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Dr. Philip Hoekstra, MD, PA

Accepting New Patients

(17 Ratings)

Specializes in: Urology (Urinary Tract Disease)

University of Iowa, Carver College of Medicine (1975)

Professional interests include: benign prostatic hyperplasia (enlarged prostate), vaginal prolapse, stress urinary incontinence, and more.

145 Michigan Street NE
Grand Rapids, MI 49503

(616) 267-7333

Dr. Philip Hoekstra, MD, PA is an urologist in Grand Rapids, MI specializing in urology (urinary tract disease). He graduated from University of Iowa, Carver College of Medicine in 1975 and has 49 years of experience. Dr. Philip Hoekstra, MD, PA is affiliated with Corewell Health and SPECTRUM HEALTH PRIMARY CARE PARTNERS.

Office Locations

Address:

145 Michigan Street NE
Grand Rapids, MI 49503

Address:

4069 Lake Drive SE
Grand Rapids, MI 49546

Address:

1900 Wealthy Street Southeast #100
East Grand Rapids, MI 49506

Some issues Dr. Philip Hoekstra, MD, PA 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.

anorectal procedures	39
catheterization	144
diagnostic procedures	39
doctor visit	471
hospital care	89
incontinence surgery	11
injections	37
inpatient care	89
lab tests	659
minimally invasive procedures	117
potassium test	23
stent placement (stenting)	14
urologic procedures	480

**Gender**
Male	201
Female	213

**Ethnicity**
Non-Hispanic White	382
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	135
From 75 to 84	149
85 and over	85
Less than 65	45

Hypertension	73
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	46
Depression	25
Chronic Kidney Disease	38
Asthma	7
Osteoperosis	9
Atrial Fibrilation	11
Heart Failure	21
Chronic Obstructive Pulmonary Disease	16
Diabetes	34
Dementia	13
Cancer	24

anorectal procedures	39
catheterization	104
diagnostic procedures	39
doctor visit	302
hospital care	49
incontinence surgery	14
injections	29
inpatient care	49
lab tests	447
minimally invasive procedures	100
potassium test	16
stent placement (stenting)	14
urologic procedures	394

**Gender**
Male	154
Female	192

**Ethnicity**
Non-Hispanic White	312
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	109
85 and over	68
Less than 65	68

Hypertension	73
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	36
Depression	29
Chronic Kidney Disease	37
Asthma	7
Osteoperosis	10
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	14
Diabetes	36
Dementia	13
Cancer	22

anorectal procedures	29
catheterization	57
diagnostic procedures	29
doctor visit	224
hospital care	11
incontinence surgery	15
injections	38
inpatient care	11
lab tests	313
minimally invasive procedures	74
urologic procedures	254

**Gender**
Male	182
Female	308

**Ethnicity**
Non-Hispanic White	442
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	146
From 75 to 84	152
85 and over	106
Less than 65	86

Hypertension	75
High Cholesterol	56
Stroke	6
Ischemic Heart Disease	39
Depression	31
Chronic Kidney Disease	44
Asthma	13
Osteoperosis	9
Atrial Fibrilation	18
Heart Failure	24
Chronic Obstructive Pulmonary Disease	12
Diabetes	36
Dementia	14
Cancer	22

anorectal procedures	19
catheterization	40
diagnostic procedures	19
doctor visit	158
lab tests	199
minimally invasive procedures	27
urologic procedures	129

**Gender**
Male	74
Female	90

**Ethnicity**
Non-Hispanic White	145
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	51
85 and over	30
Less than 65	28

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	41
Depression	36
Chronic Kidney Disease	43
Asthma	20
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	20
Chronic Obstructive Pulmonary Disease	16
Diabetes	33
Dementia	10
Cancer	26

anorectal procedures	22
catheterization	52
diagnostic procedures	22
doctor visit	171
lab tests	210
minimally invasive procedures	27
urologic procedures	162

**Gender**
Male	59
Female	106

**Ethnicity**
Non-Hispanic White	148
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	44
85 and over	30
Less than 65	27

Hypertension	75
High Cholesterol	55
Stroke	8
Ischemic Heart Disease	36
Depression	42
Chronic Kidney Disease	41
Asthma	7
Osteoperosis	12
Atrial Fibrilation	19
Heart Failure	18
Chronic Obstructive Pulmonary Disease	12
Diabetes	28
Dementia	18
Cancer	18

catheterization	54
doctor visit	112
injections	18
lab tests	161
minimally invasive procedures	39
potassium test	21
urologic procedures	123

**Gender**
Male	78
Female	101

**Ethnicity**
Non-Hispanic White	156
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	48
85 and over	35
Less than 65	39

Hypertension	69
High Cholesterol	60
Stroke	0
Ischemic Heart Disease	40
Depression	42
Chronic Kidney Disease	47
Asthma	9
Osteoperosis	13
Atrial Fibrilation	18
Heart Failure	30
Chronic Obstructive Pulmonary Disease	21
Diabetes	35
Dementia	19
Cancer	23

anorectal procedures	19
catheterization	44
diagnostic procedures	19
doctor visit	115
lab tests	170
minimally invasive procedures	26
potassium test	12
urologic procedures	153

**Gender**
Male	52
Female	87

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

**Age**
From 65 to 74	58
From 75 to 84	37
85 and over	22
Less than 65	22

Hypertension	66
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	27
Depression	40
Chronic Kidney Disease	35
Asthma	10
Osteoperosis	17
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	17
Diabetes	24
Dementia	14
Cancer	17

catheterization	20
doctor visit	78
lab tests	69
urologic procedures	11

**Gender**
Male	43
Female	53

**Age**
From 65 to 74	41
From 75 to 84	28
85 and over	14
Less than 65	13

Hypertension	71
High Cholesterol	60
Stroke	0
Ischemic Heart Disease	36
Depression	29
Chronic Kidney Disease	35
Asthma	0
Osteoperosis	0
Atrial Fibrilation	16
Heart Failure	18
Chronic Obstructive Pulmonary Disease	14
Diabetes	31
Dementia	0
Cancer	17

catheterization	45
doctor visit	148
lab tests	147
minimally invasive procedures	27
urologic procedures	95

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Philip Hoekstra, MD, PA for Medicare patients.

The highest averages for the top procedures that Dr. Philip Hoekstra, MD, PA treated as an urologist in Grand Rapids, MI were lab tests, urologic procedures, catheterization and minimally invasive procedures.

anorectal procedures	27
catheterization	63
diagnostic procedures	27
doctor visit	198
hospital care	49
incontinence surgery	13
injections	30
inpatient care	49
lab tests	263
minimally invasive procedures	55
potassium test	18
stent placement (stenting)	14
urologic procedures	204

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Philip Hoekstra, MD, PA.

**Gender**
Male	84
Female	115

**Ethnicity**
Black / African American	5
Asian / Pacific Islander	0
Non-Hispanic White	170
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	61
85 and over	39
Less than 65	32
65 to 74	65

Average of Total of Conditions of Medicare patients treated by Dr. Philip Hoekstra, MD, PA From 2013 - 2021

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

Hypertension	57
High Cholesterol	46
Stroke	2
Ischemic Heart Disease	30
Depression	27
Chronic Kidney Disease	32
Asthma	7
Osteoporosis	8
Heart Failure	16
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Atrial Fibrillation	11
Cancer	16
Dementia	10

Education & Training

Dr. Philip Hoekstra, MD, PA graduated from University of Iowa, Carver College of Medicine in 1975. He has a state license in Michigan.

Medical School: University of Iowa, Carver College of Medicine (1975)

Licensed In: Michigan

Affiliations & Hospitals

Dr. Philip Hoekstra, MD, PA is associated with these hospitals and organizations:

Corewell Health

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Ratings & Reviews

Dr. Philip Hoekstra, MD, PA has an exceptional overall rating with an average of 4.71 out of 5 stars based on 17 ratings. We collect ratings and reviews of Dr. Philip Hoekstra, MD, PA from all over the web to help you find the right in Grand Rapids, MI.

4.71

Overall Rating

(17 Ratings)

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Reviews From Around The Web

Overall Rating: 5.0 2022-11-21