Avoyelles Hospital — Marksville, LA

Expert Urologic Care
Close to Home

Board-certified urologists and advanced practice providers delivering comprehensive urologic care to the Avoyelles Parish community and surrounding areas.

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Avoyelles Rural Health Clinic
4239 Hwy 1192, Ste 300 · Marksville, LA
318-253-0677

Urologic Services We Offer

  • Kidney Stones — Medical & Surgical
  • Overactive Bladder & Sacral Neuromodulation
  • Prostate Health & PSA Evaluation
  • BPH — Medical & Minimally Invasive
  • Female Pelvic Medicine & Urogynecology
  • Vasectomy
  • Erectile Dysfunction — Medical & Surgical
  • Urinary Tract & Incontinence
318-253-0677 Accepting New Patients · Most Insurances
Accepting New Patients
Medicaid, Medicare & Most Insurances
Local Care · Marksville, LA
Board-Certified Urologists
Our Care Team

Meet Your Urologic Specialists

Our team combines board-certified urologic expertise with compassionate, patient-centered care — right here in Avoyelles Parish.

Dr. Matthew Mutter, MD
Urologist

Dr. Matthew Mutter

Urologist, MD

Dr. Mutter is a board-certified urologist providing comprehensive urologic care including kidney stone management, prostate health, minimally invasive surgery, and the full spectrum of urologic conditions for both men and women.

Jacqueline Hinson, FNP-C
FNP-C

Jacqueline Hinson

Family Nurse Practitioner — Certified

Jacqueline Hinson, FNP-C, is a certified family nurse practitioner specializing in urologic primary care, overactive bladder, urinary tract conditions, and women's pelvic health. She provides personalized, accessible care for every patient.

Dr. J. Christian Winters, MD, FACS
Urologist

Dr. J. Christian Winters

MD, FACS — Functional Urology

Dr. Winters is a board-certified urologist and Fellow of the American College of Surgeons specializing in functional urology, including overactive bladder, female pelvic medicine, sacral neuromodulation, BPH, and reconstructive urology. He brings decades of surgical excellence to the Avoyelles community.

Kidney Stones Overactive Bladder Prostate Health BPH & PSA Female Pelvic Medicine Erectile Dysfunction
Kidney Stones

Comprehensive Kidney Stone Care

Kidney stones are one of the most common — and painful — urologic conditions. Our specialists offer a full range of medical and surgical treatment options tailored to stone size, location, composition, and your overall health.

Whether you're passing your first stone or managing recurrent nephrolithiasis, we provide evidence-based care from acute pain management through long-term metabolic prevention.

Schedule Evaluation

Common Symptoms

  • Severe flank or back pain, often radiating to the groin
  • Blood in the urine (hematuria)
  • Nausea and vomiting
  • Frequent or painful urination
  • Cloudy or foul-smelling urine
  • Inability to find a comfortable position

When to Seek Urgent Care

  • Fever with flank pain (possible infection)
  • Complete blockage or solitary kidney
  • Intractable pain or vomiting
  • Stone larger than 6mm unlikely to pass spontaneously

Treatment Options

Medical Expulsive Therapy

Alpha-blockers and other medications to relax the ureter and facilitate spontaneous stone passage for appropriate candidates.

Shockwave Lithotripsy (SWL)

Non-invasive outpatient procedure using focused acoustic energy to break stones into passable fragments. Ideal for smaller kidney stones.

Ureteroscopy (URS)

Minimally invasive endoscopic procedure to visualize and remove or fragment stones in the ureter or kidney using laser energy.

Percutaneous Nephrolithotomy (PCNL)

Surgical approach for large or complex stones. A small access tract is created directly into the kidney for stone removal.

Metabolic Stone Evaluation

24-hour urine collection and serum testing to identify underlying metabolic causes of recurrent stone disease and guide prevention.

Dietary & Medication Prevention

Individualized dietary counseling, hydration protocols, and preventive pharmacotherapy based on stone composition analysis.

Overactive Bladder

Overactive Bladder & Urinary Urgency

Overactive bladder (OAB) affects millions of adults and is characterized by urinary urgency, frequency, and urge incontinence. It is not a normal part of aging and is highly treatable.

Our team provides a stepwise, personalized approach — from conservative behavioral therapies to advanced interventions — so you can regain control and quality of life.

Book a Consultation

OAB Symptoms

  • Sudden, strong urge to urinate (urgency)
  • Urinating 8 or more times per day (frequency)
  • Waking at night to urinate (nocturia)
  • Leaking urine before reaching the bathroom (urge incontinence)
  • Avoiding activities due to bladder concerns

Treatment Options

Behavioral Therapy

Bladder training, timed voiding schedules, and pelvic floor exercises form the foundation of OAB management.

Oral Medications

Anticholinergic agents and beta-3 agonists (e.g., mirabegron) reduce bladder muscle overactivity and urgency episodes.

Percutaneous Tibial Nerve Stimulation (PTNS)

Office-based neuromodulation therapy using a small needle electrode near the ankle to modulate bladder function via the tibial nerve.

OnabotulinumtoxinA (Botox®)

Cystoscopic injection of botulinum toxin into the bladder wall to reduce detrusor overactivity — typically effective for 6–12 months.

⚡ Sacral Neuromodulation (SNM)

For patients who have not achieved adequate relief with medications or other therapies, sacral neuromodulation (SNM) is an advanced, FDA-approved treatment for overactive bladder, urge incontinence, urgency-frequency syndrome, and non-obstructive urinary retention.

  • Modulates the sacral nerves (S3) that control bladder and pelvic floor function
  • Minimally invasive implantable device — often trialed first with an external tester
  • Proven long-term efficacy with significant improvement in quality of life
  • Rechargeable systems available with extended battery life
  • MRI-compatible options for ongoing imaging needs
  • May also treat fecal urgency and incontinence
Ask About SNM Therapy
Prostate Health

Prostate Cancer Screening & Surveillance

Prostate cancer is the most commonly diagnosed cancer in American men. Early detection through PSA testing and clinical evaluation remains the cornerstone of successful outcomes.

Our urologists offer personalized screening recommendations, comprehensive evaluation of elevated PSA, and multidisciplinary management of prostate cancer across all stages.

Schedule Prostate Screening

Screening Recommendations

  • Discuss PSA screening with your provider starting at age 50 (average risk)
  • Age 40–45 for African American men or those with a first-degree relative with prostate cancer
  • Annual PSA testing and digital rectal exam for men who elect screening
  • PSA density, velocity, and free/total ratio to refine interpretation

Risk Factors

  • Age (risk increases after 50)
  • African American race (higher incidence and mortality)
  • Family history of prostate cancer
  • BRCA1/BRCA2 gene mutations

Evaluation & Management

PSA Testing & Interpretation

Baseline and serial PSA measurements with age-specific reference ranges, PSA velocity, density, and free-to-total ratio analysis.

Prostate Biopsy

When indicated, transrectal or transperineal ultrasound-guided biopsy with or without MRI-fusion targeting for optimal cancer detection.

Active Surveillance

Structured monitoring protocol for low-risk prostate cancer with serial PSA, imaging, and repeat biopsy — avoiding overtreatment.

Surgical Treatment (Prostatectomy)

Radical prostatectomy for eligible patients with localized or locally advanced prostate cancer, with urinary and sexual function preservation as priorities.

Coordination of Radiation Therapy

Referral and co-management with radiation oncology for external beam radiation, brachytherapy, and SBRT when appropriate.

Hormonal & Systemic Therapy

Androgen deprivation therapy (ADT) and coordination of systemic treatment for advanced or metastatic prostate cancer.

BPH & Elevated PSA

Benign Prostatic Hyperplasia & PSA Evaluation

Benign prostatic hyperplasia (BPH) — enlargement of the prostate gland — is extremely common in men over 50, causing lower urinary tract symptoms (LUTS) that significantly affect quality of life.

An elevated PSA doesn't always mean cancer. Our urologists perform thorough evaluations to differentiate BPH, prostatitis, and prostate cancer, and offer the full range of medical and minimally invasive surgical therapies.

Evaluate My Symptoms

LUTS / BPH Symptoms

  • Weak or intermittent urinary stream
  • Straining to initiate urination
  • Incomplete bladder emptying
  • Urinary frequency and urgency
  • Nocturia (waking at night to urinate)
  • Post-void dribbling
  • In severe cases: urinary retention

Treatment Options for BPH

Watchful Waiting

For mild symptoms, lifestyle modifications and periodic monitoring with validated symptom scoring (IPSS) may be appropriate.

Medical Therapy

Alpha-blockers (tamsulosin, alfuzosin) for rapid symptom relief; 5-alpha reductase inhibitors (finasteride, dutasteride) to reduce gland size over time. Combination therapy for optimal results.

Transurethral Resection (TURP)

The gold standard surgical treatment for moderate-to-severe BPH — resection of obstructing prostatic tissue under endoscopic visualization.

Laser Vaporization / Enucleation

Holmium laser enucleation (HoLEP) or photoselective vaporization (PVP) — highly effective minimally invasive alternatives with lower blood loss and shorter catheterization.

Prostatic Urethral Lift (UroLift®)

In-office or outpatient procedure using small implants to hold enlarged prostate tissue away from the urethra — no cutting, heating, or ablation of tissue.

Elevated PSA Work-Up

Comprehensive evaluation including PSA variants, prostate MRI, and biopsy when indicated to accurately determine the cause of PSA elevation.

Female Pelvic Medicine

Female Pelvic Medicine & Urogynecology

Pelvic floor disorders — including urinary incontinence, pelvic organ prolapse, and bladder dysfunction — affect a significant proportion of women and are profoundly underreported.

Our team provides compassionate, specialized care for all aspects of female urology and pelvic health. You deserve to discuss these concerns openly and receive evidence-based treatment.

Book Women's Urology Visit

Conditions We Treat

  • Stress urinary incontinence (leaking with cough, laugh, exercise)
  • Urge incontinence and overactive bladder
  • Mixed incontinence
  • Pelvic organ prolapse (cystocele, rectocele, uterine prolapse)
  • Recurrent urinary tract infections (rUTI)
  • Interstitial cystitis / bladder pain syndrome
  • Neurogenic bladder
  • Voiding dysfunction and urinary retention
  • Urethral stricture and diverticulum

Treatment Options

Pelvic Floor Physical Therapy

Structured pelvic floor muscle rehabilitation (Kegel exercises, biofeedback) for incontinence and pelvic floor dysfunction — often the first-line approach.

Pessary Fitting

Non-surgical vaginal support devices for pelvic organ prolapse and stress incontinence — a safe, effective option for women who prefer to avoid surgery.

Mid-Urethral Sling (SUI Surgery)

Minimally invasive outpatient procedure for stress urinary incontinence using a small mesh tape to restore urethral support. High success rates with rapid recovery.

Prolapse Repair

Surgical correction of cystocele, rectocele, or apical prolapse through vaginal or minimally invasive approaches, tailored to anatomy and patient goals.

Sacral Neuromodulation

Advanced neuromodulation therapy for refractory urge incontinence, urgency-frequency, and non-obstructive retention in women who have failed conservative treatments.

Bladder Botox® Injections

Cystoscopic botulinum toxin injection to treat refractory overactive bladder and urge incontinence — effective for 6–12 months per treatment cycle.

🌸 A Safe Space for Women's Urologic Health

We understand that pelvic floor and urinary concerns can be embarrassing or difficult to discuss. Our providers are trained to create a comfortable, nonjudgmental environment where your concerns are heard and treated with the seriousness they deserve.

  • Female-specific urologic evaluation and treatment planning
  • Urodynamic studies available to precisely characterize bladder function
Schedule Your Consultation
Men's Health

Erectile Dysfunction & Men's Sexual Health

Erectile dysfunction (ED) affects an estimated 30 million men in the United States and becomes increasingly common with age. It is frequently a marker of underlying cardiovascular or hormonal disease — and is highly treatable with the right evaluation and care.

Our urologists take a thorough, confidential approach to men's sexual health — identifying root causes and offering a full spectrum of evidence-based treatments from oral medications through surgical restoration.

Schedule a Confidential Consultation

Common Contributing Causes

  • Cardiovascular disease and hypertension
  • Diabetes mellitus (types 1 and 2)
  • Low testosterone (hypogonadism)
  • Obesity and metabolic syndrome
  • Neurological conditions (Parkinson's, MS, spinal injury)
  • Medications (antihypertensives, antidepressants)
  • Peyronie's disease (penile fibrosis)
  • Psychological factors (anxiety, depression)
  • Prior pelvic surgery or radiation (e.g., prostatectomy)

Diagnostic Evaluation

  • Complete history and validated questionnaires (IIEF)
  • Testosterone and hormonal panel
  • Fasting glucose, lipids, metabolic workup
  • Penile duplex ultrasound when indicated
  • Nocturnal penile tumescence assessment

Treatment Options

Oral Phosphodiesterase-5 Inhibitors

First-line therapy — sildenafil (Viagra®), tadalafil (Cialis®), vardenafil, and avanafil. Daily or on-demand dosing options with high efficacy in appropriate candidates.

Testosterone Replacement Therapy

For men with confirmed hypogonadism, restoring testosterone to normal levels improves sexual function, energy, mood, and body composition.

Vacuum Erection Device (VED)

Non-invasive mechanical device that creates negative pressure to draw blood into the penis, suitable for men who cannot use oral medications.

Intraurethral & Injectable Therapy

Alprostadil delivered intraurethrally (MUSE®) or via intracavernosal injection (ICI) for men who do not respond to oral agents — highly effective second-line options.

Penile Prosthesis (Implant)

Surgical placement of an inflatable or malleable penile prosthesis — the most effective long-term solution for medically refractory ED, with very high patient and partner satisfaction rates.

Peyronie's Disease Treatment

Medical management (collagenase injections — Xiaflex®) and surgical correction for penile curvature that causes pain or prevents intercourse.

🔒 Confidential, Judgment-Free Care

We understand that discussing sexual health can be difficult. Our providers create a respectful, private environment where you can speak openly. ED is a medical condition — not a personal failing — and effective treatment is available for the vast majority of men.

  • ED is often the first sign of cardiovascular disease — a thorough evaluation may be life-saving
  • Post-prostatectomy ED: specialized rehabilitation protocols to restore function
  • Premature ejaculation and other male sexual dysfunction also evaluated and treated
  • Partner-inclusive counseling coordination available when appropriate
Call to Schedule Privately

Accepting New Patients

We accept most major insurance plans and are committed to making quality urologic care accessible to all.

Medicare Medicaid Blue Cross Blue Shield Humana Aetna United Healthcare Cigna Tricare Most Commercial Plans
Call 318-253-0677 to Schedule