- Primary CareAs Urologists, we view ourselves as surgical specialists, assisting and supporting the primary care physicians with our specialized areas of expertise – such as Vasectomy (No-Scalpel and No-Needle) and Vasectomy Reversal – on an as needed basis. Use our site to gather information and to contact us, and thank you for visiting.
- Male InfertilityThere are a number of procedures available for treating male infertility. A specific method is selected for each individual patient to ensure the greatest success. These methods range from medication that increases sperm production to surgical procedures that remove barriers in the sperm ducts.
- Emergency Care(616) 956-9577 or proceed to the emergency department at Metro Health Hospital or the hospital nearest you. The hospital will contact us. If the problem is not life threatening, our office will arrange for an appointment or direct you to an emergency room.
- Erectile Dysfunction
- Pregnancy
- Labor and DeliveryAn estimated 30-50% of American women suffer from sexual dysfunction at some point during their lives. Medical conditions such as hormone deficiency, menopause, aging, childbirth, diabetes, hypertension, hysterectomy or other pelvic surgery, and certain medications can contribute to sexual function and loss of libido.
- UrologyWelcome to Michigan Urological Clinic's home on the web. Our practice is focused on Urology, the diagnosis and treatment of disorders of the urogenital system. We're committed to addressing the urological health needs of the whole family through preventative and procedural care.
- Kidney CancerWilms’ Tumor is a form of kidney cancer that occurs in children – both boys and girls. There is no clear, known cause for the disease.
- Urinary Tract InfectionIf a child has other related symptoms, including painful urination or daytime incontinence, he or she may have a urinary tract infection or another disorder.
- Prostate CancerThe most common form of cancer in American men, prostate cancer can also be successfully treated if it’s detected before it begins to spread. It typically affects men over 65, but all men over 50 should be screened each year. African American men are at a greater risk than men of other races.
- Diabetes Care
- UltrasoundA number of kidney conditions may be detected even before a child’s birth. These diseases may be caused by several different congenital disorders. Occasionally, these conditions correct themselves before birth. Those that don’t however, require evaluation by ultrasound or other methods. Treatment for these disorders depends on their cause as well as on test results.
- ChemotherapyTreatment for Wilms’ Tumor usually involves surgery and chemotherapy – as well as radiation in extreme cases. The success rate for this treatment is very high – and over 85% of patients survive the disease.
- Radiation Therapy
- General SurgeryDr. Carothers received his Bachelor's degree from Michigan State University and his medical degree from the Kirksville College of Osteopathy and Surgery in Missouri. He completed his Internship and General Surgery Residency training at Detroit Osteopathic Hospital and his Urological Surgery Residency training at Martin Place Hospital East in Madison Heights, Michigan. Dr. Carothers is a Fellow in the American College of Osteopathic Surgeons and board certified by the American Osteopathic Board of Surgery. Dr. Carothers helped pioneer the use of lasers in urological surgery and introduced cost effective microscopic Vasovasostomy in the office setting.
- Minimally Invasive Surgery1 Most effective minimally invasive surgery in terms of cancer control, potency and continence, cancer control being defined in part by margin rates and PSA test scores. The following studies provide support for da Vinci Prostatectomy's effectiveness in these three areas: Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeon's outcomes. Urology. 2004 May;63(5):819-22. Menon M, Tewari A, Peabody JO, Shrivastava A, Kaul S, Bhandari A, Hemal AK. Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. Urol Clin North Am. 2004 Nov;31(4):701-17. Tewari A, Srivasatava A, Menon M; Members of the VIP Team. A prospective comparison of radical retropubic and robot-assisted prostatectomy: experience in one institution. BJU Int. 2003 Aug;92(3):205-10.
- VasectomyVasovasostomy involves a surgical reversal of a previous vasectomy with the goal of producing sperm in the ejaculate. The procedure is ordinarily performed in an effort to produce sperm which are sufficient to achieve pregnancy. However, other reasons for doing the procedure include chronic pain following the vasectomy, as well as fears regarding change in cardiac status or possible malignancy associated with vasectomy. The procedure involves identification of the vas deferens, usually done through a single, midline scrotal incision under general or local anesthesia. The procedure involves transection of the sperm duct (or vas deferens) on the testicular ends of the vas deferens and prostatic ends of the vas deferens and dilation of the internal opening or the center of the vas deferens, on the prostate side. Ordinarily, the testicular ends of the vas deferens are dilated sufficiently so that no special procedures are necessary on this end. The ends are sutured using microscopic enhancement, usually in two layers involving the mucus membrane or mucosal lining of the vas deferens. The second layer involves the outer covering or serosa and the muscular layers of the vas deferens. The sutures used for the procedure are usually of a permanent variety such as Proline with the size range from 7.0 to 9.0. Proline is a very small suture and has to be handled with microsurgical instruments. After placement of the sutures, the wound is closed and the individual sent home.
- Robotic SurgeryThe da Vinci® Surgical System provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy by putting their hands at the controls of a state-of-the-art robotic platform that enables them to operate with unmatched precision and control using only a few small incisions. Referred to by many as robotic surgery for prostate cancer or robotic prostatectomy, da Vinci Prostatectomy is more accurately a robot-assisted, minimally invasive surgery that is quickly becoming the preferred treatment for removal of the prostate following early diagnosis of prostate cancer. In fact, studies suggest that da Vinci Prostatectomy may be the most effective, least invasive prostate surgery performed today.
- Hysterectomy
- Laparoscopy
- Reconstructive Surgery
- Physical TherapyIncontinence may also be caused by an overactive bladder, which occurs when the muscle around the bladder contracts spastically. Overactive bladder may be treated with medication or with other treatments, including physical therapy, lifestyle and dietary changes.