Dr. James Farrell, DO

Dr. James Farrell, DO is a Urology specialist practicing at our Tallahassee, FL clinic, dedicated to empowering patients with proactive, comprehensive Urologic care. Registered with The Florida Board of Medicine and practicing under Florida Statutes, Title XXXII, Chapter 458 (Medical Practice), Dr. Farrell is a trusted partner in preventive health. He understands that your urologist is your primary partner in preventing urinary and male reproductive health problems, crafting personalized long-term health plans, coordinating essential screenings, and ensuring your overall wellness. He serves all ages and is currently welcoming new patients to begin their proactive health journey. Call (850) 431-2875 to schedule.

Dr. Farrell, a board-certified Urologist, brings extensive experience to Tallahassee Memorial HealthCare. His career includes 11 years of honorable service in the U.S. Army as a Urologic Surgeon, followed by several years of practice in Atlanta. Dr. Farrell is deeply committed to patient education, believing that empowering patients with knowledge is essential for informed decisions. His practice encompasses a wide range of Urology services, including care for Urologic cancers, kidney stones, enlarged prostate, male health concerns (ED, low testosterone, infertility), vasectomies and vasectomy reversals, overactive bladder, difficulty urinating, and male and female incontinence. He is skilled in multiple advanced surgical techniques, including robotic surgery, endoscopy, the UroLift system, sacral neural modulation, and microsurgery. He completed rigorous medical training from recognized institutions, including an internship at Walter Reed National Military Medical Center and a Urology residency at the National Capital Consortium (National Naval Med Ctr/Walter Reed Amc). He is Board Certified in Urology by the American Board of Urology, and his patient-centered approach prioritizes your needs, goals, and values, with a strong focus on patient counseling and education. Dr. Farrell provides consultations primarily in English.

A key part of the WePrevent mission is building your personalized prevention roadmap. Dr. James Farrell is a vital partner in this journey, focusing on proactive strategies to protect and enhance your long-term health.

By working together, you and Dr. James Farrell can create a clear, actionable plan to address your unique risk factors and health goals.

A proactive approach to health involves understanding and managing potential risks. Dr. James Farrell provides expert care for a range of conditions, focusing on early detection and effective management to support your long-term wellness. Common areas of focus include:

• Urge Incontinence: Preventing complications from urge incontinence starts with recognizing the symptoms and seeking medical advice – early intervention can make a big difference in managing this condition.
• Urinary Tract Cancer: While some urinary tract cancers have genetic links, making proactive lifestyle modifications can help mitigate risk and prevent the development of this serious condition.
• Sexually Transmitted Diseases (STDs): Many STDs are curable, so proactive screening and prompt treatment are key to preventing serious health issues down the line.
• Nighttime Urination (Nocturia): Managing nighttime urination can improve your sleep quality and overall health, reducing potential long-term complications.
• Pyonephrosis: Preventing pyonephrosis involves proactive management of urinary tract infections and kidney stones, as these can increase your risk of this potentially life-threatening condition.
• Urinary Retention: Catching urinary retention early can prevent serious complications like bladder infections and kidney damage, so it's crucial to pay attention to your body's signals and seek help promptly.
• Chronic Cystitis: Chronic cystitis is a persistent bladder infection that, if left untreated, can lead to more serious complications, highlighting the importance of early detection and ongoing management for preventing long-term health issues.
• Hypospadias: While hypospadias isn't preventable, proactive postnatal check-ups help in early identification, ensuring the right treatment and improving quality of life.
• Neurogenic Bladder: Preventive care plays a vital role in managing neurogenic bladder. Regular monitoring and treatment of associated nerve conditions can help maintain bladder function and reduce the risk of serious urinary complications.
• Sexual Arousal Disorder: Difficulty with sexual arousal may indicate an underlying medical issue, so seeking timely medical advice can help identify and treat the root cause, preventing further complications.
• Trigonitis: Understanding the risk factors for trigonitis, such as urinary tract infections or certain medications, allows for proactive steps to avoid this painful bladder condition.
• Chronic Kidney Diseases: Chronic kidney disease (CKD) is a long-term condition that can be prevented or slowed with early detection and careful management of risk factors like high blood pressure and diabetes.

This list highlights some common health concerns and is for informational purposes only. The best way to understand your personal health and create a prevention plan is to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Taking proactive steps is central to long-term health. Dr. James Farrell offers a range of key preventive screenings and services designed to provide crucial insights into your health and support your well-being:

• Percutaneous Nephrolithotomy or Pyelostolithotomy: If you're experiencing persistent kidney stone issues, percutaneous nephrolithotomy or pyelostolithotomy can help remove them, improving your kidney health and preventing future blockages.
• Cystotomy: A cystotomy helps prevent long-term bladder damage by providing a way to directly inspect the bladder for abnormalities, facilitating prompt diagnosis and treatment.
• Urinary Stone Removal (Litholapaxy): Litholapaxy is a procedure to proactively remove kidney stones, preventing further pain and potential complications.
• Augmentation Cystoplasty: As a proactive step in managing severe bladder dysfunction, augmentation cystoplasty reconstructs the bladder to increase its size and help alleviate symptoms like frequent urination and incontinence.
• Penile Implants: For men experiencing erectile dysfunction, a penile implant can be a proactive step to restore sexual function and intimacy.
• Bladder Scan: Taking charge of your bladder health starts with a bladder scan, a simple procedure that helps identify issues like urinary retention and potential infections early on.
• Kidney Stone Removal: Proactive removal of kidney stones helps maintain healthy kidney function and avoid more invasive or costly treatments later on.
• Lithotripsy: Taking charge of your kidney health involves understanding treatment options like lithotripsy, a procedure that painlessly removes kidney stones to prevent recurring issues.
• Resection of Bladder Neck: To address urinary symptoms and prevent further complications, a bladder neck resection surgically improves the flow of urine from your bladder.
• Uroflowmetry: Uroflowmetry is a non-invasive screening tool that helps identify and potentially prevent serious urinary problems, allowing for timely intervention.
• Cystometry: Proactive bladder care is key! Cystometry helps identify conditions like overactive bladder or bladder weakness, allowing for prompt intervention and preventing more serious complications.
• Destruction of Penile Lesion: Early detection and removal of penile lesions are crucial steps in preventing the development of more serious conditions.

Service availability can change, and not all services listed may be appropriate for every patient. For a comprehensive understanding of all available services and to create your personalized screening plan, please schedule a consultation.

All medical services are provided in accordance with the standard scope of practice for Urology in Florida.

Dr. James Farrell is dedicated to partnering with Caregivers to achieve their unique health objectives. The following examples illustrate how a proactive approach can make a tangible difference in a Patient's life:

• Recognizing the early symptoms of urge incontinence and seeking guidance from a specialist, a patient developed a proactive management plan, significantly reducing their risk of future complications and restoring their confidence in daily activities.
• By focusing on a healthy diet and regular exercise, a patient significantly reduced their risk of urinary tract cancer, gaining peace of mind about their long-term health.
• By proactively scheduling STD screenings and following a personalized prevention plan, a patient felt empowered to maintain their sexual health and reduce potential risks. This proactive approach fostered peace of mind and a healthy lifestyle.

These scenarios are illustrative examples of positive health outcomes. Individual results may vary and depend on many factors specific to each patient. He will work with you to define and achieve your personal health goals.

Here are answers to some common questions about proactive Urologic care with Dr. James Farrell:

What is a Urologist?

Dr. Farrell and our team of urologists are surgical specialists who diagnose and treat conditions of the urinary tract in both men and women, and the male reproductive system. We manage a wide range of issues, from kidney stones and urinary tract infections to cancers of the prostate, bladder, and kidneys.

At what age should men start discussing prostate cancer screening?

Discussions about prostate cancer screening, including the PSA blood test, typically begin around age 50 for average-risk men. However, for higher-risk men, such as African American men or those with a family history, this conversation may start earlier, around age 40-45. This decision is best made in a shared discussion with Dr. Farrell.

What is an 'overactive bladder' (OAB)?

Overactive bladder (OAB) is a condition characterized by a sudden, frequent, and urgent need to urinate, which can be difficult to control and may lead to leakage. It's a common condition, and Dr. Farrell can offer many effective treatments, including behavioral strategies, medications, and advanced therapies.

I am a woman experiencing urinary leakage. Should I see a Urologist?

Yes, a urologist is the right specialist for you. Urologists are experts in both the male and female urinary tract. Dr. Farrell specializes in diagnosing and treating all types of female urinary incontinence, offering solutions ranging from pelvic floor therapy to minimally invasive procedures.

What is a cystoscopy?

A cystoscopy is a common diagnostic procedure where your urologist, Dr. Farrell, uses a thin tube with a camera (cystoscope) to directly view the inside of your bladder and urethra. This allows for the detection of potential issues like bladder tumors, stones, or bleeding sources. It's a quick, routine office procedure.

What are the treatment options for Erectile Dysfunction (ED)?

Dr. Farrell and our team offer a variety of effective treatments for erectile dysfunction. Common first steps include oral medications like Viagra® or Cialis®. Other options include vacuum devices, injections, and penile implants. We can discuss these options confidentially and determine the best approach for you.

What are the most common signs of bladder cancer?

The most common and earliest sign of bladder cancer is blood in the urine, which can be visible or microscopic. Other less common symptoms include frequent urination or pain during urination. Smoking is the single biggest risk factor for bladder cancer prevention.

What is BPH (Benign Prostatic Hyperplasia), and is it related to cancer?

BPH is a very common, non-cancerous enlargement of the prostate gland that occurs as men age. It is not prostate cancer and does not increase the risk of developing it. Dr. Farrell's practice offers many effective treatments to manage the urinary symptoms BPH can cause.

2619 Centennial Blvd Ste 102
Tallahassee FL 32308
Phone: (850) 431-2875

Dr. James Farrell, DO is regulated by the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice) in Florida and is licensed by The Florida Board of Medicine.

National Provider Identifier (NPI): 1962713677

Registration can typically be verified through The Florida Board of Medicine website or by direct inquiry.

The information on this profile, provided by weprevent.org, is for general informational purposes and to help you connect with preventive health partners. It does not constitute direct medical advice from the physician named. Urology like Dr. James Farrell are skilled in helping patients create proactive health plans. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your urology about all aspects of your health and your personalized prevention plan.