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Dr. J Lance Pickard, MD

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(Dr. John Lance Pickard, MD)

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Specializes in: Urology (Urinary Tract Disease)

University of Texas Health Science Center at San Antonio, School of Medicine (1988)

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

4370 Medical Arts Drive Suite 270
Flower Mound, TX 75028

(972) 394-4500

Dr. J Lance Pickard, MD is an urologist in Flower Mound, TX specializing in urology (urinary tract disease). He graduated from University of Texas Health Science Center at San Antonio, School of Medicine in 1988 and has 36 years of experience. Dr. J Lance Pickard, MD is affiliated with Texas Health Resources and Urology Clinics of North Texas.

Office Locations

Address:

4370 Medical Arts Drive Suite 270
Flower Mound, TX 75028

Some issues Dr. J Lance Pickard, 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	12
doctor visit	807
hormone therapy	82
hospital care	73
injections	52
inpatient care	73
lab tests	860
minimally invasive procedures	140
stent placement (stenting)	13
urologic procedures	323

**Gender**
Male	424
Female	216

**Ethnicity**
Non-Hispanic White	492
Black	65
Hispanic	26
Asian	0
Other	0
Native American	41

**Age**
From 65 to 74	311
From 75 to 84	199
85 and over	41
Less than 65	89

Hypertension	72
High Cholesterol	58
Stroke	7
Ischemic Heart Disease	45
Depression	18
Chronic Kidney Disease	27
Asthma	7
Osteoperosis	6
Atrial Fibrilation	8
Heart Failure	27
Chronic Obstructive Pulmonary Disease	23
Diabetes	35
Dementia	9
Cancer	15

ablation	12
catheterization	21
diagnostic procedures	16
doctor visit	858
hormone therapy	56
hospital care	105
injections	29
inpatient care	105
lab tests	871
minimally invasive procedures	124
minor procedures	17
urologic procedures	400

**Gender**
Male	479
Female	222

**Ethnicity**
Non-Hispanic White	522
Black	75
Hispanic	38
Asian	0
Other	0
Native American	51

**Age**
From 65 to 74	319
From 75 to 84	243
85 and over	63
Less than 65	76

Hypertension	75
High Cholesterol	60
Stroke	7
Ischemic Heart Disease	47
Depression	20
Chronic Kidney Disease	30
Asthma	6
Osteoperosis	4
Atrial Fibrilation	8
Heart Failure	25
Chronic Obstructive Pulmonary Disease	24
Diabetes	38
Dementia	11
Cancer	17

**Gender**
Male	1068
Female	486

**Ethnicity**
Non-Hispanic White	1118
Black	172
Hispanic	100
Asian	0
Other	0
Native American	124

**Age**
From 65 to 74	688
From 75 to 84	506
85 and over	148
Less than 65	212

Hypertension	71
High Cholesterol	56
Stroke	6
Ischemic Heart Disease	44
Depression	18
Chronic Kidney Disease	31
Asthma	12
Osteoperosis	6
Atrial Fibrilation	10
Heart Failure	27
Chronic Obstructive Pulmonary Disease	24
Diabetes	37
Dementia	12
Cancer	16

blood draw	10
catheterization	24
doctor visit	531
hormone therapy	6418
hospital care	75
injections	6399
inpatient care	75
lab tests	547
minimally invasive procedures	53
urologic procedures	201

**Ethnicity**
Non-Hispanic White	379
Black	43
Hispanic	0
Asian	0
Other	0
Native American	35

**Age**
From 65 to 74	233
From 75 to 84	154
85 and over	61
Less than 65	45

Hypertension	74
High Cholesterol	58
Stroke	5
Ischemic Heart Disease	45
Depression	21
Chronic Kidney Disease	41
Asthma	24
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	26
Chronic Obstructive Pulmonary Disease	23
Diabetes	38
Dementia	12
Cancer	16

blood draw	52
doctor visit	578
hospital care	11
inpatient care	11
lab tests	872
minimally invasive procedures	70
urologic procedures	256

**Gender**
Male	186
Female	91

**Ethnicity**
Non-Hispanic White	237
Black	0
Hispanic	0
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	138
From 75 to 84	79
85 and over	46
Less than 65	14

Hypertension	73
High Cholesterol	49
Stroke	5
Ischemic Heart Disease	40
Depression	26
Chronic Kidney Disease	43
Asthma	6
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	18
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Dementia	20
Cancer	15

blood draw	95
catheterization	17
doctor visit	695
hospital care	11
inpatient care	11
lab tests	977
minimally invasive procedures	74
urologic procedures	264

**Gender**
Male	240
Female	103

**Ethnicity**
Non-Hispanic White	300
Black	12
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	175
From 75 to 84	102
85 and over	45
Less than 65	21

Hypertension	71
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	39
Depression	21
Chronic Kidney Disease	44
Asthma	6
Osteoperosis	6
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	14
Diabetes	30
Dementia	19
Cancer	19

anorectal procedures	35
blood draw	139
diagnostic procedures	34
doctor visit	693
lab tests	943
minimally invasive procedures	74
urologic procedures	314

**Gender**
Male	300
Female	119

**Ethnicity**
Non-Hispanic White	381
Black	0
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	204
From 75 to 84	143
85 and over	60
Less than 65	12

Hypertension	69
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	37
Depression	22
Chronic Kidney Disease	40
Asthma	7
Osteoperosis	9
Atrial Fibrilation	16
Heart Failure	20
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Dementia	16
Cancer	19

**Gender**
Male	342
Female	105

**Ethnicity**
Non-Hispanic White	403
Black	12
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	230
From 75 to 84	148
85 and over	55
Less than 65	14

Hypertension	71
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	41
Depression	21
Chronic Kidney Disease	41
Asthma	8
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	31
Dementia	14
Cancer	21

anorectal procedures	43
blood draw	409
diagnostic procedures	74
doctor visit	1747
hospital care	11
inpatient care	11
lab tests	2456
lithotripsy (stone fragmentation)	10
minimally invasive procedures	199
minor procedures	31
urologic procedures	748

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. J Lance Pickard, MD for Medicare patients.

The highest averages for the top procedures that Dr. J Lance Pickard, MD treated as an urologist in Flower Mound, TX were injections, hormone therapy, lab tests and urologic procedures.

ablation	11
anorectal procedures	39
blood draw	142
catheterization	24
diagnostic procedures	35
doctor visit	860
hormone therapy	3161
hospital care	51
injections	3919
inpatient care	51
lab tests	1073
lithotripsy (stone fragmentation)	10
minimally invasive procedures	110
minor procedures	21
potassium test	17
stent placement (stenting)	12
urologic procedures	373

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. J Lance Pickard, MD.

**Gender**
Male	337
Female	149

**Ethnicity**
Black / African American	37
Asian / Pacific Islander	1
Non-Hispanic White	383
Native American / Alaskan Native	25
Hispanic	21
Other	0

**Age**
75 to 84	157
85 and over	51
Less than 65	48
65 to 74	229

Average of Total of Conditions of Medicare patients treated by Dr. J Lance Pickard, MD From 2013 - 2021

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

Hypertension	57
High Cholesterol	47
Stroke	4
Ischemic Heart Disease	33
Depression	16
Chronic Kidney Disease	29
Asthma	7
Osteoporosis	5
Heart Failure	17
Chronic Obstructive Pulmonary Disease	14
Diabetes	26
Atrial Fibrillation	9
Cancer	13
Dementia	11

Education & Training

Dr. J Lance Pickard, MD graduated from University of Texas Health Science Center at San Antonio, School of Medicine in 1988. He has a state license in Oklahoma.

Medical School: University of Texas Health Science Center at San Antonio, School of Medicine (1988)

Licensed In: Oklahoma

Affiliations & Hospitals

Dr. J Lance Pickard, MD is associated with these hospitals and organizations:

Texas Health Resources

Urology Clinics of North Texas

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General Payments

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

**Payments by Company**
Astellas Pharma US Inc	$958 Myrbetriq $368	XTANDI $203	Vesicare $198	$189
Janssen Biotech, Inc.	$574 Erleada $341	ZYTIGA $174	AKEEGA $35	SIMPONI ARIA $23
Pfizer Inc.	$369 ORGOVYX $225	XTANDI $114	PAXLOVID $18	VIAGRA $12
Endo Pharmaceuticals Inc.	$363 XIAFLEX $315	Aveed $28	EDEX $20
Dendreon Pharmaceuticals LLC	$216 PROVENGE $216
Other	$1,792 ORGOVYX $232	LYNPARZA $108	Androgel $84	Axonics $82	bk3000, bk3500 & bk5000 Ultrasound System $73	Other $1,212

**Types of Payments**
Food and Beverage	$3,791
Education	$481

Biography

Dr. John Pickard practices urology (urinary tract disease) in Flower Mound, TX. Dr. Pickard attended medical school at the University of Texas Health Science Center at San Antonio, School of Medicine. His areas of expertise consist of benign prostatic hyperplasia (enlarged prostate), kidney stones, and prostatitis (prostate inflammation). He is professionally affiliated with Texas Health Resources and Urology Clinics of North Texas. He welcomes new patients at his office inFlower Mound, TX as reported by Doctor.com.

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Dr. J Lance Pickard, MD

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Some issues Dr. J Lance Pickard, 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. J Lance Pickard, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. J Lance Pickard, 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. J Lance Pickard, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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