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Dr. Michael Capwell Walter, MD

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Specializes in: Urology (Urinary Tract Disease)

Harvard Medical School (1973)

Professional interests include: bladder cancer, benign prostatic hyperplasia (enlarged prostate), prostate-specific antigen (PSA) test, and more.

5450 Clearfork Main Street Suite 200
Fort Worth, TX 76109

(817) 334-1444

Dr. Michael Capwell Walter, MD is an urologist in Fort Worth, TX specializing in urology (urinary tract disease). He graduated from Harvard Medical School in 1973 and has 52 years of experience. Dr. Michael Capwell Walter, MD is affiliated with Texas Health Resources, USMD Hospital at Arlington, Texas Oncology and MEDICAL CLINIC OF NORTH TEXAS, PLLC.

Office Locations

Address:

5450 Clearfork Main Street Suite 200
Fort Worth, TX 76109

Address:

801 W. Interstate 20
Arlington, TX 76017

Some issues Dr. Michael Capwell Walter, 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.

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.

In The News

“As a result of the acquisition, Dr. John Pumphrey and Dr. Michael Walter will join USMD's physician group, bringing the total number of USMD urologists to 57.”—"USMD Holdings acquires Fort Worth urology practice group", Fort Worth Business Press, April 2014

ablation	20
blood draw	554
catheterization	51
diagnostic procedures	17
doctor visit	1794
hormone therapy	581
hospital care	835
injections	551
inpatient care	835
lab tests	1643
minimally invasive procedures	163
minor procedures	17
stent placement (stenting)	34
suprapubic catheter replacement	127
urologic procedures	799

**Gender**
Male	671
Female	187

**Ethnicity**
Non-Hispanic White	675
Black	115
Hispanic	48
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	307
From 75 to 84	302
85 and over	151
Less than 65	98

Hypertension	75
High Cholesterol	60
Stroke	8
Ischemic Heart Disease	44
Depression	24
Chronic Kidney Disease	43
Asthma	8
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	31
Chronic Obstructive Pulmonary Disease	23
Diabetes	41
Dementia	23
Cancer	24

ablation	25
blood draw	171
catheterization	33
diagnostic procedures	14
doctor visit	1573
hormone therapy	445
hospital care	588
injections	417
inpatient care	588
lab tests	1919
minimally invasive procedures	136
minor procedures	14
stent placement (stenting)	23
suprapubic catheter replacement	117
urologic procedures	782

**Gender**
Male	643
Female	183

**Ethnicity**
Non-Hispanic White	667
Black	107
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	312
From 75 to 84	278
85 and over	131
Less than 65	105

Hypertension	75
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	45
Depression	25
Chronic Kidney Disease	45
Asthma	9
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	29
Chronic Obstructive Pulmonary Disease	22
Diabetes	39
Dementia	20
Cancer	23

abdominal imaging	51
ablation	18
blood draw	428
CT scan	41
diagnostic procedures	16
doctor visit	1533
hormone therapy	57773
hospital care	588
injections	57750
inpatient care	588
lab tests	2004
laser treatment	17
lithotripsy (stone fragmentation)	17
minimally invasive procedures	153
minor procedures	16
pelvic imaging	41
stent placement (stenting)	19
suprapubic catheter replacement	90
ultrasound (sonogram)	10
urologic procedures	790

**Gender**
Male	1296
Female	340

**Ethnicity**
Non-Hispanic White	1302
Black	206
Hispanic	100
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	636
From 75 to 84	586
85 and over	228
Less than 65	186

Hypertension	75
High Cholesterol	63
Stroke	10
Ischemic Heart Disease	42
Depression	26
Chronic Kidney Disease	48
Asthma	14
Osteoperosis	6
Atrial Fibrilation	17
Heart Failure	27
Chronic Obstructive Pulmonary Disease	21
Diabetes	42
Dementia	21
Cancer	25

abdominal imaging	29
ablation	23
biological response modifier (BRM) therapy	29
blood draw	633
catheterization	27
chemotherapy	29
CT scan	16
diagnostic procedures	15
doctor visit	1322
hormone therapy	36751
hospital care	518
injections	36729
inpatient care	518
lab tests	2583
laser treatment	16
lithotripsy (stone fragmentation)	16
minimally invasive procedures	140
minor procedures	15
pelvic imaging	16
stent placement (stenting)	19
suprapubic catheter replacement	121
ultrasound (sonogram)	13
urologic procedures	777

**Gender**
Male	838
Female	188

**Ethnicity**
Non-Hispanic White	821
Black	122
Hispanic	67
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	442
From 75 to 84	344
85 and over	150
Less than 65	90

Hypertension	75
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	43
Depression	23
Chronic Kidney Disease	49
Asthma	22
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	24
Chronic Obstructive Pulmonary Disease	19
Diabetes	36
Dementia	22
Cancer	29

ablation	25
blood draw	560
doctor visit	1234
hormone therapy	17
hospital care	383
inpatient care	383
lab tests	2193
laser treatment	12
lithotripsy (stone fragmentation)	12
minimally invasive procedures	124
stent placement (stenting)	19
suprapubic catheter replacement	49
urologic procedures	685

**Gender**
Male	658
Female	138

**Ethnicity**
Non-Hispanic White	645
Black	90
Hispanic	40
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	331
From 75 to 84	281
85 and over	127
Less than 65	57

Hypertension	75
High Cholesterol	56
Stroke	7
Ischemic Heart Disease	40
Depression	23
Chronic Kidney Disease	49
Asthma	8
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	22
Chronic Obstructive Pulmonary Disease	17
Diabetes	39
Dementia	20
Cancer	27

ablation	16
blood draw	410
diagnostic procedures	22
doctor visit	1187
hormone therapy	12
hospital care	243
inpatient care	243
lab tests	1990
laser treatment	18
lithotripsy (stone fragmentation)	18
minimally invasive procedures	158
minor procedures	22
stent placement (stenting)	48
urologic procedures	718

**Gender**
Male	477
Female	123

**Ethnicity**
Non-Hispanic White	509
Black	47
Hispanic	28
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	264
From 75 to 84	218
85 and over	87
Less than 65	31

Hypertension	73
High Cholesterol	65
Stroke	8
Ischemic Heart Disease	38
Depression	21
Chronic Kidney Disease	47
Asthma	6
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	22
Chronic Obstructive Pulmonary Disease	14
Diabetes	38
Dementia	16
Cancer	23

ablation	14
blood draw	382
diagnostic procedures	17
doctor visit	1049
hormone therapy	15
hospital care	70
inpatient care	70
lab tests	1832
laser treatment	14
lithotripsy (stone fragmentation)	14
minimally invasive procedures	125
minor procedures	17
preventive care	16
stent placement (stenting)	41
suprapubic catheter replacement	61
urologic procedures	672

**Gender**
Male	459
Female	117

**Ethnicity**
Non-Hispanic White	466
Black	53
Hispanic	39
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	260
From 75 to 84	212
85 and over	88
Less than 65	16

Hypertension	75
High Cholesterol	65
Stroke	7
Ischemic Heart Disease	37
Depression	20
Chronic Kidney Disease	48
Asthma	6
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	19
Chronic Obstructive Pulmonary Disease	16
Diabetes	39
Dementia	15
Cancer	26

blood draw	265
doctor visit	615
lab tests	1187
minimally invasive procedures	40
preventive care	12
urologic procedures	329

**Gender**
Male	268
Female	41

**Ethnicity**
Non-Hispanic White	252
Black	28
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	135
From 75 to 84	121
85 and over	42
Less than 65	11

Hypertension	73
High Cholesterol	71
Stroke	0
Ischemic Heart Disease	35
Depression	19
Chronic Kidney Disease	48
Asthma	7
Osteoperosis	4
Atrial Fibrilation	14
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	38
Dementia	13
Cancer	29

blood draw	472
doctor visit	1280
lab tests	1983
minimally invasive procedures	120
neurostimulation	45
urologic procedures	593

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Michael Capwell Walter, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael Capwell Walter, MD treated as an urologist in Fort Worth, TX were injections, hormone therapy, lab tests and urologic procedures.

abdominal imaging	40
ablation	20
biological response modifier (BRM) therapy	29
blood draw	430
catheterization	37
chemotherapy	29
CT scan	29
diagnostic procedures	16
doctor visit	1288
hormone therapy	13656
hospital care	460
injections	23861
inpatient care	460
lab tests	1932
laser treatment	16
lithotripsy (stone fragmentation)	16
minimally invasive procedures	131
minor procedures	16
neurostimulation	45
pelvic imaging	29
preventive care	14
stent placement (stenting)	29
ultrasound (sonogram)	11
urologic procedures	687

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Michael Capwell Walter, MD.

**Gender**
Female	131
Male	531

**Ethnicity**
Black / African American	76
Asian / Pacific Islander	0
Non-Hispanic White	533
Native American / Alaskan Native	0
Hispanic	32
Other	0

**Age**
85 and over	100
75 to 84	234
Less than 65	59
65 to 74	268

Average of Total of Conditions of Medicare patients treated by Dr. Michael Capwell Walter, MD From 2013 - 2021

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

Hypertension	59
High Cholesterol	50
Stroke	5
Ischemic Heart Disease	32
Depression	18
Chronic Kidney Disease	37
Asthma	8
Osteoporosis	4
Heart Failure	18
Chronic Obstructive Pulmonary Disease	14
Diabetes	31
Atrial Fibrillation	12
Cancer	20
Dementia	15

Education & Training

Dr. Michael Capwell Walter, MD graduated from Harvard Medical School in 1973. He completed residency at Parkland Health & Hospital System. He is certified by the Urology and has a state license in Texas.

Medical School: Harvard Medical School (1973)

Residency: Parkland Health & Hospital System

Board Certification: Urology

Licensed In: Texas

Affiliations & Hospitals

Dr. Michael Capwell Walter, MD is associated with these hospitals and organizations:

Texas Health Resources

USMD Hospital at Arlington

Texas Oncology

MEDICAL CLINIC OF NORTH TEXAS, PLLC

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General Payments

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

**Payments by Company**
Astellas Pharma US Inc	$1,957 Myrbetriq $738	Vesicare $671	XTANDI $299	$249
Auxilium Pharmaceuticals, Inc.	$578 XIAFLEX $254	TESTIM $171	TESTOPEL $78	STENDRA $75
AbbVie, Inc.	$197 Lupron $160	Androgel $23	Lupron Depot $14
Janssen Biotech, Inc.	$183 Erleada $157	ZYTIGA $26
Endo Pharmaceuticals Inc.	$168 XIAFLEX $135	Aveed $34
Other	$1,720 Axonics $149	XTANDI $143	Sacral Nerve Stimulation - Neuro $142	PROVENGE $117	ZYTIGA $115	Other $1,054

**Types of Payments**
Food and Beverage	$4,547
Education	$257

Biography

Dr. Michael Walter's specialty is urology (urinary tract disease). He attended medical school at Harvard Medical School. Dr. Walter trained at Parkland Health & Hospital System for his residency. His clinical interests include bladder cancer, erectile dysfunction (impotence), and shock wave lithotripsy. He is affiliated with Texas Oncology and Texas Health Southwest Fort Worth.