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Ms. Nancy Lopez, PA

Accepting New Patients

(5 Ratings)

Specializes in: Surgery

Professional interests include: urinary incontinence, urinary tract infection (UTI), prostate cancer, and more.

524 MOYE BOULEVARD
Greenville, NC 27834

(252) 816-2273

Ms. Nancy Lopez, PA is in Greenville, NC specializing in surgery. Ms. Nancy Lopez, PA is affiliated with VIDANT MEDICAL GROUP LLC.

Office Locations

Address:

524 MOYE BOULEVARD
Greenville, NC 27834

Address:

2100 STANTONSBURG ROAD
Greenville, NC 27834

Some issues Ms. Nancy Lopez, PA can help you with:

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.

Urodynamics (Bladder and Urethra Function Test)

Urodynamics are tests that assess how well the lower urinary tract is functioning. Specifically, they evaluate its ability to hold and release urine, as well as show if any blockages or leaks are present. The lower urinary tract is made up of the following:

The bladder, which stores urine.
The urinary sphincters, which are muscles around the opening of the bladder that hold urine in.
The urethra, which is the tube where urine flows out of the body.

Urodynamics tests are normally performed together as one series, but depending on patients' symptoms, only one or some of them may be necessary. The most common tests are:

Cystometrogram, which measures the amount of urine the bladder can store and how full it is before someone has the urge to urinate. Doctors may order this test if she suspects their patient has a weak bladder.
Pressure flow study, which measures the pressure in the bladder while urinating. This test helps locate a blockage in the bladder.
Uroflowmetry, which measures how much and how fast urine flows out of the body. This test is usually recommended when patients have difficulty urinating or they have a slow stream.
Urethral sphincter electromyography, which measures how strong the muscles and nerves in the bladder and sphincters are. Doctors may request this test if the problem they are experiencing is linked to muscle or nerve damage in the lower urinary tract.
Urethral pressure profile, which measures the pressure along the urethra while the bladder is gradually filled with fluid. Low pressure could mean someone has a weak urethra, a contributing factor to urinary incontinence (loss of bladder control).

For a few hours following a urodynamics study, patients will likely feel some soreness or discomfort. It is recommended to drink at least one glass of water every half hour for two hours to relieve these symptoms. Holding a warm, moistened washcloth over the area where discomfort is felt or taking a warm bath may also help. Results for cystrometrograms and uroflowmetry are typically available immediately after the test, but results for the other tests may take a few days. When doctors have reviewed a patient's test results, he or she will discuss them with the patient, along with any treatments the patient may need.

catheterization	9
doctor visit	56
lab tests	116
urologic procedures	4

**Gender**
Male	32
Female	38

**Age**
From 65 to 74	21
From 75 to 84	25
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	46
Depression	19
Chronic Kidney Disease	30
Asthma	19
Osteoperosis	0
Atrial Fibrilation	17
Heart Failure	26
Chronic Obstructive Pulmonary Disease	20
Diabetes	47
Dementia	16
Cancer	16

blood draw	31
catheterization	40
doctor visit	223
lab tests	327
suprapubic catheter replacement	25
urologic procedures	52

**Gender**
Male	95
Female	106

**Ethnicity**
Non-Hispanic White	175
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	75
From 75 to 84	62
85 and over	30
Less than 65	34

Hypertension	72
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	36
Depression	14
Chronic Kidney Disease	19
Asthma	11
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	35
Dementia	8
Cancer	9

anorectal procedures	25
blood draw	83
catheterization	142
diagnostic procedures	25
doctor visit	590
lab tests	829
potassium test	16
urologic procedures	298

**Gender**
Male	362
Female	382

**Ethnicity**
Non-Hispanic White	658
Black	44
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	246
85 and over	120
Less than 65	128

Hypertension	72
High Cholesterol	68
Stroke	7
Ischemic Heart Disease	36
Depression	19
Chronic Kidney Disease	29
Asthma	19
Osteoperosis	8
Atrial Fibrilation	14
Heart Failure	21
Chronic Obstructive Pulmonary Disease	25
Diabetes	35
Dementia	10
Cancer	14

blood draw	66
catheterization	72
doctor visit	452
lab tests	601
suprapubic catheter replacement	23
urologic procedures	137

**Gender**
Male	149
Female	189

**Ethnicity**
Non-Hispanic White	288
Black	19
Hispanic	20
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	102
85 and over	49
Less than 65	60

Hypertension	70
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	40
Depression	23
Chronic Kidney Disease	35
Asthma	29
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	18
Chronic Obstructive Pulmonary Disease	22
Diabetes	35
Dementia	14
Cancer	12

**Gender**
Male	220
Female	205

**Ethnicity**
Non-Hispanic White	307
Black	107
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	188
From 75 to 84	124
85 and over	47
Less than 65	66

Hypertension	75
High Cholesterol	52
Stroke	6
Ischemic Heart Disease	36
Depression	24
Chronic Kidney Disease	42
Asthma	9
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	22
Chronic Obstructive Pulmonary Disease	15
Diabetes	42
Dementia	14
Cancer	18

doctor visit	109

**Gender**
Male	54
Female	81

**Ethnicity**
Non-Hispanic White	76
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	66
From 75 to 84	34
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	36
Depression	17
Chronic Kidney Disease	42
Asthma	10
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	21
Chronic Obstructive Pulmonary Disease	13
Diabetes	48
Dementia	0
Cancer	46

doctor visit	86

**Gender**
Male	41
Female	66

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

**Age**
From 65 to 74	44
From 75 to 84	34
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	42
Depression	18
Chronic Kidney Disease	39
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	12
Diabetes	35
Dementia	0
Cancer	42

doctor visit	69

**Gender**
Male	30
Female	45

**Ethnicity**
Non-Hispanic White	45
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	34
From 75 to 84	27
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	48
Depression	21
Chronic Kidney Disease	33
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	20
Chronic Obstructive Pulmonary Disease	0
Diabetes	37
Dementia	0
Cancer	47

doctor visit	122

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Ms. Nancy Lopez, PA for Medicare patients.

The highest averages for the top procedures that Ms. Nancy Lopez, PA treated as in Greenville, NC were lab tests, urologic procedures, abdominal imaging and catheterization.

abdominal imaging	97
anorectal procedures	25
blood draw	60
catheterization	66
CT scan	26
diagnostic procedures	25
doctor visit	247
hormone therapy	17
lab tests	460
pelvic imaging	26
potassium test	16
ultrasound (sonogram)	24
urologic procedures	119
X-rays	47

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Ms. Nancy Lopez, PA.

**Gender**
Male	98
Female	111

**Ethnicity**
Black / African American	17
Asian / Pacific Islander	0
Non-Hispanic White	161
Native American / Alaskan Native	0
Hispanic	2
Other	0

**Age**
75 to 84	65
85 and over	24
Less than 65	28
65 to 74	80

Average of Total of Conditions of Medicare patients treated by Ms. Nancy Lopez, PA From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Ms. Nancy Lopez, PA treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	58
High Cholesterol	49
Stroke	1
Ischemic Heart Disease	32
Depression	15
Chronic Kidney Disease	26
Asthma	9
Osteoporosis	4
Heart Failure	16
Chronic Obstructive Pulmonary Disease	12
Diabetes	31
Atrial Fibrillation	6
Cancer	20
Dementia	6

Education & Training

She has a state license in New York.

Licensed In: New York

Affiliations & Hospitals

Ms. Nancy Lopez, PA is associated with these hospitals and organizations:

VIDANT MEDICAL GROUP LLC

Ratings & Reviews

Ms. Nancy Lopez, PA has an exceptional overall rating with an average of 4.8 out of 5 stars based on 5 ratings. We collect ratings and reviews of Ms. Nancy Lopez, PA from all over the web to help you find the right in Greenville, NC.

4.8

Overall Rating

(5 Ratings)

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Reviews From Around The Web

Overall Rating: 5.0 2024-11-06