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Urologic Surgery

Schedule an appointment: 216-778-4257

Who We Are

The Division of Urology is committed to delivering state-of-the-art care to all patients with problems involving the kidneys, ureters, bladder, prostate, and sexual organs.

Common Urologic Problems Include:
  • Kidney stones
  • Blood in the urine
  • Difficulty with urinating, including the inability to urinate
  • Urinary incontinence
  • Sexual dysfunction
  • Elevated PSA levels
  • Prostate cancer
  • Tumors of the kidneys and bladder

What We Do

We offer the latest in minimally invasive surgical technique including laser surgery, seed implantation for prostate cancer, shockwave lithotripsy, and percutaneous procedures for urinary stone disease. Female incontinence procedures are often performed as an outpatient procedure. Nerve sparing techniques are routinely used when radical prostatectomy is performed to treat prostate cancer. Bladder reconstructive procedures are offered when bladder removal is indicated to treat bladder cancer. 

We are committed to seeing all new physician referrals within a timely manner (usually within 7–10 days). Patients are seen in the surgical specialty clinic on Mondays, Tuesdays, Wednesdays, and Thursdays. 

Meet Our Urology Surgeons

  J. Patrick Spirnak, MD
Director, Division of Urology
Professor, Case Western Reserve University School of Medicine

Specialty Interests: Kidney Stones, Prostate Cancer, General Urology, Prostate Problems, Vasectomy, Erectile Dysfunction


  Irma J. Lengu, MD
Assistant Professor, Case Western Reserve University School of Medicine

Specialty Interests: Urology, Kidney Stones, Genitourinary Cancers, Benign Prostatic Hyperplasia, Prostate Cancer, Male and Female Urinary Incontinence, Erectile Dysfunction, Vasectomy, Pediatric Urology


  Carvell Nguyen, MD, PhD
Assistant Professor, Department of Surgery, Case Western Reserve University School of Medicine, Urologic Oncology, Division of Urology 

Specialty Interests: Urology, Minimally Invasive Surgery

Areas of Interest: Urologic Malignancies (Prostate, Kidney, Bladder, Testicular, and Adrenal Cancers)

© Copyright 2002 - The MetroHealth System|2500 MetroHealth Drive|Cleveland, OH 44109|(216) 778-7800|All Rights Reserved.
  • © Copyright 2002 - The MetroHealth System
  • 2500 MetroHealth Drive|Cleveland, OH 44109|(216) 778-7800
  • All Rights Reserved.