Dr. Richard William Casey – Urologist | Oakville, ON

Dr. Richard William Casey 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 within a hospital department in Oakville, ON, he is an integral part of the local medical community. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in every aspect of patient care. Dr. Casey provides comprehensive urological care for a wide range of issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. His approach is patient-centered, focusing on individual needs and personalized treatment plans to improve urinary health and overall well-being. The clinic is equipped with modern facilities to deliver advanced diagnostics and minimally invasive treatments, serving adult male and female patients with compassion and expertise.

He received his medical degree from the Schulich School of Medicine and Dentistry in Canada. With over 41 years of experience as a Urologist since 1983, Dr. Casey has developed a deep expertise in managing complex urological conditions. He is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his commitment to maintaining the highest professional standards and ongoing medical excellence.

Dr. Casey's clinical philosophy is rooted in providing evidence-based, patient-centered care. He utilizes advanced, minimally invasive techniques whenever appropriate to optimize outcomes and minimize patient discomfort. He is dedicated to educating his patients thoroughly, empowering them to make informed decisions about their health. Fluent in English, he is committed to offering compassionate and comprehensive urological care to residents of Oakville and the surrounding communities.

Dr. Richard Casey addresses a wide range of urological conditions, including:

Female Pelvic Health & Urinary Conditions

• 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.
• Recurrent Urinary Tract Infections (UTIs) in Women: Frequent bladder or kidney infections requiring investigation and management.
• Stress Urinary Incontinence (SUI): Involuntary leakage of urine during physical activity like coughing, sneezing, laughing, or exercise.

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).
• Prostate Cancer: Cancer that occurs in the prostate — a small walnut-shaped gland in males that produces the seminal fluid.
• Bladder Cancer: Cancer that begins in the cells of the bladder, most commonly in the urothelial cells lining the inside of the bladder.

General Urologic Symptoms & Disorders

• Neurogenic Bladder: Bladder dysfunction caused by neurological damage or conditions affecting nerve control of the bladder.
• Hematuria (Blood in Urine): Presence of red blood cells in the urine, requiring investigation to determine the cause (e.g., infection, stones, tumors).
• Urinary Frequency, Urgency & Nocturia: Symptoms of needing to urinate often, suddenly, or frequently during the night, which can indicate various underlying conditions.

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

• Bladder Cancer Diagnosis & Treatment: Including transurethral resection of bladder tumor (TURBT), intravesical therapy (BCG, chemotherapy), and radical cystectomy.
• Male Infertility Evaluation & Management (in collaboration with fertility specialists): Investigating causes of male infertility and offering medical or surgical treatments (e.g., varicocele repair, sperm retrieval).
• Second Opinion Consultations for Urological Conditions: Providing expert second opinions on complex urological diagnoses and treatment plans to ensure informed patient decisions.
• Prostate Cancer Diagnosis, Staging & Multimodal Management: Including active surveillance, radical prostatectomy (open, laparoscopic, robotic), radiation therapy coordination, and hormone therapy.
• Laser Surgery for Urological Conditions: Employing various laser technologies for treatments such as BPH (e.g., HoLEP, GreenLight), kidney stones, and bladder tumors.
• Urethral Conditions in Women (e.g., Urethral Diverticulum, Stricture): Diagnosis and treatment of conditions affecting the female urethra.
• 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.

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

Dr. Casey's urology practice is situated within a modern hospital department in Oakville's River Oaks, College Park neighborhood. The facility is conveniently accessible from Oakville GO Station and is well served by Oakville Transit bus routes. The clinic is fully wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, providing easy and secure parking for patients visiting for consultations, diagnostics, or treatments. The surrounding area features a vibrant community with nearby amenities, making it a practical choice for residents seeking expert urological care in Oakville.

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

Medically necessary consultations with a licensed Urologist like Dr. Casey, 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. Casey's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Dr. Casey, 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. Casey. 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 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. Casey can discuss the most suitable options for you based on your individual circumstances.

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. Casey is appropriate.

What are some common tests a Urologist might perform or order?

Depending on your symptoms and condition, Dr. Casey may perform or order several tests. These can include urinalysis (urine test), urine culture, blood tests (like PSA for prostate health), imaging studies (ultrasound, CT scan, MRI of the kidneys, bladder, or prostate), urodynamic studies (to assess bladder function), and cystoscopy (a scope to look inside the bladder and urethra). He will explain why any specific test is needed and what it involves.

What does a vasectomy involve if performed by Dr. Casey?

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. Casey 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. Casey beforehand.

What is a PSA test and who should have it?

The PSA (Prostate-Specific Antigen) test is a blood test primarily used to screen for prostate cancer. PSA is a protein produced by cells of the prostate gland. The decision to have a PSA test is best made in consultation with your doctor, like Dr. Casey, after discussing the potential benefits, risks, and limitations of screening. Factors such as age, family history of prostate cancer, and ethnicity are often considered. It's not a perfect test, as elevated PSA can also be caused by non-cancerous conditions like BPH or prostatitis.

Room-148, 1235 Trafalgar Road
Oakville, ON L6H 3P1

Phone: (905) 338-3130 | Fax: (905) 338-3150

The facility is wheelchair accessible.

Dr. Casey 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. Casey 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/Casey-Richard-William/0025569-30392