About
A prostate size tells you something. It doesn't tell you everything.
I'm a procedural urology APP and Lead APP at Austin Urology Institute in Austin, Texas. Day to day that means BPH/LUTS, elevated PSA, hematuria, stones, OAB, and men's health, plus the office procedures that go with them: cystoscopy, TRUS prostate sizing and biopsy, UroCuff testing, bladder Botox, Axonics PNE evaluations, and catheter/stent procedures.
My second focus is OAB and incontinence: Axonics sacral neuromodulation (including PNE evaluations), eCoin tibial neuromodulation, bladder Botox, and Bulkamid.
A good BPH workup puts symptoms, PVR, flow, anatomy, medication history, and cancer risk together before anyone talks about a procedure. That workup is where APPs make the biggest difference, and where a lot of practices leave capacity on the table.
In 2026 I'm the APP Program Lead and faculty for AUI's BPH & Aquablation Program site-visit education. I co-facilitate a paired surgeon–APP model with Koushik K. Shaw, MD: he covers operative decision-making and technique, and I cover what happens before and after the OR: patient identification, objective evaluation, office diagnostics, patient education, and long-term continuity.
Before nursing, I worked as a firefighter/paramedic. That's still where a lot of my bias toward clear systems and calm handoffs comes from.
