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Dr. Michael John Langley, MD

Accepting New Patients
(Michael Langley, MD)
Specializes in: Urology (Urinary Tract Disease)
Baylor College of Medicine (1984)
Professional interests include: benign prostatic hyperplasia (enlarged prostate), urinary incontinence, multiple sclerosis (MS), and more.
75 Baylor Drive Suite 205
Bluffton, SC 29910

Dr. Michael John Langley, MD is an urologist in Bluffton, SC specializing in urology (urinary tract disease). He graduated from Baylor College of Medicine in 1984 and has 41 years of experience. Dr. Michael John Langley, MD is affiliated with Novant Health, New River Urology and HILTON HEAD REGIONAL PHYSICIAN NETWORK LLC.

View Doctor's Full Profile (843) 706-2255

Office Locations

Address:

75 Baylor Drive Suite 205
Bluffton, SC 29910

Some issues Dr. Michael John Langley, 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.

In The News 

“Dr. Michael J. Langley, a board certified urologist, will discuss the risks, diagnosis and treatments for prostate cancer.”—"Coastal Carolina Hospital offers free prostate cancer seminar", Island Packet, September 2015
“Urologist Dr. Michael Langley will discuss the causes and symptoms of female incontinence and share insight on some of the latest diagnostic methods, non-surgical remedies and surgical techniques.”—"Urologist to discuss female incontinence", Island Packet, May 2011

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Michael John Langley, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael John Langley, MD treated as an urologist in Bluffton, SC were lab tests, urologic procedures, minimally invasive procedures and catheterization.

abdominal imaging 36
ablation 40
anorectal procedures 25
biological response modifier (BRM) therapy 64
catheterization 127
chemotherapy 64
cryotherapy 24
diagnostic procedures 63
doctor visit 2705
hormone therapy 59
hospital care 40
inpatient care 40
lab tests 2549
laser treatment 31
lithotripsy (stone fragmentation) 27
minimally invasive procedures 414
minor procedures 48
neurostimulation 112
pelvic imaging 80
potassium test 26
stent placement (stenting) 22
ultrasound (sonogram) 82
urologic procedures 2352

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Michael John Langley, MD.

Gender
Female 250
Male 1099
Ethnicity
Black / African American 53
Asian / Pacific Islander
Non-Hispanic White 1248
Native American / Alaskan Native
Hispanic
Other 31
Age
85 and over 161
75 to 84 533
Less than 65 28
65 to 74 626

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

The highest averages of the most common conditions of Medicare patients that Dr. Michael John Langley, MD treated were high cholesterol, hypertension, ischemic heart disease and cancer.

Hypertension 54
High Cholesterol 57
Stroke 3
Ischemic Heart Disease 28
Depression 9
Chronic Kidney Disease 18
Asthma 2
Osteoporosis 3
Heart Failure 8
Chronic Obstructive Pulmonary Disease 5
Diabetes 18
Atrial Fibrillation 12
Dementia 7
Cancer 19

Education & Training

Dr. Michael John Langley, MD graduated from Baylor College of Medicine in 1984. He completed residency at University of Virginia Affiliated Hospitals. He is certified by the Urology and has a state license in Virginia.

Medical School: Baylor College of Medicine (1984)

Residency: University of Virginia Affiliated Hospitals

Board Certification: Urology

Licensed In: Virginia

Affiliations & Hospitals

Dr. Michael John Langley, MD is associated with these hospitals and organizations:

Novant Health
New River Urology
HILTON HEAD REGIONAL PHYSICIAN NETWORK LLC

Ratings & Reviews

Dr. Michael John Langley, MD has a high overall rating with an average of 4.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Michael John Langley, MD from all over the web to help you find the right in Bluffton, SC. 

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General Payments

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

Payments by Company
Physician Discoveries, LLC $8,312
$8,312
Janssen Products, LP $3,939 ZYTIGA
$3,939
NeoTract Inc. $1,654 Urolift
$1,654
Astellas Pharma US Inc $1,010 XTANDI
$200 		Myrbetriq
$170 		Vesicare
$78
$562
Olympus America Inc. $638 iTIND System
$263 		Urology & Gynecology Products
$128 		Olympus Cystoscopes
$109 		Olympus Laser Devices
$94 		Olympus Digital Flexible Ureteroscopes
$43
Other $2,295 INTERSTIM
$521 		PENILE RECONSTRUCTION
$237 		Urolift
$218 		Sacral Nerve Stimulation - Neuro
$182 		Lithotripters & Accessories
$147 		Other
$989
Types of Payments
Current or prospective ownership or investment interest $8,312
Food and Beverage $4,346
Consulting Fee $3,000
Travel and Lodging $1,607
Education $582

Ownership and Interest Payments

This table describes ownership payments received by Dr. Michael John Langley, MD.

Physician Discoveries, LLC 2015 $7,495.97 Physician Covered Recipient limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC 2013 $6,902.58 Physician Covered Recipient limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC 2016 $5,920.06 Physician Covered Recipient limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC 2014 $4,772.42 Physician Covered Recipient limited liability company membership in Physician Discovery Holdings, LLC
Physician Discoveries, LLC 2017 $3,530.34 Physician Covered Recipient limited liability company membership in Physician Discovery Holdings, LLC

Biography

Dr. Michael Langley specializes in urology (urinary tract disease) and practices in Bluffton, SC. His areas of expertise include the following: benign prostatic hyperplasia (enlarged prostate), multiple sclerosis (MS), and kidney stones. Dr. Langley is a graduate of Baylor College of Medicine. He is affiliated with Novant Health. Novant Health reports that he is accepting new patients at his office in Bluffton, SC.

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