Dr. Nicholas Smith, MD

Dr. Nicholas Smith, MD is a Urology specialist dedicated to empowering patients with proactive, comprehensive urologic care at his clinic in Miami, FL. He is registered with The Florida Board of Medicine and practices under the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice). 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 patients should call (305) 919-1970 to confirm if he is currently accepting new patients.

Dr. Nicholas Smith, MD is a urologist in Miami, FL with over 10 years of experience in the medical field. He has extensive experience in Urinary Calculi & Removal. With over 10 years of dedicated experience in Urologic care, he brings a wealth of clinical knowledge and compassionate care to his patients and their families. He earned his medical degree from Vanderbilt University, Medical Center in 2014 and is Board Certified in Urology by the American Board of Urology. He is affiliated with Mount Sinai Medical Center. Dr. Smith is committed to collaborative, evidence-based medicine, creating a supportive environment where patients feel empowered to take an active role in their long-term health. Dr. Nicholas Smith provides consultations primarily in English.

A key part of the WePrevent mission is building your personalized prevention roadmap. Dr. Nicholas Smith 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. Nicholas Smith 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. Nicholas Smith 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:

• Balanitis: Understanding your risk factors for balanitis, such as poor hygiene or certain skin conditions, can help you take proactive steps to prevent this painful infection.
• Nighttime Urination (Nocturia): Managing nighttime urination can improve your sleep quality and overall health, reducing potential long-term complications.
• Bladder Carcinoma: Bladder cancer, while serious, is more treatable when detected early, highlighting the importance of regular checkups and understanding your risk factors.
• Chronic Bacterial Prostatitis: Chronic bacterial prostatitis is a persistent infection of the prostate gland that, if left untreated, can lead to serious complications, highlighting the importance of regular checkups and prompt medical attention for urinary symptoms.
• Erectile Dysfunction: Maintaining a healthy lifestyle through diet, exercise, and stress management can significantly reduce your risk of developing erectile dysfunction.
• Testicular Hypofunction: Protecting your reproductive health means being aware of testicular hypofunction, a condition where your testicles don't produce enough testosterone; early diagnosis is key to managing its effects.
• Kidney Infection: Preventing kidney infections involves proactive measures like maintaining good bladder habits and addressing underlying conditions that increase your risk, helping you avoid serious health consequences.
• Hydrocele: Managing a hydrocele, especially if it's causing discomfort or growing larger, prevents potential issues like discomfort, infection, or difficulty with fertility.
• Phimosis: Phimosis, a condition where the foreskin can't be retracted, is best managed early to prevent infections and complications later in life.
• Urinary Tract Cancer: Early detection of urinary tract cancer through regular urinalysis and imaging tests allows for prompt treatment, preventing the cancer from spreading and improving your long-term prognosis.
• Hypospadias: Hypospadias can lead to urinary problems and cosmetic concerns if left untreated; therefore, regular pediatric urological examinations are vital for early diagnosis and management.
• Horseshoe Kidney: Because a horseshoe kidney can sometimes cause urinary tract issues, preventative measures such as regular screenings and prompt treatment of infections are crucial for long-term health.

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. Nicholas Smith offers a range of key preventive screenings and services designed to provide crucial insights into your health and support your well-being:

• Complex Penile Surgery: Addressing penile issues through complex surgery ensures early intervention for conditions that may affect your urinary or reproductive health, preventing irreversible damage.
• Percutaneous Nephrolithotomy or Pyelostolithotomy: Percutaneous nephrolithotomy or pyelostolithotomy is a minimally invasive surgery to remove kidney stones, helping prevent further complications like infections or kidney damage.
• Prostate Removal: In cases of severe prostate issues, surgical removal can help prevent complications like urinary retention or spread of cancer, allowing for a better prognosis and improved long-term health.
• 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.
• Orchiectomy: An orchiectomy is a surgical procedure to remove one or both testicles, sometimes used as a preventative measure for certain types of testicular cancer.
• Bladder Surgery: Surgery on the bladder can be a crucial step in diagnosing and treating certain conditions, allowing for early intervention and improved outcomes.
• Prostate Cancer Screening Exam (DRE): Don't wait for symptoms; a DRE is a straightforward exam that helps screen for prostate cancer, giving you peace of mind and early intervention options.
• Penile Implants: A penile implant is a surgical option to address erectile dysfunction, improving sexual health and quality of life.
• Varicocelectomy or Hydrocelectomy: For men experiencing pain or infertility concerns related to testicular veins or fluid buildup, a varicocelectomy or hydrocelectomy may be a beneficial preventative measure.
• TURP (Transurethral Resection of Prostate) or Laser Destruction of Prostate: Proactive management of urinary problems: These procedures can help alleviate symptoms associated with an enlarged prostate, such as frequent urination and weak stream.
• Lithotripsy: As part of your overall urinary health plan, lithotripsy offers a non-invasive way to address kidney stones, reducing the need for more extensive procedures.
• Prostate Biopsy: To ensure early detection of potential prostate problems, a prostate biopsy allows for a thorough examination of prostate tissue for cancerous or precancerous changes.

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. Nicholas Smith 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:

• By understanding their risk factors and implementing improved hygiene practices, a patient successfully prevented balanitis, maintaining their comfort and well-being.
• By understanding and addressing their nighttime urination, a patient improved their sleep quality and reduced potential long-term health issues. This proactive approach allowed them to enjoy a more restful and healthier life.
• By consistently attending regular checkups and understanding their risk factors, a patient proactively managed their health, greatly reducing the risk of bladder cancer and gaining peace of mind.

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. Nicholas Smith:

What is a Urologist?

Dr. Smith 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. For higher-risk men, such as African American men or those with a family history, this conversation should start earlier, around 40-45. This is a shared decision-making process with Dr. Nicholas Smith.

What is robotic surgery, and what are its benefits?

Robotic surgery, like the da Vinci® system, is a minimally invasive technique. A surgeon uses a console to control robotic arms with tiny instruments, leading to smaller incisions, less pain, reduced blood loss, and a faster recovery compared to traditional open surgery.

How is Low Testosterone (Low T) diagnosed and treated?

Diagnosis involves a simple morning blood test to measure testosterone levels. If levels are low and symptoms are present, Dr. Smith can discuss safe and effective testosterone replacement options, such as gels, injections, or pellets.

Can erectile dysfunction be a sign of another health problem?

Yes, erectile dysfunction (ED) can often be an early warning sign of underlying cardiovascular disease, diabetes, or other health issues. A consultation with Dr. Nicholas Smith is not just about treating ED, but also an important step in a proactive, overall health screening.

What is the most common sign of testicular cancer?

The most common sign of testicular cancer is a painless lump or swelling in a testicle. Monthly self-exams are crucial for young men to detect these changes early, as early detection is key to the very high cure rate for this cancer.

What is a vasectomy?

A vasectomy is a safe, simple, and highly effective form of permanent male contraception. It's a minor surgical procedure that blocks the tubes carrying sperm, often performed in the office, and does not affect testosterone levels or sexual function.

What is a cystoscopy?

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

1684 NE Miami Gardens Dr
Miami FL 33179
Phone: (305) 919-1970

Dr. Nicholas Smith, MD 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): 1861810806

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. Nicholas Smith 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.