Dr. Nicholas John Toepfer, MD is an urologist in Colorado Springs, CO specializing in urology (urinary tract disease). He graduated from University of Cincinnati College of Medicine in 2008 and has 16 years of experience. Dr. Nicholas John Toepfer, MD is affiliated with UCHealth, CommonSpirit Health, POUDRE VALLEY MEDICAL GROUP LLC and UCHealth Urology Clinic - Colorado Springs.
1625 Medical Center Point
Colorado Springs, CO 80907
175 S. Union Boulevard Suite 315
Colorado Springs, CO 80910
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:
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.
Robotic Surgery
Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.
There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.
Volume of procedures performed by Dr. Nicholas John Toepfer, MD for Medicare patients.
The highest averages for the top procedures that Dr. Nicholas John Toepfer, MD treated as an urologist in Colorado Springs, CO were urologic procedures, minimally invasive procedures, lab tests and potassium test.
| 10 | |
| 18 | |
| 16 | |
| 28 | |
| 10 | |
| 24 | |
| 608 | |
| 19 | |
| 18 | |
| 30 | |
| 40 | |
| 18 | |
| 40 | |
| 96 | |
| 24 | |
| 24 | |
| 172 | |
| 21 | |
| 22 | |
| 18 | |
| 18 | |
| 41 | |
| 28 | |
| 10 | |
| 410 |
Information about Medicare patients treated by Dr. Nicholas John Toepfer, MD.
| 211 | |
| 106 |
| 12 | |
| 270 | |
| 21 | |
| 94 | |
| 40 | |
| 34 | |
| 148 |
The highest averages of the most common conditions of Medicare patients that Dr. Nicholas John Toepfer, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.
| 51 | |
| 38 | |
| 2 | |
| 20 | |
| 15 | |
| 26 | |
| 5 | |
| 3 | |
| 10 | |
| 9 | |
| 20 | |
| 7 | |
| 13 | |
| 6 |
Dr. Nicholas John Toepfer, MD graduated from University of Cincinnati College of Medicine in 2008. He completed residency at Geisinger Medical Center. He is certified by the American Board of Urology (ABU) and has a state license in Colorado.
Medical School: University of Cincinnati College of Medicine (2008)
Residency: Geisinger Medical Center (2013)
Board Certification: American Board of Urology (ABU)
Licensed In: Colorado
Dr. Nicholas John Toepfer, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Nicholas John Toepfer, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$1,442
Sacral Nerve Stimulation - Neuro $785 |
INTERSTIM $631 |
NURO $26 |
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$828
Vesicare $257 |
Myrbetriq $164 |
XTANDI $147 |
$260 |
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$422
XIAFLEX $244 |
FORTESTA $85 |
TESTOPEL $65 |
Aveed $28 |
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$402
INTERSTIM $387 |
$15 |
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$279
AquaBeam Robotic System $279 |
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$1,787
G8 elution Buffer No. 2, 800mL $162 |
Urolift System $120 |
Androgel $88 |
Axumin $87 |
NOCDURNA $71 |
Other $1,259 |
| $3,921 | |
| $638 | |
| $385 | |
| $216 |
Dr. Nicholas Toepfer is a specialist in urology (urinary tract disease). His areas of clinical interest consist of bladder cancer, kidney stones, and kidney cancer. He studied medicine at the University of Cincinnati College of Medicine. Dr. Toepfer's residency was performed at Geisinger Medical Center. He is affiliated with UCHealth.
