Endocrine Clinics

By Mayo Clinic Staff

Vascular Ulcer and Wound Care Center

The Vascular Ulcer and Wound Care Center is a multidisciplinary outpatient clinic serving patients with skin ulcerations and chronic wounds from a variety of causes. The Division of Endocrinology has been involved in the center since its inception as an important service function for certain patients with diabetes. The center is housed in the Gonda Vascular Center in the Eisenberg Building. Physicians from vascular medicine, endocrinology, physical medicine and rehabilitation, and general internal medicine staff the center. They use comprehensive diagnostic and therapeutic methods to evaluate and treat patients with venous, arterial, neuropathic, diabetic, traumatic, post-surgical, and other wounds. Treatment options often include aggressive in-clinic debridement, intermittent pneumatic compression, surgical revascularization, platelet derived growth factor, and weight off-loading measures. A highly skilled staff of RNs and physical therapists with extensive wound care experience provide in-clinic wound care and coordinate in-home care between visits. Several clinical research protocols that test promising new treatments are ongoing.

Vascular Medicine:
R.D. McBane, M.D.
T.W. Rooke, M.D.
R.F.J. Shepherd, M.D.

General Medicine:
J.P. Jones, M.D.

Physical Medicine and Rehabilitation:
K. Andrews, M.D.
M. Christopherson, M.D.
J. Closson, M.D.

Infertility/Andrology

Several members of the Division of Endocrinology participate in the evaluation and management of infertile couples. Male partners of infertile couples are evaluated in the regularly scheduled Andrology Clinic located in the Reproductive Endocrinology Clinic. This permits coordinated management of couples with appropriate input from the reproductive gynecologist, andrologist, and urologist. Attention to male sexual dysfunction including impotence, erectile failures, and ejaculatory disturbances is coordinated through the Pituitary/Adrenal/Gonad Clinic and its members from within the Division of Endocrinology. Arrangements for consultation can be made through direct physician referral or following an initial medical evaluation by a Mayo Clinic physician.

Lipid Disorders Clinic

The Lipid Disorders Clinic is a specialized center for the evaluation, diagnosis, and treatment of lipid disorders. It is staffed by a team of endocrinologists who are members of the Lipid Clinical Service Group to provide a multidisciplinary approach to the treatment of lipid disorders, including access to specialized diagnostic tests (Apo E genotype, lipoprotein(a), apoproteins and homocysteine assays) and to specialized treatments for severe dyslipidemia such as apheresis and organ transplant. Registered dieticians assess diet and provide instruction. Adult patients as well as pediatric patients can be referred to the Lipid Clinic. Arrangements for consultation can be made through direct physician referral or following an initial medical evaluation by a Mayo Clinic physician.

Pituitary-Gonad-Adrenal Clinic

The Pituitary-Gonad-Adrenal (PGA) Clinic is a full-time daily clinical facility located in the endocrinology outpatient service area of the Mayo Building. Members of the PGA Service Group who have a special interest and expertise in these disorders of these glands staff the clinic. Physicians-in-training, endocrinology fellows, internal medicine residents, and medical students also participate in patient evaluations.

Typical pituitary disorders include:

  • Functioning tumors (acromegaly, Cushing's disease, prolactinomas)
  • Non-functioning tumors (craniopharyngiomas, adenomas, cysts)
  • Hypopituitarism Diabetes insipidus

Typical gonadal disorders include:

  • male:
    • impotence
    • gynecomastia
    • Klinefelter's syndrome
    • Kallmann's syndrome
    • infertility
    • hypogonadism
  • female:
    • amenorrhea
    • oligomenorrhea
    • hirsutism
    • infertility
    • galactorrhea
    • sexual dysfunction
    • polycystic ovarian syndrome
    • hyperprolactinemia
    • menopause
    • estrogen replacement therapy

Typical adrenal disorders include:

  • Cushing's syndrome (hypercortisolism)
  • Addison's disease (hypoadrenalism)
  • Hyperaldosteronism
  • Pheochromocytoma
  • Incidentally found adrenal masses
  • Congenital adrenal hyperplasia
  • Adrenal cancer

State-of-the-art diagnostic and therapeutic modalities available include:

  • Dynamic endocrine testing
  • High resolution imaging (MRI, CT)
  • Inferior petrosal sinus sampling
  • Adrenal venous sampling
  • Octreotide scanning and therapy
  • Trans-sphenoidal surgery
  • Endoscopic transnasal pituitary surgery
  • Gamma Knife radio-surgery
  • Laparoscopic adrenal surgery

Arrangements for consultation can be made through direct physician referral or following an initial medical evaluation by a Mayo Clinic physician.