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Home > WA Providers > Urologists

Dr. Julio Slongo, MD

Accepting New Patients

(457 Ratings)

Specializes in: Urology (Urinary Tract Disease)

Federal University of Parana (2012)

Professional interests include: urinary retention, cystoscopy, cystocele (bladder prolapse), and more.

780 SWIFT BOULEVARD SUITE 201
RICHLAND, WA 99352

(509) 942-3070

Dr. Julio Slongo, MD is an urologist in RICHLAND, WA specializing in urology (urinary tract disease). He graduated from Federal University of Parana in 2012 and has 13 years of experience. Dr. Julio Slongo, MD is affiliated with Providence and Kadlec Regional Medical Center.

Office Locations

780 SWIFT BOULEVARD SUITE 201
RICHLAND, WA 99352

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Some issues Dr. Julio Slongo, 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.

Urodynamics (Bladder and Urethra Function Test)

Urodynamics are tests that assess how well the lower urinary tract is functioning. Specifically, they evaluate its ability to hold and release urine, as well as show if any blockages or leaks are present. The lower urinary tract is made up of the following:

The bladder, which stores urine.
The urinary sphincters, which are muscles around the opening of the bladder that hold urine in.
The urethra, which is the tube where urine flows out of the body.

Urodynamics tests are normally performed together as one series, but depending on patients' symptoms, only one or some of them may be necessary. The most common tests are:

Cystometrogram, which measures the amount of urine the bladder can store and how full it is before someone has the urge to urinate. Doctors may order this test if she suspects their patient has a weak bladder.
Pressure flow study, which measures the pressure in the bladder while urinating. This test helps locate a blockage in the bladder.
Uroflowmetry, which measures how much and how fast urine flows out of the body. This test is usually recommended when patients have difficulty urinating or they have a slow stream.
Urethral sphincter electromyography, which measures how strong the muscles and nerves in the bladder and sphincters are. Doctors may request this test if the problem they are experiencing is linked to muscle or nerve damage in the lower urinary tract.
Urethral pressure profile, which measures the pressure along the urethra while the bladder is gradually filled with fluid. Low pressure could mean someone has a weak urethra, a contributing factor to urinary incontinence (loss of bladder control).

For a few hours following a urodynamics study, patients will likely feel some soreness or discomfort. It is recommended to drink at least one glass of water every half hour for two hours to relieve these symptoms. Holding a warm, moistened washcloth over the area where discomfort is felt or taking a warm bath may also help. Results for cystrometrograms and uroflowmetry are typically available immediately after the test, but results for the other tests may take a few days. When doctors have reviewed a patient's test results, he or she will discuss them with the patient, along with any treatments the patient may need.

Noteworthy Medicare Patient Procedures Performed by Dr. Julio Slongo, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

minimally invasive procedures

By Affordability:

core needle prostate biopsy

diagnostic cystoscopy

indwelling urethral catheter insertion

prostate biopsy

prostate punch biopsy

temporary urinary diversion

urethral catheterization

urinary catheterization

urinary diversion

uroflowmetry

In 2023, among providers in related specialties within Washington, Dr. Julio Slongo, MD performed more minimally invasive procedures procedures for Medicare patients than 95% of them and he also had a list price for core needle prostate biopsy, diagnostic cystoscopy, indwelling urethral catheter insertion, prostate biopsy, prostate punch biopsy, temporary urinary diversion, urethral catheterization, urinary catheterization, urinary diversion, and uroflowmetry that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

cystoscopy with ureteral stent placement

inpatient hospital care

By Affordability:

cystoscopic bladder stone removal without fragmentation

cystoscopic stone removal

cystoscopy with foreign body removal

cystoscopy with ureteral stent removal

cystoscopy with urethral stone removal

hospital care

inpatient care

inpatient hospital care

In 2023, among providers in related specialties within Washington, Dr. Julio Slongo, MD performed more cystoscopy with ureteral stent placement, and inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 90% of them and he also had a list price for cystoscopic bladder stone removal without fragmentation, cystoscopic stone removal, cystoscopy with foreign body removal, cystoscopy with ureteral stent removal, cystoscopy with urethral stone removal, hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

cystoscopic stone removal

cystoscopy with foreign body removal

cystoscopy with ureteral stent removal

diagnostic cystoscopy

endourologic procedures

pyeloscopy

ureteroscopy with laser lithotripsy

urologic procedures

By Affordability:

cystoscopy

cystoscopy with ureteral stent placement

minimally invasive prostate surgery

prostate ablation

prostate surgery

transurethral resection of the prostate

ureteral stent placement

In 2013, among providers in related specialties within Washington, Dr. Julio Slongo, MD performed more cystoscopic stone removal, cystoscopy with foreign body removal, cystoscopy with ureteral stent removal, diagnostic cystoscopy, endourologic procedures, pyeloscopy, ureteroscopy with laser lithotripsy, and urologic procedures procedures for Medicare patients than 75% of them and he also had a list price for cystoscopy, cystoscopy with ureteral stent placement, minimally invasive prostate surgery, prostate ablation, prostate surgery, transurethral resection of the prostate (TURP), and ureteral stent placement that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Julio Slongo, MD treated as an urologist in RICHLAND, WA during 2020 were minimally invasive procedures, urologic procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Julio Slongo, MD for Medicare patients.

doctor visit	185
hospital care	32
inpatient care	32
minimally invasive procedures	37
urologic procedures	37

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio Slongo, MD.

**Gender**
Male	95
Female	42

**Ethnicity**
Non-Hispanic White	121
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	48
85 and over	14
Less than 65	15

Conditions of Medicare patients treated by Dr. Julio Slongo, MD in 2020

The most common conditions of Medicare patients that Dr. Julio Slongo, MD treated during 2020 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	73
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	32
Depression	23
Chronic Kidney Disease	45
Asthma	9
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	15
Cancer	15

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Julio Slongo, MD treated as an urologist in RICHLAND, WA during 2021 were urologic procedures, minimally invasive procedures, diagnostic procedures and stent placement (stenting).

Volume of procedures performed by Dr. Julio Slongo, MD for Medicare patients.

anorectal procedures	21
catheterization	20
diagnostic procedures	35
doctor visit	523
foreign body removal	11
hospital care	25
inpatient care	25
laser treatment	14
lithotripsy (stone fragmentation)	14
minimally invasive procedures	145
minor procedures	14
potassium test	14
stent placement (stenting)	32
urologic procedures	239

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio Slongo, MD.

**Gender**
Male	271
Female	85

**Ethnicity**
Non-Hispanic White	308
Black	0
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	123
85 and over	44
Less than 65	34

Conditions of Medicare patients treated by Dr. Julio Slongo, MD in 2021

The most common conditions of Medicare patients that Dr. Julio Slongo, MD treated during 2021 were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	70
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	35
Depression	21
Chronic Kidney Disease	49
Asthma	6
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	37
Dementia	17
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Julio Slongo, MD treated as an urologist in RICHLAND, WA during 2022 were urologic procedures, minimally invasive procedures, stent placement (stenting) and chemotherapy.

Volume of procedures performed by Dr. Julio Slongo, MD for Medicare patients.

biological response modifier (BRM) therapy	26
catheterization	18
chemotherapy	26
diagnostic procedures	23
doctor visit	543
foreign body removal	20
hospital care	17
inpatient care	17
laser treatment	24
lithotripsy (stone fragmentation)	24
minimally invasive procedures	201
minor procedures	23
stent placement (stenting)	47
urologic procedures	256

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio Slongo, MD.

**Gender**
Male	332
Female	103

**Ethnicity**
Non-Hispanic White	356
Black	0
Hispanic	58
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	216
From 75 to 84	144
85 and over	46
Less than 65	29

Conditions of Medicare patients treated by Dr. Julio Slongo, MD in 2022

The most common conditions of Medicare patients that Dr. Julio Slongo, MD treated during 2022 were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	74
High Cholesterol	71
Stroke	7
Ischemic Heart Disease	29
Depression	20
Chronic Kidney Disease	33
Asthma	10
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	37
Dementia	9
Cancer	24

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Julio Slongo, MD treated as an urologist in RICHLAND, WA during 2023 were urologic procedures, minimally invasive procedures, inpatient care and hospital care.

Volume of procedures performed by Dr. Julio Slongo, MD for Medicare patients.

ablation	12
biological response modifier (BRM) therapy	39
catheterization	50
chemotherapy	39
diagnostic procedures	26
doctor visit	775
foreign body removal	28
hospital care	80
inpatient care	80
laser treatment	32
lithotripsy (stone fragmentation)	32
minimally invasive procedures	270
minor procedures	26
potassium test	18
stent placement (stenting)	68
urologic procedures	396

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio Slongo, MD.

**Gender**
Male	473
Female	136

**Ethnicity**
Non-Hispanic White	521
Black	0
Hispanic	59
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	294
From 75 to 84	220
85 and over	67
Less than 65	28

Conditions of Medicare patients treated by Dr. Julio Slongo, MD in 2023

The most common conditions of Medicare patients that Dr. Julio Slongo, MD treated during 2023 were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	75
High Cholesterol	72
Stroke	7
Ischemic Heart Disease	28
Depression	17
Chronic Kidney Disease	30
Asthma	8
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	19
Chronic Obstructive Pulmonary Disease	14
Diabetes	37
Dementia	12
Cancer	27

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2020 - 2023

Volume of procedures performed by Dr. Julio Slongo, MD for Medicare patients.

The highest averages for the top procedures that Dr. Julio Slongo, MD treated as an urologist in RICHLAND, WA were urologic procedures, minimally invasive procedures, stent placement (stenting) and inpatient care.

ablation	12
anorectal procedures	21
biological response modifier (BRM) therapy	32
catheterization	29
chemotherapy	32
diagnostic procedures	28
doctor visit	506
foreign body removal	19
hospital care	38
inpatient care	38
laser treatment	23
lithotripsy (stone fragmentation)	23
minimally invasive procedures	163
minor procedures	21
potassium test	16
stent placement (stenting)	49
urologic procedures	232

Average Medicare Patient Data From 2020 - 2023

Information about Medicare patients treated by Dr. Julio Slongo, MD.

**Gender**
Male	292
Female	91

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	326
Native American / Alaskan Native	0
Hispanic	36
Other	3

**Age**
75 to 84	133
85 and over	42
Less than 65	26
65 to 74	181

Average of Total of Conditions of Medicare patients treated by Dr. Julio Slongo, MD From 2020 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Julio Slongo, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	73
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	31
Depression	20
Chronic Kidney Disease	39
Asthma	8
Osteoporosis	5
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	34
Atrial Fibrillation	17
Cancer	20
Dementia	13

Education & Training

Dr. Julio Slongo, MD graduated from Federal University of Parana in 2012. He completed residency at University of South Florida (USF) Affiliated Hospitals. He is certified by the American Board of Urology, Urology and has a state license in Washington.

Medical School: Federal University of Parana (2012)

Residency: University of South Florida (USF) Affiliated Hospitals (2020)

Board Certification: American Board of Urology, Urology

Licensed In: Washington

Affiliations & Hospitals

Dr. Julio Slongo, MD is associated with these hospitals and organizations:

Providence

Kadlec Regional Medical Center

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Julio Slongo, MD appears to accept the following insurance providers: Humana PPO, CIGNA PPO, Wellcare Medicare (HMO), Medicare Advantage, TriWest, TRICARE, Medicaid, Humana, Cigna, United Healthcare Medicaid, OptumHealth Behavioral Solutions (United Behavioral Health), United Healthcare PPO, Providence, Humana HMO, First Health, Regence, WellPoint, Kaiser Permanente, Molina Healthcare, Asuris Northwest Health PPO, Premera PPO, Naphcare, Moda PPO, Evernorth PPO and First Choice PPO.

Insurance Accepted by Provider includes:

According to our sources, Dr. Julio Slongo, MD accepts the following insurance providers:

Humana PPO

CIGNA PPO

Wellcare Medicare (HMO)

Medicare Advantage

TriWest

TRICARE

Medicaid

Humana

Cigna

United Healthcare Medicaid

OptumHealth Behavioral Solutions (United Behavioral Health)

United Healthcare PPO

Providence

Humana HMO

First Health

Regence

WellPoint

Kaiser Permanente

Molina Healthcare

Asuris Northwest Health PPO

Premera PPO

Naphcare

Moda PPO

Evernorth PPO

First Choice PPO

Ratings & Reviews

Dr. Julio Slongo, MD has an exceptional overall rating with an average of 4.97 out of 5 stars based on 457 ratings. We collect ratings and reviews of Dr. Julio Slongo, MD from all over the web to help you find the right in RICHLAND, WA.

4.97

Overall Rating

(457 Ratings)

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Reviews From Around The Web

Overall Rating: 5.0 2025-01-12