Michal Ursiny, MD

Training

Dr. Ursiny grew up in Vermont, studied mechanical engineering at the University of Vermont College of Engineering, and stayed for medical school at the University of Vermont College of Medicine.

He completed his internship and urology residency at Massachusetts General Hospital / Harvard Medical School — one year of general surgery followed by five years of urologic surgery. He then completed the Hugh Cabot Fellowship at MGH, the program named for the surgeon who founded MGH urology in 1909.

He served on the urology faculty at Massachusetts General Hospital before moving his practice to Maine.

Practice philosophy

Three things shape how Dr. Ursiny works:

1. Volume matters in surgery. The data are unambiguous: for complex robotic operations like radical prostatectomy and partial nephrectomy, outcomes improve with the number of cases a surgeon does each year. Training at one of the country's highest-volume centers, combined with a kaizen mindset — small, deliberate improvements with every case — built the operational excellence that high-volume practice rewards. The aim is world-class surgery, close to home.
2. Engineering helped. He came to medicine from an engineering background — mechanical engineering at the University of Vermont before medical school. That mindset shows up in how he approaches technique, robotic platforms, and the dozens of small decisions that shape an outcome.
3. He says what he thinks. Patients sometimes arrive with a particular treatment in mind, hoping to have it endorsed. Dr. Ursiny gives an honest read instead — whether that plan fits, whether a different operation makes more sense, whether active surveillance is the better path, or whether no procedure is warranted yet. The goal is the right answer, not the easiest one.

Clinical focus

• Robotic radical prostatectomy and the management of localized prostate cancer
• Advanced prostate cancer — high-risk, recurrent, and metastatic disease
• Robotic partial nephrectomy and surgery for kidney cancer
• Robotic pyeloplasty for UPJ obstruction
• Robotic simple prostatectomy for very large prostates causing obstruction
• Transperineal prostate biopsy
• Supine, no-tube percutaneous nephrolithotomy (PCNL) for large kidney stones
• Ureteroscopy with vacuum aspiration for ureteral and kidney stones
• No-scalpel vasectomy

Selected publications

• Ursiny M, et al. Economic analysis of laser enucleation of the prostate versus transurethral resection. Journal of Endourology, 2021.
• Ursiny M, et al. Decision analysis of observation vs immediate reintervention for asymptomatic residual fragments after ureteroscopic lithotripsy. Urology Practice, 2019.
• Ursiny M, et al. Changing incidence of factitious renal stone disease. Clinical Nephrology, 2018.
• Ursiny M, et al. Cost-effectiveness of anti-retropulsion devices for ureteroscopic lithotripsy. Journal of Urology, 2013.
• Ursiny M, et al. Cost-effectiveness comparison of ureteral calculi treated with ureteroscopic laser lithotripsy versus shockwave lithotripsy. World Journal of Urology, 2016.

Board certification & affiliations

• American Board of Urology — Board Certified
• Member, American Urological Association
• Northern Light Mercy Hospital — Portland, ME (current)
• Massachusetts General Hospital — Boston, MA (prior faculty)
• Boston Children's Hospital — six years of pediatric urologic surgical training

Outside the operating room

Dr. Ursiny lives in Maine with his family. Vermont raised him; the White Mountains and the Maine coast keep him here. When he is not in the OR he is with his family, on a bike, in the water, or somewhere in the hills.