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Dr. Gautam Jayram, MD

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Specializes in: Urology (Urinary Tract Disease)

Vanderbilt University School of Medicine

Professional interests include: benign prostatic hyperplasia (enlarged prostate), kidney cancer, bladder cancer, and more.

2801 Charlotte Avenue
Nashville, TN 37209

(615) 622-5035

Dr. Gautam Jayram, MD is an urologist in Nashville, TN specializing in urology (urinary tract disease). He graduated from Vanderbilt University School of Medicine. Dr. Gautam Jayram, MD is affiliated with Urology Associates P.C., Ascension, UROLOGY ASSOCIATES PC, Ascension Saint Thomas Hospital Midtown and Ascension Saint Thomas Hospital.

Office Locations

Address:

2801 Charlotte Avenue
Nashville, TN 37209

Some issues Dr. Gautam Jayram, 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.

doctor visit	230
foreign body removal	28
minimally invasive procedures	76
stent placement (stenting)	19
urologic procedures	72

**Gender**
Male	191
Female	81

**Ethnicity**
Non-Hispanic White	160
Black	92
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	116
From 75 to 84	73
85 and over	23
Less than 65	60

Hypertension	75
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	36
Depression	19
Chronic Kidney Disease	57
Asthma	6
Osteoperosis	4
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	10
Diabetes	35
Dementia	7
Cancer	20

doctor visit	130
hospital care	20
inpatient care	20
lab tests	156
laser treatment	10
lithotripsy (stone fragmentation)	12
minimally invasive procedures	45
stent placement (stenting)	24
urologic procedures	63

**Gender**
Male	160
Female	82

**Ethnicity**
Non-Hispanic White	167
Black	62
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	107
From 75 to 84	57
85 and over	24
Less than 65	54

Hypertension	75
High Cholesterol	53
Stroke	5
Ischemic Heart Disease	44
Depression	26
Chronic Kidney Disease	60
Asthma	7
Osteoperosis	5
Atrial Fibrilation	13
Heart Failure	23
Chronic Obstructive Pulmonary Disease	15
Diabetes	33
Dementia	7
Cancer	15

diagnostic procedures	11
doctor visit	338
hospital care	36
inpatient care	36
lab tests	422
minimally invasive procedures	30
minor procedures	13
stent placement (stenting)	11
urologic procedures	83

**Gender**
Male	450
Female	176

**Ethnicity**
Non-Hispanic White	532
Black	72
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	308
From 75 to 84	202
85 and over	48
Less than 65	68

Hypertension	75
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	44
Depression	22
Chronic Kidney Disease	45
Asthma	12
Osteoperosis	4
Atrial Fibrilation	17
Heart Failure	22
Chronic Obstructive Pulmonary Disease	17
Diabetes	39
Dementia	10
Cancer	22

ablation	10
diagnostic procedures	9
doctor visit	363
hormone therapy	30
hospital care	10
inpatient care	10
lab tests	610
laser treatment	9
minimally invasive procedures	45
minor procedures	11
stent placement (stenting)	11
urologic procedures	103

**Gender**
Male	237
Female	73

**Ethnicity**
Non-Hispanic White	244
Black	53
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	153
From 75 to 84	85
85 and over	26
Less than 65	46

Hypertension	72
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	36
Depression	20
Chronic Kidney Disease	47
Asthma	16
Osteoperosis	5
Atrial Fibrilation	7
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	6
Cancer	28

abdominal imaging	19
cancer surgery	16
CT scan	19
diagnostic procedures	10
doctor visit	463
hormone therapy	40
hospital care	13
inpatient care	13
lab tests	907
minimally invasive procedures	103
minor procedures	12
pelvic imaging	20
stent placement (stenting)	14
urologic procedures	212

**Gender**
Male	297
Female	94

**Ethnicity**
Non-Hispanic White	295
Black	81
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	194
From 75 to 84	119
85 and over	19
Less than 65	59

Hypertension	75
High Cholesterol	53
Stroke	5
Ischemic Heart Disease	42
Depression	25
Chronic Kidney Disease	55
Asthma	7
Osteoperosis	4
Atrial Fibrilation	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	38
Dementia	8
Cancer	29

abdominal imaging	41
ablation	9
biological response modifier (BRM) therapy	24
blood draw	45
cancer surgery	21
chemotherapy	24
chronic care	36
CT scan	41
diagnostic procedures	10
doctor visit	644
foreign body removal	10
hormone therapy	54
lab tests	1241
laser treatment	8
minimally invasive procedures	139
minor procedures	12
pelvic imaging	42
stent placement (stenting)	15
urologic procedures	292

**Gender**
Male	385
Female	95

**Ethnicity**
Non-Hispanic White	350
Black	98
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	146
85 and over	30
Less than 65	54

Hypertension	75
High Cholesterol	60
Stroke	4
Ischemic Heart Disease	42
Depression	22
Chronic Kidney Disease	55
Asthma	3
Osteoperosis	3
Atrial Fibrilation	10
Heart Failure	22
Chronic Obstructive Pulmonary Disease	14
Diabetes	35
Dementia	9
Cancer	35

abdominal imaging	38
anorectal procedures	14
blood draw	109
CT scan	38
diagnostic procedures	32
doctor visit	730
foreign body removal	21
hormone therapy	68
lab tests	1414
minimally invasive procedures	124
pelvic imaging	39
stent placement (stenting)	14
urologic procedures	287

**Gender**
Male	415
Female	99

**Ethnicity**
Non-Hispanic White	399
Black	93
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	263
From 75 to 84	168
85 and over	36
Less than 65	47

Hypertension	75
High Cholesterol	64
Stroke	4
Ischemic Heart Disease	40
Depression	21
Chronic Kidney Disease	54
Asthma	6
Osteoperosis	3
Atrial Fibrilation	11
Heart Failure	21
Chronic Obstructive Pulmonary Disease	14
Diabetes	35
Dementia	8
Cancer	33

abdominal imaging	29
blood draw	95
cancer surgery	13
CT scan	29
diagnostic procedures	12
doctor visit	747
hormone therapy	89
lab tests	1325
minimally invasive procedures	53
pelvic imaging	30
urologic procedures	162

**Gender**
Male	379
Female	63

**Ethnicity**
Non-Hispanic White	357
Black	62
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	259
From 75 to 84	136
85 and over	26
Less than 65	21

Hypertension	74
High Cholesterol	60
Stroke	3
Ischemic Heart Disease	42
Depression	18
Chronic Kidney Disease	50
Asthma	5
Osteoperosis	4
Atrial Fibrilation	10
Heart Failure	19
Chronic Obstructive Pulmonary Disease	13
Diabetes	34
Dementia	8
Cancer	39

abdominal imaging	89
ablation	91
anorectal procedures	23
biological response modifier (BRM) therapy	43
blood draw	83
cancer surgery	14
chemotherapy	43
cryotherapy	80
CT scan	89
diagnostic procedures	36
dissection	14
doctor visit	1948
excision	14
hormone therapy	150
lab tests	2993
laser treatment	90
lymph node procedures	14
minimally invasive procedures	283
pelvic imaging	79
pelvic surgery	14
preventive care	13
stent placement (stenting)	40
urologic procedures	612

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Gautam Jayram, MD for Medicare patients.

The highest averages for the top procedures that Dr. Gautam Jayram, MD treated as an urologist in Nashville, TN were lab tests, urologic procedures, minimally invasive procedures and blood draw.

abdominal imaging	44
ablation	37
anorectal procedures	18
biological response modifier (BRM) therapy	34
blood draw	83
cancer surgery	16
chemotherapy	34
chronic care	36
cryotherapy	80
CT scan	44
diagnostic procedures	18
dissection	14
doctor visit	623
excision	14
foreign body removal	19
hormone therapy	71
hospital care	19
inpatient care	19
lab tests	1137
laser treatment	31
lithotripsy (stone fragmentation)	12
lymph node procedures	14
minimally invasive procedures	108
minor procedures	12
pelvic imaging	42
pelvic surgery	14
preventive care	13
stent placement (stenting)	19
urologic procedures	220

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Gautam Jayram, MD.

**Gender**
Female	76
Male	251

**Ethnicity**
Black / African American	61
Asian / Pacific Islander	0
Non-Hispanic White	250
Native American / Alaskan Native	0
Hispanic	0
Other	1

**Age**
85 and over	23
75 to 84	98
Less than 65	40
65 to 74	165

Average of Total of Conditions of Medicare patients treated by Dr. Gautam Jayram, MD From 2013 - 2021

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

Hypertension	59
High Cholesterol	45
Stroke	2
Ischemic Heart Disease	32
Depression	17
Chronic Kidney Disease	42
Asthma	6
Osteoporosis	3
Heart Failure	15
Chronic Obstructive Pulmonary Disease	11
Diabetes	28
Atrial Fibrillation	8
Cancer	22
Dementia	6

Education & Training

Dr. Gautam Jayram, MD graduated from Vanderbilt University School of Medicine. He completed residency at University of Chicago Affiliated Hospitals. He is certified by the The American Board of Urology - Urology and has a state license in Illinois.

Medical School: Vanderbilt University School of Medicine

Residency: University of Chicago Affiliated Hospitals

Board Certification: The American Board of Urology - Urology

Licensed In: Illinois

Affiliations & Hospitals

Dr. Gautam Jayram, MD is associated with these hospitals and organizations:

Urology Associates P.C.

Ascension

UROLOGY ASSOCIATES PC

Ascension Saint Thomas Hospital Midtown

Ascension Saint Thomas Hospital

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General Payments

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

**Payments by Company**
Merck Sharp & Dohme Corporation	$212,859 KEYTRUDA $152,101	LYNPARZA $3,023	Lenvima $45	$57,691
SN Holdings, LLC	$146,113 $146,113
Merck Sharp & Dohme LLC	$76,985 KEYTRUDA $25,178	LYNPARZA $12,439	WELIREG $11,127	$28,240
Photocure Inc	$73,437 Cysview $73,437
E.R. Squibb & Sons, L.L.C.	$54,038 OPDIVO $50,580	$3,458
Other	$134,847 Nubeqa $12,942	Da Vinci Surgical System $11,454	YONSA $8,599	Xofigo $7,031	BAVENCIO $6,428	Other $88,392

**Types of Payments**
Consulting Fee	$285,438
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$261,555
Travel and Lodging	$68,243
Honoraria	$44,480
Food and Beverage	$30,207
Other	$8,355

Research Payments

Dr. Gautam Jayram, MD has received 378 research payments totaling $12,893,157.

Ownership and Interest Payments

This table describes ownership payments received by Dr. Gautam Jayram, MD.

SN Holdings, LLC	2023	$59,200.75	Physician Covered Recipient	Common Stock
UroGPO LLC	2020	$47,768.94	Physician Covered Recipient	Common Stock
SN Holdings, LLC	2022	$28,579.67	Physician Covered Recipient	Common Stock
SN Holdings, LLC	2021	$25,087.53	Physician Covered Recipient	Common Stock
UroGPO LLC	2019	$20,456.55	Physician Covered Recipient	Common Stock
UroGPO LLC	2018	$19,516.21	Physician Covered Recipient	Common Stock

Biography

Dr. Gautam Jayram is an urology (urinary tract disease) specialist. His professional affiliations include Urology Associates P.C. and Ascension. He graduated from Vanderbilt University School of Medicine and then he performed his residency at a hospital affiliated with the University of Chicago.