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Dr. Robert Fritz Smith, MD, FACS

Accepting New Patients

(354 Ratings)

Specializes in: Urology (Urinary Tract Disease)

University of Iowa, Carver College of Medicine (1991)

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

100 Cook Street Suite 302
Denver, CO 80206

(720) 516-9425

Dr. Robert Fritz Smith, MD, FACS is an urologist in Greenwood Village, CO specializing in urology (urinary tract disease). He graduated from University of Iowa, Carver College of Medicine in 1991 and has 34 years of experience. Dr. Robert Fritz Smith, MD, FACS is affiliated with UCHealth, University of Colorado Medicine, UCHealth Urology Clinic - Cherry Creek, PORTERCARE ADVENTIST HEALTH SYSTEM and POUDRE VALLEY MEDICAL GROUP LLC.

Office Locations

Address:

8200 E Belleview Avenue Suite 270E
Greenwood Village, CO 80111

Address:

100 Cook Street Suite 302
Denver, CO 80206

Some issues Dr. Robert Fritz Smith, MD, FACS 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.

blood draw	205
diagnostic procedures	11
doctor visit	864
hospital care	78
inpatient care	78
lab tests	1337
minimally invasive procedures	73
minor procedures	12
pelvic imaging	29
potassium test	20
ultrasound (sonogram)	30
urologic procedures	538

**Gender**
Male	487
Female	163

**Ethnicity**
Non-Hispanic White	615
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	296
From 75 to 84	202
85 and over	94
Less than 65	58

Hypertension	73
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	39
Depression	15
Chronic Kidney Disease	27
Asthma	5
Osteoperosis	6
Atrial Fibrilation	13
Heart Failure	17
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Dementia	12
Cancer	24

blood draw	31
diagnostic procedures	11
doctor visit	794
hospital care	19
inpatient care	19
lab tests	1103
minimally invasive procedures	60
minor procedures	12
pelvic imaging	45
potassium test	17
ultrasound (sonogram)	46
urologic procedures	409

**Gender**
Male	377
Female	140

**Ethnicity**
Non-Hispanic White	492
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	232
From 75 to 84	157
85 and over	70
Less than 65	58

Hypertension	71
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	37
Depression	16
Chronic Kidney Disease	28
Asthma	5
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	10
Cancer	22

**Gender**
Male	794
Female	332

**Ethnicity**
Non-Hispanic White	1084
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	488
From 75 to 84	364
85 and over	144
Less than 65	130

Hypertension	72
High Cholesterol	65
Stroke	7
Ischemic Heart Disease	39
Depression	23
Chronic Kidney Disease	31
Asthma	13
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	15
Chronic Obstructive Pulmonary Disease	16
Diabetes	34
Dementia	14
Cancer	21

blood draw	106
catheterization	10
doctor visit	922
hospital care	106
inpatient care	106
lab tests	939
minimally invasive procedures	51
pelvic imaging	36
potassium test	44
ultrasound (sonogram)	37
urologic procedures	471

**Gender**
Male	487
Female	190

**Ethnicity**
Non-Hispanic White	648
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	270
From 75 to 84	228
85 and over	100
Less than 65	79

Hypertension	75
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	39
Depression	21
Chronic Kidney Disease	36
Asthma	20
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	18
Chronic Obstructive Pulmonary Disease	18
Diabetes	31
Dementia	13
Cancer	20

blood draw	119
diagnostic procedures	10
doctor visit	915
foreign body removal	10
hospital care	117
inpatient care	117
lab tests	705
laser treatment	12
lithotripsy (stone fragmentation)	12
minimally invasive procedures	114
minor procedures	11
potassium test	73
stent placement (stenting)	29
urologic procedures	389

**Gender**
Male	490
Female	207

**Ethnicity**
Non-Hispanic White	673
Black	0
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	294
From 75 to 84	244
85 and over	99
Less than 65	60

Hypertension	74
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	42
Depression	22
Chronic Kidney Disease	38
Asthma	5
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	21
Chronic Obstructive Pulmonary Disease	21
Diabetes	30
Dementia	16
Cancer	20

blood draw	32
doctor visit	332
hospital care	44
inpatient care	44
lab tests	170
minimally invasive procedures	14
potassium test	20
urologic procedures	108

**Gender**
Male	246
Female	93

**Ethnicity**
Non-Hispanic White	324
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	142
From 75 to 84	118
85 and over	46
Less than 65	33

Hypertension	75
High Cholesterol	67
Stroke	9
Ischemic Heart Disease	44
Depression	25
Chronic Kidney Disease	45
Asthma	4
Osteoperosis	6
Atrial Fibrilation	16
Heart Failure	18
Chronic Obstructive Pulmonary Disease	19
Diabetes	34
Dementia	17
Cancer	22

catheterization	16
doctor visit	475
foreign body removal	18
lab tests	324
minimally invasive procedures	85
stent placement (stenting)	11
urologic procedures	330

**Gender**
Male	242
Female	85

**Ethnicity**
Non-Hispanic White	288
Black	0
Hispanic	22
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	154
From 75 to 84	98
85 and over	58
Less than 65	17

Hypertension	65
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	38
Depression	28
Chronic Kidney Disease	46
Asthma	5
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	25
Dementia	18
Cancer	16

anorectal procedures	26
diagnostic procedures	25
doctor visit	255
hormone therapy	10
lab tests	224
minimally invasive procedures	13
potassium test	13
urologic procedures	179

**Gender**
Male	197
Female	47

**Ethnicity**
Non-Hispanic White	219
Black	0
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	118
From 75 to 84	78
85 and over	36
Less than 65	12

Hypertension	66
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	42
Depression	23
Chronic Kidney Disease	49
Asthma	0
Osteoperosis	9
Atrial Fibrilation	14
Heart Failure	19
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	18
Cancer	22

doctor visit	640
foreign body removal	40
hospital care	16
inpatient care	16
lab tests	354
laser treatment	23
lithotripsy (stone fragmentation)	23
minimally invasive procedures	112
potassium test	53
stent placement (stenting)	22
urologic procedures	212

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Robert Fritz Smith, MD, FACS for Medicare patients.

The highest averages for the top procedures that Dr. Robert Fritz Smith, MD, FACS treated as an urologist in Greenwood Village, CO were lab tests, urologic procedures, blood draw and minimally invasive procedures.

abdominal imaging	10
anorectal procedures	26
blood draw	98
catheterization	14
CT scan	10
diagnostic procedures	15
doctor visit	667
foreign body removal	22
hormone therapy	10
hospital care	64
inpatient care	64
lab tests	691
laser treatment	17
lithotripsy (stone fragmentation)	17
minimally invasive procedures	66
minor procedures	11
pelvic imaging	39
potassium test	33
stent placement (stenting)	21
ultrasound (sonogram)	36
urologic procedures	353

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Robert Fritz Smith, MD, FACS.

**Gender**
Male	332
Female	125

**Ethnicity**
Black / African American	4
Asian / Pacific Islander	0
Non-Hispanic White	434
Native American / Alaskan Native	0
Hispanic	3
Other	1

**Age**
85 and over	64
75 to 84	148
Less than 65	44
65 to 74	199

Average of Total of Conditions of Medicare patients treated by Dr. Robert Fritz Smith, MD, FACS From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Robert Fritz Smith, MD, FACS treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	57
High Cholesterol	47
Stroke	4
Ischemic Heart Disease	32
Depression	17
Chronic Kidney Disease	30
Asthma	5
Osteoporosis	5
Heart Failure	14
Chronic Obstructive Pulmonary Disease	13
Diabetes	24
Atrial Fibrillation	11
Dementia	11
Cancer	16

Education & Training

Dr. Robert Fritz Smith, MD, FACS graduated from University of Iowa, Carver College of Medicine in 1991. He completed residency at University of Kansas Affiliated Hospitals. He has a state license in Colorado.

Medical School: University of Iowa, Carver College of Medicine (1991)

Residency: University of Kansas Affiliated Hospitals

Licensed In: Colorado

Affiliations & Hospitals

Dr. Robert Fritz Smith, MD, FACS is associated with these hospitals and organizations:

UCHealth

University of Colorado Medicine

UCHealth Urology Clinic - Cherry Creek

PORTERCARE ADVENTIST HEALTH SYSTEM

POUDRE VALLEY MEDICAL GROUP LLC

Ratings & Reviews

Dr. Robert Fritz Smith, MD, FACS has an exceptional overall rating with an average of 4.7 out of 5 stars based on 354 ratings. We collect ratings and reviews of Dr. Robert Fritz Smith, MD, FACS from all over the web to help you find the right in Greenwood Village, CO.

4.7

Overall Rating

(354 Ratings)

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General Payments

These charts describe general payments received by Dr. Robert Fritz Smith, MD, FACS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$848 GENERAL KIDNEY STONE DISEASE $467	GENERAL THERAPIES $238	LITHOVUE $43	FLEXIVA $31	GENERAL - THERAPIES $29	Other $41
Astellas Pharma US Inc	$182 Myrbetriq $112	XTANDI $23	$48
Myovant Sciences Inc.	$179 ORGOVYX $179
Antares Pharma, Inc.	$169 TLANDO $138	XYOSTED $31
C. R. Bard, Inc. & Subsidiaries	$80 $80
Other	$541 ORGOVYX $70	Sacral Nerve Stimulation - Neuro $55	Urolift $36	PROVENGE $36	Bulkamid $31	Other $313

**Types of Payments**
Food and Beverage	$1,586
Travel and Lodging	$390
Education	$24

Biography

Dr. Robert Smith specializes in urology (urinary tract disease) and practices in Greenwood Village, CO and Denver, CO. Patients rated him highly, giving him an average of 4.5 stars (out of 5). Dr. Smith's areas of expertise include benign prostatic hyperplasia (enlarged prostate), kidney stones, and urinary tract infection (UTI). He is a graduate of the University of Iowa, Carver College of Medicine. He speaks Spanish. His professional affiliations include UCHealth and the University of Colorado Medicine. According to Doctor.com, Dr. Smith is currently accepting new patients at his office in Greenwood Village, CO.