Our state-of-the-art Desai Sethi Urology Institute attracts patients from throughout the U.S. and the world to receive advanced, patient-centered care. If you’re an international patient struggling with a urology diagnosis, our written medical second opinion program can provide expert medical advice – and you never need to leave home.
Conditions We Cover
Urology issues can affect your health and your quality of life. If you want to better understand your treatment options with an expert second opinion, our board-certified doctors can help. This includes specialist evaluations for both men and women. From getting a cancer second opinion to understanding your diagnosis and treatment options for fertility and incontinence, we are here for you.
Our urology second opinion services cover a wide range of conditions including:
- Prostate cancer
- Bladder cancer
- Kidney cancer
- Testicular cancer
- Kidney stones
- Benign prostatic hyperplasia (enlarged prostate)
- Urinary incontinence
- Overactive bladder
- Recurrent urinary tract infections
- Erectile dysfunction
- Infertility
- Low testosterone
Meet Our Physicians
Chad Ryan Ritch, MD, MBA
Urologic Oncology
Dr. Ritch is a fellowship-trained Urologic Oncologist, and Associate Professor of Urology at the Desai Sethi Urology Institute, University of Miami, Miller school of medicine where he is the Director of Urology for UHealth Tower, the flagship university hospital. His clinical interests include the treatment of prostate, bladder, kidney and testicular cancer. His research interests are in prostate and bladder cancer. He oversees the institutional non-muscle invasive bladder cancer database at the University of Miami and has conducted a randomized controlled pilot trial investigating the role of nutrition intervention in patients undergoing radical cystectomy. He also has active research studies on prostate cancer in Afro-Caribbean men. He is a member of the American Urological Association (AUA) Guideline Panel for the Management of Non-muscle Invasive Bladder Cancer and co-developed the interactive guideline based web app "BlaTUR" www.blatur.com to aid clinicians with the management of bladder cancer. He has an active role in the Society of Urologic Oncology (SUO) as the representative to the American College of Surgeons Commission on Cancer (CoC). He also serves on the Editorial Board for Urologic Oncology: Seminars and Original Investigations, the official journal of the SUO and is a member of the Board of Directors for International Volunteers in Urology (IVUmed). Dr. Ritch did his undergraduate studies at Duke University and then matriculated at the University of Chicago, where he obtained a joint degree in medicine (MD) and business (MBA) from the Pritzker School of Medicine and Booth School of Business. He then completed his residency in Urology at Columbia University Medical Center/NY Presbyterian Hospital followed by a two-year fellowship in Urologic Oncology at Vanderbilt University Medical Center.
Costs and Timelines
The exact costs and time to receive your written second opinion can vary based on your individual case. In general, you can expect the following:
- Cost: $1,500 (no insurance accepted)
- Timeline: You can expect to receive your written second opinion report within 72 business hours of completing all required documentation. It may take longer depending on the specialist and any extra review services that may be needed.
Records You’ll Need
Please note that you must submit all records in English. You are responsible for the cost of any translation services that may be needed.
Please plan to submit the following records. We may request additional records as needed.
- Imaging reports AND uploaded images (DICOM format)
- Pathology reports (for cancer cases)
- Laboratory analysis – complete blood count, prostate specific antigen, comprehensive metabolic profile, urinalysis, urine culture, stone analysis, tumor markers
- Urodynamics reports (if available for BPH and voiding dysfunction)
- Cystoscopy report (for bladder cancer, BPH, urinary voiding dysfunction or hematuria)
- Operative report (for any prior genitourinary surgery)
View directions for uploading your studies into our image sharing platform: Ambra.
Ready to Request Your Written Medical Second Opinion?
The first step in seeking a written medical second opinion is to submit your request. This will guide you through the process to activate a MyUHealthChart and begin uploading your records. Ready to get started?
Why Choose Us?
Proven expertise. Our urologists are world leaders in their field, advancing research and innovations in patient care. This enables our second opinion team to bring the latest insights to the evaluation process.
Thorough approach. Each of our urology experts is backed by a skilled team of specialists to support personalized diagnoses and recommendations. This includes experts in radiology, pathology, medical oncology, and other specialties.
Comprehensive, compassionate care. Our team understands the impact that urology issues can have on health and quality of life. We’re committed to helping you achieve greater peace of mind when deciding on the right treatment for you.
Request a Medical Second Opinion
Please Note: If you are experiencing symptoms that are urgent in nature please contact your primary care physician or your nearest urgent care facility.
Existing patients can schedule an appointment by logging in to MyUHealth Chart or by calling 305-243-4000.