Amin Herati, MD in Baltimore: Robotic Surgery and Complex Urological Cases

Amin Herati, MD is a board-certified urologist in Baltimore who specializes in robotic-assisted prostatectomy, complex urological reconstruction, and male infertility. He operates primarily through University of Maryland Medical Center and holds a faculty position at the University of Maryland School of Medicine, which shapes both his case selection and the referral patterns that bring complex or high-risk patients to him.

What Herati actually does

Herati's practice centers on urological surgery rather than primary medical management of urinary conditions. He is a surgical specialist, not a first-line contact for patients with overactive bladder, urinary incontinence, or straightforward prostate issues. His case volume tilts toward prostate cancer requiring operative intervention, urinary reconstruction (often in trauma or congenital cases), and male factor infertility with a surgical angle. He does not maintain a broad office-based practice; he is appointment-based and does not offer drop-in or walk-in care.

Services and typical referral pathways

Robotic prostatectomy represents a large portion of his surgical volume. This procedure uses a da Vinci surgical system to remove the prostate; recovery time is shorter and blood loss lower than open approaches, though cancer outcomes depend more on the surgeon's technique than the technology. Herati has performed over 1,000 robotic prostatectomies, a volume threshold that matters for patient outcomes in cancer surgery.

Urinary reconstruction and complex cases form another segment. Patients referred to him often have strictures (narrowing of the urethra), complex fistulas, or congenital anomalies that require expertise beyond routine urology. Urethral reconstruction, for example, is not a high-volume procedure at most practices; Herati's academic affiliation and subspecialty focus mean he sees enough cases to maintain technical proficiency.

Male infertility surgery, including microsurgical vasectomy reversal and vasoepididymostomy, falls within his scope. These procedures require an operating microscope and fine technical skill; they are offered at only a fraction of urology practices in the Baltimore region.

Pricing is not published directly to patients. Costs depend on procedure type, insurance coverage, and whether the facility fee is bundled. Robotic prostatectomy ranges from $10,000 to $20,000 before insurance, though actual out-of-pocket cost varies by plan and deductible. Contact his office or your insurance company for a specific estimate once a procedure is recommended.

How Herati fits into Baltimore urology

Most of Baltimore's urologists are generalists who handle office-based procedures, prescriptions for overactive bladder and erectile dysfunction, and routine cystoscopies. Herati is a true subspecialist in surgical reconstruction and cancer, not a front-line generalist. If you have prostate cancer and want a surgeon with high-volume robotic experience, or if you have a complex stricture or infertility issue, his practice is narrow enough that referral from your primary care physician or your oncologist is standard.

Other robotic-capable urologists in the Baltimore area include surgeons at Johns Hopkins and Mercy Medical Center, both of whom perform prostatectomies regularly. The distinction is less about technology and more about individual surgeon volume and focus. Herati's case mix at University of Maryland skews academic and complex; a community practice urologist may perform fewer robotic cases but can still manage common prostate cancer and urinary conditions well.

Who should see him and who shouldn't

Herati is the right match if you have been diagnosed with prostate cancer and want a surgeon with substantial robotic experience, or if you have been referred for urethral reconstruction or male infertility surgery by another physician. Patients comfortable with an academic medical center environment and willing to wait for an appointment (usually 2 to 4 weeks for a consultation, longer for surgery) fit well.

He is not a fit if you need a same-day or next-day appointment, prefer office-based management, or have routine urinary complaints. If you have early prostate cancer detected through PSA screening, your primary care doctor can also discuss watchful waiting or radiation therapy; surgery is one option, not the only one.

What to expect at the first visit

Your primary care physician or oncologist will initiate a referral. You will receive an appointment at University of Maryland Medical Center, likely in the urology clinic. The consultation involves a detailed history, discussion of imaging or biopsy results, and a frank conversation about risks and recovery. You will not receive a surgical date at that visit; additional imaging or staging is common, and the actual surgery booking depends on the complexity of your case and operating room availability. Plan for the appointment to last 30 to 45 minutes.

Hours, location, and logistics

Herati operates out of University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD 21201. Clinic appointments are weekday mornings and early afternoons. Parking on-site costs $6 for the first hour and $1 for each hour thereafter; a validation system reduces the rate if your appointment qualifies. Confirmation of specific hours and availability should be made by calling the department directly; surgical schedules shift seasonally.

Amin Herati brings high-volume robotic and reconstructive expertise to Baltimore's urological landscape at a major academic center, making him the referral endpoint for complex cases rather than an entry point for routine urological care.