Nick Freidberg, MD — Robotic Urologist in Austin, Texas

Nick Freidberg, MD, is a fellowship-trained urologist at Urology Austin with specialized expertise in robotic surgery, prostate cancer treatment, enlarged prostate (BPH), vasectomy, and kidney stone disease. He serves patients across Central and South Austin, bringing advanced minimally invasive surgical techniques to a practice rooted in personalized, compassionate care.

Dr. Freidberg completed rigorous post-residency training — a combined robotic surgery and endourology fellowship at the University of Kentucky — before returning to his hometown of Austin in 2022. He treats both men and women and approaches every patient with the belief that the best outcomes come from listening first.

Fellowship-Trained in Robotic Surgery and Endourology

Robotic surgery has transformed urology. It allows surgeons to operate with greater precision, less blood loss, smaller incisions, and faster recovery times compared to traditional open surgery. Not every urologist has dedicated fellowship training in robotic techniques — Dr. Freidberg does.

His fellowship at the University of Kentucky focused specifically on robotic and endoscopic approaches to complex urologic conditions, including prostate surgery, kidney surgery, and stone disease. This training positions him among a select group of Austin urologists equipped to offer patients the most advanced surgical options available.

Prostate Cancer and BPH: Expert Surgical Care in Austin

Prostate conditions are among the most common reasons men seek urologic care — and among the most anxiety-inducing. Dr. Freidberg specializes in both the diagnosis and surgical management of prostate cancer and benign prostatic hyperplasia (BPH), offering patients a clear path forward with treatment options tailored to their health, age, and lifestyle.

For prostate cancer, Dr. Freidberg provides surgical evaluation and management of localized and advanced disease, including genitourinary cancers of the bladder, kidney, adrenal gland, ureter, and testes.

For BPH (enlarged prostate), Dr. Freidberg offers the full spectrum of advanced treatments — not just one or two options. These include:

• TURP(transurethral resection of the prostate) — the gold standard surgical option
• Greenlight PVP laser therapy— a minimally invasive laser procedure that vaporizes excess prostate tissue
• UroLift— a non-cutting, non-thermal option that lifts and holds prostate tissue out of the way
• Aquablation— robotic, heat-free waterjet ablation guided by real-time ultrasound
• iTind— transurethral temporary intra-prostatic stent to facilitate improved urination
• Robotic simple prostatectomy— for significantly enlarged prostates where other approaches are insufficient

Having access to this range of options matters. It means Dr. Freidberg recommends what’s right for the patient, not just what he’s trained to do.

Vasectomy in Austin

Dr. Freidberg performs vasectomies for men seeking a permanent, highly effective form of contraception. Vasectomy is one of the safest and most reliable procedures in urology. Dr. Freidberg performs the procedure with precision and care, ensuring patients feel informed and comfortable before, during, and after.

What to expect: most vasectomies are performed in-office in under 30 minutes, with minimal downtime. Dr. Freidberg walks every patient through the procedure in detail and answers questions without rushing — because this is a significant decision and patients deserve time and clarity.

Kidney Stone Disease: From First Stone to Complex Cases

Kidney stones affect roughly 1 in 10 Americans, and recurrence is common. Dr. Freidberg manages kidney stone disease at every level of complexity — from a patient’s first stone to chronic stone formers who have exhausted prior treatment options.

His endourology fellowship training gives him particular depth in stone management, including surgical removal of stones that cannot be passed naturally. He uses minimally invasive techniques including ureteroscopy and percutaneous nephrolithotomy (PCNL) to clear stones with minimal impact on surrounding tissue.

Full Scope of Urologic Care

Beyond his focal areas, Dr. Freidberg provides comprehensive general urology care for men and women, including:

• Genitourinary cancers (bladder, prostate, kidney, adrenal, ureter, testicular)
• Minimally invasive and robotic laparoscopic surgery
• Open and scrotal surgery
• Urologic screening and preventive care

Schedule with Dr. Freidberg

If you’re looking for an Austin urologist with fellowship-level training in robotic surgery, prostate care, vasectomy, or kidney stone disease, Dr. Freidberg is currently accepting new patients. Call Urology Austin at 512-788-9688 or schedule online.