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Dr. Ghassan Freiha, MD

Accepting New Patients

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Specializes in: Urology (Urinary Tract Disease)

Baylor College of Medicine

Professional interests include: urodynamics (bladder and urethra function test), vasectomy, benign prostatic hyperplasia (enlarged prostate), and more.

876 LOOP 337 SUITE 302
New Braunfels, TX 78130

(830) 625-8088

Dr. Ghassan Freiha, MD is an urologist in New Braunfels, TX specializing in urology (urinary tract disease). He graduated from Baylor College of Medicine. Dr. Ghassan Freiha, MD is affiliated with Baptist Medical Network, AdventHealth, CHRISTUS Health, Resolute Health Hospital and BHS PHYSICIANS NETWORK INC.

Office Locations

Address:

876 LOOP 337 SUITE 302
New Braunfels, TX 78130

Address:

151 SOUTH STAGECOACH TRAIL SUITE 105
San Marcos, TX 78666

Address:

2002-c Medical Parkway
San Marcos, TX 78666

Address:

540 Madison Oak Drive Suite 400
San Antonio, TX 78258

Some issues Dr. Ghassan Freiha, 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.

ablation	18
anorectal procedures	53
catheterization	53
diagnostic procedures	51
doctor visit	1319
foreign body removal	16
hormone therapy	445
hospital care	110
injections	424
inpatient care	110
lab tests	976
laser treatment	41
lithotripsy (stone fragmentation)	23
minimally invasive procedures	174
stent placement (stenting)	30
urologic procedures	467

**Gender**
Male	593
Female	260

**Ethnicity**
Non-Hispanic White	745
Black	0
Hispanic	84
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	338
From 75 to 84	322
85 and over	126
Less than 65	67

Hypertension	73
High Cholesterol	66
Stroke	6
Ischemic Heart Disease	43
Depression	17
Chronic Kidney Disease	27
Asthma	7
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	19
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	14
Cancer	15

ablation	18
anorectal procedures	45
catheterization	52
diagnostic procedures	56
doctor visit	1585
foreign body removal	23
hormone therapy	413
hospital care	132
injections	405
inpatient care	132
lab tests	1194
laser treatment	40
lithotripsy (stone fragmentation)	22
minimally invasive procedures	179
minor procedures	12
stent placement (stenting)	37
urologic procedures	430

**Gender**
Male	644
Female	298

**Ethnicity**
Non-Hispanic White	812
Black	0
Hispanic	112
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	377
From 75 to 84	353
85 and over	148
Less than 65	64

Hypertension	71
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	46
Depression	19
Chronic Kidney Disease	28
Asthma	5
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	20
Chronic Obstructive Pulmonary Disease	9
Diabetes	31
Dementia	14
Cancer	16

ablation	18
anorectal procedures	33
catheterization	27
diagnostic procedures	53
doctor visit	1623
foreign body removal	21
hormone therapy	5128
hospital care	149
injections	5098
inpatient care	149
lab tests	1290
laser treatment	39
lithotripsy (stone fragmentation)	21
minimally invasive procedures	185
minor procedures	10
stent placement (stenting)	35
suprapubic catheter replacement	41
urologic procedures	386

**Gender**
Male	1328
Female	586

**Ethnicity**
Non-Hispanic White	1620
Black	22
Hispanic	246
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	808
From 75 to 84	670
85 and over	322
Less than 65	114

Hypertension	72
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	44
Depression	17
Chronic Kidney Disease	33
Asthma	10
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	17
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Dementia	13
Cancer	15

ablation	19
anorectal procedures	38
catheterization	42
diagnostic procedures	36
doctor visit	1561
foreign body removal	16
hormone therapy	28
hospital care	181
inpatient care	181
lab tests	1261
laser treatment	43
lithotripsy (stone fragmentation)	24
minimally invasive procedures	165
stent placement (stenting)	41
urologic procedures	350

**Gender**
Male	691
Female	301

**Ethnicity**
Non-Hispanic White	822
Black	0
Hispanic	143
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	399
From 75 to 84	369
85 and over	152
Less than 65	72

Hypertension	73
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	43
Depression	18
Chronic Kidney Disease	38
Asthma	14
Osteoperosis	5
Atrial Fibrilation	16
Heart Failure	18
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	15
Cancer	14

ablation	27
anorectal procedures	50
catheterization	49
diagnostic procedures	74
doctor visit	1550
hormone therapy	36
hospital care	193
inpatient care	193
lab tests	1226
laser treatment	44
lithotripsy (stone fragmentation)	17
minimally invasive procedures	171
minor procedures	14
stent placement (stenting)	33
urologic procedures	405

**Gender**
Male	675
Female	314

**Ethnicity**
Non-Hispanic White	836
Black	16
Hispanic	117
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	453
From 75 to 84	341
85 and over	142
Less than 65	53

Hypertension	74
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	44
Depression	19
Chronic Kidney Disease	39
Asthma	6
Osteoperosis	6
Atrial Fibrilation	16
Heart Failure	17
Chronic Obstructive Pulmonary Disease	12
Diabetes	30
Dementia	17
Cancer	16

ablation	18
anorectal procedures	45
catheterization	82
diagnostic procedures	82
doctor visit	1628
hormone therapy	42
hospital care	200
inpatient care	200
lab tests	1280
laser treatment	39
lithotripsy (stone fragmentation)	21
minimally invasive procedures	214
minor procedures	25
stent placement (stenting)	43
urologic procedures	448

**Gender**
Male	721
Female	302

**Ethnicity**
Non-Hispanic White	875
Black	0
Hispanic	115
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	469
From 75 to 84	352
85 and over	146
Less than 65	56

Hypertension	75
High Cholesterol	70
Stroke	6
Ischemic Heart Disease	47
Depression	20
Chronic Kidney Disease	41
Asthma	7
Osteoperosis	6
Atrial Fibrilation	17
Heart Failure	17
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Dementia	14
Cancer	17

ablation	22
anorectal procedures	41
catheterization	70
diagnostic procedures	81
doctor visit	1632
hormone therapy	64
hospital care	175
inpatient care	175
lab tests	1014
laser treatment	44
lithotripsy (stone fragmentation)	22
minimally invasive procedures	208
minor procedures	41
stent placement (stenting)	38
suprapubic catheter replacement	30
urologic procedures	492

**Gender**
Male	755
Female	279

**Ethnicity**
Non-Hispanic White	870
Black	0
Hispanic	121
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	471
From 75 to 84	378
85 and over	138
Less than 65	47

Hypertension	74
High Cholesterol	73
Stroke	5
Ischemic Heart Disease	47
Depression	19
Chronic Kidney Disease	41
Asthma	6
Osteoperosis	6
Atrial Fibrilation	18
Heart Failure	19
Chronic Obstructive Pulmonary Disease	12
Diabetes	30
Dementia	15
Cancer	18

ablation	18
anorectal procedures	36
catheterization	81
diagnostic procedures	77
doctor visit	1464
hormone therapy	46
hospital care	134
inpatient care	134
lab tests	608
laser treatment	34
lithotripsy (stone fragmentation)	16
minimally invasive procedures	204
minor procedures	42
stent placement (stenting)	40
urologic procedures	472

**Gender**
Male	780
Female	246

**Ethnicity**
Non-Hispanic White	895
Black	0
Hispanic	104
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	464
From 75 to 84	381
85 and over	134
Less than 65	47

Hypertension	73
High Cholesterol	70
Stroke	4
Ischemic Heart Disease	46
Depression	19
Chronic Kidney Disease	40
Asthma	6
Osteoperosis	5
Atrial Fibrilation	17
Heart Failure	18
Chronic Obstructive Pulmonary Disease	10
Diabetes	27
Dementia	14
Cancer	19

ablation	67
anorectal procedures	91
biological response modifier (BRM) therapy	23
blood draw	90
catheterization	177
chemotherapy	23
diagnostic procedures	134
doctor visit	2868
hormone therapy	76
hospital care	273
inpatient care	273
lab tests	1425
laser treatment	103
lithotripsy (stone fragmentation)	36
minimally invasive procedures	293
minor procedures	44
stent placement (stenting)	52
urologic procedures	852

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Ghassan Freiha, MD for Medicare patients.

The highest averages for the top procedures that Dr. Ghassan Freiha, MD treated as an urologist in New Braunfels, TX were injections, lab tests, hormone therapy and urologic procedures.

ablation	25
anorectal procedures	48
biological response modifier (BRM) therapy	23
blood draw	90
catheterization	70
chemotherapy	23
diagnostic procedures	72
doctor visit	1693
foreign body removal	19
hormone therapy	698
hospital care	171
injections	1976
inpatient care	171
lab tests	1141
laser treatment	48
lithotripsy (stone fragmentation)	23
minimally invasive procedures	202
minor procedures	26
stent placement (stenting)	38
urologic procedures	483

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Ghassan Freiha, MD.

**Gender**
Male	618
Female	258

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	747
Native American / Alaskan Native	0
Hispanic	104
Other	5

**Age**
75 to 84	316
85 and over	130
Less than 65	52
65 to 74	377

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

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

Hypertension	58
High Cholesterol	53
Stroke	4
Ischemic Heart Disease	36
Depression	14
Chronic Kidney Disease	28
Asthma	6
Osteoporosis	4
Heart Failure	14
Chronic Obstructive Pulmonary Disease	8
Diabetes	23
Atrial Fibrillation	13
Cancer	13
Dementia	11

Education & Training

Dr. Ghassan Freiha, MD graduated from Baylor College of Medicine. He completed residency at University of Texas Health Science Center at San Antonio and Affiliated Hospitals. He is certified by the Urology: The American Board of Urology and has a state license in Texas.

Medical School: Baylor College of Medicine

Residency: University of Texas Health Science Center at San Antonio and Affiliated Hospitals

Board Certification: Urology: The American Board of Urology

Licensed In: Texas

Affiliations & Hospitals

Dr. Ghassan Freiha, MD is associated with these hospitals and organizations:

Baptist Medical Network

AdventHealth

CHRISTUS Health

Resolute Health Hospital

BHS PHYSICIANS NETWORK INC

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General Payments

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

**Payments by Company**
Allergan Inc.	$36 BOTOX $36
Coloplast Corp	$27 ALTIS $27
180 Medical, Inc.	$24 SELF-CATH $24
NeoTract Inc.	$21 Urolift $21
Ambu Inc.	$17 $17
Other	$23 URO - Perc Sets $12	PROVENGE $11

**Types of Payments**
Food and Beverage	$148

Biography

Dr. Ghassan Freiha is a specialist in urology (urinary tract disease). Dr. Freiha's education and training includes medical school at Baylor College of Medicine and residency at a hospital affiliated with the University of Texas Health Science Center at San Antonio. Areas of expertise for Dr. Freiha include benign prostatic hyperplasia (enlarged prostate) and kidney stones. He is professionally affiliated with AdventHealth, Baptist Medical Network, and CHRISTUS Health. He welcomes new patients at his office inSan Marcos, TX as reported by AdventHealth.

Select Year:

Dr. Ghassan Freiha, MD

Office Locations

Some issues Dr. Ghassan Freiha, 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. Ghassan Freiha, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ghassan Freiha, 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. Ghassan Freiha, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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