Dr. Toby Adam Carnat – Urologist | Mississauga, ON

Dr. Toby Adam Carnat 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 HHSC General Hospital Campus in Mississauga, ON, he is an integral part of the local medical community. He provides comprehensive urological care for a wide range of issues, including kidney stones, prostate conditions, bladder problems, and male reproductive health concerns. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality care for all patients.

Dr. Carnat graduated with a Medical Degree from Dalhousie University Faculty of Medicine in Canada. With over 17 years of experience as a Urologist since 2007, he is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO). His extensive training and certification reflect his commitment to providing expert urological services and staying current with advances in the field.

His clinical philosophy centers on delivering patient-centered care, utilizing advanced and minimally invasive techniques where appropriate. Dr. Carnat emphasizes evidence-based practice and comprehensive patient education to empower individuals in managing their urinary and reproductive health. He is dedicated to serving the community of Mississauga, providing care in English, and ensuring each patient receives personalized and compassionate treatment.

Dr. Toby Carnat addresses a wide range of urological conditions, including:

General Urologic Symptoms & Disorders

• 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.
• Neurogenic Bladder: Bladder dysfunction caused by neurological damage or conditions affecting nerve control of the bladder.

Urologic Cancers

• Testicular Cancer: Cancer that develops in the testicles, a part of the male reproductive system, most common in young men.
• 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.

Prostate & Male Genital Conditions

• 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.
• Male Infertility Factors (e.g., Varicocele, Obstructive Azoospermia): Urological conditions contributing to a couple's inability to conceive.

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

• Kidney Cancer (Renal Cell Carcinoma) Diagnosis & Surgical Treatment: Including partial and radical nephrectomy (open, laparoscopic, robotic).
• Laser Surgery for Urological Conditions: Employing various laser technologies for treatments such as BPH (e.g., HoLEP, GreenLight), kidney stones, and bladder tumors.
• 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.
• Prostatitis Management (Acute & Chronic): Diagnosis and treatment of prostate inflammation and infection.
• Vasectomy & Vasectomy Reversal Consultations & Procedures: Performing vasectomy for permanent male contraception and offering consultations/procedures for vasectomy reversal.
• Prostate Biopsy (TRUS-guided): Transrectal ultrasound-guided biopsy to obtain prostate tissue samples for cancer diagnosis.
• Peyronie's Disease Treatment: Medical and surgical options for managing penile curvature caused by Peyronie's disease.

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

The practice is located within the HHSC General Hospital Campus in Mississauga's Mississauga City Centre, Square One Area neighborhood. The hospital is a key medical facility serving the community with specialized urological services. It is conveniently situated near Meadowvale Town Centre and accessible via public transit, including MiWay (Mississauga Transit). The facility is wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for visitors, providing convenient options for those coming for appointments.

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

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

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

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

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. Carnat 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. Carnat 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. Dr. Carnat, 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.

HHSC General Hospital Campus
101 Queensway W, Department of Radiology
Mississauga, ON L5B 2P7

Phone: (905) 276-4484

The facility is wheelchair accessible.

Dr. Carnat 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. Carnat 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/Carnat-Toby-Adam/0193812-77651