As of Sunday, December 18, 2022, Jefferson Surgical Clinic (JSC) physicians and staff are employed by Carilion Clinic.

JSC and Carilion share the same philosophy about the practice of medicine. As a patient, you’ll receive the same care and compassion from your surgical provider. Also, you’ll have access to additional resources 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The patient portal is no longer active due to system changes. You are able to pay your account balance using the “Bill Pay” button below instead of calling. For account questions, you may still call (540) 283-6070.


Kidney stone treatment varies depending on the type of stone and the cause.


Most small kidney stones don’t require invasive treatment and may be passed by:

  • Drinking water
  • Taking pain relievers
  • Taking medication – an alpha blocker can be used to relax muscles, helping to pass the stone more quickly and with less pain.

Kidney stones that cause bleeding, kidney damage, ongoing urinary tract infections or other complications may require more extensive treatment. Procedures typically include:

  • Shock wave lithotripsy (SWL) is a technique that breaks up stones into little pieces using shock waves from outside the body and is often performed under anesthesia. SWL does not work well on hard or large stones
  • Ureteroscopy uses a small scope, retrieval device and stone-breaking tools. A temporary stent can sometimes be placed in the ureter rather than a drain tube or catheter and external bag

Who is a candidate?

Good candidates for SWL and ureteroscopy are those who cannot pass a kidney or ureteral stone on their own, have severe pain, large stones or stones in both kidneys.

What to expect

Several factors determine how kidney stones are treated, so what patients can expect will vary depending on the treatment. The patient may choose to wait for the stone to pass at home if the pain is bearable, the stone is small enough, if there is no sign of infection and if there is adequate urine flow from the kidney. Medication can also be used to help the stone pass. Tamsulosin (brand name Flomax) can be used to relax the ureter.

Shock wave lithotripsy and ureteroscopies are usually done on an outpatient basis with quick recovery times.

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