Dr. Nathan Andrew Alexis Hoag – Urologist | Victoria, BC

Dr. Nathan Andrew Alexis Hoag 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. His practice adheres to the rigorous standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). Dr. Hoag provides comprehensive care for a wide range of urological issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns, serving adult male and female patients. The clinic is equipped with modern facilities to provide thorough and advanced urological care.

He graduated with a Medical Degree from the University of British Columbia (Canada) and holds specialty certification as a Urologist. His certifications include those from the Royal College of Physicians and Surgeons of Canada, reflecting his commitment to excellence and ongoing professional development within the field of urological care.

Dr. Hoag's clinical philosophy centers on patient-centered care, utilizing the latest evidence-based practices and minimally invasive techniques where appropriate. He is dedicated to providing personalized, compassionate service to his patients in Victoria, ensuring they are well-informed about their conditions and treatment options. He offers his medical expertise in English and prioritizes comprehensive patient education to facilitate informed decision-making and optimal health outcomes.

Dr. Nathan Hoag addresses a wide range of urological conditions, including:

Prostate & Male Genital Conditions

• Prostatitis (Acute & Chronic Bacterial, Chronic Pelvic Pain Syndrome): Inflammation or infection of the prostate gland, causing pain, urinary difficulties, and other symptoms.
• 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.
• Peyronie's Disease: A condition where scar tissue (plaque) forms under the skin of the penis, causing curved, painful erections.

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.
• Urinary Tract Infections (UTIs) - Complicated or Recurrent: Infections affecting any part of the urinary system that are frequent, persistent, or associated with underlying factors.
• Neurogenic Bladder: Bladder dysfunction caused by neurological damage or conditions affecting nerve control of the bladder.

Female Pelvic Health & Urinary Conditions

• Stress Urinary Incontinence (SUI): Involuntary leakage of urine during physical activity like coughing, sneezing, laughing, or exercise.
• Urge Urinary Incontinence / Overactive Bladder: Sudden, intense urge to urinate followed by involuntary loss of urine.
• Urethral Syndrome / Chronic Urethritis: Symptoms of urethral irritation or inflammation without evidence of bacterial infection.

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

• Erectile Dysfunction (ED) Diagnosis & Treatment: Comprehensive evaluation and management of ED, including oral medications, injection therapy, vacuum devices, and penile prosthesis surgery.
• Testicular Conditions Management (e.g., Testicular Torsion, Hydrocele, Varicocele, Epididymitis): Diagnosis and treatment of various conditions affecting the testicles and scrotum.
• 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.
• Prostate Cancer Diagnosis, Staging & Multimodal Management: Including active surveillance, radical prostatectomy (open, laparoscopic, robotic), radiation therapy coordination, and hormone therapy.
• Comprehensive Urological Consultation & Evaluation: In-depth assessment of urinary tract and male reproductive system conditions, including medical history review, physical examination, and diagnostic planning.
• Testicular Cancer Diagnosis, Staging & Management: Including radical inguinal orchiectomy and coordination with oncologists for further therapy.
• Adrenal Tumor Urological Evaluation & Surgical Management: Assessing and surgically removing adrenal masses when indicated from a urological perspective.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Hoag 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.

Located within a urology clinic or hospital department in Victoria's Burnside Gorge or Hillside-Quadra neighbourhood, the practice offers easy access via major routes such as the Access to Saanich/Highway. Patients can reach the facility conveniently through the Victoria Regional Transit System (BC Transit). The facility is wheelchair accessible, ensuring comfort for all patients, and parking is available at or near the location to facilitate easy arrival and departure.

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

Medically necessary consultations with a licensed Urologist like Dr. Hoag, 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. Hoag's office or Medical Services Plan (MSP).

Do I need a referral to see Dr. Hoag, 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. Hoag. 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 does a vasectomy involve if performed by Dr. Hoag?

A vasectomy is a minor surgical procedure for permanent male contraception. It involves cutting or blocking the vas deferens, the tubes that carry sperm from the testicles. Dr. Hoag would perform this procedure, usually in an outpatient setting under local anesthesia. It's a highly effective form of birth control. It's important to discuss the procedure, potential risks, and the fact that it's considered permanent with Dr. Hoag beforehand.

What are kidney stones and how does Dr. Hoag treat them?

Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain when they pass through your urinary tract. Treatment depends on the stone's size, type, and location. Small stones may pass on their own with increased fluid intake and pain medication. Larger stones or those causing significant symptoms might require procedures like Extracorporeal Shock Wave Lithotripsy (ESWL) to break them up, ureteroscopy with laser to remove or break them, or percutaneous nephrolithotomy (PCNL) for very large stones. Dr. Hoag will also work with you on strategies to prevent future stones.

What is a cystoscopy and why might I need one?

A cystoscopy is a procedure that allows your urologist, such as Dr. Hoag, 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.

1503 Hillside Ave
Victoria, BC V8T 2C1

Phone: (778) 433-3133 | Fax: (778) 433-3134

The facility is wheelchair accessible.

Dr. Hoag 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. Hoag 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/331176/Hoag%2CNathan