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Urology Clinic

Mercy’s Urology Clinic provides medical and surgical care for male and female patients, and selected services for pediatric patients, who suffer from problems of the urinary tract, as well as diseases and conditions of the male genital and reproductive organs. Our goal is the help patients find solutions to their unique conditions through cutting-edge treatment and surgical procedures. Whether you or a loved one is diagnosed with prostate cancer, kidney cancer, bladder cancer, incontinence, erectile dysfunction, BPH, kidney stones or male fertility issues, we can help.

Meet Board-Certified Urologist
R. Matthew Smith, MD

Matt Smith, MD

Matt Smith, MD

Mercy’s Urology Clinic is led by board-certified Urologist, Matt Smith, MD. Dr. Smith specializes in the diagnosis and treatment of, as well as surgical procedures affecting the urinary tract, as well as diseases and conditions of the male genital and reproductive organs. Dr. Smith specializes in minimally invasive robotic surgery, providing patients with faster recovery times. For questions, or to schedule an appointment, call (319) 398-6865.

Conditions We Treat

Urologic Cancer Treatment

  • Prostate cancer
  • Bladder cancer
  • Kidney cancer
  • Testicular and penile cancer
  • Adrenal cancer

Disorders of Urination

  • Urinary leakage
  • Overactive bladder
  • Prostatic enlargement
  • Recurrent urinary tract infections

Prostate Disorders

  • Benign Prostatic Hyperplasia (BPH)
  • Prostatitis

Kidney Stones

Treatment and prevention

Urinary Stricture Disease

  • Ureteropelvic Junction Obstruction (UPJ)
  • Ureteral stricture
  • Urethral stricture

Infertility (Male)

Sexual Dysfunction (Male)

  • Erectile Dysfunction (ED)
  • Penile Curvature (Peyronie’s Disease)




In-Clinic Procedures We Perform

Cystoscopy - a small, flexible scope with a camera on the end that is inserted into the bladder, allowing a urologist to perform procedures within the bladder.

Diagnostic - to either find bladder tumors or watch (surveillance) to ensure a tumor has not returned.

Bladder Biopsy - the ability to take small amounts of tissue for diagnosis.

Bladder Fulguration - the ability to stop bleeding in the bladder.

Botox Injection - a specialized procedure to insert botox for overactive bladder.

Stent Removal - removing a temporary stent placed previously for a stone removal procedure.

Urethral Dilation - to stretch open a narrowed urethra.

Difficulty Catheter Placement - used to navigate a damaged or narrowed urethra when a catheter is needed to drain urine.

Urethral Bulking Agents (macroplastique) - for minor incontinence.

Urodynamics - specialized testing that can help your urologist diagnose complicated issues surrounding your urinary complaints.  These tests are varied, but include:

  • Post Void Residual (PVR) testing - a small, bedside ultrasound to determine how much urine is retained in your bladder after you complete urination.
  • Uroflow - a test that measures how quickly you urinate to determine urinary flow.
  • Cystometrogram (CMG) - a test that determines how your bladder fills. This helps your doctor determine how to proceed when you are having multiple urinary complaints.

Urologic Ultrasound - a technology using sound waves (no radiation) to visualize portions of the urologic tract. Specific procedures include:

  • Prostate ultrasound – for measurement of prostate volume
  • Ultrasound guided biopsy of the prostate (TRUS biopsy) – for prostate cancer diagnosis
  • Kidney ultrasound – to evaluate swelling (hydronephrosis), a back-up of urine in the kidney
  • Scrotal ultrasound – to evaluate for flow to the testicle or lesions in the scrotal cord or testicle
  • Penile ultrasound – used in evaluation of erectile dysfunction

Catheter Changes - urgent or routine placement or changing of catheters.

  • Urethral catheters (a catheter through the natural channel used for urine flow)
  • Supra pubic catheters (a catheter through your abdomen)
  • Self-catheterization teaching

Bladder Instillations - placing medicine in the bladder for various causes.

  • Bladder cancer – BCG or other chemotherapy for bladder cancer treatment
  • Intersitial cystitis / Bladder pain syndrome – to help manage this painful condition
  • Antibiotic instillation – for troublesome chronic infections

Hormone Injections for Prostate Cancer

Penile Injections

  • For erections, either in conjunction with ultrasound for diagnosis of erectile dysfunction, or teaching for home use to obtain injections
  • For penile curvature

Nerve Stimulation - procedures to help complex urinary difficulties.

  • Percutaneous Tibial Nerve Stimulation (PTNS)
  • Percutaneous Nerve Evaluation (PNE) – testing for preparation for OR placement of permanent device

Removal of Genital Lesions

  • Removal / destruction of genital warts
  • Removal of scrotal cysts

Vasectomy - We perform the minimally invasive "no-scalpel" vasectomy in office. This short (15- to 30-minute) procedure is used for permanent male sterilization.

Surgical Procedures We Perform

Dr. Smith performs advanced robotic surgery including laparoscopic, endoscopic and lasers, providing patients with a minimally invasive approach and faster recovery time.

Endoscopic Procedures (using scopes)

Bladder, Prostate and Urethra
  • Cystosocopy – to diagnose cancers and abnormalities of the lower urinary tract
  • Bladder and urethral biopsy
  • Removal of bladder tumors (TURBT)
  • Destruction of bladder lesions (fulguration)
  • Opening of narrow urethra (DVIU)
  • Bladder chemotherapy instillation (Mitomycin)
  • Removal of enlarged prostate tissue (TURP)
    • Bipolar TURP
    • Laser TURP (Photovaporization)
  • Urethral bulking agents
  • Botox injection
  • Ureteroscopy – visualizing the upper urinary tract (kidney and ureter) for stone procedures as well as to diagnose strictures or masses in these areas

Stone Removal Procedures

  • Removal of stones in bladder (cystolithalopaxy)
  • Removal of stones in ureter and kidney
    • Shock Wave treatment (ESWL)
    • Ureteroscopy - using a laser to break up and remove stone
    • Percutaneous stone removal – using a small hole in your back to remove larger stones

Scrotal / Penile Procedures

  • Circumcision (young boys [older than 6 months] through adulthood)
  • Revision circumcision (typically in young boys with an incomplete circumcision at birth)
  • Penile exploration – for trauma to the penis
  • Testicular removal (orchiectomy) for cancer
  • Hydrocele removal
  • Removal of epididymal cysts or entire epididymis
  • Removal of tumors in spermatic cord
  • Varicocele repair

Urologic Implant Surgery

  • Penile implants for erectile dysfunction
  • Artificial sphincter for severe incontinence
  • Sling surgery (men and women) for incontinence

Cancer surgery

  • Prostatectomy (prostate cancer)
  • Nephrectomy (kidney cancer)
    • Full removal (radical), as well as partial removal (kidney-sparing surgery)
    • Adrenalectomy (removal of adrenal glands)
    • Orchiectomy (removal of testicular tumor)

*** The above surgery can be performed robotically in most situations.

Reconstructive surgery

  • UPJ obstruction repair (pyeloplasty)
  • Ureteral stricture repair
  • Ureteral re-implant
  • Bladder diverticulum

*** The above surgeries are performed robotically in most situations.

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Contact Information

901 Building

Mercy Urology Clinic
901 8th Ave SE 
Cedar Rapids, IA 52403

Phone Number:
For questions or scheduling, call: 
(319) 398-6865

Monday through Friday
8 a.m. to 4:30 p.m.