Surgeons, Urologist
5 years of experience

Accepting new patients
Center City East
833 Chestnut St
Ste 703
Philadelphia, PA 19107
215-955-1000
Locations and availability (2)

Education ?

Medical School Score Rankings
Emory University (2005)
  • Currently 3 of 4 apples
Top 50%

Awards & Distinctions ?

Associations
American Urological Association

Affiliations ?

Dr. Healy is affiliated with 4 hospitals.

Hospital Affilations

Score

Rankings

  • Thomas Jefferson University Hospital
    Urology
    111 S 11th St, Philadelphia, PA 19107
    • Currently 4 of 4 crosses
    Top 25%
  • Methodist Hospital
    Urology
    2301 S Broad St, Philadelphia, PA 19148
    • Currently 3 of 4 crosses
    Top 50%
  • Methodist Hospital Division of Thomas Jefferson University Hospital
  • Thomas Jefferson University Hospitals, Inc-Methodist Hospital Div
  • Publications & Research

    Dr. Healy has contributed to 7 publications.
    Title Lead Exposure and Poisoning of Songbirds Using the Coeur D'alene River Basin, Idaho, Usa.
    Date February 2012
    Journal Integrated Environmental Assessment and Management
    Excerpt

    Previous studies have found widespread Pb poisoning of waterfowl in the Coeur d'Alene River Basin in northern Idaho, USA, which has been contaminated by mining and smelting activities. We studied the exposure of ground-feeding songbirds to Pb, sampling 204 American robins (Turdus migratorius), song sparrows (Melospiza melodia), and Swainson's thrushes (Catharus ustulatus) throughout the basin. These songbirds had mean blood Pb concentrations (mg/kg, dry weight) of less than 0.19 at a reference area (25 mg Pb/kg soil), 1.09 at moderately contaminated sites (170 to 1300 mg Pb/kg soil), and 2.06 at highly contaminated sites (2000 to 5000 mg Pb/kg soil). Based on guidelines for evaluating blood Pb in birds, 6% of robins from the highly contaminated sites had background concentrations, 24% were subclinically poisoned, 52% were clinically poisoned, and 18% were severely clinically poisoned with Pb. Blood Pb concentrations were lower in song sparrows than in robins and lowest in Swainson's thrushes. More than half of the robins and song sparrows from all contaminated sites and more than half of the Swainson's thrushes from highly contaminated sites showed at least 50% inhibition of the activity of the enzyme δ-aminolevulinic acid dehydratase (ALAD), commonly used as a measure of exposure to Pb. The highest hepatic Pb concentration of 61 mg/kg (dry weight) was detected in a song sparrow. Using Al as a marker for soil in songbird ingesta, we estimated average soil ingestion rates as 20% in robins, 17% in song sparrows, and 0.7% in Swainson's thrushes. Soil Pb in ingesta accounted for almost all of the songbirds' exposure to Pb. Based on these results, it is recommended that ecological risk assessments of ground-feeding songbirds at contaminated sites include soil ingestion as a pathway of exposure to Pb.

    Title The Impact of Income and Education on Dietary Habits in Stone Formers.
    Date September 2010
    Journal Urology
    Excerpt

    To evaluate the impact of socioeconomic status (SES) on dietary habits in stones formers (SF) as there is an obvious association between dietary habits and risks of urolithiasis.

    Title Occult Spinal Dysraphism and Urolithiasis: Are Patients at Higher Risk of Stone Disease?
    Date February 2008
    Journal Journal of Endourology / Endourological Society
    Excerpt

    BACKGROUND AND PURPOSE: Spinal dysraphism is associated with urinary-tract dysfunction in severe cases such as meningomyelocele, in part because of incomplete innervation of the lower urinary tract. Patients with meningomyelocele are at higher risk for stone formation, possibly secondary to stasis of urine from aberrant storage and emptying. However, minimal data exist on the risk of stone formation in patients with milder forms of spinal dysraphism. The purpose of this study was to examine whether an association exists between urolithiasis and occult spinal dysraphism (OSD). PATIENTS AND METHODS: All patients who underwent a non-contrast CT scan of the abdomen and pelvis during a 4-month period were included. The final dataset consisted of 374 consecutive patients (195 men, 179 women) with a mean age of 54.2 years (range 18-95 years). Scans were reviewed for evidence of urolithiasis and, independently, for skeletal abnormalities. Patients with urolithiasis included those with a kidney, ureteral, or bladder stone(s). Patients with OSD included those with bifid lumbosacral bony elements, posterior arch defects, or incomplete fusion or non-fusion of S1, S2, or S3. The association between urolithiasis and OSD was examined by calculating series of crude and adjusted odds ratios (ORs) with corresponding 95% confidence intervals (CIs). RESULTS: Of the 374 patients, 135 (36.1%) had urinary calculi, and 83 (22.2%) had OSD. No relation was found between the prevalence of OSD and stone disease (OR 1.22; 95% CI 0.72, 2.08), even after adjusting for potential confounders. CONCLUSION: Unlike severe spinal dysraphism, OSD does not appear to confer an increased risk of stone disease.

    Title Pathophysiology and Management of Infectious Staghorn Calculi.
    Date October 2007
    Journal The Urologic Clinics of North America
    Excerpt

    The American Urological Association Nephrolithiasis Guidelines Panel recently conducted a critical meta-analysis of the existing literature to determine the optimal management for staghorn calculi. This article briefly discusses the pathophysiology of staghorn calculi and, based on the panel's recommendations, examines the alternative medical treatments (eg, chemolysis) and surgical treatments (eg, shock wave lithotripsy, open surgery, ureteroscopy, and percutaneous nephrolithotomy) available for staghorn patients. Considering the various modalities for staghorn disease, percutaneous nephrolithotomy should be the first-line treatment for most patients based on its superior efficacy and low morbidity.

    Title Cytoreductive Nephrectomy in Metastatic Renal Cell Carcinoma.
    Date September 2006
    Journal Expert Review of Anticancer Therapy
    Excerpt

    Metastatic renal cell carcinoma is associated with a poor prognosis and a median survival time of only 6-12 months. However, the emergence of immunotherapies has rekindled interest in cytoreductive nephrectomy as a therapeutic option. Phase III randomized trials have demonstrated that cytoreductive nephrectomy significantly improves overall survival in selected patients with metastatic renal cell carcinoma treated with interferon immunotherapy. While cytokine-based immunotherapy may be considered the standard systemic therapy, clinical studies are ongoing to develop molecular biomarkers and new therapies with improved efficacy and tolerability. With further advances in our understanding of the pathogenesis, behavior and molecular biology of renal cell carcinoma, cytoreductive nephrectomy, in combination with molecular targeted therapies, may become the new standard of care for patients with metastatic renal cell carcinoma.

    Title Nonsurgical Management of Urolithiasis: an Overview of Expulsive Therapy.
    Date February 2006
    Journal Journal of Endourology / Endourological Society
    Excerpt

    Although minimally invasive stone therapies such as shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy are efficacious, these techniques are not free of risks and are relatively expensive. Watchful waiting may be appropriate in patients without infection whose pain can be controlled with oral medication but is associated with pain, uncertainty, potential risks to renal function, and time lost from work. Hydroxyprogesterone, prostaglandin synthetase inhibitors, calcium-channel blockers such as nifedipine, alpha-1 blockers such as tamsulosin, and corticosteroids may have some beneficial effect. Future studies are likely to provide additional data in support of their use.

    Title Report of Aggressive Renal Cell Carcinoma in Two Patients with Von Hippel-lindau Disease.
    Date November 2005
    Journal Urology
    Excerpt

    Renal cell carcinoma is relatively common in patients with von Hippel-Lindau disease, yet characteristically follows a less aggressive course compared with sporadic renal cell carcinoma. We report on 2 patients with von Hippel-Lindau disease and atypically aggressive renal tumors. In these patients, more rigorous screening guidelines may help to identify the more aggressive variants.


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