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Dr. Claiborne Gooch Whitworth IV, MD

Accepting New Patients

(253 Ratings)

Specializes in: Urology (Urinary Tract Disease)

University of Virginia School of Medicine (1991)

Professional interests include: menopause, benign prostatic hyperplasia (enlarged prostate), urinary tract infection (UTI), and more.

100 SPOTSWOOD DRIVE
Lexington, VA 24450

(540) 463-7108

Dr. Claiborne Gooch Whitworth IV, MD is an urologist in Lexington, VA specializing in urology (urinary tract disease). He graduated from University of Virginia School of Medicine in 1991 and has 33 years of experience. Dr. Claiborne Gooch Whitworth IV, MD is affiliated with Carilion Healthcare Corporation, Carilion Clinic and PIEDMONT STONE CENTER PLLC.

Office Locations

Address:

100 SPOTSWOOD DRIVE
Lexington, VA 24450

Some issues Dr. Claiborne Gooch Whitworth IV, MD can help you with:

Benign Prostatic Hyperplasia (Enlarged Prostate)

Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.

Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:

Transurethral incision of the prostate or TUIP, where the surgeon uses the scope to make small cuts in the area of the prostate that meets the bladder. These cuts will open up the pathway for urine and allow it to flow with more ease.
Transurethral needle ablation or TUNA, where needles are inserted through the scope and into the prostate. The needles use radiofrequency waves to destroy excess prostate tissue.
Laser prostate ablation, where lasers pass through the scope to melt away the part of the prostate causing urine blockage.
Transurethral resection of the prostate or TURP, where the inside of the prostate is trimmed and removed one tiny piece at a time using the scope.

If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.

Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

abdominal imaging	71
blood draw	461
catheterization	63
diagnostic procedures	15
doctor visit	1464
hormone therapy	89
hospital care	16
inpatient care	16
lab tests	2017
minimally invasive procedures	135
minor procedures	14
pelvic imaging	42
stent placement (stenting)	21
ultrasound (sonogram)	114
urologic procedures	339

**Gender**
Male	584
Female	166

**Ethnicity**
Non-Hispanic White	675
Black	61
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	318
From 75 to 84	291
85 and over	109
Less than 65	32

Hypertension	61
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	32
Depression	15
Chronic Kidney Disease	24
Asthma	7
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	28
Dementia	7
Cancer	19

abdominal imaging	56
biological response modifier (BRM) therapy	80
blood draw	476
catheterization	84
chemotherapy	80
diagnostic procedures	10
doctor visit	1417
hormone therapy	90
hospital care	10
inpatient care	10
lab tests	2050
minimally invasive procedures	117
minor procedures	9
pelvic imaging	48
preventive care	22
ultrasound (sonogram)	93
urologic procedures	411
X-rays	11

**Gender**
Male	575
Female	179

**Ethnicity**
Non-Hispanic White	679
Black	56
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	320
From 75 to 84	296
85 and over	114
Less than 65	24

Hypertension	61
High Cholesterol	53
Stroke	4
Ischemic Heart Disease	30
Depression	15
Chronic Kidney Disease	28
Asthma	6
Osteoperosis	3
Atrial Fibrilation	14
Heart Failure	13
Chronic Obstructive Pulmonary Disease	10
Diabetes	29
Dementia	8
Cancer	19

abdominal imaging	49
biological response modifier (BRM) therapy	85
blood draw	468
catheterization	27
chemotherapy	85
doctor visit	1177
hormone therapy	66
hospital care	19
inpatient care	19
lab tests	1872
lithotripsy (stone fragmentation)	12
minimally invasive procedures	93
pelvic imaging	42
preventive care	23
ultrasound (sonogram)	92
urologic procedures	317

**Gender**
Male	1140
Female	260

**Ethnicity**
Non-Hispanic White	1276
Black	92
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	608
From 75 to 84	546
85 and over	210
Less than 65	36

Hypertension	63
High Cholesterol	53
Stroke	5
Ischemic Heart Disease	31
Depression	14
Chronic Kidney Disease	28
Asthma	8
Osteoperosis	3
Atrial Fibrilation	14
Heart Failure	13
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	10
Cancer	19

abdominal imaging	47
ablation	13
biological response modifier (BRM) therapy	69
blood draw	472
catheterization	61
chemotherapy	69
cryotherapy	13
doctor visit	1282
hormone therapy	73
lab tests	1876
laser treatment	12
minimally invasive procedures	122
pelvic imaging	50
preventive care	18
ultrasound (sonogram)	98
urologic procedures	346

**Gender**
Male	568
Female	154

**Ethnicity**
Non-Hispanic White	659
Black	42
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	302
From 75 to 84	302
85 and over	100
Less than 65	18

Hypertension	61
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	31
Depression	15
Chronic Kidney Disease	30
Asthma	14
Osteoperosis	2
Atrial Fibrilation	14
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	27
Dementia	8
Cancer	20

abdominal imaging	34
blood draw	474
catheterization	60
diagnostic procedures	11
doctor visit	1193
hormone therapy	89
hospital care	17
inpatient care	17
lab tests	1861
lithotripsy (stone fragmentation)	20
minimally invasive procedures	148
minor procedures	42
pelvic imaging	58
preventive care	15
ultrasound (sonogram)	93
urologic procedures	280

**Gender**
Male	590
Female	164

**Ethnicity**
Non-Hispanic White	673
Black	54
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	329
From 75 to 84	302
85 and over	103
Less than 65	20

Hypertension	62
High Cholesterol	41
Stroke	5
Ischemic Heart Disease	30
Depression	17
Chronic Kidney Disease	32
Asthma	6
Osteoperosis	3
Atrial Fibrilation	14
Heart Failure	14
Chronic Obstructive Pulmonary Disease	10
Diabetes	27
Dementia	10
Cancer	19

abdominal imaging	19
blood draw	485
catheterization	28
diagnostic procedures	18
doctor visit	1143
hormone therapy	85
lab tests	1883
lithotripsy (stone fragmentation)	14
minimally invasive procedures	112
minor procedures	17
pelvic imaging	68
preventive care	11
ultrasound (sonogram)	88
urologic procedures	238

**Gender**
Male	558
Female	133

**Ethnicity**
Non-Hispanic White	620
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	308
From 75 to 84	266
85 and over	104
Less than 65	13

Hypertension	62
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	31
Depression	17
Chronic Kidney Disease	31
Asthma	4
Osteoperosis	4
Atrial Fibrilation	14
Heart Failure	15
Chronic Obstructive Pulmonary Disease	9
Diabetes	26
Dementia	10
Cancer	18

abdominal imaging	32
blood draw	509
catheterization	48
diagnostic procedures	10
doctor visit	1294
hormone therapy	71
hospital care	15
inpatient care	15
lab tests	1989
laser treatment	11
lithotripsy (stone fragmentation)	27
minimally invasive procedures	193
minor procedures	9
pelvic imaging	88
stent placement (stenting)	11
ultrasound (sonogram)	121
urologic procedures	345

**Gender**
Male	593
Female	168

**Ethnicity**
Non-Hispanic White	682
Black	48
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	349
From 75 to 84	309
85 and over	90
Less than 65	13

Hypertension	63
High Cholesterol	55
Stroke	3
Ischemic Heart Disease	29
Depression	16
Chronic Kidney Disease	31
Asthma	6
Osteoperosis	4
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	28
Dementia	9
Cancer	19

abdominal imaging	16
blood draw	270
doctor visit	690
hormone therapy	48
hospital care	13
inpatient care	13
lab tests	958
minimally invasive procedures	81
pelvic imaging	19
ultrasound (sonogram)	36
urologic procedures	156

**Gender**
Male	444
Female	94

**Ethnicity**
Non-Hispanic White	481
Black	28
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	222
From 75 to 84	227
85 and over	0
Less than 65	0

Hypertension	59
High Cholesterol	52
Stroke	3
Ischemic Heart Disease	29
Depression	15
Chronic Kidney Disease	32
Asthma	5
Osteoperosis	3
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	8
Diabetes	29
Dementia	10
Cancer	20

doctor visit	688
lab tests	206
minimally invasive procedures	82
pelvic imaging	98
ultrasound (sonogram)	96
urologic procedures	187

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Claiborne Gooch Whitworth IV, MD for Medicare patients.

The highest averages for the top procedures that Dr. Claiborne Gooch Whitworth IV, MD treated as an urologist in Lexington, VA were lab tests, blood draw, urologic procedures and minimally invasive procedures.

abdominal imaging	42
ablation	13
biological response modifier (BRM) therapy	78
blood draw	451
catheterization	53
chemotherapy	78
cryotherapy	13
diagnostic procedures	12
doctor visit	1151
hormone therapy	77
hospital care	15
inpatient care	15
lab tests	1636
laser treatment	12
lithotripsy (stone fragmentation)	19
minimally invasive procedures	125
minor procedures	19
pelvic imaging	57
preventive care	17
stent placement (stenting)	17
ultrasound (sonogram)	93
urologic procedures	297
X-rays	11

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD.

**Gender**
Male	505
Female	131

**Ethnicity**
Black / African American	42
Asian / Pacific Islander	0
Non-Hispanic White	574
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	253
85 and over	83
Less than 65	15
65 to 74	275

Average of Total of Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Claiborne Gooch Whitworth IV, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	49
High Cholesterol	41
Stroke	3
Ischemic Heart Disease	24
Depression	12
Chronic Kidney Disease	23
Asthma	5
Osteoporosis	2
Heart Failure	11
Chronic Obstructive Pulmonary Disease	7
Diabetes	22
Atrial Fibrillation	10
Cancer	15
Dementia	7

Education & Training

Dr. Claiborne Gooch Whitworth IV, MD graduated from University of Virginia School of Medicine in 1991. He completed residency at AB Urology - Urology. He has a state license in Virginia.

Medical School: University of Virginia School of Medicine (1991)

Residency: AB Urology - Urology

Licensed In: Virginia

Affiliations & Hospitals

Dr. Claiborne Gooch Whitworth IV, MD is associated with these hospitals and organizations:

Carilion Healthcare Corporation

Carilion Clinic

PIEDMONT STONE CENTER PLLC

Ratings & Reviews

Dr. Claiborne Gooch Whitworth IV, MD has an exceptional overall rating with an average of 4.9 out of 5 stars based on 253 ratings. We collect ratings and reviews of Dr. Claiborne Gooch Whitworth IV, MD from all over the web to help you find the right in Lexington, VA.

4.9

Overall Rating

(253 Ratings)

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General Payments

These charts describe general payments received by Dr. Claiborne Gooch Whitworth IV, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Physician Discoveries, LLC	$8,338 $8,338
Astellas Pharma US Inc	$883 XTANDI $424	Vesicare $313	Myrbetriq $91	$55
AbbVie, Inc.	$754 Androgel $509	Lupron $136	Lupron Depot $56	$52
Janssen Biotech, Inc.	$500 Erleada $336	ZYTIGA $164
Pfizer Inc.	$482 XTANDI $170	VIAGRA $155	TOVIAZ $153	LYRICA $4
Other	$1,958 PROVENGE $241	FIRMAGON $198	XTANDI $172	TESTOPEL $137	BOTOX $131	Other $1,078

**Types of Payments**
Current or prospective ownership or investment interest	$8,338
Food and Beverage	$4,361
Education	$216

Ownership and Interest Payments

This table describes ownership payments received by Dr. Claiborne Gooch Whitworth IV, MD.

Physician Discoveries, LLC	2015	$7,495.97	Physician Covered Recipient	limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC	2013	$6,902.58	Physician Covered Recipient	limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC	2016	$5,920.06	Physician Covered Recipient	limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC	2014	$4,772.42	Physician Covered Recipient	limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC	2017	$3,530.34	Physician Covered Recipient	limited liability company membership in Physician Discovery Holdings, LLC

Biography

Dr. Claiborne Whitworth's area of specialization is urology (urinary tract disease). Areas of expertise for Dr. Whitworth include menopause, benign prostatic hyperplasia (enlarged prostate), and kidney stones. He has received a 5.0 out of 5 star rating by his patients. Dr. Whitworth is a graduate of the University of Virginia School of Medicine. He is affiliated with Carilion Healthcare Corporation. Dr. Whitworth's practice in Lexington, VA is open to new patients as reported by Doctor.com.

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Dr. Claiborne Gooch Whitworth IV, MD

Office Locations

Some issues Dr. Claiborne Gooch Whitworth IV, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Claiborne Gooch Whitworth IV, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Ownership and Interest Payments

Biography

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