As of Monday, December 18, 2022, Jefferson Surgical Clinic physicians and staff are employed by Carilion Clinic.

Jefferson Surgical Clinic and Carilion share the same philosophy about the practice of medicine. We believe in an evidence-based, patient-centered approach that emphasizes care coordination and keeping people healthy. As a patient, you’ll receive the same care and compassion from your surgical provider. Also, you’ll have access to additional resources through Carilion, including MyChart, a secure online health management tool, and easy connections to many specialty services through an electronic medical record system.

If you have questions regarding an upcoming appointment, you can continue to reach your care team at (540) 283-6000..

The patient portal is no longer active due to system changes. Please call (540) 283-6070 for account questions or to make a payment on your account.


With over 17 years of experience, Jefferson Surgical Clinic’s Dr. Charles Daniel is one of the only surgeons in the Roanoke Valley to treat bladder cancer. Bladder cancer begins in the cells of the bladder, a hollow, muscular organ in the lower abdomen that stores urine. Bladder cancers most often begin in the cells (urothelial cells) that line the inside of the bladder. Urothelial cells are also found in the kidneys and tubes (ureters) that connect the kidneys to the bladder. Urothelial cancer can happen in the kidneys and ureters, too, but it's much more common in the bladder.


Bladder cancer signs and symptoms may include:

  • Blood in urine (hematuria)
  • Frequent urination
  • Painful urination
  • Back pain

Risk Factors

Factors that may increase the risk of bladder cancer include:

  • Smoking
  • Older age
  • Gender – men are more likely to develop bladder cancer
  • Chronic bladder inflammation
  • Personal or family history of cancer
  • Previous cancer treatment