surgical intervention

There are a number of different procedures used to treat patients struggling with urologic issues. While some of these treatments can be performed with in-office procedures, others require anesthesia and must be performed in a hospital setting. Dr. Roberto is ready to determine the best method of treatment for your diagnosis while providing you with the quality care you have come to expect from Chesterfield Urology. Please click on the link below each listed procedure to download the full description.

scheduling surgery

Once Dr. Roberto determines surgery is necessary, our office will schedule your procedure and send the required orders to the facility. Pre-admission testing such as blood tests, chest x-rays, ECGs or other pertinent studies may be required. You will sign your consent for surgery at the hospital prior to your procedure.

You may be required to see your primary care physician, cardiologist or another physician to evaluate any underlying medical conditions prior to surgery.

surgery form 

extracorporeal shock wave lithotripsy (eswl)

Extracorporeal shock wave lithotripsy, also known as ESWL, uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract and pass from the body. ESWL is usually an outpatient procedure. You go home after the treatment and do not have to spend a night in the hospital. After ESWL, stone fragments usually pass in the urine for a few days and you may experience some mild pain. If you have multiple stones, multiple ESWL treatments may be required.

eswl – “lithotripsy” 

transurethral resection of the prostate (turp)

Transurethral resection of the prostate (TURP) is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).

During TURP, a combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. Using the resectoscope, your doctor trims away excess prostate tissue that’s blocking urine flow and increases the size of the channel that allows you to empty your bladder.

TURP is one of the most effective options for treating urinary symptoms caused by BPH. To determine whether TURP or another treatment is the right choice for you, your doctor will consider how severe your symptoms are, what other health problems you have, and the size and shape of your prostate.



Ureteroscopy entails the passage of a small telescope, called a ureteroscope, through the urethra and bladder and into the ureter to the point where the stone is located. If the stone is small, it may be snared with a basket device and removed whole from the ureter. If the stone is large, or if the diameter of the ureter is narrow, the stone will need to be fragmented, which is usually accomplished with a laser. Once the stone is broken into tiny pieces, these pieces are removed. In most cases, a ureteral stent is left in place temporarily following ureteroscopy, to ensure that the kidney drains urine well.


ureteral Stents

Ureteral stents are soft, hollow, plastic tubes placed temporarily into the ureter to allow drainage around a stone or to speed healing after a stone surgery. Stents are used for various reasons in patients with kidney stones. They may be placed in patients to help reduce pain from a stone, when infection is present to allow drainage, or when a stone is preventing a kidney from working adequately. Stents are also commonly placed after surgeries for stones, to allow healing and prevent swelling of the ureter.

ureteral stents 

Please Contact us with any questions regarding the different treatments options we provide. We will be happy to answer any questions you may have. You may reach us in the office at (804) 639-7777.