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Dr. Mark Richard Wakefield, MD

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Specializes in: Urology (Urinary Tract Disease)
University of Missouri-Columbia School of Medicine
Professional interests include: male incontinence, bladder cancer, laser surgery, and more.
One Hospital Drive
Columbia, MO 65212

Dr. Mark Richard Wakefield, MD is an urologist in Columbia, MO specializing in urology (urinary tract disease). He graduated from University of Missouri-Columbia School of Medicine. Dr. Mark Richard Wakefield, MD is affiliated with University of Missouri Health Care.

View Doctor's Full Profile (573) 882-6500

Office Locations

University of Missouri Health Care

1 Hospital Drive
Columbia, MO
(573) 882-2100
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One Hospital Drive
Columbia, MO 65212
(573) 882-2100
(573) 884-7453
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Some issues Dr. Mark Richard Wakefield, 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.

In The News 

Noteworthy Medicare Patient Procedures Performed by Dr. Mark Richard Wakefield, MD in 2023

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

Top 25%

By Affordability:

hospital care
inpatient care
inpatient hospital care

In 2012, Dr. Mark Richard Wakefield, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Missouri. 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

2012 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2012 were urologic procedures, minimally invasive procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

anorectal procedures 16
diagnostic procedures 16
doctor visit 602
foreign body removal 18
hospital care 112
inpatient care 112
laser treatment 15
lithotripsy (stone fragmentation) 15
minimally invasive procedures 145
stent placement (stenting) 27
urologic procedures 193

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2013 were urologic procedures, minimally invasive procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

ablation 12
doctor visit 527
foreign body removal 11
hospital care 110
inpatient care 110
minimally invasive procedures 119
stent placement (stenting) 23
urologic procedures 143

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 303
Female 118
Ethnicity
Non-Hispanic White 394
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 158
From 75 to 84 120
85 and over 30
Less than 65 113

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2013

Hypertension 71
High Cholesterol 49
Stroke 3
Ischemic Heart Disease 39
Depression 27
Chronic Kidney Disease 46
Asthma 7
Osteoperosis 6
Atrial Fibrilation 13
Heart Failure 24
Chronic Obstructive Pulmonary Disease 15
Diabetes 33
Dementia 7
Cancer 27

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2014 were hospital care, inpatient care, minimally invasive procedures and urologic procedures.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

diagnostic procedures 12
doctor visit 601
foreign body removal 11
hospital care 176
inpatient care 176
minimally invasive procedures 118
stent placement (stenting) 28
urologic procedures 118

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 349
Female 127
Ethnicity
Non-Hispanic White 444
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 184
From 75 to 84 140
85 and over 30
Less than 65 122

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2014

Hypertension 70
High Cholesterol 49
Stroke 5
Ischemic Heart Disease 38
Depression 28
Chronic Kidney Disease 45
Asthma 7
Osteoperosis 5
Atrial Fibrilation 13
Heart Failure 24
Chronic Obstructive Pulmonary Disease 18
Diabetes 33
Dementia 8
Cancer 29

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2015 were hospital care, inpatient care, urologic procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 718
foreign body removal 14
hospital care 293
inpatient care 293
minimally invasive procedures 121
stent placement (stenting) 30
urologic procedures 133

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 724
Female 292
Ethnicity
Non-Hispanic White 936
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 394
From 75 to 84 290
85 and over 72
Less than 65 260

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2015

Hypertension 71
High Cholesterol 50
Stroke 5
Ischemic Heart Disease 35
Depression 25
Chronic Kidney Disease 49
Asthma 12
Osteoperosis 5
Atrial Fibrilation 11
Heart Failure 22
Chronic Obstructive Pulmonary Disease 17
Diabetes 32
Dementia 9
Cancer 26

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2016 were urologic procedures, minimally invasive procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

diagnostic procedures 12
doctor visit 728
foreign body removal 23
hospital care 98
inpatient care 98
minimally invasive procedures 147
stent placement (stenting) 32
urologic procedures 174

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 374
Female 133
Ethnicity
Non-Hispanic White 458
Black 33
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 201
From 75 to 84 150
85 and over 40
Less than 65 116

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2016

Hypertension 71
High Cholesterol 50
Stroke 5
Ischemic Heart Disease 38
Depression 23
Chronic Kidney Disease 53
Asthma 19
Osteoperosis 4
Atrial Fibrilation 11
Heart Failure 23
Chronic Obstructive Pulmonary Disease 17
Diabetes 33
Dementia 10
Cancer 25

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2017 were urologic procedures, minimally invasive procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 579
foreign body removal 13
hospital care 105
inpatient care 89
minimally invasive procedures 109
outpatient care 16
stent placement (stenting) 39
suprapubic catheter replacement 30
urologic procedures 120

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 310
Female 120
Ethnicity
Non-Hispanic White 393
Black 24
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 178
From 75 to 84 110
85 and over 23
Less than 65 119

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2017

Hypertension 69
High Cholesterol 46
Stroke 4
Ischemic Heart Disease 37
Depression 25
Chronic Kidney Disease 59
Asthma 7
Osteoperosis 5
Atrial Fibrilation 10
Heart Failure 21
Chronic Obstructive Pulmonary Disease 16
Diabetes 34
Dementia 9
Cancer 26

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2018 were hospital care, inpatient care, minimally invasive procedures and urologic procedures.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 475
foreign body removal 14
hospital care 102
inpatient care 102
minimally invasive procedures 86
stent placement (stenting) 29
urologic procedures 86

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 271
Female 106
Ethnicity
Non-Hispanic White 338
Black 22
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 153
From 75 to 84 99
85 and over 19
Less than 65 106

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2018

Hypertension 69
High Cholesterol 53
Stroke 4
Ischemic Heart Disease 37
Depression 28
Chronic Kidney Disease 60
Asthma 4
Osteoperosis 6
Atrial Fibrilation 11
Heart Failure 23
Chronic Obstructive Pulmonary Disease 15
Diabetes 36
Dementia 10
Cancer 23

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2019 were hospital care, inpatient care, minimally invasive procedures and urologic procedures.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 511
foreign body removal 14
hospital care 85
inpatient care 85
minimally invasive procedures 71
stent placement (stenting) 20
urologic procedures 71

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 255
Female 92
Ethnicity
Non-Hispanic White 312
Black 19
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 141
From 75 to 84 93
85 and over 18
Less than 65 95

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2019

Hypertension 73
High Cholesterol 54
Stroke 4
Ischemic Heart Disease 35
Depression 25
Chronic Kidney Disease 59
Asthma 5
Osteoperosis 6
Atrial Fibrilation 11
Heart Failure 23
Chronic Obstructive Pulmonary Disease 16
Diabetes 36
Dementia 11
Cancer 23

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2020 were hospital care, inpatient care, minimally invasive procedures and urologic procedures.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 403
foreign body removal 13
hospital care 69
inpatient care 69
minimally invasive procedures 68
stent placement (stenting) 23
urologic procedures 68

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 225
Female 96
Ethnicity
Non-Hispanic White 296
Black 12
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 120
From 75 to 84 93
85 and over 22
Less than 65 86

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2020

Hypertension 69
High Cholesterol 49
Stroke 0
Ischemic Heart Disease 37
Depression 26
Chronic Kidney Disease 55
Asthma 6
Osteoperosis 7
Atrial Fibrilation 13
Heart Failure 24
Chronic Obstructive Pulmonary Disease 14
Diabetes 32
Dementia 10
Cancer 22

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2021 were hospital care, inpatient care, minimally invasive procedures and urologic procedures.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 350
hospital care 88
inpatient care 88
minimally invasive procedures 66
stent placement (stenting) 28
urologic procedures 66

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 208
Female 93
Ethnicity
Non-Hispanic White 276
Black 11
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 105
From 75 to 84 86
85 and over 25
Less than 65 85

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2021

Hypertension 69
High Cholesterol 45
Stroke 0
Ischemic Heart Disease 32
Depression 24
Chronic Kidney Disease 61
Asthma 6
Osteoperosis 8
Atrial Fibrilation 10
Heart Failure 23
Chronic Obstructive Pulmonary Disease 13
Diabetes 33
Dementia 11
Cancer 22

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO during 2022 were minimally invasive procedures, urologic procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

doctor visit 310
foreign body removal 14
hospital care 52
inpatient care 52
minimally invasive procedures 77
stent placement (stenting) 23
urologic procedures 77

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 184
Female 89
Ethnicity
Non-Hispanic White 257
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 97
From 75 to 84 82
85 and over 23
Less than 65 71

Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD in 2022

Hypertension 75
High Cholesterol 62
Stroke 7
Ischemic Heart Disease 26
Depression 23
Chronic Kidney Disease 40
Asthma 10
Osteoperosis 12
Atrial Fibrilation 20
Heart Failure 19
Chronic Obstructive Pulmonary Disease 14
Diabetes 34
Dementia 4
Cancer 31

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Mark Richard Wakefield, MD for Medicare patients.

The highest averages for the top procedures that Dr. Mark Richard Wakefield, MD treated as an urologist in Columbia, MO were hospital care, inpatient care, urologic procedures and minimally invasive procedures.

ablation 12
anorectal procedures 16
diagnostic procedures 13
doctor visit 527
foreign body removal 14
hospital care 117
inpatient care 115
laser treatment 15
lithotripsy (stone fragmentation) 15
minimally invasive procedures 102
outpatient care 16
stent placement (stenting) 27
urologic procedures 113

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Mark Richard Wakefield, MD.

Gender
Male 291
Female 115
Ethnicity
Black / African American 11
Asian / Pacific Islander 0
Non-Hispanic White 373
Native American / Alaskan Native 0
Hispanic 0
Other 0
Age
75 to 84 114
85 and over 27
Less than 65 106
65 to 74 157

Average of Total of Conditions of Medicare patients treated by Dr. Mark Richard Wakefield, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Mark Richard Wakefield, MD treated were hypertension, chronic kidney disease, high cholesterol and ischemic heart disease.

Hypertension 64
High Cholesterol 46
Stroke 3
Ischemic Heart Disease 32
Depression 23
Chronic Kidney Disease 47
Asthma 7
Osteoporosis 5
Heart Failure 20
Chronic Obstructive Pulmonary Disease 14
Diabetes 30
Atrial Fibrillation 11
Dementia 8
Cancer 23

Education & Training

Dr. Mark Richard Wakefield, MD graduated from University of Missouri-Columbia School of Medicine. He completed residency at University of Missouri Health System. He is certified by the American Board of Urology and has a state license in Missouri.

Medical School: University of Missouri-Columbia School of Medicine

Residency: University of Missouri Health System

Board Certification: American Board of Urology

Licensed In: Missouri

Affiliations & Hospitals

Dr. Mark Richard Wakefield, MD is associated with these hospitals and organizations:

University of Missouri Health Care

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General Payments

These charts describe general payments received by Dr. Mark Richard Wakefield, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Boston Scientific Corporation $1,638 LITHOVUE
$390 		rezum Generator
$320 		AMS
$294 		AMS 700 CXR RTE KIT
$283 		GENERAL - ERECTILE DYSFUNCTION
$134 		Other
$218
Astellas Pharma US Inc $434 ASTAGRAF XL
$93 		XTANDI
$16
$325
Medtronic, Inc. $325 INTERSTIM
$325
Medtronic USA, Inc. $191 Sacral Nerve Stimulation - Neuro
$112 		INTERSTIM
$79
UROGEN PHARMA, INC. $149 JELMYTO
$149
Other $1,341 GENTLECATH
$146 		LYNPARZA
$129 		Urology & Gynecology Products
$116 		NCircle
$100 		XIAFLEX
$94 		Other
$756
Types of Payments
Food and Beverage $3,580
Education $498

Research Payments

Dr. Mark Richard Wakefield, MD has received 6 research payments totaling $78,626.

Biography

Dr. Mark Wakefield practices urology (urinary tract disease) in Columbia, MO. Areas of expertise for Dr. Wakefield include bladder cancer, male incontinence, and female incontinence. He attended the University of Missouri-Columbia School of Medicine and subsequently trained at the University of Missouri Health System for residency. He has received professional recognition including the following: Listing in Guide to America's Top Surgeons, Consumers' Research Council of America, Editions; Poster of Distinction, ATC; and Scholarship, University of Texas at Austin. Dr. Wakefield is professionally affiliated with the University of Missouri Health Care.

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