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Dr. Thomas Nelius, MD

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Specializes in: Urology (Urinary Tract Disease)

Professional interests include: benign prostatic hyperplasia (enlarged prostate), urinary incontinence, kidney cancer, and more.

1904 Pine Street Suite 3A
Abilene, TX 79601

(325) 670-6180

Dr. Thomas Nelius, MD is an urologist in Abilene, TX specializing in urology (urinary tract disease). Dr. Thomas Nelius, MD is affiliated with Hendrick Health, Hendrick Medical Center and HENDRICK PROVIDER NETWORK.

Office Locations

Address:

1904 Pine Street Suite 3A
Abilene, TX 79601

Some issues Dr. Thomas Nelius, 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.

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.

abdominal imaging	79
catheterization	13
doctor visit	414
hospital care	61
inpatient care	61
lab tests	443
minimally invasive procedures	44
pelvic imaging	41
ultrasound (sonogram)	120
urologic procedures	171

**Gender**
Male	208
Female	109

**Ethnicity**
Non-Hispanic White	214
Black	0
Hispanic	83
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	135
From 75 to 84	71
85 and over	28
Less than 65	83

Hypertension	75
High Cholesterol	51
Stroke	6
Ischemic Heart Disease	50
Depression	23
Chronic Kidney Disease	41
Asthma	8
Osteoperosis	5
Atrial Fibrilation	9
Heart Failure	24
Chronic Obstructive Pulmonary Disease	18
Diabetes	44
Dementia	16
Cancer	17

abdominal imaging	42
doctor visit	440
hospital care	67
inpatient care	67
lab tests	454
minimally invasive procedures	71
pelvic imaging	16
ultrasound (sonogram)	58
urologic procedures	221

**Gender**
Male	269
Female	109

**Ethnicity**
Non-Hispanic White	271
Black	0
Hispanic	82
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	186
From 75 to 84	93
85 and over	32
Less than 65	67

Hypertension	74
High Cholesterol	52
Stroke	6
Ischemic Heart Disease	47
Depression	20
Chronic Kidney Disease	42
Asthma	7
Osteoperosis	6
Atrial Fibrilation	9
Heart Failure	24
Chronic Obstructive Pulmonary Disease	18
Diabetes	39
Dementia	12
Cancer	18

catheterization	11
diagnostic procedures	11
doctor visit	518
hospital care	119
inpatient care	119
lab tests	462
minimally invasive procedures	79
minor procedures	11
stent placement (stenting)	10
urologic procedures	256

**Gender**
Male	786
Female	216

**Ethnicity**
Non-Hispanic White	720
Black	0
Hispanic	224
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	412
From 75 to 84	298
85 and over	114
Less than 65	178

Hypertension	75
High Cholesterol	56
Stroke	4
Ischemic Heart Disease	49
Depression	21
Chronic Kidney Disease	44
Asthma	13
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	28
Chronic Obstructive Pulmonary Disease	18
Diabetes	40
Dementia	15
Cancer	18

abdominal imaging	10
catheterization	20
diagnostic procedures	11
doctor visit	529
hospital care	99
inpatient care	99
lab tests	458
minimally invasive procedures	77
minor procedures	11
stent placement (stenting)	14
ultrasound (sonogram)	9
urologic procedures	225

**Gender**
Male	386
Female	129

**Ethnicity**
Non-Hispanic White	372
Black	0
Hispanic	116
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	216
From 75 to 84	164
85 and over	43
Less than 65	92

Hypertension	75
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	48
Depression	22
Chronic Kidney Disease	50
Asthma	21
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	25
Chronic Obstructive Pulmonary Disease	18
Diabetes	41
Dementia	14
Cancer	17

abdominal imaging	10
catheterization	25
diagnostic procedures	11
doctor visit	482
hormone therapy	23
hospital care	90
inpatient care	90
lab tests	475
lithotripsy (stone fragmentation)	10
minimally invasive procedures	63
minor procedures	11
ultrasound (sonogram)	9
urologic procedures	222

**Gender**
Male	374
Female	108

**Ethnicity**
Non-Hispanic White	353
Black	0
Hispanic	96
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	193
From 75 to 84	150
85 and over	55
Less than 65	84

Hypertension	75
High Cholesterol	55
Stroke	6
Ischemic Heart Disease	52
Depression	21
Chronic Kidney Disease	52
Asthma	8
Osteoperosis	6
Atrial Fibrilation	12
Heart Failure	27
Chronic Obstructive Pulmonary Disease	18
Diabetes	44
Dementia	16
Cancer	19

abdominal imaging	33
doctor visit	436
hormone therapy	26
hospital care	137
inpatient care	137
lab tests	392
minimally invasive procedures	59
pelvic imaging	12
stent placement (stenting)	17
ultrasound (sonogram)	45
urologic procedures	148

**Gender**
Male	364
Female	117

**Ethnicity**
Non-Hispanic White	364
Black	0
Hispanic	89
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	196
From 75 to 84	160
85 and over	60
Less than 65	65

Hypertension	75
High Cholesterol	57
Stroke	6
Ischemic Heart Disease	48
Depression	25
Chronic Kidney Disease	53
Asthma	5
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	26
Chronic Obstructive Pulmonary Disease	16
Diabetes	40
Dementia	16
Cancer	20

abdominal imaging	20
catheterization	13
doctor visit	442
hormone therapy	22
hospital care	100
inpatient care	100
lab tests	343
minimally invasive procedures	58
stent placement (stenting)	13
ultrasound (sonogram)	19
urologic procedures	148

**Gender**
Male	369
Female	103

**Ethnicity**
Non-Hispanic White	362
Black	0
Hispanic	80
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	188
From 75 to 84	156
85 and over	60
Less than 65	68

Hypertension	75
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	54
Depression	25
Chronic Kidney Disease	54
Asthma	7
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	27
Chronic Obstructive Pulmonary Disease	19
Diabetes	42
Dementia	16
Cancer	22

doctor visit	390
hormone therapy	29
hospital care	69
inpatient care	69
lab tests	259
minimally invasive procedures	38
urologic procedures	80

**Gender**
Male	308
Female	88

**Ethnicity**
Non-Hispanic White	317
Black	0
Hispanic	55
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	169
From 75 to 84	145
85 and over	46
Less than 65	36

Hypertension	75
High Cholesterol	64
Stroke	4
Ischemic Heart Disease	53
Depression	20
Chronic Kidney Disease	51
Asthma	8
Osteoperosis	7
Atrial Fibrilation	13
Heart Failure	27
Chronic Obstructive Pulmonary Disease	16
Diabetes	39
Dementia	19
Cancer	24

diagnostic procedures	70
doctor visit	1305
hormone therapy	99
hospital care	174
inpatient care	174
lab tests	58
lithotripsy (stone fragmentation)	33
minimally invasive procedures	274
minor procedures	70
urologic procedures	395

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Thomas Nelius, MD for Medicare patients.

The highest averages for the top procedures that Dr. Thomas Nelius, MD treated as an urologist in Abilene, TX were lab tests, urologic procedures, inpatient care and hospital care.

abdominal imaging	32
catheterization	17
diagnostic procedures	25
doctor visit	552
hormone therapy	39
hospital care	101
inpatient care	101
lab tests	371
lithotripsy (stone fragmentation)	21
minimally invasive procedures	85
minor procedures	25
pelvic imaging	23
stent placement (stenting)	13
ultrasound (sonogram)	43
urologic procedures	210

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Thomas Nelius, MD.

**Gender**
Male	306
Female	97

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	297
Native American / Alaskan Native	0
Hispanic	82
Other	0

**Age**
75 to 84	123
85 and over	43
Less than 65	67
65 to 74	169

Average of Total of Conditions of Medicare patients treated by Dr. Thomas Nelius, MD From 2013 - 2021

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

Hypertension	59
High Cholesterol	45
Stroke	4
Ischemic Heart Disease	40
Depression	17
Chronic Kidney Disease	38
Asthma	7
Osteoporosis	5
Heart Failure	20
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Atrial Fibrillation	8
Cancer	15
Dementia	12

Education & Training

He completed residency at Teaching Hospital Aschersleben Aschersleben. He is certified by the American Board of Urology and has a state license in Texas.

Residency: Teaching Hospital Aschersleben Aschersleben (2001)

Board Certification: American Board of Urology

Licensed In: Texas

Affiliations & Hospitals

Dr. Thomas Nelius, MD is associated with these hospitals and organizations:

Hendrick Health

Hendrick Medical Center

HENDRICK PROVIDER NETWORK

Ratings & Reviews

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General Payments

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

**Payments by Company**
Intuitive Surgical, Inc.	$1,484 Da Vinci Surgical System $1,484
Boston Scientific Corporation	$288 GENERAL KIDNEY STONE DISEASE $111	Rezum $63	GENERAL - THERAPIES $39	GENERAL BPH $37	LITHOVUE $22	Other $16
PROCEPT BioRobotics Corporation	$183 AquaBeam Robotic System $183
Astellas Pharma US Inc	$151 Myrbetriq $109	Vesicare $24	XTANDI $19
TERUMO MEDICAL CORPORATION	$145 INTERVENTIONAL PRODUCT $145
Other	$380 Cysview $62	XTANDI $50	PENILE RECONSTRUCTION $49	Urology $36	Surgical Endoscopy Products $30	Other $154

**Types of Payments**
Travel and Lodging	$1,254
Food and Beverage	$1,252
Grant	$111
Education	$15

Biography

Dr. Thomas Nelius' area of specialization is urology (urinary tract disease). Clinical interests for Dr. Nelius include benign prostatic hyperplasia (enlarged prostate), kidney stones, and urinary tract infection (UTI). He is affiliated with Hendrick Health. Doctor.com reports that he is accepting new patients at his office in Abilene, TX.

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Dr. Thomas Nelius, MD

Office Locations

Some issues Dr. Thomas Nelius, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Thomas Nelius, 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. Thomas Nelius, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Abilene, TX