Dr. Michael Joseph Metcalfe – Urologist | Victoria, BC

Dr. Michael Joseph Metcalfe 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 a urology clinic or hospital department in Victoria, BC, he is an integral part of the local medical community. Adhering to the rigorous standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), Dr. Metcalfe provides comprehensive care for a wide range of urological issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. His practice is equipped with modern facilities designed to deliver thorough and compassionate urological care to adult patients of all genders.

He graduated with an MD from the University of Alberta in Canada and holds specialty certification as a Urologist through the Royal College of Physicians and Surgeons of Canada. His training and certification reflect a commitment to maintaining high standards of medical excellence and continuous professional development in urological care.

Dr. Metcalfe’s clinical philosophy emphasizes patient-centered care, utilizing the latest evidence-based practices and minimally invasive techniques where appropriate. He is dedicated to providing clear patient education and tailored treatment plans, ensuring that each individual receives compassionate and effective urological services. He provides care in English and is committed to supporting his patients throughout their health journey in Victoria and the surrounding communities.

Dr. Michael Metcalfe addresses a wide range of urological conditions, including:

General Urologic Symptoms & Disorders

• Urinary Frequency, Urgency & Nocturia: Symptoms of needing to urinate often, suddenly, or frequently during the night, which can indicate various underlying conditions.
• Painful Urination (Dysuria): Discomfort or burning sensation during urination, often a symptom of infection or inflammation.
• Neurogenic Bladder: Bladder dysfunction caused by neurological damage or conditions affecting nerve control of the bladder.

Prostate & Male Genital Conditions

• Testicular Pain, Masses & Swelling (e.g., Epididymitis, Orchitis, Hydrocele, Varicocele, Testicular Torsion): Various conditions causing discomfort or changes in the testicles or scrotum, requiring urological evaluation.
• Erectile Dysfunction (ED): The inability to get or keep an erection firm enough for sexual intercourse.
• Prostatitis (Acute & Chronic Bacterial, Chronic Pelvic Pain Syndrome): Inflammation or infection of the prostate gland, causing pain, urinary difficulties, and other symptoms.

Female Pelvic Health & Urinary Conditions

• 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.
• Pelvic Organ Prolapse (Cystocele - Bladder Prolapse): When the bladder drops (prolapses) from its normal position in the pelvis and pushes on the wall of the vagina.

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

• Prostate Cancer Diagnosis, Staging & Multimodal Management: Including active surveillance, radical prostatectomy (open, laparoscopic, robotic), radiation therapy coordination, and hormone therapy.
• Erectile Dysfunction (ED) Diagnosis & Treatment: Comprehensive evaluation and management of ED, including oral medications, injection therapy, vacuum devices, and penile prosthesis surgery.
• Prostate Biopsy (TRUS-guided): Transrectal ultrasound-guided biopsy to obtain prostate tissue samples for cancer diagnosis.
• Management of Post-Operative Urological Care: Providing comprehensive follow-up and management after urological surgeries to ensure optimal recovery and outcomes.
• Overactive Bladder (OAB) Management in Women: Treatment strategies for urinary urgency, frequency, and urge incontinence, including medications and neuromodulation.
• Endoscopic Urological Procedures: Utilizing scopes passed through natural body openings to diagnose and treat conditions within the urinary tract (e.g., stone removal, tumor resection).
• Interstitial Cystitis / Bladder Pain Syndrome (IC/BPS) Management: Multimodal approaches to manage chronic bladder pain and discomfort.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Metcalfe 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 British Columbia (CPSBC) and relevant urological care guidelines. Contact the clinic regarding new patient intake and referral processes.

Dr. Metcalfe practices within a urology clinic located in the James Bay area of Victoria, BC. The facility is situated in a vibrant neighborhood near Beacon Hill Park, making it easily accessible for local residents. The location is conveniently served by the Victoria Regional Transit System (BC Transit), with a nearby BC Transit Hub providing multiple transit options. The facility is wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for those arriving by private vehicle, providing flexible options for patients attending appointments.

Are consultations and treatments with Dr. Metcalfe, a Urologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Urologist like Dr. Metcalfe, as well as most diagnostic tests (e.g., cystoscopy, urodynamics) and provincially insured surgical procedures, are generally covered by Medical Services Plan (MSP) in BC 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. Metcalfe's office or Medical Services Plan (MSP).

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

Yes, for most urological consultations and treatments covered by provincial health plans in BC, a referral from your family physician or another specialist is typically required to see a Urologist like Dr. Metcalfe. 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. Metcalfe, 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.

What treatment options are available for erectile dysfunction (ED) with Dr. Metcalfe?

Erectile dysfunction (ED) has various treatment options available. After evaluating the potential causes, Dr. Metcalfe may discuss lifestyle modifications, oral medications (like PDE5 inhibitors), vacuum erection devices, injection therapy (intracavernosal injections), or in some cases, surgical options like penile implants. The best treatment depends on the underlying cause of ED and individual patient factors and preferences.

200-1121 Yates St, Division of Urology
Victoria, BC V8V 3N1

Phone: (250) 381-3747 | Fax: (250) 381-3748

The facility is wheelchair accessible.

Dr. Metcalfe is a licensed Urologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician is typically required for consultations with Dr. Metcalfe for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/335836/Metcalfe%2CMichael