Ralph J. Miller, Jr., M.D.

Education

M.D. - Cum Laude - University of Pittsburgh School of Medicine	1984
A.B. - Magna Cum Laude - Biology, Franklin and Marshall College, Lancaster, PA	1980

Postgraduate Training

Employment History

7-84 to 6-86	Resident, General Surgery, University Health Center of Pittsburgh
7-86 to 6-89	Resident, Urology, University Health Center of Pittsburgh
7-89 to 6-90	Chief Resident, Urology, University Health Center of Pittsburgh

7-90 to Present:

Triangle Urological Group 1307 Federal Street #300 Pittsburgh PA 15212

Hospital Staff Appointments

AUH/Allegheny General Hospital	Senior Active Staff
UPMC/Passavant Hospital	Active Staff
Suburban General Hospital	Active Staff
Ohio Valley Hospital	Courtesy Staff

Certification and Licensure

Medical License:	Pennsylvania MD035145E
Board Certification:	Diplomate, American Board of Urology February 1992
Recertified:	February, 2000

Honors and Awards

1979	Phi Beta Kappa Honor Fraternity
1982	Charles Guthrie Award for Outstanding Performance in Physiology
1983	Alpha Omega Alpha Honor Medical Fraternity (Elected as a junior medical student)
1984	Pittsburgh Surgical Society Award presented to the graduating senior with outstanding performance in surgery.
1990	Resident Essay Contest, Pittsburgh Urologic Society, First Place
1994-present	Expert Reviewer for Urology
2001-present	Expert Reviewer for Journal of Urology
1999	Named in the "Guide to Top Doctors" by the Center for the Study of Services - Consumers Checkbook
2004	State Senate of Pennsylvania Special Recognition Award For Community Service
2004-2005	Listed in Guide to America's Top Physicians
2005-2006	Inclusion in Best Doctors in America Database

Memberships in Professional Societies

7/90 to 10/93	American College of Surgeons, Associate Fellow
7/91 to Present	Pittsburgh Urologic Association
7/91 to 12/96	American Medical Association
1993 to Present	Fellow, American College of Surgeons
1993 to Present	Assistant Professor of Surgery, Division of Urology, Medical College of Pennsylvania, currently Drexel University
1994 to Present	Member, American Urologic Association
1994 to 1996	Member and Treasurer, Society of Urologic Cryosurgeons
1997 to 1998	President Elect, Society of Urologic Cryosurgeons
1999	President, Society of Urologic Cryosurgeons

Committee and Administrative Service

Medical Ethics Committee, Allegheny General Hospital,	1990-1992
Cancer Committee, Allegheny General Hospital,	1992 to Present
ADS Task Force Subcommittee	1993 to 1997
Utilization Management Committee	1994 to 1997
Chairman, Utilization Management Team, Department of Surgery, Allegheny General Hospital	1995 to 1997
Allegheny Prostate Center: Co-Founder and Co-Director	1996 to 1999
Executive Committee of Medical Staff, Allegheny General Hospital	1/98 to Present
Bylaw's Committee	1/98 to Present
Director, Allegheny Prostate Center	1/2000 to Present
Course Director, Controversies in Urology, A national CME course for Urologists	3/2000 2/2001 2/2002 2/2003 2/2004
Co-Director, Cryosurgery Workshop, A CME workshop for Urologists	1993-present
Co-Director, Prostate Brachytherapy Workshop, a CME workshop for Urologists	1997-1999
Course Director, Perspectives in Cryosurgery, a National CME course for Urologists Orlando	5/2002
Chicago	4/2003
San Francisco	5/2004
Coordinator, Lecturer third year medical student urology rotation, Allegheny General Hospital	2000 to present
Coordinator, Lecturer general surgery resident's Urology Lecture Series, Allegheny General Hospital	2001 to Present
Highmark Corporate Member	2004 to Present
Continuing Medical Education Committee	2004 to Present

Community Service
Founder and Sponsor, UsToo International Prostate Cancer Support Group, Allegheny General Chapter, 1996 to Present.

National Prostate Cancer Awareness Week Coordinator for Screening Program for Allegheny System 1995, 1996, 1997, 1998, 1999, 2000, 2001, 2002, 2003

Chairman, "Shoot Out for Prostate Cancer" Benefit Golf and Shooting Tournament for the support of prostate cancer education and research, 2001 to present

Chairman, "Father's Day Ride and Stride" Benefit Bicycle and Walking event for the support of prostate cancer education and research. 2003 to present

Bibilography
Published Pages
Miller RJ, Bahnson HR, Banner B, Ernstoff M, O'Donnell WF: Neoadjuvant Methotrexate, Vinblastine, Doxorubicin and Cisplatin for Locally Advanced Transitional Cell Carcinoma of the Bladder. Cancer 65:207-210, 1990.

Moosa HH, Shapiro SP, Pham SM, Miller RJ, Schachter AB: Isolated Inflammatory Hypogastric Artery Aneurysm with Ureteral Obstruction. Contemporary Surgery 36:31-37, 1990.

Bahnson HR, Ernstoff M, Miller RJ, O'Donnell WF: Toxicity comparison of Neoadjuvant versus Adjuvant Methotrexate, Vinblastine, Doxorubicin and Cisplatin (M-VAC) in Radical Cystectomy Patients. Journal of Surgical Oncology 45:143-145, 1990.

Miller RJ: Surgical Management of Prostate Cancer. Oncology Journal, 1993.

Cohen JK and Miller RJ: Thermal Protection of Urethra during Cryosurgery of Prostate. Urology: 313-316, 1994.

Miller RJ, Cohen JK, Merlotti L: Percutaneous Transperineal Cryosurgical Ablation of the Prostate for the Primary Treatment of Clinical Stage C Adenocarcinoma of the Prostate. Urology 44(2):170-174, 1994.

Cohen JK and Miller RJ: Thermal Protection of Urethra during Cryosurgery of Prostate.Cryobiology 31:313-316, 1994.

Michaels AJ, Cohen JK, Miller, RJ: Urethral Injuries Associated with Pelvic Fracture. Current Surgery 51(5):297298, 1994

Miller RJ, Cohen JK, Shuman BA, Merlotti L: Percutaneous Transperineal Cryosurgical Ablation of Prostate (CSAP) as Primary Treatment for Clinical Stage C Adenocarcinoma: Update. J Urol 153(4) Abstract #628 (Presented as poster at AUA, 90th Annual Meeting, 1995.

Cohen JK, Miller RJ, Shuman BA: Cryosurgical Ablation of the Prostate: Patterns of Failure and Two Year Post Treatment Data as Compared to External Beam Radiation Therapy. J Urol 153(4) Abstract #1098, 1995.

Saliken JC, Cohen JK, Miller RJ, Rothert M: Laboratory Evaluation of Ice Formation around a 3-mm Accuprobe. Cryobiology 32:285-295, 1995.

Miller RJ, Cohen JK, Shuman BA, Merlotti L: Percutaneous Transperineal Cryosurgery of the Prostate as Salvage Therapy for Post Radiation Recurrence of Adenocarcinoma. Cancer 77(8):1510-1514, 1996.

Cohen JK, Miller RJ, Rooker GM, Shuman BA: Cryosurgical Ablation of the Prostate: Two Year Prostate Specific Antigen and Biopsy Results. Urology 47(3):395-401, 1996.

Cohen JK, Rooker GM, Shuman BA, Miller RJ, Merlotti L: Cryosurgical Ablation: Management Alternative for Localized Prostate Cancer. Smith's Textbook of Endourology 11:1217-1233, 1996.

Benoit RM, Miller RJ, Cohen JK: Comparison of Hospital Costs for Radical Prostatectomy and Cryosurgical Ablation of the Prostate. J Urol 157(4): Abstract #608, 1997.

Benoit RM, Cohen JK, Miller RJ: The Effect of a Clinical Pathway on the Hospital Costs of a Nephrectomy. J Urol 157(4): Abstract #611, 1997.

Miller RJ, Cohen JK, Rooker GM, Benoit RM: External Beam Radiation as Salvage Therapy for Biopsy Failure After Cryosurgical Ablation of the Prostate. J Urol 157(4): Abstract #988, 1997.

Cohen JK, Miller RJ, et al: Four Year PSA and Biopsy Results After Cryosurgical Ablation of the Prostate for Localized Adenocarcinoma of the Prostate. J Urol 157(4): Abstract #1634, 1997.

Miller RJ and Cohen JK: A Closer Look at the Cryosurgical Ablation of the Prostate (Review). Contemporary Urol. 10(2):10-19, 1998.

Benoit RM, Cohen JK, and Miller, RJ: Comparison of the hospital costs for radical pro-statectomy and cryosurgical ablation of the prostate. Urology 52(5):820-824. 1998.

Benoit RM, Cohen JK, Miller RJ: Counseling patients about cryotherapy for prostate cancer. Seminars in Urologic Oncology (in press).

Benoit RM, Cohen JK, Miller RJ: Cryosurgery for prostate cancer: new technology and Indications. Current Urology Reports (in press).

Brown D, Colonias A, Miller RJ, Benoit R, Cohen J, Arshoun Y, Galloway M, Karlovits S, Wu A, Johnson M, Quinn A, Kalnicki S: Diminished urinary morbidity with a modified peripheral loading technique of transperineal 125I prostate implantation. Int J Radiol Oncol Biol Phys (in press).

Wu A, Lee C-C, Johnson M, Brown D, Benoit R, Miller RJ, Cohen J, Geis P, Chen ASJ, Kalnicki S: A New Power Law for Determination of Total I125 Seed Activity for Ultrasound Guided Prostate Implants: Clinical Evaluation. Int J Radiol Oncol Biol Phys.

Friedland D, Cohen J, Miller RJ, Voloshin M, Gluckman R, Lembersky B, Zidar B, Keating M, Reilly N, Dimitt B., A Phase II Trial of Docetaxel (Taxotere) in Hormone-Refractory Prostate Cancer: Correlation of Antitumor Effect to Phophorylation of Bcl-2.

Miller, RJ, and Lyne, JC. Urology (Book Chapter) in Surgery in a Page. Blackwell Publishing. 2003.

Colonias, A, Farinash, L, Miller, L, Jones, S, Medich, D, Greenberg, L, Miller, R, Parda, D. - Multidisciplinary Treatment of Synchronous Primary Rectal and Prostate Cancers. Nature Clinical Practice, May 2005, Vol. 2, No. 5. Pages 271-274.

Abstracts
Cohen JK, Onik G, Miller RJ: Cryosurgical Ablation of the Prostate: The Results in Patients who had Previously Failed Radiation Therapy for Adenocarcinoma of the Prostate.

PRESENTED:
American Urological Association, Inc.,
88th Annual Meeting, May 1993.

Mid-Atlantic Section of the American Urological Association,
Annual Meeting, September 1993.RALPH J. MILLER, JR., M.D.

New England Section of the American Urological Association,
Annual Meeting, October 1993.

Miller RJ: Society for Minimally Invasive Therapy International Meeting - Treatment of Localized CA Prostate Using Percutaneous Transperineal Cryoablation. November 5, 1993.

Miller RJ: Northeast Section of AUA - Treatment of Localized Carcinoma of Prostate Using Percutaneous Transperineal Cryosurgical Ablation: A Preliminary Report. San Juan, Puerto Rico, November 1993.

Cohen JK, Miller RJ, Onik G: Cryosurgical Ablation of the Prostate as Used in the Patient Who Has Failed Radiation Therapy: Complete Destruction in the Patient Clinically Localized Disease and Palliation of Local Symptoms in the Patient with Metastatic (Stage D2) Disease. Presented at the 89th Annual Meeting, AUA, May 14-19, 1994.

Cohen JK, Miller RJ, Onik G: Cryosurgical Ablation of the Prostate in Patients with Clinical Stage A, B, and C Adenocarcinoma of the Prostate: Outcomes of PSA and Biopsy at 3, 12, and 24 Months. Presented at the 89th Annual Meeting, AUA, May 14-19, 1994.

Cohen JK, Miller RJ, Rooker GM, Merlotti L: Two Year PSA and Biopsy Results after Cryosurgical Ablation of the Prostate (CSAP) for Localized Adenocarcinoma of the Prostate. J Urol 155(5): Abstract #360, 1996.

Shuman BA, Cohen JK, Miller RJ, Olson R: The Histologic Presence of Viable Prostate Glands on Routine Biopsy Following Cryosurgical Ablation of the Prostate. J Urol 155(5): Abstract #981, 1996.

Miller RJ, Cohen JK, Rooker GM, Merlotti L: Management of Urethral Tissue Sloughing After Cryosurgical Ablation of Prostate (CSAP). J Urol 155(5): Abstract # 1359, 1996.

Cohen JK, Miller RJ, Rooker GM, Shuman BA: Cryosurgical Ablation of the Prostate: Two Year Prostate Specific Antigen and Biopsy Results. J Urol 47(3):395-401, 1996.

Miller RJ, Cohen JK, Rooker GM, and Benoit RM: Is Cryosurgical Ablation of the prostate effective therapy for poor prognosis prostate cancer? Presented at the 50th annual meeting of the Northeast Section of the AUA, Toronto, Ontario, October 18-21, 1998.

Cohen JK, Miller RJ, Benoit RM, Rooker GM, Lyne JC: Cancer control following cryosurgical ablation of the prostate when used as primary treatment for clinically localized prostate cancer. J Urol 163:A, 2000.

Miller, RJ and Lyne, JC. Chapter: Urology in "Sugery in a Page" Eds. Kahan and Raves. Blackwell Publishing. 2003.

Presentations (Local)
Miller RJ: Neonatal Circumcision: A Comparison of Attitudes Between the Pediatric and Urologic Communities. Presented at the Annual Resident's Day, Pittsburgh Urologic Association, 1990.

Miller RJ: Screening for Genitourinary Neoplasms. Presented at the Symposium of Genitourinary Cancer, Hahne Regional Cancer Center, DuBois, PA, May 11, 1991.

Miller RJ: Clinical Applications of Laser Lithotripsy. Presented at St. Elizabeth Hospital Medical Center, Youngstown, OH, April 1992 and Raleigh General Hospital, Beckley, WV, January 1993 and others.

Miller RJ: Sports Related Injuries of the Genitourinary System. Presented at the Allegheny Trauma Conference, Pittsburgh, PA, March 1991.

Miller RJ: Diseases of the Prostate for the Uninitiated. Presented to Junior Medical Students of the Medical College of Pennsylvania as part of the Clinical Surgical Lecture Series, July 1990 to Present.

Miller RJ: Cryosurgical Prostate Ablation: Two Year Follow Up. Presented at Surgical Grand Rounds, Lehigh Valley Hospital, Allentown, PA, November 15, 1994.

Miller, RJ: Follow up after treatment for prostate cancer; what every patient needs to know. Delivered on multiple dates as part of the Carnegie Mellon Prostate Cancer Study, Stephen Lepore, PhD principal investigator, 1998, 1999.

Presentations (National)
Miller RJ, Bellinger MF, Brandon B: Regional Anesthesia in Outpatient Pediatric Urologic Surgery: A Prospective Randomized Trial of Bupivicaine vs Bupivicaine/Lidocaine. Presented at the 41st Annual Meeting of the Northeast Section of the American Urologic Association, Montreal, Canada, 1989.

Miller RJ: Evaluation and Management of Trauma of the Bladder and Urethra. Presented at "Trauma Tactics 91" Park City, UT, February 1991.

Miller RJ, Cohen JK: Endoscopic Urethral Realignment for Traumatic Rupture of the Posterior Urethra. Presented at "Trauma Tactics 91", Park City, UT, March 1991.

Miller RJ: "Cryosurgery Revisited" Urology Grand Rounds, Jefferson Medical College, October 7, 1993.

Miller RJ: "Treatment of Localized Carcinoma of the Prostate Using Percutaneous Transperineal Cryosurgical Ablation: A Preliminary Report." Northeast Section, AUA Annual Meeting, San Juan, Puerto Rico, November 1993.

Miller RJ: Urologic Update - "VLAP, Laser Lithotripsy and Cryosurgery" Park Medical Center and Ohio Stone Center, Columbus, OH, January 1994.

Miller RJ: "Cryosurgical Ablation of the Prostate (CSAP) For Use as the Primary Treatment for Clinical Stage C Adenocarcinoma of the Prostate" American Urological Association - New England Section, 1994 Annual Meeting, Southampton, Bermuda, September 29 to October 2, 1994.

Miller RJ: "Cryosurgical Treatment of Local Failure Following Radical Prostatectomy". Presented at the American Lithotripsy Society Ninth Annual Symposium on Stone Management, Section of Society of Urological Cryosurgeons, San Antonio, TX, March 16-19, 1995.

Miller RJ: "Two Year Biopsy and PSA Results of Prostate Cryosurgery." Presented at 9th Annual Symposium of the Bay Area Regional Stone Center, Tampa, FL, June 1995.

Miller RJ: "Two Year PSA and Biopsy Results After Cryosurgical Ablation of the Prostate (CSAP) for Localized Adenocarcinoma of the Prostate." Ninety-First Annual Meeting of the AUA, Orlando, FL, May 1996.

Miller RJ: "The Histologic Presence of Viable Prostatic Glands on Routine Biopsy Following Cryosurgical Ablation of the Prostate." Ninety-First Annual Meeting of the AUA, Orlando, FL, May 1996.

Miller RJ: "Management of Urethral Tissue Sloughing After Cryosurgical Ablation of the Prostate (CSAP)." Ninety-First Annual Meeting of the AUA, Orlando, FL, May 1996.

Cohen JK, Miller RJ, Rooker GM, Merlotti L: Cryosurgical Ablation of the Prostate: 30 Month PSA and Biopsy Results. Presented at Annual Meeting of Northeastern Section AUA, Buffalo, NY, September, 1996

Miller RJ, Rooker GM, Cohen JK, Merlotti L: Large Volume and/or High-Grade Prostate Cancer Treated with Primary Cryosurgical Ablation of the Prostate (CSAP) followed by Adjuvant External Beam Radiation. Presented at Annual Meeting of Northeastern Section AUA, Buffalo, NY, September 28, 1996.

Cohen JK, Miller RJ, Rooker GM, Merlotti L: Cryosurgical Ablation of the Prostate: 30 Month Follow Up PSA and Biopsy Results. Presented at Annual Meeting of Mid-Atlantic Section of AUA, Washington, D.C., October 28, 1996.

Presentations (International)
Miller RJ, Cohen JK, Onik G: Cryosurgery of the Prostate Revisited. Presented at the 4th International Meeting of the Society for Minimally Invasive Therapy. Dublin, Ireland, November 1992. Miller RJ: Treatment of Localized CA Prostate Using Percutaneous Transperineal Cyroablation. Society for Minimally Invasive Therapy International Meeting, November 5, 1993. Miller RJ: "Complications and Trouble Shooting in Cryosurgery". Cryosurgery Symposium, Universitat Du Koln, Germany, October 26, 1996.

Visiting Professor, Department of Urology, Heidelburg University, Heidelberg, Germany, May 28-30, 1996.

Visiting Professor, Department of Radiation Oncology, Albert Einstein Hospital, Sao Paulo Brazil. June 30-July 3, 1998.

Visiting Professor, Department of Urology, University of Cologne, Cologne, Germany. September 19-22, 2002

Research Activities

1980	Amphibian Exercise Physiology Research
1986-90	Clinical Research as noted in Presentations and Publications.
1990-present	Clinical and Laboratory Research as noted in Publications.
1997-1998	Principal Investigator "Effect of dietary fat intake on bulk semen parameters and fertility in men with idiopathic oligospermia"
2003-present	Computer modeling of cryoprobe placement in Prostate Cancer in conjunction with Yoed Rabin, PhD, Dept. Of Engineering, Carnegie Mellon University

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