patient education

Learning more about your body and how it works, helps you take better care of yourself. Dr. Roberto and the staff at Chesterfield Urology want to make sure you have as much medical information as you need to make smart choices when it comes to enhancing your health and combating urological diseases. Please click on the links below to download a full description of the information provided.

erectile dysfunction

Erectile Dysfunction, or ED, is the persistent inability to achieve and maintain an erection that is firm enough or lasts long enough to complete sexual intercourse. It is estimated that ED affects about 1 in 10 men at some point in their life. And, while ED is a common condition, it is not a normal part of aging.


hematuria – blood in the urine

One of the most common reasons people visit a urologist is because they see blood in their urine. This is usually a warning sign that something is wrong in your body. Some of the most common causes for hematuria include infection, stones, prostate problems  or trauma. Determining the source of the blood and developing a treatment strategy is generally the same for both visible and microscopic hematuria. Trying to define the source of the bleeding requires evaluating the entire urinary tract and checking for infection and/or malignant cells in the urine.


interstitial cystitis

Interstitial cystitis (IC), also known as painful bladder syndrome, is another type of pelvic condition that affects approximately eight million young and middle-aged women in the U.S. Interstitial cystitis is a chronic inflammatory condition of the bladder lining that causes pain and pressure in the pelvic area around the bladder.


foley catheter

A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine. Because it can be left in place in the bladder for a period of time, it is also called an indwelling catheter. It is held in place with a balloon at the end, which is filled with sterile water to prevent the catheter from being removed from the bladder. The urine drains through the catheter tube into a bag, which is emptied when full. The procedure to insert a catheter is called catheterization. A Foley catheter may be used with many disorders, procedures, or problems such as these: urinary retention, urethral obstruction, nerve related bladder dysfunction or after surgery.


clean intermittent catheterization services

Do you have issues with incomplete bladder drainage? Then using a catheter may be required. While there are permanent catheters available, there are also options that allow you to drain the bladder with a catheter periodically. This is known as clean intermittent catheterization, or CIC.

If you are using a CIC method of draining your bladder then there are a number of things you should keep in mind to ensure your continued health and safety. First, when it comes to cleaning your catheter, sterility is not required. However, you should always do your best to wash your hands thoroughly. Second, the frequency of catheterization should be individualized to fit your lifestyle. It may be done as often as several times a day, or even one or two times a week.  Your physician will advise you accordingly.

cic download

kidney stones

Kidney stones are small, hard crystals or deposits that form inside your kidneys when salts and other minerals in your urine bond together. Stones often vary in shape and size, with some growing to be quite large.  Some stones stay in the kidneys causing little to no symptoms, and others may pass through the urinary tract, causing painful symptoms as the deposit move down the ureter (the thin tube that leads to the bladder). Some people are able to pass the stone without surgical intervention, but in some cases, surgery to remove the stone may become necessary.

stones download

low testosterone

Hypogonadism, or testosterone deficiency (Low T), affects two to four million men in the U.S. and the prevalence increases with age.  It is estimated that while testosterone deficiency can affect up to 38 percent of the population, only five percent of affected men receive treatment.

Common symptoms of low testosterone may include: Decreased energy, decreased libido (sex drive), erectile dysfunction,  loss of muscle mass, decreased exercise tolerance, change in mental acuity or cognitive function, low testosterone has also been linked to metabolic syndrome (obesity, high blood pressure, diabetes, and high cholesterol) as well as decreased bone density, or osteoporosis.

low T download

prostate cancer

Prostate cancer is cancer that occurs in a man’s prostate — a small walnut-shaped gland that produces the seminal fluid that nourishes and transports sperm.

Prostate cancer is one of the most common types of cancer in men. Prostate cancer usually grows slowly and initially remains confined to the prostate gland, where it may not cause serious harm. While some types of prostate cancer grow slowly and may need minimal or no treatment, other types are aggressive and can spread quickly.

Prostate cancer that is detected early — when it’s still confined to the prostate gland — has a better chance of successful treatment.

prostate ca download


Prostatitis is an inflammation or infection of the prostate gland. It can affect men of any age. The most common urological problem in men aged 50 and older, prostatitis is not contagious and is not transmitted during sex. The prostate is a walnut-sized organ found only in men. Its main function is to produce semen, the fluid that carries sperm during ejaculation. Part of the male urinary system, it lies next to the bladder. Prostatitis often causes urinary symptoms because the prostate surrounds the urethra, the tube carrying urine out of the body.

prostatitis download

recurring urinary tract infections

Women who experience frequent urinary tract infections (UTIs), an infection in any part of the urinary system but most often in the bladder and urethra, know the discomfort of the painful burning, urge and pelvic discomfort associated with them.

While occasional UTIs are not uncommon in women and can be treated with a dose of antibiotics, frequent infections should be discussed with your urologist.

recurring uti’s download

screening for prostate cancer

Regular testing for prostate cancer has been proven to aid in early detection. And the earlier prostate cancer is detected, the better chances for successful treatment and long-term survival.

What are the prostate cancer screening recommendations?

The American Urological Association (AUA) and Chesterfield Urology recommend that a baseline PSA screening begin at age 40, with annual screening beginning at age 50.

If significant risk factors such as a strong family history or African American race are present, then annual screening should be considered on a regular basis after age 40.

screening download

urinary tract infections in men

A urinary tract infection (UTI) is an infection in any part of the urinary system but occurs most often in the bladder and urethra. While UTIs are relatively rare in younger men, prevalence increases as men age. UTIs cause painful burning during urination, urinary urge and pelvic discomfort.

uti’s in men download

bacteria control with clorpactin

What is Clorpactin? It is basically a bleach, similar to Clorox™. The chlorine in bleach creates an environment that makes it hard for bacteria to survive in. This is why it is commonly used to keep pools free of bacteria and to disinfect counters and other surfaces. If you are dealing with a recurrent Urinary Tract Infection related to catheterization, you may benefit from using Clorpactin.

using clorpactin 

Are you 40 years or older? Ask your primary care physician to screen you for prostate cancer. For more information about prostate cancer or to make an appointment with our urologist, call Chesterfield Urology at (804) 639-7777.