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Dr. David Lawrence Gould, MD

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Specializes in: Urology (Urinary Tract Disease)

SUNY Downstate Medical Center College of Medicine (1988)

Professional interests include: urologic (genitourinary) disorders, erectile dysfunction (impotence), urinary incontinence, and more.

900 Jerome Street Suite 304
Fort Worth, TX 76104

(817) 348-8399

Dr. David Lawrence Gould, MD is an urologist in Fort Worth, TX specializing in urology (urinary tract disease). He graduated from SUNY Downstate Medical Center College of Medicine in 1988 and has 36 years of experience. Dr. David Lawrence Gould, MD is affiliated with Texas Health Resources, Medical City Healthcare and Sarah Cannon Cancer Institute Medical City Fort Worth.

Office Locations

Address:

900 Jerome Street Suite 304
Fort Worth, TX 76104

Some issues Dr. David Lawrence Gould, MD can help you with:

Adrenalectomy (Adrenal Surgery)

Adrenalectomy is a surgical procedure to remove the adrenal glands, which lie above each kidney. The adrenal glands are responsible for producing hormones that are necessary for bodily functions, such as the regulation of blood pressure and metabolism. If the adrenal glands overproduce certain hormones, or if a tumor grows on them, removal of the glands is a treatment option.

Adrenal surgery can be open or laparoscopic. Laparoscopic adrenalectomy is a minimally invasive procedure that inserts a thin tube with a camera (laparoscope) through several small incisions on the abdomen. The surgeon uses the laparoscope to guide the procedure and is able to access and remove adrenal glands through the small incisions. Laparoscopic adrenal surgery lasts approximately 1-2 hours.

Laparoscopic adrenalectomy is associated with shorter recovery periods, reduced risk of infection, and smaller scars. Although these factors may be desirable, the location of the tumor, its size, and the severity of the condition may require that an individual instead undergo open surgery. An open adrenalectomy is typically done for larger adrenal tumors and requires a single, large incision on the abdomen. Open adrenal surgery takes around 2-4 hours.

Following the operation, patients will remain in the hospital for 1-2 days for a laparoscopic adrenalectomy or 3-5 days for an open adrenalectomy. Patients will likely have a liquid diet immediately after their surgery, but should be able to return to solid foods after a day. If both of the glands are removed, patients will be given drug therapy to replace the hormones they produced.

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.

Shock Wave Lithotripsy

Stones are formed when mineral deposits build up and harden in an organ or gland. For example, urine contains minerals that can form crystals and result in kidney or bladder stones. Stones can also occur in other parts of the body, like the mouth. Salivary gland stones form when the chemicals in the saliva harden and get stuck in the tiny ducts of the salivary glands. Pain and swelling are the most common symptoms associated with stones.

Lithotripsy is a procedure used to break up small stones. Shock wave lithotripsy, the most common type of lithotripsy and least invasive way of treating stones, does this using high-powered sound waves. This procedure can treat many types of stones in the body, but it is most frequently used for urinary stones, such as kidney and bladder stones.

Shock wave lithotripsy can be done in one of two ways. Conventionally, this procedure is performed when someone is sitting in a tub of water, and the sound waves travel through the water to their body. A more recent alternative is to send the shock waves through cushions while a patient is lying on a table. Although shock wave lithotripsy is not surgery and requires no cutting, the patient will be given anesthesia before the procedure. Their body should be able to pass the broken-up urinary stones naturally in their urine after treatment. For other types of stones, another minimally invasive procedure may be required to remove stone fragments left by shock wave lithotripsy.

ablation	71
diagnostic procedures	10
doctor visit	215
hospital care	24
inpatient care	24
laser treatment	88
lithotripsy (stone fragmentation)	26
minimally invasive procedures	184
pelvic surgery	12
reconstructive surgery	12
stent placement (stenting)	22
urologic procedures	180

**Gender**
Male	159
Female	81

**Ethnicity**
Non-Hispanic White	160
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	89
From 75 to 84	52
85 and over	15
Less than 65	84

Hypertension	75
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	45
Depression	35
Chronic Kidney Disease	60
Asthma	9
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	26
Chronic Obstructive Pulmonary Disease	16
Diabetes	47
Dementia	10
Cancer	15

abdominal surgery	12
ablation	94
cryotherapy	13
diagnostic procedures	18
doctor visit	249
hospital care	57
inpatient care	57
laser treatment	105
litholapaxy (stone fragmentation and removal)	42
lithotripsy (stone fragmentation)	45
minimally invasive procedures	272
open surgery	12
stent placement (stenting)	27
urologic procedures	324

**Gender**
Male	149
Female	62

**Ethnicity**
Non-Hispanic White	125
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	46
85 and over	11
Less than 65	57

Hypertension	75
High Cholesterol	63
Stroke	10
Ischemic Heart Disease	42
Depression	32
Chronic Kidney Disease	57
Asthma	14
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	30
Chronic Obstructive Pulmonary Disease	27
Diabetes	43
Dementia	9
Cancer	12

ablation	134
cryotherapy	22
diagnostic procedures	43
doctor visit	218
hospital care	42
inpatient care	42
laser treatment	125
litholapaxy (stone fragmentation and removal)	47
lithotripsy (stone fragmentation)	48
minimally invasive procedures	346
stent placement (stenting)	41
urologic procedures	390

**Gender**
Male	282
Female	168

**Ethnicity**
Non-Hispanic White	270
Black	84
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	194
From 75 to 84	0
85 and over	0
Less than 65	138

Hypertension	75
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	43
Depression	30
Chronic Kidney Disease	60
Asthma	20
Osteoperosis	9
Atrial Fibrilation	9
Heart Failure	32
Chronic Obstructive Pulmonary Disease	25
Diabetes	45
Dementia	12
Cancer	18

ablation	100
diagnostic procedures	47
doctor visit	224
hospital care	121
inpatient care	121
laser treatment	68
litholapaxy (stone fragmentation and removal)	25
lithotripsy (stone fragmentation)	31
minimally invasive procedures	241
stent placement (stenting)	16
urologic procedures	263

**Gender**
Male	140
Female	90

**Ethnicity**
Non-Hispanic White	157
Black	0
Hispanic	35
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	87
From 75 to 84	57
85 and over	13
Less than 65	73

Hypertension	75
High Cholesterol	61
Stroke	12
Ischemic Heart Disease	45
Depression	31
Chronic Kidney Disease	66
Asthma	26
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	35
Chronic Obstructive Pulmonary Disease	23
Diabetes	50
Dementia	16
Cancer	15

ablation	110
catheterization	36
diagnostic procedures	38
doctor visit	278
foreign body removal	17
hospital care	672
inpatient care	672
laser treatment	115
litholapaxy (stone fragmentation and removal)	32
lithotripsy (stone fragmentation)	62
minimally invasive procedures	427
stent placement (stenting)	36
urologic procedures	494

**Gender**
Male	213
Female	122

**Ethnicity**
Non-Hispanic White	211
Black	55
Hispanic	54
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	79
85 and over	20
Less than 65	104

Hypertension	75
High Cholesterol	61
Stroke	8
Ischemic Heart Disease	49
Depression	38
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	36
Chronic Obstructive Pulmonary Disease	24
Diabetes	56
Dementia	21
Cancer	16

ablation	52
doctor visit	309
foreign body removal	13
hospital care	556
inpatient care	556
laser treatment	110
litholapaxy (stone fragmentation and removal)	37
lithotripsy (stone fragmentation)	69
minimally invasive procedures	305
stent placement (stenting)	42
urologic procedures	339

**Gender**
Male	201
Female	125

**Ethnicity**
Non-Hispanic White	204
Black	51
Hispanic	56
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	136
From 75 to 84	66
85 and over	42
Less than 65	82

Hypertension	75
High Cholesterol	66
Stroke	10
Ischemic Heart Disease	51
Depression	36
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	9
Atrial Fibrilation	15
Heart Failure	37
Chronic Obstructive Pulmonary Disease	23
Diabetes	55
Dementia	26
Cancer	16

ablation	96
cryotherapy	33
diagnostic procedures	12
doctor visit	298
foreign body removal	24
hospital care	386
inpatient care	386
laser treatment	108
litholapaxy (stone fragmentation and removal)	46
lithotripsy (stone fragmentation)	43
minimally invasive procedures	392
stent placement (stenting)	30
urologic procedures	435

**Gender**
Male	232
Female	142

**Ethnicity**
Non-Hispanic White	225
Black	60
Hispanic	76
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	141
From 75 to 84	80
85 and over	33
Less than 65	120

Hypertension	75
High Cholesterol	69
Stroke	8
Ischemic Heart Disease	45
Depression	32
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	38
Chronic Obstructive Pulmonary Disease	23
Diabetes	53
Dementia	19
Cancer	12

ablation	135
cryotherapy	20
diagnostic procedures	58
doctor visit	337
foreign body removal	13
hospital care	456
inpatient care	456
laser treatment	118
litholapaxy (stone fragmentation and removal)	35
lithotripsy (stone fragmentation)	53
minimally invasive procedures	460
stent placement (stenting)	59
urologic procedures	492

**Gender**
Male	208
Female	123

**Ethnicity**
Non-Hispanic White	224
Black	40
Hispanic	53
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	148
From 75 to 84	79
85 and over	32
Less than 65	72

Hypertension	75
High Cholesterol	71
Stroke	5
Ischemic Heart Disease	48
Depression	37
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	36
Chronic Obstructive Pulmonary Disease	23
Diabetes	53
Dementia	24
Cancer	13

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. David Lawrence Gould, MD for Medicare patients.

The highest averages for the top procedures that Dr. David Lawrence Gould, MD treated as an urologist in Fort Worth, TX were urologic procedures, minimally invasive procedures, inpatient care and hospital care.

abdominal surgery	11
ablation	116
catheterization	28
cryotherapy	19
diagnostic procedures	42
doctor visit	331
foreign body removal	16
hospital care	321
inpatient care	321
laser treatment	115
litholapaxy (stone fragmentation and removal)	43
lithotripsy (stone fragmentation)	52
minimally invasive procedures	372
open surgery	11
pelvic surgery	12
reconstructive surgery	12
stent placement (stenting)	39
urologic procedures	419

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. David Lawrence Gould, MD.

**Gender**
Male	158
Female	91

**Ethnicity**
Black / African American	36
Asian / Pacific Islander	0
Non-Hispanic White	157
Native American / Alaskan Native	0
Hispanic	27
Other	0

**Age**
75 to 84	45
85 and over	16
Less than 65	73
65 to 74	102

Average of Total of Conditions of Medicare patients treated by Dr. David Lawrence Gould, MD From 2013 - 2021

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

Hypertension	60
High Cholesterol	51
Stroke	6
Ischemic Heart Disease	36
Depression	27
Chronic Kidney Disease	54
Asthma	10
Osteoporosis	6
Heart Failure	27
Chronic Obstructive Pulmonary Disease	18
Diabetes	40
Atrial Fibrillation	11
Cancer	11
Dementia	13

Education & Training

Dr. David Lawrence Gould, MD graduated from SUNY Downstate Medical Center College of Medicine in 1988. He has a state license in Texas.

Medical School: SUNY Downstate Medical Center College of Medicine (1988)

Licensed In: Texas

Affiliations & Hospitals

Dr. David Lawrence Gould, MD is associated with these hospitals and organizations:

Texas Health Resources

Medical City Healthcare

Sarah Cannon Cancer Institute Medical City Fort Worth

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General Payments

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

**Payments by Company**
Intuitive Surgical, Inc.	$946 Da Vinci Surgical System $946
AngioDynamics, Inc.	$547 Nanoknife $311	$235
Agiliti Surgical, Inc.	$323 AcuPulse Duo $26	$297
Boston Scientific Corporation	$265 LITHOVUE $125	GENERAL - THERAPIES $34	GENERAL ERECTILE DYSFUNCTION $31	General - BPH $25	Rezum $24	Other $27
UHS Surgical Services, Inc.	$222 BK BioJet Fusion Ultrasound $129	$93
Other	$1,250 CLARIX $105	Endo Stapling $54	BOTOX $52	GENTLECATH $50	LigaSure $47	Other $942

**Types of Payments**
Food and Beverage	$2,553
Travel and Lodging	$946
Education	$55

Biography

Dr. David Gould's area of specialization is urology (urinary tract disease). He studied medicine at SUNY Downstate Medical Center College of Medicine. He is professionally affiliated with Medical City Fort Worth, Texas Health Resources, and Medical City Healthcare.