Our Clinical Philosophy

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We believe optimal patient care is achieved through:

• Careful patient selection

• Clear communication with referring physicians

• Evidence-based decision-making

• Transparency regarding indications, limitations, and outcomes

Not every patient is a candidate for minimally invasive treatment. When patients are not appropriate, they are returned to their referring physician with recommendations for ongoing management.

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Conditions Commonly Evaluated

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Uterine Fibroids

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We evaluate patients with symptomatic fibroids who are:

• Seeking uterine-sparing options

• Not ideal surgical candidates

• Interested in alternatives after medical therapy

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Evaluation includes imaging review (typically MRI when appropriate), symptom assessment, and discussion of risks, benefits, and alternatives.

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Benign Prostatic Hyperplasia (BPH)

Patients with BPH are evaluated for:

• Severity of lower urinary tract symptoms

• Prostate anatomy and size

• Prior medical or procedural therapies

• Patient goals and comorbidities

We emphasize that prostate artery embolization (PAE) is not appropriate for all patients, and careful selection is essential.

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Evidence-Based Approach

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Minimally invasive embolization therapies are supported by a growing body of peer-reviewed literature demonstrating:

• Symptom improvement in appropriately selected patients

• Low rates of major complications

• Preservation of surrounding anatomy

• Compatibility with future medical or surgical options when needed

We rely on current guidelines, institutional protocols, and ongoing outcomes assessment to guide care.

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Patient Selection and Triage

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We view patient selection as the most important step in care.

Patients are typically not candidates if they have:

• Contraindicating anatomy on imaging

• Alternative pathology better managed surgically

• Symptoms unlikely to improve with embolization

In these cases, patients are referred back promptly with clear documentation and recommendations.

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Relationship With Urology and OB/GYN

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Our practice is intentionally collaborative.

• We do not position minimally invasive therapies as replacements for surgical care

• We do not compete for longitudinal disease management

• We emphasize shared decision-making and continuity

Patients continue routine care with their urologist or OB/GYN, and we communicate procedural details and follow-up recommendations clearly.

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Peri-Procedural Care

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Procedures are performed in a hospital-based setting using:

• Image-guided techniques

• Established safety protocols

• Conscious sedation or anesthesia as appropriate

Post-procedure care includes structured follow-up and availability for questions or concerns.

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Follow-Up and Communication

We provide:

• Procedural reports promptly

• Clear follow-up recommendations

• Ongoing availability for discussion

We value communication and aim to be accessible and responsive to referring physicians.

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When to Consider Referral

Referral may be appropriate for patients who:

• Have persistent symptoms despite medical therapy

• Are exploring non-surgical options

• Are poor surgical candidates

• Desire a second opinion regarding treatment options

A referral does not obligate treatment and is often used to support patient education and shared decision-making.

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Contact and Collaboration

We welcome collegial discussion and collaboration.

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Physician-to-Physician Contact

For questions, imaging review, or case discussion:

Call: 1 (209) 340-2540
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