Dr. Leslie Mark Spevack – Urologist | Toronto, ON

Dr. Leslie Mark Spevack is a dedicated Urologist specializing in the diagnosis and treatment of conditions affecting the urinary tract in men and women, and the male reproductive system. Practicing at St Joseph's Hospital in Toronto, ON, he is an integral part of the local medical community. His work is carried out in accordance with the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Spevack provides comprehensive care for a wide range of urological issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. His approach emphasizes patient-centered care, ensuring that each individual receives tailored treatment in a modern clinical environment equipped for advanced urological procedures.

He graduated with a Medical Degree from Schulich School of Medicine and Dentistry in Canada and has over 31 years of experience as a Urologist, having been in practice since 1993. Dr. Spevack is recognized as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist in Urology by the College of Physicians and Surgeons of Ontario (CPSO). His extensive training and certification underpin his expertise in delivering safe, effective, and innovative urological treatments.

Dr. Spevack's clinical philosophy centers on providing patient-focused care that utilizes the latest evidence-based practices and minimally invasive techniques where appropriate. He is committed to patient education, ensuring individuals are well-informed about their conditions and treatment options. Fluent in English, he dedicates himself to serving adult male and female patients in Toronto, offering compassionate and comprehensive urological care in a facility that prioritizes accessibility and comfort.

Dr. Leslie Spevack addresses a wide range of urological conditions, including:

Urologic Cancers

• Ureteral & Renal Pelvis Cancer: Cancers that form in the urothelial cells lining the ureters (tubes connecting kidneys to bladder) or renal pelvis (funnel-like part of kidney).
• Testicular Cancer: Cancer that develops in the testicles, a part of the male reproductive system, most common in young men.
• Bladder Cancer: Cancer that begins in the cells of the bladder, most commonly in the urothelial cells lining the inside of the bladder.

Female Pelvic Health & Urinary Conditions

• Urge Urinary Incontinence / Overactive Bladder: Sudden, intense urge to urinate followed by involuntary loss of urine.
• Stress Urinary Incontinence (SUI): Involuntary leakage of urine during physical activity like coughing, sneezing, laughing, or exercise.
• Recurrent Urinary Tract Infections (UTIs) in Women: Frequent bladder or kidney infections requiring investigation and management.

Prostate & Male Genital Conditions

• Male Infertility Factors (e.g., Varicocele, Obstructive Azoospermia): Urological conditions contributing to a couple's inability to conceive.
• Benign Prostatic Hyperplasia (BPH) / Enlarged Prostate: Non-cancerous enlargement of the prostate gland, common in aging men, causing urinary symptoms.
• Peyronie's Disease: A condition where scar tissue (plaque) forms under the skin of the penis, causing curved, painful erections.

This list is not exhaustive. For personalized advice regarding your specific urological concerns, please consult with Dr. Leslie Spevack.

• Laser Surgery for Urological Conditions: Employing various laser technologies for treatments such as BPH (e.g., HoLEP, GreenLight), kidney stones, and bladder tumors.
• Second Opinion Consultations for Urological Conditions: Providing expert second opinions on complex urological diagnoses and treatment plans to ensure informed patient decisions.
• Erectile Dysfunction (ED) Diagnosis & Treatment: Comprehensive evaluation and management of ED, including oral medications, injection therapy, vacuum devices, and penile prosthesis surgery.
• Pelvic Organ Prolapse (POP) Urological Aspects & Surgical Repair (e.g., Cystocele Repair): Evaluation and surgical management of bladder prolapse and other urological components of POP, often in collaboration with urogynecologists.
• Bladder Cancer Diagnosis & Treatment: Including transurethral resection of bladder tumor (TURBT), intravesical therapy (BCG, chemotherapy), and radical cystectomy.
• Ureteroscopy with Laser Lithotripsy & Stent Placement: Minimally invasive procedure using a scope passed through the ureter to locate and break up stones with a laser, often followed by temporary stent placement.
• Low Testosterone (Hypogonadism) Management: Diagnosis and treatment of low testosterone levels, including hormone replacement therapy.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Spevack for care relevant to your needs.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant urological care guidelines. Contact the clinic regarding new patient intake and referral processes.

St Joseph's Hospital is situated in Toronto's vibrant neighborhood near the Fairview, Henry Farm, and Oriole areas. It serves as a key medical facility within the hospital complex, providing specialized urological care in a modern, accessible environment. The hospital is conveniently located close to Toronto Police HQ and Little Italy, accessible via multiple public transit options including the TTC (Subway, Streetcar, Bus). The facility is wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available, offering flexible options for visitors seeking in-person consultations and treatments. As a vital part of Toronto's healthcare infrastructure, St Joseph’s Hospital supports comprehensive urological services delivered by experienced specialists like Dr. Spevack.

Are consultations and treatments with Dr. Spevack, a Urologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Urologist like Dr. Spevack, as well as most diagnostic tests (e.g., cystoscopy, urodynamics) and provincially insured surgical procedures, are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Some newer technologies, medications, or elective procedures (like cosmetic urology or certain non-insured infertility treatments) may not be covered or may require special authorization. It's always recommended to discuss coverage specifics with Dr. Spevack's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Dr. Spevack, a Urologist?

Yes, for most urological consultations and treatments covered by provincial health plans in ON, a referral from your family physician or another specialist is typically required to see a Urologist like Dr. Spevack. This ensures your care is coordinated and appropriate. Some specific services, like vasectomy in certain private clinic settings, might occasionally be accessed directly, but for general urological assessment or provincially insured care, a referral is the standard pathway.

What is a cystoscopy and why might I need one?

A cystoscopy is a procedure that allows your urologist, such as Dr. Dr. Spevack, to look directly inside your bladder and urethra using a thin, lighted instrument called a cystoscope. It might be recommended to investigate symptoms like blood in the urine, frequent UTIs, bladder pain, or difficulty urinating. It can also be used to take biopsies or perform minor treatments. He will explain the procedure and any preparation needed.

When should I consider seeing a Urologist?

You should consider seeing a Urologist if you experience symptoms such as blood in your urine (hematuria), recurrent urinary tract infections (UTIs), difficulty urinating (hesitancy, weak stream, straining), frequent or urgent need to urinate, urinary incontinence (leakage), pain in the flank, lower abdomen, or groin that might be related to kidney stones, or any concerns related to the male reproductive organs (e.g., testicular pain/lumps, erectile dysfunction, male infertility). Your family doctor can help determine if a referral to a urologist like Dr. Dr. Spevack is appropriate.

What are the treatment options for an enlarged prostate (BPH)?

Treatment for Benign Prostatic Hyperplasia (BPH) depends on the severity of your symptoms and how much they affect your quality of life. Options range from lifestyle changes and medications to minimally invasive procedures (like UroLift, Rezum) and surgical treatments (such as TURP or laser prostatectomy). Dr. Spevack can discuss the most suitable options for you based on your individual circumstances.

What can be done for urinary incontinence?

Urinary incontinence (loss of bladder control) is a common and often treatable condition. Treatment depends on the type of incontinence (stress, urge, mixed, overflow). Options may include lifestyle changes (e.g., fluid management, bladder training), pelvic floor muscle exercises (Kegels), medications, medical devices (like pessaries for women), nerve stimulation, or surgical procedures (such as sling surgery for stress incontinence). Dr. Dr. Spevack can help determine the cause and best treatment plan for you.

St Joseph's Hospital
8th Floor, 1333 Sheppard Avenue East
Toronto, ON M2J 1V1

Phone: (416) 499-1333 | Fax: (416) 499-1342

The facility is wheelchair accessible.

Dr. Spevack is a licensed Urologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Spevack for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Spevack-Leslie-Mark/0045624-59602