Kidney stones · Johns Creek Clinic & Surgery Center
Kidney stones, from first scan to stone removal, in one building.
Meet a Johns Creek urologist at 10730 Medlock Bridge Rd, where exam rooms and operating rooms share one building. Imaging, lab work, the treatment decision and, when it is needed, the procedure itself happen at this address, with the urologist who worked up your case.
Meet our urologists in Johns Creek and Cumming
Six urologists see patients at our Johns Creek Clinic & Surgery Center and our Cumming Clinic. Select a name to read that doctor’s profile.
Dr. Neal Patel
Johns Creek and Cumming offices
Dr. Nicholas Farber
Johns Creek Clinic & Surgery Center
Dr. T. Casey McCullough
Johns Creek Clinic & Surgery Center
Dr. Herman Bagga
Cumming Clinic
Dr. Rut Patel
Cumming Clinic
Dr. Kushan Radadia
Cumming Clinic
A stone that won’t pass has three treatment options.
When a stone stays put, the choice of treatment comes down to four facts: how large it is, where it sits, how hard it is, and your overall health. Our urologists weigh those four before recommending anything.
- Shock wave lithotripsyFocused sound energy, aimed from outside the body, fractures the stone into grit that passes in the days or weeks after. No scope, no incision.
- Ureteroscopy with a laserWe pass a thin scope through the bladder to reach the stone, then use a laser to break it so the pieces can be removed. No skin incisions, usually followed by a short-term stent.
- PCNLReserved for very large stones: a small opening in the back gives direct access to the kidney. A bigger operation, done in a hospital with a short stay.
Read Dr. T. Casey McCullough on choosing between laser and shock wave · Kidney stones overview
Clinic visits and surgery happen in the same building.
The surgery center is licensed for outpatient procedures and holds its own operating rooms, anesthesia coverage, and recovery bays, so cases planned here end with you going home rather than a hospital admission. Ours shares 10730 Medlock Bridge Rd with the Johns Creek exam rooms.
For you, that means your records and imaging stay put, the team that checked you in for your first visit checks you in on procedure day, and we set the schedule.
A high PSA is a question to work through, step by step.
Dr. Neal Patel, Chief Clinical Officer at Advanced Urology, sees patients in Johns Creek and Cumming. Our high PSA page answers what a high result means, what can raise it, and how we decide on repeat testing, MRI, or biopsy. His two journal pieces walk further through when a biopsy makes sense, and how surgery, radiation and focal therapy compare once a cancer is found.
High PSA: do you really need a prostate biopsy?
Robotic surgery vs radiation vs focal therapy
Other conditions our urologists treat here
- Kidney stone treatmentESWL, ureteroscopy and laser lithotripsy, explained in order
- VasectomyNo-scalpel vasectomy at our Johns Creek surgery center
- UroLift for enlarged prostateHow the implants work, and who they may be for
- Enlarged prostate (BPH)Night-time trips, slow stream, medication that has stopped helping
- Urology care for womenLeakage, overactive bladder, stones, blood in the urine and bladder cancer
- Overactive bladderSudden urges, frequency and urge leakage
- Bladder leakageStress, urge and overflow leakage in women and men
- Cancers of the kidney, bladder and testisWorkup, staging and treatment planning
- Erectile dysfunctionOften worth a full evaluation, not just a prescription
- Peyronie’s diseaseA clear look at the condition and the treatments we can offer
- Low testosteroneConfirmed with blood levels and symptoms, including TRT
Symptoms people call us about
- Seeing blood in your urinePink, red, or cola-colored urine, or blood a lab found, even if it has already stopped
- A high PSA resultA lab report with a raised PSA, and when to come in for the next step
- Pain from kidney stonesPain in the side or back, and when the office or the emergency department is the right place
- Bladder leakage and frequent urinationLeaks with a cough, a sudden urge, frequent urination, or night-time trips
- Bowel leakage: causes, warning signs, and careLeaking stool or a sudden urge you cannot hold, and when it is urgent
- A weak urine stream or trouble urinatingA slower stream, trouble urinating, and getting up at night, including enlarged prostate treatment and UroLift
Treatment and how to find a doctor
- Enlarged prostate treatmentA Johns Creek or Cumming doctor for UroLift, medicines, and a PAE evaluation
- Prostate cancer treatmentFrom a raised PSA to MRI, biopsy, and the options we offer
- A kidney stone doctorLithotripsy, ureteroscopy, and follow-up after emergency-department care
- Women’s bladder and pelvic healthBladder leakage, frequent urination, stones, and blood in the urine
- Overactive bladder treatmentMedicines, bladder Botox, InterStim, and Altaviva
- InterStim for bowel controlFecal incontinence treatment, starting with a test phase
- Prostate artery embolizationEvaluated here; performed at Alpharetta or Decatur
We welcome new patients
If you are new to our Johns Creek or Cumming offices, call 678-344-8900 or book online. Ask us for the earliest opening, and we will work with you to arrange the soonest visit we can set.
Medlock Bridge Rd
Johns Creek Clinic & Surgery Center10730 Medlock Bridge Rd
Johns Creek, GA 30097
678-344-8900
Serving Johns Creek, Duluth, Suwanee, Berkeley Lake and Peachtree Corners. Visits and procedures in one place.
Deputy Bill Cantrell Memorial Rd
Cumming Clinic4150 Deputy Bill Cantrell Memorial Rd Suite 180
Cumming, GA 30040
678-344-8900
Our Forsyth County clinic, where Dawson and Lumpkin county residents also book their visits. Operating-room cases are performed at Johns Creek.
Communities that use these two offices
Johns Creek, Duluth, Suwanee, Berkeley Lake and Peachtree Corners are seen at the Johns Creek Clinic & Surgery Center. Cumming, the rest of Forsyth County, Dawsonville, Dawson County, Dahlonega and Lumpkin County are seen at the Cumming Clinic, with operating-room procedures at Johns Creek.
Areas we serve · Forsyth County · Dawsonville · Dahlonega · Duluth · Suwanee
Who you may see
Urologists Dr. Neal Patel, Dr. T. Casey McCullough and Dr. Nicholas Farber see patients in Johns Creek. In Cumming, Dr. Neal Patel is joined by Dr. Herman Bagga, FACS; Dr. Rut Patel; and Kushan Radadia, MD. Physician assistants work alongside them at both offices.
Urologists
Dr. Neal PatelUrologist / Urologic Surgeon, Chief Clinical OfficerMDSpecialty: UrologyProcedures and treatments listed on this physician’s official profile: - Overactive Bladder
- Enlarged Prostate (BPH)
- Kidney Stones
- Erectile Dysfunction
- Bladder Cancer
- Kidney Cancer
- Prostate Cancer
- Adult Circumcision
- Fecal Incontinence
- Interstitial Cystitis
- Peyronies Disease
- Premature Ejaculation
- Urinary Incontinence
- Cystoscopy
Dr. T. Casey McCulloughPhysician Governance, Director Surgery Center Johns CreekDOSpecialty: UrologyProcedures and treatments listed on this physician’s official profile: - Overactive Bladder
- Enlarged Prostate (BPH)
- Erectile Dysfunction
- Kidney Stones
- Bladder Cancer
- Kidney Cancer
- Prostate Cancer
- Adult Circumcision
- Fecal Incontinence
- Interstitial Cystitis
- Peyronies Disease
- Premature Ejaculation
- Urinary Incontinence
- Cystoscopy
Dr. Nicholas FarberUrologist/Urological SurgeonMDSpecialty: UrologyProcedures and treatments listed on this physician’s official profile: - Enlarged Prostate (BPH)
- Bladder Cancer
- Kidney Cancer
- Prostate Cancer
- Adult Circumcision
- Erectile Dysfunction
- Fecal Incontinence
- Interstitial Cystitis
- Kidney Stones
- Overactive Bladder
- Peyronies Disease
- Robotic Surgery
- Premature Ejaculation
- Urinary Incontinence
- Vasectomy Reversal
- Cystoscopy
Dr. Herman Bagga, FACSUrologist; Urologic Surgeon; Diplomate, American Board of Urology; Fellow, American College of SurgeonsMD, FACSSpecialty: UrologyProcedures and treatments listed on this physician’s official profile: - Overactive Bladder
- Enlarged Prostate (BPH)
- Erectile Dysfunction
- Kidney Stones
- Bladder Cancer
- Kidney Cancer
- Prostate Cancer
- Adult Circumcision
- Fecal Incontinence
- Interstitial Cystitis
- Peyronies Disease
- Robotic Surgery
- Premature Ejaculation
- Urinary Incontinence
- Cystoscopy
Dr. Rut PatelUrologist / Urologic Surgeon, Director of Robotic SurgeryMDSpecialty: UrologyProcedures and treatments listed on this physician’s official profile: - Robotic Surgery
- Overactive Bladder
- Enlarged Prostate (BPH)
- Erectile Dysfunction
- Bladder Cancer
- Kidney Cancer
- Prostate Cancer
- Adult Circumcision
- Fecal Incontinence
- Interstitial Cystitis
- Kidney Stones
- Peyronies Disease
- Premature Ejaculation
- Urinary Incontinence
- Cystoscopy
Kushan Radadia, MDUrologist / Urologic SurgeonMDSpecialty: UrologyProcedures and treatments listed on this physician’s official profile: - Overactive Bladder
- Enlarged Prostate (BPH)
- Erectile Dysfunction
- Kidney Stones
- Bladder Cancer
- Kidney Cancer
- Prostate Cancer
- Adult Circumcision
- Fecal Incontinence
- Interstitial Cystitis
- Peyronies Disease
- Premature Ejaculation
- Urinary Incontinence
- Cystoscopy
Physician assistants & nurse practitioners
Sarah Nayebosadri, PAPhysician Assistant 
Mary Peabody, PA-CPhysician Assistant Certified 
Mackenzie Helland, PAPhysician Assistant 
Lauren Goring, Physician AssistantPhysician Assistant 
Anna McMaster, PA-CPhysician Assistant Certified 
Alysha Naran, PA-CPhysician Assistant 
Austin Durden, PA-CPhysician Assistant Certified
Three official videos, if you want a picture of our office and of stone care
The first is Advanced Urology’s company overview. The next two feature Dr. T. Casey McCullough and Dr. Rut Patel talking about kidney stones, a lead topic for this site. They are educational, and they are not a treatment plan for your own symptoms.
Playing: Advanced Urology - Company OverviewWhat the video covers. This official Advanced Urology video is titled "Advanced Urology - Company Overview." It is a practice overview from Advanced Urology.
Playing: Kidney Stones? 3 Ways to Remove ThemWhat the video covers. Titled "Kidney Stones? 3 Ways to Remove Them." The official video, featuring Dr. Casey McCullough, addresses treatment choices for a kidney stone that will not pass, with the public description pointing to size, location, hardness, and overall health as the decision factors.
Playing: Kidney Stones Disease with Dr. Rut PatelWhat the video covers. This official Advanced Urology video is titled "Kidney Stones Disease with Dr. Rut Patel." Dr. Rut Patel discusses kidney stone disease.
Questions we are often asked
Where are your Johns Creek and Cumming offices?
We have two: the Johns Creek Clinic & Surgery Center at 10730 Medlock Bridge Road, and the Cumming Clinic at 4150 Deputy Bill Cantrell Memorial Road, Suite 180. Johns Creek is where clinic visits and outpatient procedures happen in one building. Cumming is the clinic we use for Forsyth, Dawson and Lumpkin county visits, with surgery scheduled at Johns Creek.
How do I book a urology visit?
Call 678-344-8900 or use Book online, which appears in the header and again at the bottom of this page. Tell us the community you are coming from and what you want to be seen for, and we will place you at Johns Creek or Cumming. We will offer the earliest opening we can set; we do not promise a visit on the same day you call.
Do you treat kidney stones and prostate problems in the same practice?
Stone treatment, PSA and prostate care, bladder symptoms, vasectomy, and cancers of the kidney, bladder and testis are all part of the work we do at these two offices. Each condition has its own page on this site if you want to read before you come.
Whenever a visit would help, the Johns Creek and Cumming teams are a phone call or a booked appointment away.