Dr. Timothy Wesley-James – Urologist | Guelph, ON

Dr. Timothy Wesley-James 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 Guelph, 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 that patients receive safe, effective, and compassionate urological care. Dr. Wesley-James provides comprehensive care for a wide range of urological issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. His focus is on delivering personalized treatment plans that address each patient’s unique needs, utilizing the latest medical advancements and minimally invasive techniques whenever appropriate. The clinic is equipped with modern facilities designed to support thorough diagnostics and effective treatments, serving adult male and female patients with dedication and professionalism.

Dr. Wesley-James graduated with a Medical Degree from Queen’s University in Canada. He has over 36 years of experience practicing as a Urologist, having begun his specialization in 1988. He 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). Throughout his career, he has maintained a commitment to continuous learning and excellence in urological care, ensuring his patients benefit from evidence-based practices and innovative treatment options.

Guided by a philosophy of patient-centered care, Dr. Wesley-James emphasizes comprehensive patient education, clear communication, and the use of advanced, minimally invasive techniques when appropriate. His approach prioritizes safety, comfort, and the overall well-being of his patients. He provides care in English and is dedicated to serving the Guelph community with compassion and clinical expertise, ensuring each patient feels supported throughout their healthcare journey.

Dr. Timothy Wesley-James addresses a wide range of urological conditions, including:

Prostate & Male Genital Conditions

• 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.
• 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.

General Urologic Symptoms & Disorders

• Urinary Tract Infections (UTIs) - Complicated or Recurrent: Infections affecting any part of the urinary system that are frequent, persistent, or associated with underlying factors.
• Hematuria (Blood in Urine): Presence of red blood cells in the urine, requiring investigation to determine the cause (e.g., infection, stones, tumors).
• Painful Urination (Dysuria): Discomfort or burning sensation during urination, often a symptom of infection or inflammation.

Urologic Cancers

• Bladder Cancer: Cancer that begins in the cells of the bladder, most commonly in the urothelial cells lining the inside of the bladder.
• Penile Cancer: A rare type of cancer that occurs on or in the penis.
• 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).

This list is not exhaustive. For personalized advice regarding your specific urological concerns, please consult with Dr. Timothy Wesley-James.

• Laser Surgery for Urological Conditions: Employing various laser technologies for treatments such as BPH (e.g., HoLEP, GreenLight), kidney stones, and bladder tumors.
• Comprehensive Urological Consultation & Evaluation: In-depth assessment of urinary tract and male reproductive system conditions, including medical history review, physical examination, and diagnostic planning.
• Open Urological Surgery (for complex cases): Traditional surgical approaches for conditions not amenable to minimally invasive techniques.
• Bladder Cancer Diagnosis & Treatment: Including transurethral resection of bladder tumor (TURBT), intravesical therapy (BCG, chemotherapy), and radical cystectomy.
• Medical Management & Prevention of Kidney Stones: Dietary counseling, medication, and metabolic evaluation to prevent stone recurrence.
• Minimally Invasive Urologic Surgery (Laparoscopic & Robotic-Assisted): Performing complex urological surgeries using small incisions and advanced technology for reduced recovery time (e.g., for prostate, kidney, bladder conditions).
• 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. Wesley-James 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.

In the heart of Guelph's Downtown Guelph, Exhibition Park neighborhood, patients will find a well-equipped urology clinic or hospital department where Dr. Wesley-James practices. The facility is conveniently situated near landmarks such as the River Run Centre and Old Quebec Street Shoppes, making it easy for patients to access. Public transit options like Guelph Transit are available, providing accessible transportation. The facility is wheelchair accessible to accommodate patients with mobility needs. Parking is available at or near the facility, ensuring convenient access for all patients seeking expert urological care in a comfortable and welcoming environment.

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

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

Do I need a referral to see Dr. Wesley-James, 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. Wesley-James. 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. Wesley-James, 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. Wesley-James is appropriate.

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. Dr. Wesley-James, 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.

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. Wesley-James can help determine the cause and best treatment plan for you.

What treatment options are available for erectile dysfunction (ED) with Dr. Wesley-James?

Erectile dysfunction (ED) has various treatment options available. After evaluating the potential causes, Dr. Wesley-James 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.

Suite M1859, 89 Dawson Rd.
Guelph, ON N1H 1B1

Phone: (519) 824-7272

The facility is wheelchair accessible.

Dr. Wesley-James 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. Wesley-James 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/WesleyJames-Timothy/0040587-54563