Replacing Ankles at Peninsula Hospitals

He could hear the crunch of bone on bone. Every step reminded him of a multitude of youthful injuries from playing football and basketball. A year ago, his left ankle swelled from post-traumatic arthritis. “I had a lot of sprains. It rolled real easily. It hurt every step I took,” he said. “It can take from 20 to 40 years for the injuries to cause a problem,” said William “Kent” Pittman, 57, as he prepped for a total ankle replacement at Sentara Williamsburg Regional Medical Center last week.

Surgeon Matthew Hopson, a foot and ankle specialist with Tidewater Physicians Multispecialty Group, TPMG, performed the first such procedure at the hospital this spring. Since then, he and his TPMG practice partner Benjamin Proto have done 20 ankle replacements at Peninsula operating rooms, including at Bon Secours Mary Immaculate in Newport News, and most recently a first at Riverside Doctors Hospital in Williamsburg.


Read the rest of the article here.

TPMG Cardiolovascular Specialists, Virginia Beach earns Echocardiography accreditation by IAC

Echocardiography is used to assess different areas of the heart and can detect heart disease or signs of serious cardiovascular conditions. Heart disease is the leading cause of death in the United States, followed closely by stroke as the fourth highest cause of death. According to the American Heart Association (AHA), more than 2,150 Americans die each day from cardiovascular disease which amounts to about one every 40 seconds.

H. Lee Kanter, MD, FACC

Dr. Kanter – Cardiology Specialists of Virginia Beach

There are many factors that contribute to an accurate diagnosis based on echocardiography. The training and experience of the sonographer performing the procedure, the type of equipment used and the quality assessment metrics each facility is required to measure, all contribute to a positive patient outcome. IAC accreditation is a “seal of approval” that patients can rely on as an indicator of consistent quality care and a dedication to continuous improvement.

TPMG Cardiolovascular Specialists, Virginia Beach located in Virginia Beach, VA has been granted a three-year term of accreditation by the Intersocietal Accreditation Commission (IAC) in Echocardiography in the area(s) of Adult Transthoracic.

Accreditation by IAC indicates that TPMG Cardiolovascular Specialists, Virginia Beach has undergone an intensive application and review process and is found to be compliance with the published Standards thus demonstrating a commitment to quality patient care in echocardiography. Comprised of a detailed self-evaluation followed by a thorough review by a panel of medical experts, the IAC accreditation process enables both the critical operational and technical components of the applicant facility to be assessed, including representative case studies and their corresponding final reports.

About IAC

The IAC provides accreditation programs for vascular testing, echocardiography, nuclear medicine/PET, MRI, CT, dental CT, carotid stenting, vein treatment and management, cardiac electrophysiology and cardiovascular catheterization. The IAC programs for accreditation are dedicated to ensuring and promoting quality patient care supporting one common mission: Improving health care through accreditation®. IAC accreditation is widely respected within the medical community, as illustrated by the support of more than 40 national medical societies. To date, the IAC accrediting divisions have granted accreditation to more than 14,000 sites throughout the United States, Canada and Puerto Rico. To learn more about IAC, visit

The Healthy Side of Conflict – Tidewater Physicians Multispecialty Group

The Healthy Side of Conflict

When most of my patients talk about dealing with conflict, they express an unwillingness to rock the boat. They might envision all the negative things traditionally associated with conflict, such as yelling, frustration or the inability to get another person to see their point of view. And the thing about conflict is that it can (and does) pop up everywhere: home, work, among friends and romantic partners – quite simply, conflict is a part of life. Some people tell me they choose to avoid conflict because they don’t have the temperament for all that arguing and discord.

The Healthy Side of Conflict - Tidewater Physicians Multispecialty Group

Lesli B. Hughes, LCSW

What if I told you there are advantages to conflict?

Healthy conflict resolution is actually a positive thing for all types of relationships. Conducted appropriately and faced head-on, resolving a conflict can actually enrich our interactions and improve our understanding of ourselves and those around us.

Understanding why conflict is scary

Why does conflict have such a bad reputation? Probably because most people see the end of a conflict as resulting in one winner and one loser. In other words, the winner gets everything they argued for, and the loser goes away feeling angry, unheard and even embarrassed. Engaging in conflict can also be intimidating because often, we don’t know how to do it properly. While discussing one issue, we tend to bring up other, unrelated things. This happens commonly among married or romantically involved couples. A discussion about who empties the dishwasher turns into an argument about who takes more responsibility around the house, which partner works harder, who is more controlling about how housework is done and so on. Without the proper approach to conflict resolution, it’s easy to see how something simple can spiral out of control. It’s no wonder conflict is perceived as something to avoid altogether.

If you would like to discuss how to productively resolve differences and stop dreading confrontation, feel free to call me or any of my partners for an appointment.  We see patients at our Newport News office Monday – Friday and can be reached at (757) 595-3900

Interventional Pain Treatment Specialist Offers Innovative Therapy Alternative to Opioids

Posted: March 21, 2018, Newport News, VA
Christopher A. Dawson, MD, Interventional Pain Treatment Specialist at Tidewater Physicians Multispecialty Group (TPMG) in Newport News, Virginia, is pleased to announce his latest therapeutic modality for pain—the Multiwave Locked System (MLS) Laser Therapy. The MLS Laser Therapy, a Class IV Laser, synchronizes two distinct wavelengths of light to reduce inflammation and pain.

Having experienced firsthand MLS Laser Therapy’s ability to decrease pain in patients who have failed all other treatments at his prior practice in Florida, Dr. Dawson is eager to introduce the treatment to his patients in Hampton Roads.

Through the use of this therapy, Dr. Dawson has effectively treated patients with continued pain following a back or knee surgery and those with multiple medical conditions or taking anticoagulants such as Coumadin, who may not be ideal surgical candidates. The therapy also provides a minimally-invasive alternative for patients with an aversion to needles or common injection therapies such as epidurals and nerve blocks. In each of these cases, MLS Laser Therapy treatment has helped reduce pain, enhance function and decrease or eliminate the need for opioids.

“I am thrilled to provide patients of Hampton Roads an alternative to opioids and surgery with the area’s only Class IV therapeutic robotic laser–MLS Laser Therapy,” said Dr. Dawson. “In the current opioid crisis, the importance of non-invasive treatment therapies for pain cannot be stressed enough to decrease the reliance on opioids for pain management.” 

As reports on the opioid crisis continue to populate mainstream media and as education on the epidemic grows, it is becoming increasingly important to offer patients alternative treatment options. Dr. Dawson is committed to providing his patients with treatment options, such as MLS Laser Therapy, whenever possible, whether due to specific medical needs or an aversion to pain medication and invasive therapies.

MLS Laser Therapy works by transmitting light energy to damaged cells in the body and stimulating inter-cellular activity. As one wavelength of light works on the pain receptors to directly decrease pain, the other wavelength of light decreases inflammation. MLS Laser Therapy is painless, non-invasive and FDA cleared. MLS Laser TherapyPatients generally report feeling nothing more than a comfortable sensation during the procedure.

Treatment sessions range from 5-15 minutes depending on the pain condition and the individual needs of the patient. There is no downtime or restrictions following a treatment session.

Conditions treated with the MLS Laser Therapy include: back pain, neck pain, sciatica, arthritis, bursitis, sacroiliitis, knee pain, hip pain, shoulder pain, bulging discs, degenerative disc disease, trochanteric bursitis, tennis/golfer’s elbow, shoulder impingement, work/sports injuries, sprains/strains and post-surgery to aide healing and rehabilitation.

Dr. Dawson is dedicated to raising awareness and educating students and the public on the considerable concerns and challenges associated with pain treatment and the current opioid epidemic. His upcoming speaking engagement for Public Health students at the College of William and Mary underscores not only the importance of educating the next generation of medical practitioners and administrator on the complexity of the issue but also the instrumental role each group will play in combating the crisis.

Anyone suffering from pain is encouraged to contact the Interventional Pain Treatment Center in Newport News at (757) 232-8844 to schedule an evaluation or learn more about MLS Laser Therapy. For further information on Dr. Dawson and his practice, visit

About Christopher A. Dawson, MD: Dr. Dawson is Board Certified in Interventional Pain Medicine and Physical Medicine & Rehabilitation. He graduated from the College of William & Mary with a degree in Kinesiology and earned his medical degree from West Virginia School of Medicine.  Dr. Dawson completed his Physical Medicine & Rehabilitation residency and his Interventional Pain Medicine Fellowship at Virginia Commonwealth University/Medical College of Virginia. He is active in the community as a board member for the William & Mary Athletics Tribe Club and Dream Catchers at the Cori Sikich Therapeutic Riding Center. Dr. Dawson is also invited to lecture regularly by the Department of Kinesiology & Health Sciences at the College of William & Mary.

Founded in 1992, Tidewater Physicians Multispecialty Group (TPMG) includes more than 200 primary care, specialty physicians and advanced practice clinicians in more than 75 locations throughout southeastern Virginia. TPMG’s mission is to provide superior healthcare that is responsible, physician-directed, and dedicated to keeping patients’ best interest foremost. The TPMG medical team includes expert physicians, nurse practitioners, physician assistants, nurses, medical assistants, diagnostic staff, and non-clinical staff all working together to provide consistent, compassionate, high-quality medical care. Learn more at

Don’t Just Sit There

We know sitting too much is not a great strategy but sometimes it happens.  You may work at a desk or just have a long weekend of binging on TV planned but what exactly goes wrong in our bodies when we sit for extended periods of the day?

Foggy Brain

Moving muscles pumps fresh blood and oxygen triggering the release of all sorts of brain and mood enhancing chemicals.  When we are sedentary for a long time, everything slows, including brain function.

So, if you really want to see the entire season of your favorite show in one day, stand up and move every so often.  Challenge yourself to do ten pushups or sit-ups everytime your favorite character says something you like and go for a walk between episodes.  The movement will help you from head to toe. 

back strain

If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle the phone while typing can strain the cervical vertebrae and lead to imbalances.

Make sure to step away from your desk. Your brain and your body need it. Remember to counterbalance long calls by switching ears or, better yet, use a headset

Sore Shoulders and Back

The neck doesn’t slouch alone.  Slumping forward overextends the shoulder and back muscles as well, particularly the trapezius, which connects the neck and shoulders.

Stretch your arms over your head, move side to side, and just try to stay loose.  A few stretches during the day can alleviate sore muscles at night.

Inflexible Spine & Disk Damage  

Spines that don’t move become inflexible and susceptible to damage in mundane activities such as when you reach for a cup of coffee or bend to tie a shoe.  When we move, soft disks between vertebrae expand and contract like sponges, soaking fresh blood and nutrients.  When we sit for prolonged times, these same disks are squashed unevenly and lose sponginess.  Collagen hardens around supporting tendons and ligaments.

People who sit more are at greater risk for herniated lumbar disks.  A muscle, called the Psoas, travels through the abdominal cavity, and when it tightens, it pulls the upper lumbar spine forward.  Upper body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine.

Again, the answer is to just get up and move a bit.  Don’t use the elevator, take the stairs and keep the blood moving.  It’s the simple things we do each day that can save us from injury, pain and long-term degeneration.  

Muscle Degeneration: Mushy Abs, Tight Hips

When you stand, move, or even sit up straight, abdominal muscles keep you upright.  When you slump in a chair, they go unused.  Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine’s natural arch with a condition called hyperlordosis or swayback.

Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexors muscles in front that they become short and tight, limiting the range of motion and stride length.  Studies have found that decreased hip mobility is a primary reason elderly people tend to fall.

So, What’s a Body to Do?

Most musculoskeletal pain can be resolved with treatment.  If you have frequent headaches, neck, shoulder, back or hip pain of chronic nature (present in some form over six months), physical therapy can help. 

Adaptive changes in posture leading to chronic pain can often be reversed.   Physical Therapists are specialists in restoring the natural balances of muscle length and strength for optimal function and pain-free existence. 

TPMG has two convenient offices located at 860 Omni and in the New Town Medical Center, Discovery Park in Williamsburg.  We specialize in musculoskeletal treatments across the spectrum of age and activity level.   Call us directly at 345-2512 Williamsburg or 223-9403 Newport News office.


Adapted from

About Facial Skin Cleansers

Skin cleansers are an important part of your facial skin care routine and can help to reduce acne and other types of bacteria on the skin surface. There are many different types of cleansers which cater to different skin types. In general, you should choose your facial cleanser based on your skin type. Foaming agents are amongst the strongest cleansers because they remove oil from the skin’s surface, ensuring that makeup and debris are removed. Non foaming agents are less irritating and are a good option for dry or sensitive skin types. Antibacterial cleansers that contain benzoyl peroxide, silver, hypochlorous acid, sodium hypochlorite, are a good option for acne-prone skin. Read more

Total Ankle Replacement: Back on My Feet (with a Fly-Fishing Reel in my Hand)

This is an excerpt regarding a total ankle replacement completed by Dr. Mathew Hopson from:

In this first person narrative, Ray Babineau discusses how he had the unfortunate luck of breaking his ankle three times before the age of 18. While he was able to have it reset and not bother him for years, this was the catalyst to a tremendous amount of ankle pain and issues that returned nearly 50 years later. Read more

What is Benign Prostatic Hyperplasia (BPH) ?

Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms so it is very common. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.

The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:

  • Frequent need to urinate both day and night
  • Weak or slow urinary stream
  • A sense that you cannot completely empty your bladder
  • Difficulty or delay in starting urination
  • Urgent feeling of needing to urinate
  • A urinary stream that stops and starts

If you suffer from the above symptoms, you are not alone. BPH is one of the leading reasons for men to visit a urologist2.

Normal Prostate

Normal Prostate

Enlarged Prostate

Enlarged Prostate

  1. Berry, et al., Journal of Urology 1984
  2. IMS Health Urology 2013


BPH Treatment Options

If you have been diagnosed with an enlarged prostate due to BPH, there are several treatment options available. Consult your physician to determine which treatment is right for you.

Treatment Options

Watchful Waiting

When symptoms are mild, your doctor may just monitor your condition and ask you to track your symptoms before deciding if any treatment is necessary.


Your doctor may prescribe medications to manage your symptoms. These medications include alpha blockers which relax the muscles around the neck of your bladder, making it easier to urinate, and alpha reductase inhibitors which act to shrink the prostate. While medications can be helpful in relieving symptoms for some men, patients must continue taking them long-term to maintain the effects.

Some patients may suffer side-effects including dizziness, headaches, or sexual dysfunction. Some may not get adequate relief of their symptoms. Over 16% of men on medication for BPH discontinue treatment early for reasons such as being dissatisfied with side-effects or not getting adequate symptom relief.1

UroLift System Treatment

The UroLift System treatment is a minimally invasive approach to treating BPH that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue. Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to BPH without any impact to sexual function.

Learn more about how the UroLift System treatment works or visit our FAQ page for more information on the benefits, risks, and recovery.


Thermotherapies are minimally invasive treatments where heat energy such as microwave or radiofrequency is applied to destroy prostate tissue. Less invasive than TURP, these treatments are generally safe, can be performed under local anesthesia and provide moderate symptom relief for some patients.

Applying high heat to the prostate can cause tissue swelling and uncomfortable urinary symptoms during the healing period. Symptom relief does not occur immediately, and patients often need to have a catheter that is attached to a urine bag inserted into their bladder during the recovery period.


Laser Resection of the Prostate

TURP may be performed with a laser in procedures called photoselective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP). Laser therapy lessens the bleeding risks of traditional TURP. However, since prostate tissue is still removed, there can be tissue swelling and an uncomfortable healing time. Typically, a catheter has to be inserted into the bladder after the procedure.


Transurethral Resection of the Prostate (TURP)

TURP is the most common surgery to treat BPH. During this procedure, patients undergo general anesthesia, and prostate tissue is removed. TURP is often considered the “gold standard” for long-term results.

After prostate tissue has been removed, the body needs time to heal. The remaining prostate tissue may actually swell and become inflamed before the desired shrinking effect occurs. Patients may suffer an uncomfortable recovery period that includes short-term problems such as bleeding, infection, erectile dysfunction, and urinary incontinence. Patients have to have a catheter that is attached to a urine bag inserted into their bladder for several days after the procedure.

Symptom relief may not occur immediately, but lasts for a long time in many patients once it does occur.

There can be long-term side effects after TURP such as dry orgasm (retrograde ejaculation), erectile dysfunction or incontinence (leaking of urine).

  1. NeoTract US market model estimates for 2016 based on IMS Health and Drug Procedure Data


UroLift System

What is the UroLift System?

The UroLift System treatment is a revolutionary, minimally invasive approach to treating an enlarged prostate, or BPH, that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue.

Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to BPH without compromising sexual function1,4. The goal of the UroLift System treatment is to relieve symptoms so you can get back to your life and resume your daily activities.

Most common side effects are light blood in the urine, some pain or discomfort when urinating, some increased urge to go and discomfort in the pelvis that typically resolve within two to four weeks after the procedure.

Advantages of the UroLift System:

  • Rapid symptom relief, better than reported for medications2
  • Risk profile better than reported for surgical procedures such as TURP3
  • Preservation of sexual function1
  • Return to normal activity in days not months
  • Increased quality of life
  • No ongoing BPH medications
  • 19 clinical study publications; 4 years published clinical data4

How the UroLift works:

The UroLift System treatment is a straightforward procedure that is performed by a urologist. The urologist places tiny implants to hold the prostate lobes apart, like open curtains on a window, to relieve compression on the urethra. This allows urine to flow normally again. The UroLift System treatment can be done in the physician’s office under local anesthesia. Typically, patients return home the same day without a catheter.2

How the UroLift System Works

Enlarged Prostate: An enlarged prostate compresses on the urethra, making it difficult for urine to flow.
Step 1: The UroLift Device is placed through the obstructed urethra to access the enlarged prostate.
Step 2: Small UroLift Implants are permanently placed to lift and hold the enlarged prostate tissues out of the way and increase the opening of the urethra. The permanent implants are delivered through a small needle that comes out of the UroLift delivery device and into the prostate.
Step 3: The UroLift delivery device is removed, leaving an open urethra designed to provide symptom relief.


1McVary J Sex Medicine 2014
2Roehrborn J Urology 2013; 2003 AUA Guidelines
3Sonksen, J Urology 2016
4Roehrborn Urology Clinics 2016


UroLift System Frequently Asked Questions

1. What is the UroLift System?

The UroLift System is a new minimally invasive treatment designed to treat lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).

2. How does the UroLift System work?

The UroLift System consists of a delivery device and tiny permanent implants. FDA cleared in 2013, this unique technology works by directly opening the urethra with tiny implants that hold the enlarged tissue out of the way, like tiebacks on a window curtain. No cutting, heating, or ablating tissue is involved, making the UroLift System the first and only BPH treatment that does not remove prostate tissue and does not negatively impact a man’s sexual function.

3. How do I know if the UroLift System treatment is right for me?

The UroLift System is a proven treatment option for BPH patients who are looking for an alternative to drugs or major surgery. You may be considering or scheduled for a TURP/Laser treatment, or are unhappy with or have stopped taking medications. The UroLift System is appropriate for patients seeking a minimally invasive treatment and are concerned about preserving their sexual function and their quality of life.

4. What should I expect during the UroLift System treatment?

If you and your doctor decide that the UroLift System treatment is right for you, your doctor will provide the specific, detailed information relating to your condition. In general, the UroLift System is a minimally invasive treatment that entails minimal downtime. Your doctor will use the UroLift delivery device to deploy permanent implants to relieve obstruction caused by the enlarged prostate that is pressing on your urethra. The procedure may be performed under local or general anesthesia and you may be given medication to feel comfortable during the treatment. Typically, no catheter and no overnight stay is required post-treatment.

5. What happens post-treatment, during the recovery period?

After the treatment, almost all patients go home the same day without a catheter. There is minimal downtime post-treatment and many patients experience symptom relief in as early as 2 weeks. Patients may experience some urinary discomfort during the recovery period. The most common side effects may include light blood in the urine, some pain or discomfort when urinating, some increased urge to go and discomfort in the pelvis that typically resolve within two to four weeks after the procedure.

6. Will having the UroLift System treatment affect my sexual function?

Sexual function has been preserved among the hundreds of patients treated in our clinical studies.1,2,3,4 This is a unique benefit of the UroLift System treatment compared with other BPH therapies such as TURP, laser, and even medication.

7. Is the treatment permanent?

The UroLift Implant is a permanent implant, and the treatment is intended to be permanent. Durability has been shown to at least 4 years in U.S. clinical data,1 and results will continue to be published as follow-ups continue. One unique aspect of the UroLift System is that it does not preclude retreatment or other BPH treatments, should that be needed and desired in the future.

8. What happens if the implants need to be removed?

The implant is made up of standard surgical implantable materials: a nitinol capsular tab, a stainless steel urethral tab, and polyester suture that holds the two tabs together. Your doctor can simply remove the implant, if needed. The suture can be cut and the urethral endpiece can be retrieved with a standard grasper. The capsular tab will remain outside the prostate capsule in place.

9. Are there any contraindications?

The primary contraindications are an obstructive or protruding median lobe of the prostate and a prostate with a volume of >80cc.

10. Will the implants interfere with having an MRI?

Non-clinical testing has demonstrated that the UroLift Implant is MR Conditional. That means that you can be safely scanned in an MR system meeting the following conditions:

  • Static magnetic field of 3 Tesla or less
  • Maximum spatial gradient magnetic field of 1500 Gauss/cm (15 T/m) or less
  • Maximum MR system reported, whole body averaged specific absorption rate (SAR) of 4 W/kg (First Level Controlled Mode)

Under the scan conditions defined above, the UroLift implant is expected to produce a maximum temperature rise of 2.4C after 15 minutes of continuous scanning.

In non-clinical testing, the image artifact caused by the device extends approximately 15 mm from the UroLift Implant when imaged with a gradient echo pulse sequence and a 3 Tesla MRI system.

Patient implant cards are provided to inform the patient that the UroLift implant is MR Conditional and can safely be scanned only under specific MR conditions.

If you have any questions about MRI safety, please consult your doctor.

11. Will the UroLift implants affect a digital rectal exam (DRE)?

No. The implants are placed on the anterior (front) side of the prostate, and a DRE is conducted on the posterior (back) side of the prostate. The implants are not expected to interfere in a DRE.

12. What clinical data is available for the UroLift System?

Over 950 patient-years of clinical data has been presented in peer-reviewed publications to date demonstrating that the UroLift System is safe and effective. Clinical studies have been conducted in the United States, Canada, Europe and Australia.

13. How do I find out if my health plan covers the UroLift System treatment?

The first step is to make an appointment with your urologist to determine if you

are an appropriate candidate for the treatment. Your physician’s office staff can work with you and your health plan to learn more about your healthcare benefits specific to the UroLift implant procedure.

14. Does Medicare cover the UroLift System?

Yes, all Medicare arriers provide benefits for the UroLift System when medically necessary. Discuss the UroLift System with your physician to determine if the UroLift treatment is an option for you.

15. Who performs the UroLift System treatment?

A urologist, a doctor who specializes in the treatment of diseases of the urinary system and sex organs, uses the UroLift System to treat urinary symptoms due to BPH. The urologist completes comprehensive training prior to using the UroLift System. Find a UroLift System doctor.

16. Where is the UroLift System available?

The UroLift System is available for sale in the United States, Europe, Canada and Australia.

17. Who manufactures the UroLift System?

NeoTract, Inc. manufactures the UroLift System. The company is based in Pleasanton, California.

  1. Roehrborn 2016 Urology Clinics
  2. Roehrborn, 2015 Canadian Journal of Urology, 3-Year Results L.I.F.T. Study
  3. Roehrborn, 2013 Journal of Urology, L.I.F.T Study
  4. McVary, 2014 Journal of Sexual Medicine, Preservation of sexual function with the prostatic urethral lift


Talking to Your Doctor About BPH

BPH is a very common condition and is one of the leading reasons for men to visit a urologist. Whether you have just started experiencing symptoms or if you’ve tried various medications or even surgery, there are a range of treatment options available.

Before you visit the doctor’s office, you can take this BPH Symptom Quiz, designed by the American Urological Association, to determine the severity of your symptoms. We will discuss your symptoms together to decide which treatment option is best for you.

Schedule an appointment today to discuss your BPH symptoms with us.

© 2015NeoTract, Inc. All Rights Reserved. MAC00181-01 Rev D


Hampton Roads Physician Magazine Profile: Lisa A. Coleman DO, FACS, FASCRS

One basic hurdle impacts Dr. Lisa Coleman’s work almost daily: too many patients don’t get to her quickly enough, whether they have advanced colon cancer or have struggled for years with benign anorectal conditions such as fecal incontinence.

So Coleman’s mission is to alleviate fears, dispel myths and educate local residents and health care providers about colorectal care Lisa A. Coleman DO, FACS, FASCRSwhile offering the screening tools and advanced medical procedures that can save and change lives.

“There’s so much unnecessary shame and silence surrounding these health issues,” Coleman says. “I find great satisfaction in helping patients to feel comfortable and giving them renewed hope.”

Coleman chose to practice in Hampton Roads because the region is a known trouble spot for colon cancer death rates. According to a 2015 report published by the American Association for Cancer Research, southeastern Virginia ranked among the top three regions of concern – along with parts of the Mississippi Delta and Appalachia – with a rate 9 percent higher than the national average.


Read More Here

TPMG Presenting Annual Continuing Medical Education Conference

TPMG Presenting Annual Continuing Medical Education Conference in March 2018

Newport News, VA, January 8, 2018 –

Tidewater Physicians Multispecialty Group (TPMG), a local medical group with over 200 specialty and primary care providers, serving the Tidewater area at over 75 locations, is pleased to present the 19th Annual Continuing Medical Education (CME) Conference in early 2018 accredited by the American Academy of Family Physicians.

The conference will be held at the Hampton Roads Convention Center, located on Coliseum Drive in Hampton on March 3rd from 7:00 a.m. to 3:30 p.m.  The conference is open to all family and internal medicine physicians and advanced practice clinicians to attend.

TPMG physicians, Saunora Prom, DO, CAQSM of Tidewater Sports and Osteopathic Medicine, Ifeanyi Ani, MD of TPMG Urology in Newport News, and Valerie Harvey, MD, MPH of Hampton Roads Center for Dermatology will lecture on stem cells, early detection of prostate cancer, and dermatology, respectively. Further presentations will be given by Retired Air Force Colonel, Brian Reamy, MD on cardiovascular disease prevention and the challenges of safe prescribing for chronic pain management by William Steele Kanich, MD, JD.

The full program is accredited by the American Academy of Family Physicians for a total of 4.75 credits towards continuing medical education. Dr. Kanich’s lecture will qualify for the State of Virginia’s requirement of 2 CME credit hours related to opioid prescribing.

“This conference is an opportunity for physicians and advanced practice clinicians to gather with their peers and engage with speakers lecturing on current, relevant topics at a convenient location while earning credits towards their continuing medical education requirements,” said TPMG Medical Director Jennifer Sharp-Warthan, MD.

Breakfast, lunch and snack breaks will be provided at the Convention Center.  The cost to attend is $60 for physicians and advanced practice clinicians.

If you are a local area company, pharmaceutical company, or healthcare affiliate interested in attending as a sponsor, call (757) 232-8764 for more information on available sponsorship opportunities — space is limited.

To register or learn more about the 19th Annual Continuing Medical Education (CME) Conference presented by TPMG, call (757) 232-8764.


Founded in 1992, Tidewater Physicians Multispecialty Group (TPMG) includes more than 200 primary care, specialty physicians and advanced practice clinicians in more than 75 locations throughout southeastern Virginia. TPMG’s mission is to provide superior healthcare that is responsible, physician-directed, and dedicated to keeping patients’ best interest foremost. The TPMG medical team includes expert physicians, nurse practitioners, physician assistants, nurses, medical assistants, diagnostic staff, and non-clinical staff all working together to provide consistent, compassionate, high-quality medical care. Learn more at



Paula Lumsden
(757) 232-8793