Cotter Gregory W MD

Physicians & Surgeons, Mental Health Services, Physical Therapists

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AKA: Fleck, Lorie G, MD
Categories: Physicians & Surgeons, Mental Health Services, Physical Therapists, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecologic Oncology, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Nephrology (Kidneys), Physicians & Surgeons, Neurology, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Physicians & Surgeons, Sexual Dysfunction, Physicians & Surgeons, Sleep Disorders, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Urology, Physicians & Surgeons, Weight Loss Management, Sleep Disorders-Information & Treatment, Surgery Centers

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Phone: (251) 990-7983

Address: 808 Morphy Ave, Fairhope, AL 36532

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Cotter Gregory W MD

General Practitioners

Osteoporosis
Medical Weight Loss
Pediatric Care
Latrinia “Trinia” was born and raised in Texas. She graduated from the University of Texas at Austin, University of Texas Southwestern Allied Health School in Dallas, Texas, and completed her training with a Master’s Degree in Physician Assistant Studies from the University of Nebraska Medical Center. From 1996-2003, Latrinia practiced in Houston, Texas working in pediatrics and adolescent medicine for Memorial Hermann Healthcare System. She relocated to New Orleans, Louisiana after marrying her husband. From 2004-2013, Ms. Franklin worked in Urology at Ochsner Clinic Foundation in New Orleans, Louisiana. Ms. Franklin joined Urology and Oncology Specialists PC in August 2013.
Primary Care
Please contact our office and we will be happy to schedule an appointment for you that best fits your needs based on the requested doctor’s availability. If you are unable to keep your scheduled appointment, we ask that you notify our office at least 24 hours (1 full business day) in advance so that we may be able to provide care for another patient. Please review our cancellation policy. If your insurance requires a referral authorization, contact your primary care physician to obtain a referral.
Sleep Disorders
Family Practice
The first step of diagnosing male infertility is to schedule a physical examination with one of our physicians. During this time, your physician will ask about any health problems, illnesses, injuries, surgeries, or family health history. Your physician may look further into your sexual habits and your development during puberty.
Male Infertility
Infertile is defined as not being able to conceive a child, even when trying through frequent and unprotected sexual intercourse for over the course of a year or longer. Fifteen percent of couple are defined as infertile. In nearly a third of these couple, male infertility is the cause. Male infertility can be caused by low sperm productions, blockages that prevent the delivery of the sperm, or abnormal sperm function. There are many other factors that can play a role in male infertility, which can include lifestyle choices, injuries, illnesses, or chronic health problems. Male infertility can be stressful, but there are many treatments that are available
High Cholesterol
Emergency Care
Constipation
Erectile Dysfunction
Urinary Incontinence
Urinary incontinence is also known as the loss of bladder control. It is very common, even though people may not speak about it because it may be embarrassing. Severity can range from barely leaking if you sneeze to having to urinate so bad that you are not able to make it to the bathroom. Urinary incontinence is typically thought to be a problem with old age, but this is not always the case. If you are inconvenienced by your urinary incontinence, then schedule an appointment with your physician.

Female Infertility
Infertility in couples is common and can be caused by male infertility. It is important to speak with your physician as soon as you realize you may be dealing with this. There are many tests that can be done to see the cause of infertility. Treatments will be done based on these and your preferences. Know what your limits are with treatments and keep this communication open with your partner and your physician. It is also important for your partner to be examined as it may be female infertility.
Pelvic Pain
Pregnancy
Labor and Delivery
Anterior Prolapse is when the tissue that is between the bladder and vaginal wall, which means that the bladder bulges into the vagina. Anterior Prolapse may also be called a prolapsed bladder, fallen bladder, or cystocele. An anterior prolapse occurs when the muscles that aid the pelvic organs have been strained. The muscles become strained during vaginal childbirth or even during time of constipation, lifting, or coughing. When menopause occurs, the estrogen levels are decreased and problems are caused with the anterior prolapse. In most cases, surgery is not essential. In the severe cases, surgery may be recommended to keep all pelvic organs where they are supposed to be.

Bladder Cancer
Bladder is the most common type of cancer. This type of cancer is found in nearly 68,000 adults in the United States. It is more common in men than women. It can also happen at any age, but most commonly in older adults. Most cases of bladder can be diagnosed in the early stages. If it is caught in these early stages, then it is typically easy to treat. Once bladder cancer has been treated, it is important to go through with follow-up tests in order to prevent the cancer coming back or advancing to higher stages. Bladder cancer begins in the urothelial cells. The urothelial cells line the inside of your bladder. This type of cancer can also be found in the urinary tract drainage system.
Urology
Continuing their spirit of innovation, Urology and Oncology Specialists, PC is committed and passionate about improving the health and well-being of their patients.
Kidney Cancer
A nephrectomy is typically done to treat kidney cancer or to remove benign tumors. A donor nephrectomy can be done by removing a healthy kidney and transplanting it into someone who needs a functioning kidney.
Kidney Stones
Kidney stones can go by a variety of names, such as nephrolithiasis or renal lithiasis. They are made of minerals and salts and form inside of the kidneys. They can be caused by a variety of reasons. They are also able to affect any part of the urinary tract. Most commonly, they occur when the urine becomes concentrated, which will then allow the minerals to stick together. When the kidney stones are being passed, people experience pain. To pass a kidney stone, you should drink plenty of water and ask your physician about a medication to aid in passing it. If the stones become problematic, then you may need to have surgery. There are also many preventative treatments that are to help in reducing the risk of kidney stones.
Testicular Cancer
Testicular cancer is cancer that originates in the testicles, also called the testes. The testicles are responsible for producing the male hormones and sperm. Testicular cancer is usually rare, compared to other types of cancer. In males that are between the ages of 15 and 35, testicular cancer is the most common cancer. This form of cancer is very treatable, even after the cancer has spread to the surrounding areas. Treatment will be dependent on the diagnosis you receive.
Cervical Cancer
Cancer that is found in the penis is very rare, but it is more common in men that are not circumcised. It is also less common in females that have circumcised partners to develop cervical cancer.
Interstitial Cystitis
Urinary Tract Infection
A urinary tract infection (UTI) is an infection that is found in the urinary system. The urinary system is made up of the kidneys, the urethra, bladder, or ureters. Most UTI’s are found in the urethra or the bladder. Women are more likely to have a UTI. If the infection is found only in the bladder, it can be extremely painful. If the UTI spreads to the kidneys, serious consequences may happen. These are typically treated with an antibiotic, but there are also many home remedies to take.
Prostate Cancer
Our team of specialized physicians, mid-levels, and nurses work with our patients from the onset of prostate cancer, creating personalized treatment plans based on each individual’s needs. Using evidence based medicine supported by both the National Comprehensive Cancer Network (NCCN) and the American Urological Association (AUA), we ensure our patients are receiving the most cutting edge treatments possible.
Cancer Care
Lung Cancer
Most cancer that is found in the adrenal gland is did not originate there and are not truly adrenal cancers. In most cases, they started in other organs of the body and have spread through the bloodstream into the adrenal glands. In cases such as lung cancer, melanomas, and breast cancer, often spread to the adrenal glands. Cancer is named and treated based solely on the place where they started.

Multiple Sclerosis

Depression
Mental Health
There are many causes of erectile dysfunction. Sexual arousal stems from the brain, emotions, nerves, blood vessels, muscles, and hormones. If there are any problems with this, then it is likely to be the result of erectile dysfunction. Stress and mental health can also be the cause of erectile dysfunction. In some cases, the result of a combination is the reason. For example, if diabetes is the cause of a delayed sexual response, then stressing about it can make it even worse.
Anxiety

Endocrinologist

Diabetes Care
Thyroid

Ultrasound
Ureteropelvic junction obstruction is found in an ultrasound before the child is born, but in some cases will not show until after the child has been born. It is typically not hereditary, but can rarely be seen in multiple family members.
MRI
After the lab testing is complete, your physician may recommend a variety of imaging tests. These tests may include: a CT, and MRI, or a PET scan. These imaging tests will help to see and understand what types of growths are occurring on the adrenal glands. This is also a good way to see if the cancer has spread to other parts of the body. The most common areas that will be affected are the lungs and the liver.
Radiology
He completed his Residency in Therapeutic Radiology at the University of Florida and then served three years as a member of the teaching staff. While there, he was awarded fellowships by the American Cancer Society and the International Union Against Cancer.
X-Rays
Computed Tomography
Once the diagnosis has been confirmed, then it is important to know what stage the cancer is in. Your physician will want to know if the cancer has spread outside of the testicles. A CT scan can look at the chest, pelvis, and abdomen. A blood test can also look for tumor markers if the testicle has been removed. Once the stage has been diagnosed, then your treatment will be decided. The stages range from Roman numerals from 0 to III – III being the most advanced.
Chemotherapy
Chemotherapy is a drug treatment that works by using chemicals to kill the remaining cancer cells. Physicians will typically use chemotherapy when the cancer is not able to be removed with surgery or if the cancer returns after the initial treatments.
Radiation Therapy
Intensity Modulated Radiation Therapy (IMRT) varies the intensity of the radiation over the treatment area to reduce dose to healthy tissue while maximizing dose to the tumor. Cancers commonly treated with IMRT include: esophageal, lung, breast, brain, pancreatic, colorectal, lymphomas, bladder and sarcomas.
Radiation Oncology
Dr. Weinacker earned a BS in Biology and Pre-Med from the University of Alabama and his MD from the University of Alabama School of Medicine. He completed his residency in Radiation Oncology at Montefiore/Albert Einstein College of Medicine (Bronx, NY) as well as at Eastern Virginia Graduate School of Medicine (Norfolk, VA).

Minimally Invasive Surgery
There are also many minimally invasive or surgical therapies. You will be recommended for surgical therapy and minimally invasive surgery if your symptoms are moderate to severe, if you choose treatment, if you have a urinary tract obstruction, or if your medication is not helping your symptoms. You will not be recommended for treatment if you have a urethral structure disease, an untreated urinary tract infection, or a neurological disorder. There are many side effects of these procedures which may include erectile dysfunction, loss of bladder control, bleeding, UTI, difficulty with urination, or semen flowing backward instead of through the penis. When choosing a minimally invasive surgery or treatment, you will want to speak with your physician about the best treatment for you. You will want to see what follow up care your physician will also recommend. Your doctor may not want you lifting or exercising.
Vasectomy
A vasectomy is a form of birth control. This is done by cutting the supply of sperm to the semen by cutting and sealing the tubes that will carry the sperm. This procedure has a very low risk. This procedure is typically done as an outpatient procedure and can be done with local anesthesia. It is important to know that you are done having any more children. A vasectomy reversal is possible, but should be avoided. Sexually transmitted diseases are possible even with a vasectomy. Be sure that you talk to your physician about if this procedure is going to be right for you. You will also want to receive all of the instructions for the procedure before it is done.
Robotic Surgery
Dr. Schultz is board certified by the American Board of Urology, and he joined the group in 1999. His areas of interest are general urology, oncology, and robotic surgery.
Hysterectomy
The most common causes of urinary incontinence in women are childbirth and pregnancy. Hormonal changes, increased weight of the unborn child, and a vaginal birth can be the leading cause of urinary stress incontinence. It can also occur as women get older, especially in women that have gone through menopause. If a woman has had a hysterectomy, she may also be experiencing stress incontinence. A hysterectomy may damage a female’s reproductive parts and the pelvic floor. This damage leads to stress incontinence.
Reconstructive Surgery
There are two main types of prolapse surgery. The first is a close off surgery that will completely close off or narrow the vagina to create support for the bladder. This procedure makes sexual intercourse impossible. Build back surgery holds up the bladder and the tissues. Your physician may use your own tissue or insert artificial mesh. This is considered reconstructive surgery. After the surgery, the recovery will depend on what exactly you have done. Your physician will be able to give you clear instructions on what you are allowed to do and on what timelines. You will probably need to take a couple weeks off of work. With the prolapse surgery, your physician may recommend medications or exercises to ensure you have the best experience and no longer feel symptoms.

Plastic Surgeons

Laparoscopic Surgery
A bladder neck suspension is used to reinforce the urethra and bladder neck so they do not sag. This gives the urethra to sit against and this will help prevent leakage. During this procedure. The surgeon will make an incision in the low abdomen. The whole surgery will be made through the small incision using a small video camera and thin instruments. This is called a laparoscopic surgery. Your physician will stitch the tissue near the bladder neck.
Gynecomastia

Cyst
Rashes

Physical Therapists

Back Pain

Allergies

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