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Dr. Jesse Lee Mierzwiak, MD

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Specializes in: Urology (Urinary Tract Disease)

University of Cincinnati College of Medicine (2007)

Professional interests include: benign prostatic hyperplasia (enlarged prostate), urinary incontinence, urinary tract infection (UTI), and more.

3124 S. 19th Street Suite 320
Tacoma, WA 98405

(253) 301-5100

Dr. Jesse Lee Mierzwiak, MD is an urologist in Tacoma, WA specializing in urology (urinary tract disease). This provider graduated from University of Cincinnati College of Medicine in 2007 and has 17 years of experience. Dr. Jesse Lee Mierzwiak, MD is affiliated with MultiCare.

Office Locations

Address:

3124 S. 19th Street Suite 320
Tacoma, WA 98405

Some issues Dr. Jesse Lee Mierzwiak, 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	15
cryotherapy	16
diagnostic procedures	16
doctor visit	542
lab tests	86
laser treatment	15
minimally invasive procedures	174
minor procedures	17
stent placement (stenting)	18
urologic procedures	310

**Gender**
Male	229
Female	85

**Ethnicity**
Non-Hispanic White	271
Black	14
Hispanic	0
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	131
From 75 to 84	110
85 and over	38
Less than 65	35

Hypertension	73
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	29
Depression	19
Chronic Kidney Disease	34
Asthma	8
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	33
Dementia	9
Cancer	16

ablation	11
cryotherapy	12
doctor visit	503
foreign body removal	21
lab tests	39
laser treatment	25
lithotripsy (stone fragmentation)	13
minimally invasive procedures	204
stent placement (stenting)	29
urologic procedures	308

**Gender**
Male	235
Female	92

**Ethnicity**
Non-Hispanic White	263
Black	30
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	109
85 and over	55
Less than 65	38

Hypertension	69
High Cholesterol	59
Stroke	6
Ischemic Heart Disease	33
Depression	20
Chronic Kidney Disease	40
Asthma	8
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	23
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Dementia	14
Cancer	20

ablation	20
catheterization	23
cryotherapy	21
diagnostic procedures	14
doctor visit	657
hospital care	46
inpatient care	46
lab tests	52
laser treatment	40
lithotripsy (stone fragmentation)	19
minimally invasive procedures	219
minor procedures	15
stent placement (stenting)	30
urologic procedures	337

**Gender**
Male	512
Female	210

**Ethnicity**
Non-Hispanic White	578
Black	56
Hispanic	0
Asian	38
Other	24
Native American	0

**Age**
From 65 to 74	282
From 75 to 84	232
85 and over	128
Less than 65	80

Hypertension	68
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	37
Depression	21
Chronic Kidney Disease	39
Asthma	13
Osteoperosis	8
Atrial Fibrilation	17
Heart Failure	24
Chronic Obstructive Pulmonary Disease	15
Diabetes	35
Dementia	13
Cancer	22

ablation	14
catheterization	24
cryotherapy	15
diagnostic procedures	15
doctor visit	774
foreign body removal	15
hospital care	85
inpatient care	85
lab tests	71
laser treatment	43
lithotripsy (stone fragmentation)	28
minimally invasive procedures	263
minor procedures	16
stent placement (stenting)	53
suprapubic catheter replacement	18
urologic procedures	434

**Gender**
Male	341
Female	142

**Ethnicity**
Non-Hispanic White	404
Black	25
Hispanic	14
Asian	22
Other	0
Native American	0

**Age**
From 65 to 74	190
From 75 to 84	154
85 and over	91
Less than 65	48

Hypertension	73
High Cholesterol	58
Stroke	6
Ischemic Heart Disease	34
Depression	24
Chronic Kidney Disease	47
Asthma	21
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	23
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Dementia	14
Cancer	20

ablation	10
catheterization	47
cryotherapy	11
diagnostic procedures	14
doctor visit	830
foreign body removal	21
hospital care	121
inpatient care	121
lab tests	109
laser treatment	25
lithotripsy (stone fragmentation)	14
minimally invasive procedures	234
minor procedures	15
stent placement (stenting)	39
suprapubic catheter replacement	33
urologic procedures	497

**Gender**
Male	353
Female	131

**Ethnicity**
Non-Hispanic White	405
Black	26
Hispanic	0
Asian	18
Other	18
Native American	0

**Age**
From 65 to 74	201
From 75 to 84	165
85 and over	69
Less than 65	49

Hypertension	69
High Cholesterol	58
Stroke	4
Ischemic Heart Disease	38
Depression	22
Chronic Kidney Disease	47
Asthma	9
Osteoperosis	8
Atrial Fibrilation	15
Heart Failure	22
Chronic Obstructive Pulmonary Disease	18
Diabetes	37
Dementia	12
Cancer	18

ablation	16
anorectal procedures	13
catheterization	41
cryotherapy	17
diagnostic procedures	12
doctor visit	821
foreign body removal	33
hospital care	36
inpatient care	36
lab tests	66
laser treatment	38
lithotripsy (stone fragmentation)	21
minimally invasive procedures	255
stent placement (stenting)	37
suprapubic catheter replacement	35
urologic procedures	582

**Gender**
Male	336
Female	131

**Ethnicity**
Non-Hispanic White	396
Black	26
Hispanic	0
Asian	12
Other	16
Native American	0

**Age**
From 65 to 74	190
From 75 to 84	165
85 and over	76
Less than 65	36

Hypertension	72
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	39
Depression	18
Chronic Kidney Disease	46
Asthma	8
Osteoperosis	6
Atrial Fibrilation	13
Heart Failure	26
Chronic Obstructive Pulmonary Disease	19
Diabetes	31
Dementia	14
Cancer	17

ablation	15
catheterization	88
cryotherapy	16
diagnostic procedures	16
doctor visit	805
foreign body removal	35
hormone therapy	30
hospital care	13
inpatient care	13
lab tests	94
laser treatment	50
lithotripsy (stone fragmentation)	34
minimally invasive procedures	277
minor procedures	17
stent placement (stenting)	66
urologic procedures	628

**Gender**
Male	346
Female	132

**Ethnicity**
Non-Hispanic White	411
Black	26
Hispanic	0
Asian	18
Other	0
Native American	0

**Age**
From 65 to 74	186
From 75 to 84	173
85 and over	73
Less than 65	46

Hypertension	71
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	40
Depression	22
Chronic Kidney Disease	44
Asthma	8
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	23
Chronic Obstructive Pulmonary Disease	13
Diabetes	32
Dementia	12
Cancer	18

ablation	53
anorectal procedures	12
catheterization	76
cryotherapy	35
diagnostic procedures	35
doctor visit	791
hormone therapy	37
hospital care	41
inpatient care	41
lab tests	176
laser treatment	56
lithotripsy (stone fragmentation)	21
minimally invasive procedures	344
minor procedures	23
stent placement (stenting)	48
urologic procedures	680

**Gender**
Male	443
Female	139

**Ethnicity**
Non-Hispanic White	508
Black	34
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	232
From 75 to 84	216
85 and over	91
Less than 65	43

Hypertension	69
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	41
Depression	21
Chronic Kidney Disease	40
Asthma	9
Osteoperosis	6
Atrial Fibrilation	17
Heart Failure	23
Chronic Obstructive Pulmonary Disease	12
Diabetes	32
Dementia	10
Cancer	20

ablation	65
anorectal procedures	12
catheterization	235
cryotherapy	46
diagnostic procedures	74
doctor visit	1675
foreign body removal	10
hormone therapy	50
hospital care	84
inpatient care	84
lab tests	137
laser treatment	101
lithotripsy (stone fragmentation)	55
minimally invasive procedures	722
minor procedures	62
neurostimulation	85
potassium test	40
stent placement (stenting)	93
urologic procedures	1324

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Jesse Lee Mierzwiak, MD for Medicare patients.

The highest averages for the top procedures that Dr. Jesse Lee Mierzwiak, MD treated as an urologist in Tacoma, WA were urologic procedures, minimally invasive procedures, lab tests and neurostimulation.

ablation	25
anorectal procedures	12
catheterization	76
cryotherapy	21
diagnostic procedures	25
doctor visit	824
foreign body removal	22
hormone therapy	39
hospital care	60
inpatient care	60
lab tests	92
laser treatment	43
lithotripsy (stone fragmentation)	25
minimally invasive procedures	301
minor procedures	23
neurostimulation	85
potassium test	40
stent placement (stenting)	46
urologic procedures	571

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD.

**Gender**
Male	279
Female	106

**Ethnicity**
Black / African American	23
Asian / Pacific Islander	12
Non-Hispanic White	323
Native American / Alaskan Native	0
Hispanic	2
Other	7

**Age**
75 to 84	132
85 and over	62
Less than 65	37
65 to 74	153

Average of Total of Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD From 2013 - 2021

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

Hypertension	56
High Cholesterol	47
Stroke	4
Ischemic Heart Disease	29
Depression	16
Chronic Kidney Disease	33
Asthma	8
Osteoporosis	5
Heart Failure	18
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Atrial Fibrillation	11
Cancer	15
Dementia	9

Education & Training

Dr. Jesse Lee Mierzwiak, MD graduated from University of Cincinnati College of Medicine in 2007. This provider has a state license in Washington.

Medical School: University of Cincinnati College of Medicine (2007)

Licensed In: Washington

Affiliations & Hospitals

Dr. Jesse Lee Mierzwiak, MD is associated with these hospitals and organizations:

MultiCare

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General Payments

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

**Payments by Company**
Astellas Pharma US Inc	$483 Myrbetriq $27	XTANDI $17	$439
EDAP TECHNOMED INC	$201 $201
Coloplast Corp	$166 TOROSA $74	TITAN $68	CONTINENCE CARE $24
Boston Scientific Corporation	$130 LITHOVUE $54	GENERAL - ERECTILE DYSFUNCTION $31	Rezum $29	GENERAL BPH $17
C. R. Bard, Inc. & Subsidiaries	$97 Bard Urinary Drainage Bag $97
Other	$266 NOCDURNA $38	iTIND System $29	GEMTESA $29	XTANDI $21	Urolift System $18	Other $132

**Types of Payments**
Food and Beverage	$900
Education	$443

Biography

Dr. Jesse Mierzwiak is a physician who specializes in urology (urinary tract disease). Dr. Mierzwiak's areas of expertise include bladder cancer, benign prostatic hyperplasia (enlarged prostate), and kidney stones. Dr. Mierzwiak studied medicine at the University of Cincinnati College of Medicine. Dr. Mierzwiak is professionally affiliated with MultiCare. Dr. Mierzwiak has an open panel in Tacoma, WA according to Doctor.com.

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Dr. Jesse Lee Mierzwiak, MD

Office Locations

Some issues Dr. Jesse Lee Mierzwiak, 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. Jesse Lee Mierzwiak, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jesse Lee Mierzwiak, 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. Jesse Lee Mierzwiak, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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