Hormone Experts for Men and Women

Harvard and Fellowship Trained Men’s Health Specialist | Nationally recognized leader in Male Sexual and Hormonal Health, Low Testosterone, Peyronie’s Disease, and Male Infertility

Bioidentical Hormone Therapy,
Personalized Perimenopausal, and Menopausal Care, Urinary Incontinence

Comprehensive Male and Female Urologic Services

World Class Care by Board-Certified Urologists in a Convenient Suburban Boston Location
Ravi Kacker, MD | Stephanie Pena, PA-C | Elisabeth MacDonald, PA-C

Top Sexual Health Experts

Dr. Kacker and Elisabeth MacDonald, PA-C influence sexual health research, policy, and innovation on a national level. We treat patients with all forms of male and female sexual dysfunction.

Comfort During Urologic Procedures

We offer Nitrous Oxide, a safe and well-established method that
reduces pain and anxiety office-based urologic procedures.

Learn More
Hablamos Español
Falamos Português
About Metrowest Urology

Our Team

MetroWest Urology is the practice of Dr. Ravi Kacker, Stephanie Pena, PA-C, and Elisabeth MacDonald, PA-C.

We are currently accepting new patients, and work with nearly all insurance plans. Our staff can assist in obtaining any referrals or authorizations required for you to see us. Our highly qualified team provides expert care for all male and female urologic problems in a private community setting, and additionally tap into our network of colleagues at top Boston-area academic and cancer centers to build a personalized care team for our patients with serious or difficult urologic problems.

Dr. Kacker is a Harvard and Fellowship trained urologist experienced in the management of all major medical and surgical treatments for urologic problems. While Dr. Kacker has a passion for general urology including urologic cancers, urinary incontinence, and kidney stones, he is also a nationally recognized thought leader and researcher in the management of male sexual, hormonal, and metabolic health. Stephanie Pena has been serving the local community for over 14 years at out Natick location and is a highly regarded practitioner in her own right. Elisabeth MacDonald is a new addition to out team who brings with her 7 years of general urology experience with a particular specialization in female hormonal and sexual health.

Meet our Team About Us

Practice Areas

patient explaining issue to doctor

Peyronie’s Disease

Our urologists are leading experts in the evaluation and treatment of this complex and sensitive condition.

Learn More
incontinence

Urinary Symptoms

Urinary symptoms include difficulty urinating, urinating too frequently, urinary leakage, and needing to wake up from sleep to urinate.

Learn More
urologist explaining urogenital system

Enlarged Prostate / BPH

We offer all forms of pharmacotherapy, minimally invasive procedures, and surgical procedures for BPH.

Learn More
serious doctor with male patient

Low Testosterone

We are a leading national authority on male hypogonadism. We offer safe, monitored, and personalized therapy.

Learn More
sad man sitting on edge of bed

Erectile Dysfunction

Advanced treatments for erectile dysfunction including penile prosthetic surgery.

Learn More
woman making heart with hands in front of stomach

Women's Sexual Health

We offer hormonal and Botox therapy in addition to transvaginal surgical procedures for female sexual health.

Learn More
woman with kidney stones

Kidney Stones

We respond quickly to patients with this painful condition and offer hospital and office-based treatments.

Learn More
doctor explaining diagnosis

Urological Cancers

Our urologists trained at top Harvard oncology centers and offer expert management of Kidney, Bladder, Prostate, and other urologic cancers.

Learn More
doctor talking to patient on couch

Male Fertility

We specialize in the medical and surgical management of male fertility, including hormonal therapy plus all advanced microsurgical procedures.

woman with lower abdominal pain

Pelvic Organ Prolapse

We offer a full range of surgical treatments of prolapse including personalized Pessary care.

Blog

View All

High Acid Levels

March 18, 2019

A diet high in animal protein, such as beef, fish, chicken and pork, can raise the acid levels in the body and in the urine. High acid levels make…

Read More

Bladder Cancer

March 11, 2019

Bladder cancer signs and symptoms may include blood in the urine, painful urination, and pelvic pain. If you have blood in your urine, make an app…

Read More