Gary Lemack, M.D.

Helen J. and Robert S. Strauss Professorship in Urology
Rose Mary Haggar Professorship in Urology

Urology
Female Urology
Surgical Treatment of Pelvic Floor Disorders

New Patient Appointment Accepting Virtual Visits or 214-645-8765

Biography

Gary Lemack, M.D., holds the Rose Mary Haggar Professorship in the Department of Urology at UT Southwestern Medical Center. He has a secondary appointment in the Department of Neurology.

He has been the Residency Program Director in the Department of Urology since 2004 and is the past Program Director for the Female Pelvic Medicine and Reconstructive Surgery Fellowship.

Dr. Lemack’s clinical specialties include urinary incontinence, pelvic organ prolapse, overactive bladder, and voiding dysfunction in the setting of neurologic disease. In particular, he cares for patients with bladder conditions stemming from spinal cord injury, multiple sclerosis, and movement disorders such as Parkinson’s disease. He also performs complex urinary diversions for patients with severe bladder disorders due to congenital and advanced neurological diseases.

Dr. Lemack earned his medical degree at Cornell University and performed his residency at The New York Hospital. His fellowship training at UT Southwestern focused on incontinence, urodynamics, and neurourology.

Board certified in urology and female pelvic medicine and reconstructive surgery, he joined the UT Southwestern faculty in 1999.

Dr. Lemack’s research focuses on the use of urodynamic studies in patients with lower urinary tract dysfunction/incontinence and on establishing best urological practices in the care of patients with multiple sclerosis, spinal cord injury, and other neurological conditions.

He has been named a Texas Monthly Super Doctor and D Magazine Best Doctor on multiple occasions.

Dr. Lemack is the Past President of the Society of Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction (SUFU) – which is the primary urology subspecialty organization devoted to the conditions affecting the pelvic floor, such as incontinence and prolapse. He has served on SUFU’s executive committee since 2005 and earned both the Paul Zimskind and Distinguished Service awards, two of the highest honors the society bestows.

He has also served on the board of the South Central Section of the American Urological Association and is a former member of the editorial board of the Journal of Urology. He is one of 12 trustees of the American Board of Urology and currently serves as the Chair of its Oral Examination Committee.

Dr. Lemack has authored two guidelines from the American Urological Association (Urodynamics and Stress Urinary Incontinence) and served as the American representative on the European Association of Urology Incontinence Guidelines. He has published more than 160 original articles and more than 25 book chapters. He has been a visiting professor at 25 locations throughout the U.S., South America, Central America, and Australia.

Meet Dr. Lemack

UT Southwestern urologist Gary Lemack, M.D., is a longtime leader in developing innovative solutions for women who have urinary incontinence and pelvic prolapse.

A Texas Monthly Super Doctor and D Magazine Best Doctor, Dr. Lemack’s clinical expertise is focused on improving the quality of life for patients suffering from urge incontinence, stress incontinence, overactive bladder, and complex voiding disorders. He has a special interest in treating patients who have bladder problems resulting from neurological conditions, such as spinal cord injuries, multiple sclerosis, Parkinson’s disease, and stroke.

Dr. Lemack offers his patients a range of treatment options, from medications to office-based procedures to surgical interventions. He helped test and prove the usefulness of botulinum toxin (Botox) injections for improving bladder capacity and decreasing urge incontinence episodes in patients with neurological disorders. He performs the procedure more often than any other doctor in North Texas. He also offers neuromodulation procedures to improve overactive bladder symptoms.

Dr. Lemack’s research focuses on neurourology, evaluating bladder function, and optimizing treatments for stress urinary incontinence in women. He has conducted several National Institutes of Health-funded cooperative trials. His active clinical trials involve finding solutions for patients with treatment-resistant forms of overactive bladder and urinary incontinence.

Dr. Lemack wants people who have urinary incontinence, neurogenic bladder conditions, and pelvic prolapse to know that he can help them get back to a normal life.

“Many people with these problems think that’s the way they have to live their lives, and that is not the case,” he says. "We can improve quality of life for most, if not all, patients with incontinence, voiding difficulties, and pelvic organ prolapse.”

Education & Training

Fellowship - UT Southwestern Medical Center (1997-1999), Female Pelvic Medicine & Reconstructive Surgery
Residency - New York Hospital (1993-1997), Urology
Internship - New York Hospital (1991-1993), General Surgery
Medical School - Weill Cornell Medical College

Professional Associations & Affiliations

Texas Medical Association
South Central Section of American Urological Association (AUA)
Society of Urodynamics and Female Urology
International Continence Society
American Urological Association

Honors & Awards

D Magazine Best Doctor, 2006, 2012, 2014, 2017, 2019 - 2022
Best Doctors in Collin County 2021, D Magazine
National Continence Care Champion Award 2020, National Association for Continence
Trustee and Secretary/Treasurer, American Board of Urology 2020
Best Poster 2017, "Novel Imaging and Urodynamics for Assessing Lower Urinary Tract Symptoms in Patients with Multiple Sclerosis AUA
Paul M. Zimskind Award 2011, for continuing excellence and leadership in the field of voiding dysfunction, awarded by the Society of Urodynamics and Female Urology
Best Poster 2009, Assessing Urological Needs in Eastern Africa: Founding a Partnership with AMREF, AUA
Distinguished Service Award 2009, for outstanding contributions to Urodynamics, Female Urology, and Voiding Dysfunction and exemplary service to the society, Society for Urodynamics and Female Urology
Outstanding Reviewer of the Year 2008, Urodynamics/Female Urology/Incontinence, Journal of Urology
Top 10 Reviewer 2007-2008, Neurourology and Urodynamics
Honorable Mention for Top Reviewer 2007, Urodynamics/Female Urology/Incontinence, Journal of Urology
Residency Program Director, UT Southwestern Urology Residency Program, 2004-Present
UT Southwestern Mobility Foundation Grant, Awarded for research in spinal cord injury, 2000-2002
Examination Committee, American Board of Urology
Holder of Rose Mary Haggar Professorship

Books & Publications

Publications
- Prospective Evaluation of Urodynamic Utility in a Subspecialty Tertiary Practice.
  Malik RD, Hess DS, Carmel ME, Lemack GE, Zimmern PE Urology 2019 Jan
- Assessment of renal deterioration and associated risk factors in patients with multiple sclerosis.
  Shakir NA, Satyanarayan A, Eastman J, Greenberg BM, Lemack GE Urology 2018 Sep
- Long-term results of transurethral endoscopic excision using the holmium laser for urethral perforation of synthetic slings.
  Wang C, Zimmern PE, Lemack G Lower urinary tract symptoms 2018 Jun
- Urethrography for Assessment of the Adult Male Urethra: RadioGraphics Fundamentals | Online Presentation.
  Flanagan JC, Batz R, Nordeck SM, Lemack GE, Brewington C Radiographics : a review publication of the Radiological Society of North America, Inc 2018 May-Jun 38 3 831-832
- Current and future international patterns of care of neurogenic bladder after spinal cord injury.
  Gomelsky A, Lemack GE, Castano Botero JC, Lee RK, Myers JB, Granitsiotis P, Dmochowski RR World journal of urology 2018 Mar
- The history of the Society of Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction.
  Weissbart SJ, Zimmern PE, Nitti VW, Lemack GE, Kobashi KC, Vasavada SP, Wein AJ Neurourology and urodynamics 2018 Mar
- EAU Guidelines on Assessment and Nonsurgical Management of Urinary Incontinence.
  Nambiar AK, Bosch R, Cruz F, Lemack GE, Thiruchelvam N, Tubaro A, Bedretdinova DA, Ambühl D, Farag F, Lombardo R, Schneider MP, Burkhard FC European urology 2018 Feb
- Challenges of multidimensional outcome reporting after suburethral midurethral sling removal.
  Shakir NA, Wang C, Singla N, Alhalabi F, Christie A, Lemack GE, Zimmern PE The Journal of urology 2018 Jan
- Surgical Treatment of Female Stress Urinary Incontinence: AUA/SUFU Guideline.
  Kobashi KC, Albo ME, Dmochowski RR, Ginsberg DA, Goldman HB, Gomelsky A, Kraus SR, Sandhu JS, Shepler T, Treadwell JR, Vasavada S, Lemack GE The Journal of urology 2017 Jun
- Incontinence: Helping women stay in control
  Lemack G.E. Cortland Forum January 2007 53-54
- Highlights of the Urethral Dysfunction Sessions at the Society for Urodynamics and Female Urology
  Lee U., Schaefer W., Lemack G.E., Wein A.J., Daneshgari F. Current Bladder Dysfunction Reports 2007 2 71-76
- Use of urodynamics prior to surgery for urinary incontinence: how helpful is preoperative testing?
  Lemack G.E. Indian Journal of Urology 2007 23 142-147
- Burch colposuspension versus fascial sling to reduce urinary stress incontinence
  Albo M., Richter H.E., Brubaker L., Norton P., Kraus S.R., Zimmern P.E., Chai T.C., Zyczynski H., Diokno A.C., Tennstedt S., Nager C., lloyd L.K., Fitzgerald M., Lemack, G.E., Johnson H.W., Leng W., Mallett V., Stoddard A.M., Menefee S., Varner R.E., Kenton K., Moalli P., Sirls L., Dandreo K.J., Kusek J.W., Nyberg L.m., Steers W., for the Urinary Incontinence Treatment Network New England Journal Medicine 2007 356 2143-2155
- The relationships among measures of incontinence severity in women undergoing surgery for stress urinary incontinence
  Albo M., Wruck L., Baker J., Brubaker L., Chai T., Dandreo K.J., Diokno A., Goode P., Kraus S., Kusek J.W., Lemack G., Lowder J., Steers W. Journal of Urology 2007 177 1810-4
- The reproducibility of urodynamic findings in healthy female volunteers: results of repeated studies in the same setting and a short-term follow-up
  Gupta , A., Defreitas, G., Lemack, G.E. Neurourology and Urodynamics 2004 23 311-316
- Urodynamic assessment of patients with stress incontinence: how effective are urethral pressure profilometry and abdominal leak point pressure at case selection and predicting outcome?
  Lemack, G.E. Current Opinion in Urology 2004 14 307-311
- Distinguishing neurogenic from non-neurogenic detrusor overactivity: a urodynamic assessment of lower urinary tract symptoms in patients with and without Parkinson’s disease
  Defreitas G.A., Lemack G.E., Zimmern P.E. Dewey R.B., Roehrborn C.G., O’Suilleaghain P.E. Urology 2003 62 651-655
- Treatment of intrinsic sphincteric deficiency
  Wilson, T.S., Lemack, G.E., Zimmern, P.E. Urology 2003 169 1662-1669
- Urodynamic studies in asymptomatic women: Intra-test and Inter-test reproducibility.
  Lemack, G.E., Baseman, A.G., Zimmern P.E. Journal of Urology 2001 165 1225

Research

Urodynamics in assessing bladder function
Outcome measures for urinary incontinence
Bladder outlet obstruction in women
Bladder dysfunction related to spinal cord injury and multiple sclerosis-experimental models

Clinical Focus

Female Urology
Surgical Treatment of Pelvic Floor Disorders
Treatment of Neurogenic Bladder Conditions
Treatment of Overactive Bladder
Surgical and Non-Surgical Treatment of Urinary Incontinence
Surgical and Non-Surgical Treatment of Pelvic Organ Prolapse
Pelvic Organ Prolapse