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Dr. Ralph J. Miller Jr., MD

(213 Ratings)

Specializes in: Urology (Urinary Tract Disease)

University of Pittsburgh School of Medicine (1984)

Professional interests include: vasectomy, benign prostatic hyperplasia (enlarged prostate), cryotherapy, and more.

1200 Brooks Lane Suite 240
Jefferson Hills, PA 15025

(412) 469-1002

Dr. Ralph J. Miller Jr., MD is an urologist in Jefferson Hills, PA specializing in urology (urinary tract disease). He graduated from University of Pittsburgh School of Medicine in 1984 and has 40 years of experience. Dr. Ralph J. Miller Jr., MD is affiliated with Allegheny Health Network and ALLEGHENY CLINIC.

Office Locations

Address:

1200 Brooks Lane Suite 240
Jefferson Hills, PA 15025

Address:

1307 Federal Street Suite 300
Pittsburgh, PA 15212

Some issues Dr. Ralph J. Miller Jr., 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.

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.

In The News (see more mentions in the news)

“And about one out of five are found because you felt something abnormal in the prostate on the exam," explained Allegheny General Hospital urologist Dr. Ralph Miller.”—"Local Urologist Explains Prostate Cancer, How It's Treated", CBS San Francisco, February 2016

“PITTSBURGH (NewsRadio 1020 KDKA) -- Dr. Pifer was joined in the studio by Dr. Jeffrey Cohen, Director of Allegheny General Hospital's Division of Urology, and Dr. Ralph Miller, Director of...”—"Medical Frontiers Talks About Prostate Disease", CBS Philly, January 2012

“West Penn Allegheny Health System urologist Dr. Ralph Miller, Jr., MD, FACS hosts Medical Frontiers to discuss advances in the treatment of prostate cancer, as well as general prostate health.”—"Medical Frontiers: Prostate Cancer Treatment", CBS Philly, August 2011

doctor visit	543
hormone therapy	46
hospital care	13
inpatient care	13
lab tests	363
minimally invasive procedures	86
stent placement (stenting)	19
urologic procedures	233

**Gender**
Male	366
Female	39

**Ethnicity**
Non-Hispanic White	372
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	175
From 75 to 84	124
85 and over	65
Less than 65	41

Hypertension	65
High Cholesterol	59
Stroke	10
Ischemic Heart Disease	46
Depression	17
Chronic Kidney Disease	34
Asthma	5
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	23
Chronic Obstructive Pulmonary Disease	18
Diabetes	32
Dementia	8
Cancer	47

**Gender**
Male	382
Female	50

**Ethnicity**
Non-Hispanic White	397
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	192
From 75 to 84	131
85 and over	68
Less than 65	41

Hypertension	71
High Cholesterol	62
Stroke	7
Ischemic Heart Disease	44
Depression	17
Chronic Kidney Disease	29
Asthma	5
Osteoperosis	0
Atrial Fibrilation	15
Heart Failure	22
Chronic Obstructive Pulmonary Disease	14
Diabetes	29
Dementia	9
Cancer	48

doctor visit	615
hormone therapy	56
hospital care	12
inpatient care	12
lab tests	429
minimally invasive procedures	51
potassium test	14
urologic procedures	220

**Gender**
Male	756
Female	82

**Ethnicity**
Non-Hispanic White	748
Black	58
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	424
From 75 to 84	218
85 and over	136
Less than 65	60

Hypertension	67
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	38
Depression	16
Chronic Kidney Disease	29
Asthma	10
Osteoperosis	4
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Dementia	9
Cancer	47

doctor visit	556
hormone therapy	35
hospital care	62
inpatient care	62
lab tests	431
minimally invasive procedures	63
urologic procedures	176

**Gender**
Male	392
Female	38

**Ethnicity**
Non-Hispanic White	388
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	236
From 75 to 84	106
85 and over	58
Less than 65	30

Hypertension	69
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	34
Depression	15
Chronic Kidney Disease	31
Asthma	15
Osteoperosis	4
Atrial Fibrilation	12
Heart Failure	18
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Dementia	10
Cancer	46

doctor visit	604
hormone therapy	43
hospital care	104
inpatient care	104
lab tests	493
minimally invasive procedures	82
urologic procedures	253

**Gender**
Male	430
Female	51

**Ethnicity**
Non-Hispanic White	433
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	255
From 75 to 84	137
85 and over	48
Less than 65	41

Hypertension	71
High Cholesterol	56
Stroke	6
Ischemic Heart Disease	34
Depression	18
Chronic Kidney Disease	36
Asthma	6
Osteoperosis	4
Atrial Fibrilation	16
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	29
Dementia	11
Cancer	46

diagnostic procedures	16
doctor visit	695
hormone therapy	65
hospital care	72
inpatient care	72
lab tests	541
minimally invasive procedures	100
minor procedures	16
radiation therapy	10
urologic procedures	285

**Gender**
Male	478
Female	58

**Ethnicity**
Non-Hispanic White	492
Black	25
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	295
From 75 to 84	143
85 and over	53
Less than 65	45

Hypertension	70
High Cholesterol	65
Stroke	5
Ischemic Heart Disease	38
Depression	18
Chronic Kidney Disease	33
Asthma	6
Osteoperosis	3
Atrial Fibrilation	13
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	27
Dementia	8
Cancer	45

doctor visit	635
hormone therapy	62
hospital care	97
inpatient care	97
lab tests	521
minimally invasive procedures	82
stent placement (stenting)	11
urologic procedures	260

**Gender**
Male	466
Female	52

**Ethnicity**
Non-Hispanic White	469
Black	29
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	290
From 75 to 84	130
85 and over	60
Less than 65	38

Hypertension	69
High Cholesterol	63
Stroke	4
Ischemic Heart Disease	36
Depression	15
Chronic Kidney Disease	31
Asthma	6
Osteoperosis	4
Atrial Fibrilation	15
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Dementia	8
Cancer	48

doctor visit	503
hormone therapy	62
hospital care	99
inpatient care	99
lab tests	416
minimally invasive procedures	38
urologic procedures	170

**Gender**
Male	420
Female	33

**Ethnicity**
Non-Hispanic White	417
Black	19
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	283
From 75 to 84	97
85 and over	52
Less than 65	21

Hypertension	73
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	37
Depression	17
Chronic Kidney Disease	36
Asthma	7
Osteoperosis	3
Atrial Fibrilation	15
Heart Failure	17
Chronic Obstructive Pulmonary Disease	10
Diabetes	25
Dementia	10
Cancer	52

diagnostic procedures	41
doctor visit	1225
hormone therapy	139
hospital care	174
inpatient care	174
lab tests	1026
minimally invasive procedures	158
minor procedures	41
urologic procedures	441

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Ralph J. Miller Jr., MD for Medicare patients.

The highest averages for the top procedures that Dr. Ralph J. Miller Jr., MD treated as an urologist in Jefferson Hills, PA were lab tests, urologic procedures, minimally invasive procedures and hospital care.

cancer surgery	10
diagnostic procedures	28
doctor visit	663
hormone therapy	61
hospital care	73
inpatient care	73
lab tests	514
minimally invasive procedures	86
minor procedures	28
potassium test	16
radiation therapy	10
stent placement (stenting)	14
urologic procedures	257

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Ralph J. Miller Jr., MD.

**Gender**
Male	369
Female	40

**Ethnicity**
Black / African American	24
Asian / Pacific Islander	0
Non-Hispanic White	371
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	108
85 and over	54
Less than 65	31
65 to 74	215

Average of Total of Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Ralph J. Miller Jr., MD treated were hypertension, high cholesterol, cancer and ischemic heart disease.

Hypertension	55
High Cholesterol	49
Stroke	4
Ischemic Heart Disease	30
Depression	13
Chronic Kidney Disease	25
Asthma	6
Osteoporosis	2
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	22
Atrial Fibrillation	11
Cancer	37
Dementia	7

Education & Training

Dr. Ralph J. Miller Jr., MD graduated from University of Pittsburgh School of Medicine in 1984. He has a state license in Pennsylvania.

Medical School: University of Pittsburgh School of Medicine (1984)

Licensed In: Pennsylvania

Affiliations & Hospitals

Dr. Ralph J. Miller Jr., MD is associated with these hospitals and organizations:

Allegheny Health Network

ALLEGHENY CLINIC

Ratings & Reviews

Dr. Ralph J. Miller Jr., MD has an exceptional overall rating with an average of 4.9 out of 5 stars based on 213 ratings. We collect ratings and reviews of Dr. Ralph J. Miller Jr., MD from all over the web to help you find the right in Jefferson Hills, PA.

4.9

Overall Rating

(213 Ratings)

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General Payments

These charts describe general payments received by Dr. Ralph J. Miller Jr., MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Intuitive Surgical, Inc.	$2,955 Da Vinci Surgical System $2,955
NeuWave Medical, Inc.	$1,923 CERTUS 140 MICROWAVE ABLATION SYSTEM $1,923
Astellas Pharma US Inc	$582 Myrbetriq $285	XTANDI $192	Vesicare $26	$78
Boston Scientific Corporation	$336 LITHOVUE $185	GENERAL THERAPIES $122	General - BPH $15	GENERAL ERECTILE DYSFUNCTION $13
Actavis Pharma Inc	$250 RAPAFLO $229	ESTRACE CREAM $21
Other	$895 XTANDI $147	Lupron $105	TESTIM $92	ZYTIGA $53	Oncology $42	Other $456

**Types of Payments**
Travel and Lodging	$3,704
Food and Beverage	$2,472
Education	$765

Biography

Dr. Ralph Miller's area of specialization is urology (urinary tract disease). He attended medical school at the University of Pittsburgh School of Medicine. His areas of expertise include bladder cancer, benign prostatic hyperplasia (enlarged prostate), and cryotherapy. The average patient rating for Dr. Miller is 5.0 stars (out of 5). He is affiliated with Allegheny Health Network.

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Dr. Ralph J. Miller Jr., MD

Office Locations

Some issues Dr. Ralph J. Miller Jr., MD can help you with:

In The News (see more mentions in the news)

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Ralph J. Miller Jr., MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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