urologyexpert@yahoo.com

Free 30 Min Case Review & 2nd Opinions

CONTACT

Skilled. Experienced. Professional.

Urology Expert Witness & Urogynecology Expert Witness

Board Certified Urologist
Board Certified Urogynecologist
By the American Board of Urology

Free 30 Min Case Review & 2ND Opinions
About Matthew Karlovsky, M.D., F.A.C.S.

Deposition & Trial Testimony Nationally

All through out the U.S., including federal cases.

Over 400 Cases Reviewed Since 2013

Over 62 deposition testimonies and 18 trials.

Same Day Response

Your Urology Expert, On Call!
Email me today so we can discuss your case by phone.

Brief introduction from Dr. Karlovsky

Common Case Material

Here is a list of typical expert witness case material commonly reviewed for Plaintiff and Defense counsel:

Complications from Urology or Urogynecology Surgery

Neuro-Urology: Spine and Pelvic Nerve Injury to Pelvic Organs

Medical Device Complications (e.g. Foley, InterStim, Penile Prosthesis, Urolift, etc.)

Medication Injury and Side Effects

Kidney Stone Surgery and Sepsis

Motor Vehicle Accidents/Motorcycle Accidents

Pelvic/Vaginal Mesh Complications

“Vaginal Rejuvenation”, Cosmetic Genital Surgery

Independent Medical Exams (IME) Locally or Nationally

Insurance Policy Reviews

Generative-AI Medico-legal Liability

Civil Injury/Personal Injury

Prostate Cancer, Kidney Cancer, Bladder Cancer, Penile Cancer, Testis Cancer

Injury to Female or Male Genitals/Urinary Tract Trauma, Including Transgender Surgery

Criminal/Sexual Assault Cases

Urology Device Patent Review

Medical Board Investigations

Root Cause Analysis for Hospital Internal Peer Review

Workman’s Comp Cases

Educational Seminars on Malpractice & Litigation Avoidance for Physicians & Students

Urology & Urogynecology Surgery and Complications

Urology surgery involves a wide range of procedures on the kidneys, ureters, prostate, bladder, urethra, penis, or testis in men, addressing both benign and malignant conditions. This includes operations such as partial or radical nephrectomy for kidney tumors, pyeloplasty for ureteropelvic junction obstruction, ureteral reimplantation, prostatectomy for cancer or benign prostatic enlargement, cystectomy with urinary diversion, urethral reconstruction for strictures, penile prosthesis or curvature correction for erectile dysfunction or Peyronie’s disease, and orchiectomy or testicular-sparing surgery for tumors. Minimally invasive and robotic approaches are increasingly common in these areas.

Urogynecology surgery, by contrast, focuses on repair or reconstruction of the female pelvic floor for problems such as prolapsing organs or urinary incontinence. Procedures include sacrocolpopexy, hysteropexy, midurethral sling placement, colporrhaphy, paravaginal repair, and mesh or graft reconstructions. These operations may address cystocele, rectocele, uterine prolapse, stress urinary incontinence, and complications from previous pelvic surgery. Neuro-urology complications consist of urinary or sexual dysfunction that may result from nerve injury due to disc or spinal nerve compression, surgical nerve injury or patient positioning, stroke, traumatic brain injury, or other neurologic mechanisms. Common examples include spinal cord injury leading to urinary retention or erectile dysfunction, or pelvic trauma causing nerve damage to the bladder, urethra, or surrounding pelvic organs. “Vaginal rejuvenation” complications can include vaginal burns, scarring, painful intercourse, and chronic vaginal or pelvic pain, sometimes requiring additional reconstructive procedures.

Transgender surgery involves removing the penis, testes, uterus, ovaries and vagina, which sometimes reconstructing a neo-vagina, neo-phallus (penis), neo-scrotum. Implant or prosthetic surgery including penile implants, artificial sphincters, testicular implants, urethral stents, ureteral stents (JJ stents), InterStim, Axonics, sling mesh, colpopexy mesh, as well as removal or explantation of these devices.

Reasonable Review

Most surgery, if appropriately indicated and carefully executed, can achieve excellent outcomes and provide substantial relief of symptoms. However, complications may still arise at several stages of the surgical process, including during the technical execution of the procedure, improper patient positioning on the operating table, inadequate or rushed pre-operative planning, or errors in the immediate and long-term post-operative management.

Recognition of these complications and rapid intervention are essential to minimizing patient harm and preventing escalation of injury. Damage to the male or female genitals or urinary tract, whether caused by surgery, blunt or penetrating trauma such as motor vehicle accidents, or iatrogenic injury from device implantation and instrumentation, may lead to significant physical morbidity and psychological distress. Such injuries often result in chronic difficulties with urination, including obstruction, incontinence, or retention, as well as impairment of sexual function, ranging from erectile dysfunction to dyspareunia. Traumatic injury to the delicate neural pathways that govern urinary continence and sexual performance can further complicate recovery, as nerve damage may be irreversible or require extensive rehabilitation.

Careful assessment of the mechanism of injury, detailed evaluation of the structure and function of the genitourinary tract, and documentation of the clinical course are all critical for establishing medical causation, determining the extent of damages, and assessing the risk of long-term or lifelong disability. These evaluations also guide treatment strategies, medico-legal decisions, and patient counseling regarding prognosis.

Work Ethic

 

Dr. Karlovsky is well known for his timely and responsive communication. He is pro-active to keep you informed about his review of your case. He has a strong and careful eye for detail with evidence-based precise opinions. His reports reflect diligence and report writing is well organized and consistently high caliber. Testimony demeanor is reliably calm and articulate in a balanced professional manner. Dr. Karlovsky is reliable to meet your disclosure deadlines, and if your case lacks merit, he will inform you as soon as possible to curb costs.

Please email Dr. Karlovsky for a free case review by phone to access your case for merit.

Experience

 

Dr. Karlovsky has extensive, diverse and robust experience to meet any challenge of your case. Whether you represent the Plaintiff or Defendant, please contact Dr. Karlovsky for case evaluation. Dr. Karlovsky has reviewed  med-mal for Plaintiff, Defense, national Insurance carriers (GEICO, MetLife, Progressive), hospital risk managers, mutual insurance companies, pelvic mesh and multi-district litigation cases, sexual/genital injury, transgender surgery, personal injury/motor vehicle accidents, criminal/sexual assault cases, implant/device complications (Foley catheter, stents, InterStim, artificial sphincters, penile implants, UroLift, REZUM). Only attorney requests for case review will be answered. No other private solicitation will be considered.

Education

 

Dr. Karlovsky also provides seminars on assisting with malpractice and litigation avoidance.  Education and better understanding of perioperative and surgical planning benefits patients and physicians. His standard seminar reviews common Negligence and Standard of Care concepts, Informed Consent, Informed Refusal, Disclosures, and Documentation Pitfalls. This seminar may benefit residency training programs; private physician groups;  physician societies; insurance malpractice carriers who may wish to lower risk or potential claims among their insured physicians.

Success Counts

Dr. Karlovsky values prompt communication, attention to detail, mastery of the details of your case, meticulous report writing, clear and even-tempered testimony, diligence and respect for deadlines. Dr. Karlovsky has reviewed cases for attorneys and clients in nearly all U.S. states, Puerto Rico, Federal courts, and Native Tribes. He is available for IMEs locally or nationally.

Years’ Experience

Cases

Depositions

Trials

Attorney Feedback

 

In 17 years experience I have never been so fortunate to retain the perfect expert witness! You will benefit your self and your case with the retention of  Dr. Karlovsky.  He is thorough, gets to the bottom line quickly and independently. More importantly he is a fundamental asset for the evaluation of a case and preparation for trial. I would retain Dr. Karlovsky 10 out of 10 times for any type of urological issue.

E.L. | Phoenix, AZ

Defense Counsel

I represented an OB/GYN who had extensive experience in female pelvic medicine and reconstructive surgery. Dr. Karlovsky testified for my client at trial. He was able to explain to the jury in a simple and understandable manner, complicated issues concerning the anatomy, the procedures my client performed and why the patient’s complication was caused by another physician’s care. We obtained a verdict in favor of my client.

T.D. | Sacramento, CA

Defense Counsel

Dr. Karlovsky is a full service expert. He’s very bright and organized, with an uncanny ability to hone in on the heart of the issue he’s analyzing. He’s professional in his dealings and diligent with his work product. I found him to be very helpful as a teacher, and also someone who can articulate and defend his opinions well in deposition.

S.C. | Phoenix, AZ

Plaintiff Counsel

View All

FAQs

 

What is a board certified urologist and board certified urogynecologist?

A physician trained in urology during a residency program and then passes a written exam and oral exam to certify competency in urology. After fellowship training in urogynecology, I took the board certification exam in female pelvic medicine and reconstructive surgery, also known as urogynecology. I recently re-certified for both in 2023. I am one of few urologists nationally who is double board certified in both specialties. 

When did you begin reviewing cases as an expert witness?

In 2013. I initially began reviewing cases during the pelvic mesh multidistrict litigation, but I simultaneously have been reviewing all types of urology and urogynecology cases as well. To date, I have reviewed over 400 cases, in nearly all the states, as well as Puerto Rico, federal cases, and Native Tribal lands. I have assisted attorneys for Plaintiffs, Defendants, health care systems, insurance companies, consultant firms, patent cases, criminal/sex crimes cases, personal injury, urology medical device injury cases, and transgender cases.

Do you review urologic oncology cases?

Yes, I am trained in and review cases involving prostate cancer, bladder cancer, kidney cancer (renal cancer), testis or testicle cancer, and penile cancer, including laparoscopic surgery. 

Do you do or review cases in reconstructive surgery?

Yes, I am trained in male reconstructive surgery from residency and female pelvic reconstructive surgery in fellowship. 

Where did you receive your medical degree?

At the State University of New York- Brooklyn College of Medicine, sometimes also known as Downstate Medical Center.

Where did you receive your urology training?

At Temple University Hospital in Philadelphia, PA.

Where did you receive your urogynecology training?

At Long Island Jewish Medical Center, a flagship hospital within Northwell Health System.

What is the American Urological Association?

It is a professional medical society founded in 1902 that represents urologists and allied health professionals. Its mission is to promote the highest standards of urological clinical care through education, research, and health policy advocacy. The AUA develops and publishes clinical practice guidelines, provides continuing medical education through courses and its annual meeting, sponsors research, and advocates for the interests of urology at the legislative and regulatory levels.

What is the American Board of Urology?

Founded in 1935, is a certifying body rather than a professional society. Its role is to define the training standards necessary to practice urology and to administer the examinations that grant board certification to qualified urologists. The ABU also oversees maintenance of certification, ensuring that practicing urologists remain up to date with evolving knowledge and clinical standards. The ABU does not provide membership services, advocacy, or education for its own sake, but rather serves as a credentialing authority to certify the competence of individual practitioners. That role is served by the American Urological Association.