United Urology's Encinitas office on El Camino Real is directed by Dr. Nishant Patel, a urologist board-certified by the American Board of Urology with fellowship training in endourology and kidney stone disease from the Cleveland Clinic. His University of Arizona College of Medicine degree and UCSD urology residency preceded academic appointments at the University of Virginia and UCLA Health System, building a clinical research background that informs referral pathways from primary care providers such as Gemini Primary Care. The practice specializes in ureteroscopy with holmium laser lithotripsy for kidney stone fragmentation, a minimally invasive approach that reduces recovery timelines compared to traditional surgical extraction. Non-surgical erectile dysfunction treatment, low testosterone optimization, and BPH management round out the men's health program, integrating with the wellness-focused approach practiced at Terrain Family Medicine for patients pursuing complementary metabolic optimization. Advanced endourological capabilities include flexible ureteroscopic laser lithotripsy for stones up to 2 cm, percutaneous nephrolithotomy for staghorn calculi, and UroLift prostatic urethral lift for benign prostatic obstruction.