine stream
✔️ Difficulty starting and stopping urination
✔️ Incomplete bladder emptying
🔹 Medications – Alpha-blockers (Tamsulosin) and 5-alpha reductase inhibitors (Finasteride) to shrink the prostate.
🔹 Minimally Invasive Procedures – UroLift, Rezum (water vapor therapy), and laser treatments to relieve obstruction.
🔹 Surgery – Transurethral Resection of the Prostate (TURP) for severe cases.
Prostate cancer is one of the most common cancers in men, especially those over age 50. Early detection through Prostate-Specific Antigen (PSA) testing is crucial.
✔️ Difficulty urinating or weak urine stream
✔️ Blood in the urine or semen
✔️ Pelvic pain or discomfort
✔️ Unexplained weight loss
🔹 Active Surveillance – For slow-growing, low-risk cancer.
🔹 Radiation Therapy & Surgery – Radical prostatectomy for localized cancer.
🔹 Hormone Therapy & Chemotherapy – For advanced or metastatic cases.
Erectile Dysfunction (ED) – Causes & Treatments
ED is the inability to achieve or maintain an erection sufficient for sexual intercourse. It can result from physical, hormonal, or psychological factors.
✔️ Cardiovascular disease and high blood pressure
✔️ Low testosterone (Low T)
✔️ Diabetes and obesity
✔️ Anxiety, stress, or depression
🔹 Oral Medications – PDE5 inhibitors like Viagra (Sildenafil) and Cialis (Tadalafil).
🔹 Shockwave Therapy – Non-invasive treatment that improves blood flow.
🔹 Penile Injections & Implants – For severe cases where other treatments fail.
Peyronie’s disease is caused by scar tissue (plaques) forming in the penis, leading to curvature, pain, and difficulty with erections.
🔹 Collagenase Injections (Xiaflex) – To break down scar tissue.
🔹 Penile Traction Therapy – Stretching devices to reduce curvature.
🔹 Surgical Correction – In severe cases, a graft or penile implant may be needed.
Kidney Stones – Causes & Treatment
Kidney stones form when minerals and salts crystallize in the kidneys, leading to severe pain.
✔️ Sharp pain in the lower back and side (renal colic)
✔️ Blood in urine (hematuria)
✔️ Nausea and vomiting
✔️ Frequent or painful urination
🔹 Medications – Alpha-blockers like Tamsulosin to relax the ureter.
🔹 Shockwave Lithotripsy (ESWL) – Non-invasive treatment to break stones into smaller pieces.
🔹 Ureteroscopy with Laser Fragmentation – A scope is used to remove stones.
🔹 Surgical Removal – Percutaneous Nephrolithotomy (PCNL) for large stones.
Male Infertility – Causes & Treatments
Infertility affects 1 in 6 couples, with male factor infertility contributing to nearly 50% of cases.
✔️ Low sperm count or poor sperm motility
✔️ Hormonal imbalances (low testosterone)
✔️ Varicocele (enlarged veins in the scrotum)
✔️ Blockages preventing sperm transport
🔹 Hormone Therapy – Corrects testosterone imbalances.
🔹 Varicocele Repair – Microsurgical procedure to improve sperm production.
🔹 Sperm Retrieval Techniques – Used for IVF or ICSI procedures.
Vasectomy is a permanent form of birth control that blocks sperm from entering the semen.
🔹 No-Scalpel Vasectomy – Minimally invasive, quicker recovery.
Urinary Tract Infections (UTIs) in Men
Although less common in men, UTIs can be a sign of underlying prostate issues.
✔️ Burning sensation during urination
✔️ Cloudy or foul-smelling urine
✔️ Frequent urge to urinate
🔹 Antibiotics – First-line treatment to clear the infection.
🔹 Hydration & Lifestyle Changes – To prevent recurrent infections.
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Urinary incontinence can occur due to prostate problems, nerve damage, or aging.
Treatment Options:
🔹 Pelvic Floor Therapy & Kegel Exercises – Strengthening bladder control muscles.
🔹 Medications – To relax bladder muscles.
🔹 Surgical Interventions – Artificial urinary sphincter (AUS) for severe cases.
********************************MEDICAL DISCLAIMER******************************
Please reach us at info@tomasicmd.com if you cannot find an answer to your question.
Nickolas Tomasic MD is a urologist dedicated to providing the highest quality care for our patients.
Nickolas Tomasic MD offers a wide range of urological services including diagnosis and treatment of urologic cancers, male infertility, kidney stones, urinary tract infections, and more.
During your first visit to Nickolas Tomasic MD, you will meet with one of our urologists who will review your medical history and perform a physical exam. Depending on your symptoms, additional tests may be necessary.
Dr. Nickolas Tomasic, MD provides expert urology care, specializing in prostate health, kidney stone treatment, erectile dysfunction, testosterone therapy, and more.
A urologist is a medical doctor specializing in urinary tract health (kidneys, bladder, urethra) and male reproductive health (prostate, testosterone, erectile dysfunction, fertility).
You should see a urologist if you experience urinary problems, kidney stones, frequent UTIs, enlarged prostate symptoms, or erectile dysfunction.
Some insurance plans require a referral. Contact your provider or call our office at (833) 852-2224 to verify.
Your first visit will include a medical history review, symptom discussion, and possibly urine tests, blood work, or ultrasound.
No, urologists treat both men and women, addressing issues like kidney stones, incontinence, and UTIs.
No, urologists treat both men and women, addressing issues like kidney stones, incontinence, and UTIs.
✔️ Frequent urination (especially at night)
✔️ Weak urine stream
✔️ Difficulty starting or stopping urination
✔️ Feeling like your bladder isn’t empty
Treatments include medications, UroLift, Rezum therapy, and TURP surgery for severe cases.
A PSA test measures prostate-specific antigen levels in the blood to detect prostate cancer or BPH.
Men should start PSA screening at age 50, or earlier if they have a family history of prostate cancer.
✔️ Difficulty urinating
✔️ Blood in urine or semen
✔️ Pelvic discomfort
✔️ Unexplained weight loss
✔️ Poor blood flow (vascular disease)
✔️ Low testosterone (Low T)
✔️ Diabetes or high blood pressure
✔️ Stress, anxiety, or depression
✔️ Medications (Viagra, Cialis)
✔️ Shockwave therapy (improves blood flow)
✔️ Penile injections or implants (for severe cases)
Yes, low testosterone (Low T) can lead to ED, fatigue, and low sex drive.
✔️ Decreased sex drive
✔️ Fatigue & low energy
✔️ Loss of muscle mass
✔️ Erectile dysfunction
Testosterone replacement therapy (TRT) includes injections, gels, or pellets.
✔️ Dehydration
✔️ High salt & oxalate diet
✔️ Genetics & family history
✔️ Shockwave lithotripsy (ESWL) – Breaks stones into smaller pieces
✔️ Ureteroscopy with laser – Removes stones using a scope
✔️ Surgery (PCNL) – For large stones
✔️ Drink plenty of water
✔️ Reduce salt and oxalate-rich foods
✔️ Maintain a healthy diet
A vasectomy is a permanent birth control procedure that prevents sperm from entering semen.
Yes, through vasectomy reversal surgery (vasovasostomy or epididymovasostomy).
Most men recover in 2–3 days and resume normal activities within a week.
A vasectomy is considered permanent, but reversal or sperm retrieval options exist.
✔️ Enlarged prostate (BPH)
✔️ Overactive bladder (OAB)
✔️ Urinary tract infections (UTIs)
✔️ Pelvic floor exercises (Kegels)
✔️ Medications
✔️ Surgical procedures
Disclaimer
The content on this website, including information about urologic conditions, treatments, and services, is provided for informational purposes only and should not be considered medical advice, diagnosis, or treatment.
No Doctor-Patient Relationship
Viewing this website or using the information provided does not establish a doctor-patient relationship between you and Dr. Nickolas Tomasic or his practice. A medical diagnosis and treatment plan can only be provided after an in-person consultation and medical evaluation by a qualified healthcare provider.
Not a Substitute for Professional Medical Advice
The information presented on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional regarding any medical condition, symptoms, or concerns. Do not delay seeking medical advice or disregard professional recommendations based on information found on this website.
Treatment Outcomes & Individual Results May Vary
The treatments and procedures described on this website, including but not limited to prostate health management, kidney stone treatments, erectile dysfunction therapies, testosterone replacement therapy (TRT), vasectomy, and surgical procedures, may not be suitable for all patients. Individual results vary depending on medical history, condition severity, and other health factors.
Emergency Medical Situations
If you are experiencing a medical emergency, such as severe pain, difficulty urinating, uncontrolled bleeding, or any other life-threatening condition, call 911 or visit the nearest emergency room immediately.
External Links & Third-Party Information
This website may contain links to external resources and third-party websites for additional information. These links are provided for convenience only, and Dr. Nickolas Tomasic’s practice is not responsible for the accuracy or content of third-party websites.
Consent & Agreement
By using this website, you acknowledge that you have read and understood this Medical Disclaimer and agree to its terms. If you have any questions about your health or a medical condition, please schedule an appointment with Dr. Nickolas Tomasic for professional medical guidance.
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