54 Hopedale Street, Suite 3
Hopedale, MA 01747

Kidney Stone Center

Kidney stones don’t always cause symptoms. When they’re small, they may pass on their own without pain. However, large stones may block urine flow, which can cause a number of painful symptoms that can be severe. This can happen when a kidney stone becomes stuck in the ureter, which is the tube that connects your bladder to your kidneys.

However, the size of the stone doesn’t always correspond to the severity of the pain. Sometimes, a kidney stone can lodge in a certain area in your kidney and cause discomfort. The pain a kidney stone causes can vary as it moves around in your kidney and down the ureter.

Dr. Jeffrey Steinberg can expertly evaluate and treat kidney stones and help you prevent them from reccurring.

Evaluating Kidney Stones

Ultrasound Tests

An ultrasound of patient's kidneys may be performed in Dr. Steinberg’s office to look for kidney stones and for signs of blockage in patient's kidneys. If needed, Dr. Steinberg may also order a plain xray of the abdomen abdomen (KUB) or a CT scan to assess the size, location, and amount of stones, which will help him plan the patient’s treatment.

Lab Tests

Dr. Steinberg may order routine blood tests and 24-hour urine collections to help manage and prevent kidney stones. We routinely utilize the convenient Litholink™ at-home urine collection kit, which will be delivered to a patient's home and picked up after completion of the collection.

Dr. Steinberg reviews results with patients and provides a detailed written report with recommendations for any dietary changes, medications, or supplements.

Kidney Stone Treatment

Extracorporeal Shockwave Lithotripsy (ESWL)

Dr. Steinberg has vast experience performing ESWL and helped to create the largest consortium of urologists performing ESWL in New England over 20 years ago. 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. This procedure is performed on an outpatient basis, usually under IV sedation.

Ureteroscopy and Laser Lithotripsy

Dr. Steinberg typically performs this common procedure several times a week. Ureteroscopy involves the use of a small flexible or rigid telescope to directly see and treat stones. Under anesthesia, the ureteroscope provides a video image and has small “working” channels. It is inserted into the bladder and up the ureter until the stone is encountered. The stone can then either be broken up with a laser fiber or pulled out using small baskets that are inserted into the working channels.

The advantage of this type of surgery is that the body’s normal openings are used and no incisions are necessary.

Percutaneous Kidney Stone Surgery

Percutaneous nephrolithotomy (PCNL) is a procedure used to remove kidney stones from the body when they cannot pass on their own. This procedure, performed under general anesthesia, uses small telescopes and instruments inserted through a small incision in the back to remove the kidney stones.

PCNL is used most often for larger stones or when other procedures, such as extracorporeal shock wave lithotripsy or ureteroscopy, are unsuccessful or not possible.

Urology Specialists of Milford, LLC

In the News

Learn more about Dr. Steinberg and his expertise in current issues in Urology.

Read More