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Dr. Paul Sean Van Zijl, MD

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Specializes in: Urology (Urinary Tract Disease)
Northwestern University, Feinberg School of Medicine (1994)
Professional interests include: fistula, Peyronie's disease (penile curvature), kidney surgery, and more.
251 Lewis Lane
Havre De Grace, MD 21078

Dr. Paul Sean Van Zijl, MD is an urologist in Bel Air, MD specializing in urology (urinary tract disease). He graduated from Northwestern University, Feinberg School of Medicine in 1994 and has 31 years of experience. Dr. Paul Sean Van Zijl, MD is affiliated with MedStar Good Samaritan Hospital, University of Maryland Medical System, MedStar Franklin Square Medical Center, MedStar Health and CHESAPEAKE UROLOGY ASSOCIATES LLC.

View Doctor's Full Profile (410) 942-0130

Office Locations

Address:

201 Plumtree Road Suite 210
Bel Air, MD 21015

Address:

251 Lewis Lane
Havre De Grace, MD 21078

Some issues Dr. Paul Sean Van Zijl, MD can help you with:

Cryotherapy

Cryotherapy is the targeted use of extreme cold to destroy unhealthy or unwanted tissue. The doctor applies the cold on the skin or injects it through a needle to reach the inside of the body, where it freezes away the problem tissue. Cryotherapy is often used to remove minor skin problems such as warts or skin tags, and it is also used to treat some small tumors.

To achieve the cold temperatures needed for cryotherapy, liquid nitrogen or argon gas is passed through a tube, which becomes cold enough to freeze cells on contact. Alternatively, liquid nitrogen can be swabbed directly onto the skin or via a spray, which applies only a specific, small amount to the skin at a time.

Because the area treated is typically very small, cryotherapy is not usually painful. There may be a sensation of cold and possibly some slight discomfort. Cryotherapy is very fast and can easily be performed in a doctor's office. It also doesn't require stitches, because there is no cutting involved. These benefits make cryotherapy a good choice for many issues, including:

  • Common warts
  • Genital warts
  • Skin tags
  • Age spots
  • Some skin cancers
  • Cervical cancer
  • Prostate cancer
  • Retinoblastoma, cancer that occurs in the eye

Depending on the procedure, it usually takes three to four weeks to heal after cryotherapy. If it was done internally, patients may feel sore or have a small amount of swelling the first day afterwards. If cryotherapy was performed on the skin, patients will have a scab where their tissue was removed. Keep it clean and dry so it can heal.

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.

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.

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Paul Sean Van Zijl, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul Sean Van Zijl, MD treated as an urologist in Bel Air, MD were injections, hormone therapy, lab tests and urologic procedures.

abdominal imaging 167
ablation 26
anorectal procedures 18
biological response modifier (BRM) therapy 66
blood draw 405
catheterization 21
chemotherapy 66
diagnostic procedures 42
doctor visit 1396
foreign body removal 19
hormone therapy 13117
hospital care 20
injections 23549
inpatient care 20
lab tests 1055
laser treatment 48
lithotripsy (stone fragmentation) 22
minimally invasive procedures 369
minor procedures 27
neurostimulation 56
pelvic imaging 80
radiation therapy 11
stent placement (stenting) 30
ultrasound (sonogram) 249
urologic procedures 725

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Paul Sean Van Zijl, MD.

Gender
Female 227
Male 685
Ethnicity
Black / African American 76
Asian / Pacific Islander 1
Non-Hispanic White 796
Native American / Alaskan Native
Hispanic 2
Other 21
Age
85 and over 100
75 to 84 285
Less than 65 86
65 to 74 440

Average of Total of Conditions of Medicare patients treated by Dr. Paul Sean Van Zijl, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Paul Sean Van Zijl, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension 58
High Cholesterol 50
Stroke 4
Ischemic Heart Disease 31
Depression 14
Chronic Kidney Disease 26
Asthma 6
Osteoporosis 4
Heart Failure 10
Chronic Obstructive Pulmonary Disease 12
Diabetes 29
Atrial Fibrillation 11
Dementia 8
Cancer 17

Education & Training

Dr. Paul Sean Van Zijl, MD graduated from Northwestern University, Feinberg School of Medicine in 1994. He completed residency at University of Maryland Medical Center. He is certified by the UM Upper Chesapeake Health and has a state license in Maryland.

Medical School: Northwestern University, Feinberg School of Medicine (1994)

Residency: University of Maryland Medical Center (2006)

Board Certification: UM Upper Chesapeake Health

Licensed In: Maryland

Affiliations & Hospitals

Dr. Paul Sean Van Zijl, MD is associated with these hospitals and organizations:

MedStar Good Samaritan Hospital
University of Maryland Medical System
MedStar Franklin Square Medical Center
MedStar Health
CHESAPEAKE UROLOGY ASSOCIATES LLC

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General Payments

These charts describe general payments received by Dr. Paul Sean Van Zijl, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Astellas Pharma US Inc $1,322 Myrbetriq
$828 		XTANDI
$276 		Vesicare
$58
$160
Endo Pharmaceuticals Inc. $817 Aveed
$324 		XIAFLEX
$255 		FORTESTA
$192 		NATESTO
$32 		EDEX
$13
Rochester Medical Corporation $595 Urology
$269 		BMD-Magic3 Catheter
$239 		MAGIC3
$87
Teleflex LLC $564 Urolift System
$360 		Urolift
$204
Antares Pharma, Inc. $528 XYOSTED
$242 		TLANDO
$150 		OTREXUP
$115 		NOCDURNA
$21
Other $6,320 GEMTESA
$587 		Rezum
$395 		BOTOX
$358 		ZYTIGA
$286 		XGEVA
$277 		Other
$4,418
Types of Payments
Food and Beverage $9,582
Gift $379
Education $186

Ownership and Interest Payments

This table describes ownership payments received by Dr. Paul Sean Van Zijl, MD.

UroGPO LLC 2020 $90,358.69 Physician Covered Recipient Common Stock
UroGPO LLC 2017 $85,065.43 Physician Covered Recipient Common Stock
SN Holdings, LLC 2023 $78,612.01 Physician Covered Recipient Common Stock
UroGPO LLC 2019 $39,494.35 Physician Covered Recipient Common Stock
SN Holdings, LLC 2022 $37,950.63 Physician Covered Recipient Common Stock
UroGPO LLC 2018 $36,259.90 Physician Covered Recipient Common Stock
SN Holdings, LLC 2021 $35,239.87 Physician Covered Recipient Common Stock
UroGPO LLC 2016 $5,483.81 Physician Covered Recipient Common Stock
UroGPO LLC 2015 $2,941.17 Physician Covered Recipient Common Stock
UroGPO LLC 2014 $2,941.17 Physician Covered Recipient Common Stock
UroGPO LLC 2013 $0.00 Physician Covered Recipient Common Stock

Biography

Dr. Paul Van Zijl's specialty is urology (urinary tract disease). His areas of expertise include the following: bladder cancer, partial nephrectomy, and cryotherapy. He is affiliated with the University of Maryland Medical System, MedStar Franklin Square Medical Center, and MedStar Good Samaritan Hospital. Dr. Van Zijl attended Temple University School of Medicine and Northwestern University, Feinberg School of Medicine and subsequently trained at the University of Maryland Medical Center for residency.

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