- Medical Weight Loss
- Pediatric Care
- Primary CareSince 1948, Urologic Specialists has offered exceptional and innovative urologic care for men, women and children throughout the region. Our physicians are skilled in the diagnosis and treatment of urologic disorders and conditions. Our doctors are trained in many different urologic subspecialties allowing them to offer patients the most advanced care and treatment available. As specialists, we work with patients and their primary care physicians to help evaluate, recommend and treat medical conditions related to the urinary tract and male reproductive system. Our goal is to provide you with the highest quality of patient medical care available with a commitment to your satisfaction.
- Emergency CareAngela is a board-certified pediatric nurse practitioner. Prior to becoming a nurse practitioner, she worked as a RN at both a pediatric urgent care clinic and a pediatric emergency department. She works alongside our pediatric urologists seeing children with urologic conditions including bedwetting, urinary incontinence, dysfunctional voiding, hernia issues and recurrent urinary tract infections.
- Constipation
- Erectile Dysfunction
- Urinary IncontinenceUrinary incontinence, the loss of voluntary control over urinary function, affects more than a third of adult Americans. Stress incontinence happens when you sneeze, cough, laugh, exercise or do other things that put pressure on your bladder. It is the most common type of bladder control problem in women.
- GynecologyBoard Certified in Female Pelvic Medicine and Pelvic Reconstruction by the American Board of Urology and American College of Obstetrics and Gynecology
- Obstetrics
- Pregnancy
- Bladder CancerWhy cells become cancerous is not clear. But bladder cancer is strongly linked to cigarette smoking. The longer a person smokes and the more a person smokes, the greater that person's changes of developing bladder cancer.
- UrologyGeneral Urology covers a wide variety spectrum of urologic diseases in men and women of all age groups. Our physicians are qualified and skilled in the diagnosis and treatment of urologic disorders and conditions.
- Kidney StonesUrologic Specialists is proud to be the region’s largest urology practice. We are uniquely capable of caring for patients with all kinds of urology issues. Our 21 board-certified urologists include a number of subspecialists with additional training in urologic cancers, kidney transplantation, kidney stone disease, pediatric urology, female pelvic medicine and incontinence and male sexual health issues.
- Interstitial CystitisInterstitial cystitis is a chronic inflammatory disorder of the bladder characterized by the findings of bladder pain or discomfort associated with urinary urgency and frequency. Interstitial cyctitis is also characterized by the absence of a demonstrative infection.
- Urinary Tract InfectionEpididymitis and orchitis are common inflammatory conditions of the scrotum. Specifically, epididymitis is an inflammation of the epididymis. This is often caused by bacteria in the urinary tract, a urinary tract infection, or bacteria passed between partners during sex. It can occur in one or both tubes, and can be acute or chronic. When the inflammation spreads to a testicle it is called orchitis.
- Prostate CancerProstate cancer is a disease that affects the cells of the prostate. The prostate gland is part of the male reproductive system. Normally, cells grow and divide in an orderly way. This is how the body grows and stays healthy. Sometimes this normal process of cell growth can go wrong. If the cells continue to divide when they're not supposed to, they can form a tumor. Cancerous prostate tumors display different behavior between individuals. If left untreated, they can block the flow of urine and spread to other parts of the body.
- Cancer Care
- Anxiety
- Diabetes Care
- UltrasoundBiopsies are minimally invasive procedures. A small amount of prostate tissue is removed by a needle inserted through the rectum. An ultrasound probe is used to guide the needle. Usually this procedure is performed as an outpatient procedure without anesthesia.
- MRIDr. Grewal has extensive experience in minimally invasive and open surgical approaches for benign and malignant disease of the urinary tract. He practices general urology, with a special interest in kidney stone disease, prostate disorders, and robotic assisted procedures for cancers of the adrenal gland, kidney, bladder and prostate. Dr. Grewal has pioneered the use of multiparametric MRI in the diagnosis and management of prostate cancer in northeast Oklahoma. He has extensive experience in the use of MRI-ultrasound fusion for biopsy of the prostate, allowing fewer and more accurate prostate biopsies than the standard ultrasound guided procedures currently used.
- RadiologyUrologic Specialists is a group of physicians specializing in comprehensive state-of-the-art medical and surgical care to patients. As part of the this care we offer diagnostic and therapeutic services including radiology services (ACR certified), laboratory testing, and urodynamic testing.
- X-Rays
- Computed Tomography
- Chemotherapy
- Radiation TherapyFor patients undergoing radiation therapy, Urologic Specialists offers SpaceOAR hydrogel, an innovative therapy proven to help protect quality of life and minimize side effects of radiation treatment. Learn more about SpaceOAR hydrogel.
- General SurgeryHe proceeded to Washington University in St. Louis where he completed an internship in general surgery followed by a residency in Urologic Surgery. During his residency, he was named the Resident in Excellence for 3 consecutive years (2010-2013), given by vote of the faculty to the resident who performs at the highest overall level within the Department of Urologic Surgery. He was also awarded the Scholarship Award in 2013, given to the senior resident with the highest overall score on the urology in-service examination.
- Minimally Invasive SurgeryThe first daVinci robotic prostatectomy performed in Tulsa was at St. John Medical Center in 2005. Since then, Urologic Specialists' surgeons have performed over 1300 robotic surgeries. Urologic Specialists continues to be on the "cutting edge" of minimally invasive surgery. Our surgeons performed the first robotic partial nephrectomy (removal of a cancerous tumor from the kidney) in 2009 and the first robotic cystectomy (removal of the bladder) in 2010. Our surgeons typically perform 10-14 robotic surgeries each week.
- VasectomyUrologic Specialists is pleased to offer Nitrous Oxide (often known as laughing gas) for pain relief and anxiety during some in-office procedures including vasectomy, UroLift, prostate biopsy, SpaceOar and cystoscopy.
- Robotic SurgeryRobotic surgery is performed using the daVinci Surgical System, an advanced system that facilitates surgical procedures through tiny incisions and laparoscopic ports. The surgeon controls the instruments from a console, and movements are filtered and scaled, resulting in enhanced precision, control, and range of motion. The specialized camera allows the surgeon to view the operation in 3-D, and the telescope enhances vision to 12x magnification, which provides greater visual detail.
- LaparoscopyThis led to a general surgery internship at the University of Massachusetts followed by a residency in Urology and Transplantation. He then went on to complete a fellowship in Laparoscopy and Endourology at Duke University Medical Center.
- BotoxThe treatments progress in a logical course beginning with dietary modifications, stress modification, and in some cases pelvic physical therapy. Following these measures, the use of medications such as Elmiron, Hydroxyzine, and Amitriptyline are frequently helpful. Bladder analgesics may also be employed. Additionally, the use of intra-bladder medications may be helpful. However, in some patients, these treatments actually will flare the pain. As mentioned earlier, pelvic physical therapy can be of great benefit for patients who demonstrate pelvic floor spasm in response to their bladder discomfort. The use of medications to relax the urgency and frequency to urinate, are frequently employed. Additional treatments for this particular symptom include the use of an InterStim pacemaker or the injection of Botox into the bladder wall. More complex medical management includes use of immune modulators such as cyclosporine. In patients with severe chronic pain, chronic pain management strategies are often employed in conjunction with pain management specialists. In the most extreme cases which have been present for a long period of the time, removal of the bladder may be contemplated.
- Laparoscopic Surgery
- Physical TherapyLevel one treatment includes physical therapy, dietary modifications including limiting caffeine and alcohol and lifestyle changes like not drinking fluids two to three hours before bed.
- Back Pain