Meet Dr. Gary Lemack

Urologist Gary Lemack, M.D., of UT Southwestern Medical Center wants people who suffer from urinary incontinence and pelvic prolapse to know that he can offer solutions to help them get back to a normal life.

"Many people think that's the way they have to live their lives. And that is not the case," Dr. Lemack says.

We can improve quality of life for patients with incontinence and prolapse."

Dr. Lemack, a Texas Monthly Super Doctor and D Magazine Best Doctor, offers a range of treatments to help with urge incontinence and stress incontinence, ranging from medications to surgical procedures.

A particular area of focus for Dr. Lemack is neurourology – treating patients with spinal cord injuries, multiple sclerosis, Parkinson's disease, stroke, and related neurological disorders who often have bladder problems.

"Many times, we can make things a lot more tolerable and offer patients some solutions they might not have heard of yet."

Among the innovative approaches he offers, Dr. Lemack uses botulinum toxin (commercially known as Botox) injections in the bladder to help people with urge incontinence improve their bladder capacity and decrease urge episodes. Dr. Lemack was involved in the clinical trials for the treatment and performs the procedure more often than any other doctor in North Texas.

Dr. Lemack also offers neuromodulation to help treat incontinence. In these procedures, he uses electrical current to improve bladder capacity and reduce urge incontinence. For example, tibial nerve stimulation targets a nerve in the ankle to improve overactive bladder symptoms.

Dr. Lemack's research focuses on urodynamics (tests to evaluate bladder function) and neurourology. He is currently conducting a trial for the treatment of interstitial cystitis (chronic inflammation of the bladder) and another trial to evaluate the effectiveness of tibial nerve stimulation in patients with multiple sclerosis or other neurological conditions.

Clinical Interests 

Urology

• Neurogenic bladder in men and women
• Neuromodulation
• Pelvic organ prolapse (cytocele, rectocele, vault prolapse)
• Overactive bladder in men and women
• Urge incontinence
• Stress incontinence in women
• Interstitial cystitis
• Female urethral strictures