Premier Urology Center focuses on providing care for prostate health, prostate cancer, vasectomy, vasectomy reversal, incontinence, bladder control problems and urinary tract infections. Dr. Douglas Gaker and the team at the Premier Urology Center are based in Middletown, which is convenient for patients of both greater Dayton and Cincinnati. Dr. Gaker has been in practice since 1990, and the entire Premier Urology Center team is ready to welcome referred patients with a variety of their urological needs.. On-site infusion of Remicade,Orencia,Reclast,Actemra,Benlysta,Rituxin,Prolia and other therapies