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Northeast Georgia Urological Associates, P.C. is a urological specialty medical practice located in Gainesville, Georgia. Our practice was established in 1980. We offer a full range of health care services for men and women of all ages. Our office is open from 8:30 AM to 5:00 PM, Monday through Friday. Our cheerful office staff is available to help you with appointments, billing, insurance, procedures, information, lab tests, and emergency services. We accept most major insurance programs. Our goal is to deliver a high quality care in as efficient and courteous manner as possible. We look forward to delivering excellent patient care to you and your family. We invite you to peruse our website and look forward to the opportunity to exceed your expectations soon!William B. Jones, M.D.Dr. Jones is a board-certified urologist who has been practicing in Hall County since 1980. Originally, he is from Atlanta,GA. He performed his undergraduate work at the University of Georgia and attended medical school at the Emory University Hospital. He trained in urology at Vanderbilt University, Nashville,Tennessee. He is the senior partner of Northeast Georgia Urological Associates, P.C. and is available for patients at the Braselton Clinic, Braselton, GA on Monday mornings. He is married to Andrea and has two children. Dr. Jones is board-certified in Adult and Pediatric Urology. He is a member of First Presbyterian Church,Gainesville, GA.John C. McHugh, M.D.Dr. McHugh is a board-certified urologist who has been practicing in Gainesville since 1986. Originally, he is from La Grange, Georgia. He was a cadet at North Georgia College in Dahlonega,Georgia before attending medical school in Augusta, Georgia. He performed his urologic residency at the Medical College of Georgia in Augusta. Dr. McHugh is board certified in Adult and Pediatric Urology. He is a member of the First United Methodist Church in Gainesville. He and his wife Karen have three children.Ronald L. Brock, M.D.Dr. Brock is a board-certified urologist who has been practicing in Gainesville since July 2000. He is originally from Cornelia,Georgia. Dr. Brock performed his undergraduate work at the University of Georgia. His urological residency was performed at the Medical College of Georgia in Augusta. Dr. Brock is board certified in both Adult and Pediatric Urology. He and his wife Sherry have four children. Appointment Request Prescription Request Patient Information Insurance Directory of Related Links John C. McHugh, M.D.,FABU

Contact Information
Phone: 770-535-0000
Address: 660 Lanier Park Drive
  Suite A
  Gainesville, GA 30501
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Section: Urology
Q:  I have been having an issue with blood and portein in my urine over the last few months. (I am currently being treated for endometrosis and have blood and urine testing done every two weeks.) I know that I have three small stones in my right kidney that are not presently moving (these showed up on US). I have also had the bladder scope done recently that showed nothing but some calused tissue in the bladder. What could be causing the blood and protein in my urine? What else should I do to treat this? Also I have had several of my blood tests come back with low iron levels and I am now on Replevia. Could the low iron levels be due to the blood in my urine? Thank You
A: 

    The proper evaluation for hematuria ( fancy word for blood in the urine ) is the visualiztion of the entire urinary tract, which you have had done with the combination of a renal ultrasound and a look in your bladder ( called cystoscopy ).  Stones were found in the kidney, and this is the cause of the hematuria.  Periodically, as the stones move around in the kidney, the lining of the kidney is cut by the sharp edges of the stones, and this is what causes the bleeding.  This will not damage the kidney.  Of more concern is the possibility that one or more of the stones can fall into the ureter ( the tube running from the kidney to the bladder ), cause obstruction to the passage of urine, resulting in very painful renal colic.  The likelihood of this occuring  is in part dependent on the size of the stones.  A reasonable suggestion would be to see a physician to determine what is causing these stones to form.

    The protein in the urine could be an artifact, as the "dip stick" used to screen for the protein also measures the protein from the blood it the urine.  The most sensitive way to determine if the protein is truely elevated ( usually indicating a problem with renal function ) would be to collect a 24 hour specimen of urine.  If this shows more than a certain amount of protein ( we all put out some protein in our urine ) then you would need to see a nephrologist for further evaluation.  An easier way would be to find out what the dip stick reading score is: if it is less than 2+ its probably a normal variation. 2+ or above would lead to the above 24 hour collection.

    It is very unlikely that the hematuria is causing the low iron.  The only exception would be if you were having grossly bloody urine with clots - which I doubt you are having, because you would have already been sent to a urologist for evaluation of this.

  Good Luck
 


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Section: Urology
Q:  My friend was diagnosed with a small stone. She was in extreme pain but has stopped all caffeine drinks. It has been about 3 months know, and she is not sure if she has passed it? Would she know if and when she did?
A: 

While a stone may pass without ones knowledge the only way to document passage is with an x-ray.

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Section: Urology
Q:  What is hormone replacement therapy and what men need to know if they are considering it?
A:  Hormone replacement therapy refers to the administration of testosterone.  Many males suffer from low testosterone levels.  Common symptoms include fatigue, loss of libedo and loss of muscle mass.  Males considering testosterone replacement therapy should undergo a prostate evaluation to include prostate examination and PSA level.

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Section: Urology
Q:  I have a girl friend who recently found out she has a kidney stone. She is in extreme pain. What can she do to make it go away faster? And what can she expect during the release process?
A:  The probability of a stone passing spontaneously is most dependent upon stone size.  Stones measuring four millimeters or less have a much higher rate of spontaneous passage.  Medications are now available to aid in passage of small stones.  Adequate fluid intake is essential to the passage a stone.

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Section: Urology
Q:  am a 47-year-old man recently diagnosed with prostate cancer. What are my treatment options? What is radiation therapy? What are possible side effects of radiation therapy?
A: 

Potential treatment options for prostate cancer include surgical removal of the prostate, radiation therapy, cryotherapy, hormonal therapy and expectant management.  Treatment decisions are based upon multiple factors including patient age, performance status and overall health as well as cancer grade and stage.

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