Flagstaff Surgical Associates

Surgical Departments

Northern Arizona's experts in general surgery, urology,
audiology, allergy, & ENT treatment.

  • Urology Services

    Urology is the branch of medicine dealing with the treatment of disorders of the male reproductive organs and urinary tract, including the bladder, prostate, urethra, kidneys, and male genital organs a specialist who is trained to evaluate the urinary and reproductive system, and to perform corrective surgery when necessary.

    You may be referred to a urologist for conditions such as: infertility, urinary incontinence, prostate cancer, bladder prolapse, prostatitis, erectile dysfunction, painful bladder syndrome, and more. Our specialists at Flagstaff Surgical are highly competent urologists who can accurately assess your condition and determine the best treatment protocol. Call our Urology department at (928) 773-2222 to schedule an appointment.

  • Health Conditions We Treat

    Benign Prostate Enlargement

    Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms so it is very common1. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.

    The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:

    Frequent need to urinate both day and night
    Weak or slow urinary stream
    A sense that you cannot completely empty your bladder
    Difficulty or delay in starting urination
    Urgent feeling of needing to urinate
    A urinary stream that stops and starts

    If you suffer from the above symptoms, you are not alone. BPH is one of the leading reasons for men to visit a urologist.

    Bladder Cancer

    Bladder cancer is the sixth most common cancer in the United States. For the year 2014 it is estimated that more than 74,000 Americans will be diagnosed with bladder cancer and more than 15,000 will die of the disease. In recent decades there has been a steady increase in the incidence of bladder cancer. However, doctors are making progress in treatment, and survival rates are improving. But what are its symptoms? How should it be treated? The following information should help you talk to an urologist about this condition.

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    Erectile Dysfunction

    ED affects as many as 30 million men. Most men have problems with erections from time to time. In some men, these problems are regular and more severe. ED, or erectile dysfunction, is when it is hard to get or keep an erection that’s firm enough for sex.

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    Kidney Blockage/UPJ

    The main job of the kidney is to filter the blood, remove waste products and deliver waste products (urine) through the ureter to the bladder. But what happens when the area where the ureter and the renal pelvis meet becomes blocked in children? The following information should help you recognize this problem before it causes serious damage.

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    Kidney Cancer/Masses

    It is important to realize that with timely diagnosis and treatment, kidney cancer can be cured. If found early, the survival rate for patients with kidney cancer ranges from 79 to 100 percent. More than 100,000 survivors of kidney cancer are alive in the United States today. The following information addresses the most common questions about kidney tumors and serves as a supplement to the discussion that you have with your physician.

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    Kidney Stones

    Stone disease is among the most painful and prevalent urological disorders. More than a million kidney stone cases are diagnosed each year with an estimated 10 percent of Americans destined to suffer from kidney stones at some point in their lives.

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    Overactive Bladder

    Overactive bladder (OAB) is a common condition that affects millions of Americans. About 33 million Americans have overactive bladder. Thirty percent of all men and 40 percent of all women in the United States live with OAB symptoms. Also Bladder Irritants.

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    Prostate Cancer

    Prostate Cancer is the second-leading cause of cancer deaths among men in the United States and a significant health-care problem due to its high incidence. It is estimated that in the United States (U.S.), there will be more than 230,000 new cases and 29,000 deaths from prostate cancer in 2014. The natural history and progression of this disease is not clearly and consistently understood. An analysis of autopsy studies has shown that approximately one in three men over the age of 50 years had histologic evidence of prostate cancer, with up to 80% of these tumors being limited in size and grade and, therefore, clinically insignificant. However, a recent study of incidental prostate cancer diagnosed in organ donors found prostate cancer in 1 in 3 men age 60-69, and this increased to 46% in men over age 70.The number of men diagnosed with prostate cancer remains high. However, 5-year relative survival rates have increased dramatically over the years. There also has been at least a 25% reduction in the age-specific prostate cancer mortality rate since the beginning of the PSA era. It is estimated that 99 % of men diagnosed with localized or regional prostate cancer survive at least five years, while only 33% of those with metastases at diagnosis survive 5 years.

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    Urinary Incontinence

    Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only a few drops when you cough or sneeze to entirely emptying your bladder without warning. It is far more than a physical problem with many people suffering emotional consequences such as depression, isolation, and loss of dignity. Fortunately there are successful treatment options to help control incontinence.

    Urinary Tract Infection (UTI)

    Urinary tract infections (UTIs) are responsible for more than 8.1 million visits to physicians’ offices per year and about five percent of all visits to primary care physicians. Approximately 40 percent of women and 12 percent of men will experience at least one symptomatic urinary tract infection during their lifetime. How do you know if you have one? What is the best treatment? The following information should help you.

    Click Here to learn more

This page is intended for informational use only and not medical advise. Please call our office to schedule an appointment @ (928) 773-2222.

  • Frequently Asked Questions

    Can I send the doctor emails?

    You are able to communicate with our office through our patient portal. It is a great way to communicate on non-emergent issues, such as: prescription refill, appointment request, billing questions or medical records requests. You should have been provided a paperwork with portal registration information including a PIN number. If you don’t have this call our office to obtain you PIN and follow this link to get started!

    Access your patient portal

    Where will my surgery be done?

    Flagstaff Surgical Associates works with the hospital and two local surgery centers. We will schedule at the facility that best fits your surgery needs is contracted with your insurance carrier.

    Will I be able to eat or drink before my surgery?

    It is important to have an empty stomach before surgery to minimize the chance of vomiting during or after surgery to avoid complications. You will generally be instructed not to eat or drink after midnight the night before surgery. This is extremely important and your surgery will be cancelled if these instructions are not followed.

    Why does it take so long to schedule my surgery?

    On average, surgery takes 7 to 10 days to schedule. Insurance often requires precertification and/or authorization. There is usually preoperatively testing that the patient must have and patient, surgeon and surgery facility schedules need to be coordinated. We know that waiting for your surgery is not easy but we will do our best to get your surgery scheduled as soon as possible.

    How do I know if my surgery is healing normally?

    It is normal for your incision to appear discolored or slightly swollen. Call our office if you are having excessive pain, increased swelling or drainage or if you just have questions or concerns.

    When should I make my postoperative, follow up appointment?

    If you are not given a follow up time when you are discharged after surgery, please call our office to schedule an appointment as soon as possible after returning home. Typically, the postoperative appointment should be 7 to 10 days after surgery unless your doctor tells you something different.

    How long does it take until I receive my pathology results?

    We usually receive pathology results in 3 to 5 working days. If special stains are required or specimens are sent to outside facilities, the results may take up to 2 weeks longer. We will do our best to have the results to you as soon as possible

    Post-Surgery Catheter Removal Instructions

    The urinary catheter is frequently called a “Foley.” This is because it is named after its inventor, the famous Minnesota Urologist Dr. Frederick Foley. There are many different varieties and sizes, but the basic principles are the same. It is a rubber or silicone drainage tube with retention balloon on the tip. The retention balloon holds it in the bladder so urine can drain out and collect in a collection bag (see diagram below). It is a closed system to decrease the chances of infection developing. Most patients are able to remove his or her catheter at home. Most patients are able to remove his or her catheter at home. This is perfectly safe and avoids an unnecessary trip to the office.

    Follow These Steps

    1. Identify the “balloon port” at the end of the catheter (see the diagram). It has a colored valve on the end and has several numbers printed on the colored valve. This is the part of the catheter that holds the water in the retention balloon at the tip, which inside your bladder.

    2. Cut the valve off the “Balloon Port”. Do this by cutting the neck of the tube just behind the valve. The valve will come off and water will trickle out of the tube. This is clean water that was inside the balloon at the tip of the catheter.

    3. Wait for all the water to trickle out. When it stops, the balloon inside your bladder has been deflated.

    4. Pull the entire catheter out with a steady pull. Do not jerk it or yank it out – if you do, it will come out but will be more uncomfortable.

    5. Throw all the tubing and the collection bag away.

    Tips From Experienced Patients

    Lubricating the catheter with KY jelly helps reduce discomfort.

    Removing the catheter in the shower with warm water running on you makes it much less uncomfortable (and it make less of a mess). If you do this, we suggest doing it seated to avoid falling or injury.

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With Flagstaff Surgical Associates



Our mission is to provide Northern Arizona with professional and patient-centered surgical and specialty healthcare services.


Our vision is to provide patient care that consistently achieves superior levels of quality, safety, and patient satisfaction.


Core Values


We've partnered with Arizona medical practices, hospitals, and services, gathering metrics so you receive the best possible treatment.


We love the Northern Arizona community and are active in local charities, events and sponsorships.


Our physicians all use the latest proven techniques for surgical and non-surgical patient treatment.


By having several physicians of each specialty. You can be confident your needs will continually be met.