Urology of St. Louis

What Urology of St. Louis does

Urology of St. Louis (USL) is a physician-led private urology practice serving the St. Louis bi-state metro area across Missouri and Illinois. Operating under parent organization Helios Specialty Healthcare, the practice runs 22 clinical locations supported by more than 40 providers (physicians and advanced practice providers), organized into six branded Centers of Excellence: the Cancer Institute (urologic oncology), Kidney Stone Center, Women's Bladder Health and Pelvic Medicine, Men's Health Center, Men's Sexual Health and Reproductive Center, and Advanced Prostate Cancer Center of Excellence. The practice maintains surgical privileges at St. Luke's Hospital and other regional facilities for inpatient procedures and operates a virtual UTI clinic that delivers same- and next-day telehealth appointments.

The clinical capability base centers on advanced surgical and diagnostic hardware — Da Vinci robotic-assisted surgery (for radical prostatectomy, partial nephrectomy), MRI-ultrasound fusion prostate biopsy, plus a BPH armamentarium spanning UroLift, Aquablation, Rezum, and Prostate Artery Embolization — and non-invasive therapies including Low-Intensity Shockwave Therapy (LISWT) for erectile dysfunction and sacral/posterior tibial nerve stimulation for overactive bladder. Patient-facing infrastructure runs on doxy.me (telehealth), FollowMyHealth (patient portal), and Phreesia (scheduling, intake, payment, HIPAA-compliant physician referrals), with selective diagnostic partnerships such as MicroGenDX next-generation DNA sequencing for UTI pathogen identification.

The revenue model is fee-for-service professional services billed against insurance for clinical encounters and surgical procedures, supplemented by patient self-pay revenue from select offerings (e.g., LISWT at $1,800 per six-session cycle, which is not insurance-reimbursable). Go-to-market combines direct-to-consumer scheduling, primary-care physician referrals routed through Phreesia, condition-specific patient navigation programs (BPH, OAB, advanced prostate cancer), and brand reinforcement through Castle Connolly recognition and educational podcast/webinar content. The company is privately held and physician-led (Matthew Spellman is identified as Managing Partner), with no disclosed outside equity, debt, or institutional investor involvement.

Name

Urology of St. Louis

Legal name

Urology of St. Louis

Website

https://stlurology.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

101–250 employees

Short description

Urology of St. Louis is a physician-led private urology practice operating 22 clinics across the St. Louis bi-state metro area (Missouri and Illinois) with 40+ providers delivering comprehensive urologic care through specialty Centers of Excellence in oncology, kidney stones, men's health, and women's pelvic medicine.

Ownership category

akta.pro rank

Product category

Urology Healthcare Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

General Urology (HLAKAOAA)

akta.pro secondary industries

Urologic Oncology (HLAKAOAB), Urolithiasis / Kidney Stone Centers (HLAKAOAG), Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) (HLAKAOAC), Male Reproductive & Sexual Medicine (Andrology) (HLAKAOAD), Endourology & Minimally Invasive Urologic Surgery (HLAKAOAF)

Keywords

• Urology medical practice
• Urologic oncology
• Robotic surgery services
• Kidney stone treatment
• Men's health clinic

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices20 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Clinical Consultation Services: Office visits and consultations for urologic conditions including prostate cancer, kidney stones, erectile dysfunction, BPH, and urinary conditions. Revenue generated through fee-for-service model with insurance billing.
2. Surgical Procedures: Surgical interventions including robotic surgery, vasectomy, kidney stone procedures, and cancer treatments performed in office, outpatient, or hospital settings.
3. Telehealth Services: Virtual consultations via doxy.me platform for conditions treatable remotely including erectile dysfunction, urinary incontinence, low testosterone, enlarged prostate, UTI, overactive bladder, and kidney stones.
4. Specialty Centers Revenue: Revenue from specialized centers including Cancer Institute, Kidney Stone Center, Women's Bladder Health, Men's Health, and Men's Sexual Health centers.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels7 records

Core offering

Urology of St. Louis is the largest private practice urology group in the St. Louis bi-state metro area, providing complete diagnostic, treatment, and preventive care for all urologic conditions through 40+ providers and 22 locations. The practice operates five Centers of Excellence — the Cancer Institute (urologic oncology), Kidney Stone Center (24/7 care), Women's Bladder Health and Pelvic Medicine, Men's Health Center, and Men's Sexual Health and Reproductive Center — supported by advanced surgical technologies including Da Vinci robotic surgery and MRI-ultrasound fusion prostate biopsy.

Product overview

Urology of St. Louis is a comprehensive urology practice offering a unified portfolio of specialized centers and services. The practice operates through six Centers of Excellence: the Cancer Institute for urologic oncology (prostate, bladder, kidney, testicular cancers); the Kidney Stone Center offering 24/7 care; the Center for Female Continence Care and Pelvic Medicine; the Men's Health Center addressing prostate/bladder issues; and the Men's Sexual Health and Reproductive Center. These are supported by an Advanced Prostate Cancer Center of Excellence and telehealth services via doxy.me. The practice employs advanced surgical technologies including Da Vinci robotic surgery, MRI-ultrasound fusion biopsy for prostate cancer detection, and offers minimally invasive BPH treatments (UroLift, Aquablation, Rezum, PAE). Treatment capabilities span shockwave therapy for ED, sacral neurostimulation for OAB, and comprehensive male/female urologic care across 22 locations in the St. Louis bi-state metro area.

Differentiator

Problem solved

Functional benefit

Brands

• Urology of St. Louis Cancer Institute: The largest private practice group in the St. Louis area providing state-of-the-art treatment and personalized care of urologic cancers with fellowship trained urologic oncology specialists.
• Kidney Stone Center
• Women's Bladder Health and Pelvic Medicine
• Men's Health Center
• Men's Sexual Health Center

Products and services

• Urology of St. Louis Cancer Institute

Quantifiable outcome

• Care within 2 working days for kidney stones
• +2 more outcomes

Named customers1 record

Segments6 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature5 records

Partnerships

Six partnerships are on record, tiered core and minor.

• doxy.mecoreTechnology or IntegrationTelehealth partnership providing virtual visit platform for patients to consult with urology providers from home. Platform requires no downloads or accounts, is private and secure, and allows same-day appointments for many conditions.
• PhreesiacoreTechnology or IntegrationPatient intake and referral management platform enabling HIPAA-compliant online appointment requests and physician referral forms. Phreesia supports shared dashboard for referring practices to submit referrals and receive live updates.
• Da Vinci Surgical System (Intuitive Surgical)coreTechnology or IntegrationRobotic surgical technology partnership enabling complex urologic procedures through small incisions with extraordinary precision. Da Vinci system used for prostatectomy and other urologic surgeries.
• Castle ConnollyminorOthersHealthcare research company that compiles physician recognition lists. 24 USL doctors recognized on Castle Connolly Best Doctors in St. Louis list representing top 7% of US physicians.
• St. Luke's HospitalcoreOthersHospital affiliation for surgical procedures. Effective May 15, 2026, clinic hours relocated from St. Luke's but surgeons continue performing surgery at the hospital.
• Radiation Oncology CentersminorChannel Partner/ Reseller/ DistributorPartnership with various radiation centers of excellence in St. Louis metro area for prostate cancer radiation therapy treatment delivery by radiation oncologists.

Scale indicators13 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• United Urology Group: One of the largest networks of urology specialty practices in the U.S., formed by consolidating community urology groups across multiple states. Directly comparable in scale, multi-site community-urology model, and consolidator orientation.
• Michigan Institute of Urology: Multi-specialty urology private practice with 20+ locations across Michigan offering oncology, robotic surgery, and men's/women's urology. Directly comparable in size, location count, and service breadth.
• Advanced Urology Institute: Multi-location urology private practice offering comprehensive urologic care, advanced cancer treatment, robotic surgery, and men's health across the Southeast. Comparable in community private-practice scale and service mix.
• Arizona Urology Specialists: Multi-location urology private practice offering robotic surgery, prostate cancer care, and men's/women's health services. Comparable in private-practice scale, technology adoption, and consumer-style patient acquisition.
• Tennessee Urology Associates: Large regional urology group providing comprehensive urologic care across multiple Tennessee locations, including oncology, stones, and continence services. Comparable in single-state geographic focus and diversified urology service line.
• Chesapeake Urology Associates: Large private urology group serving the Mid-Atlantic with multiple Centers of Excellence (prostate cancer, kidney stones, incontinence, sexual health). Closely comparable in specialty-center model and physician-led governance.
• Virginia Urology: Large independent urology private practice with multiple locations across Virginia providing comprehensive urologic care including oncology and robotic surgery. Comparable in private-practice model and regional concentration.

Broad incumbents

• Mayo Clinic Department of Urology: Nationally ranked academic urology program offering subspecialty expertise across oncology, reconstruction, and men's health. Comparable at the subspecialty service-line level as a competitor for tertiary referrals from the St. Louis region.
• Cleveland Clinic Glickman Urological Institute: One of the largest academic urology programs in the U.S., offering comprehensive subspecialty care and clinical trials. Comparable as a competitor for complex urologic oncology cases in adjacent geographies, though not a direct private-practice peer.

Others

• Solaris Health: Urology-focused management services organization that partners with and acquires urology practices. Relevant as an industry consolidator showing the platform/investability path for groups like USL.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@HeliosSpecialtyHealthcare
• Facebookfacebook.com/HeliosSpecialtyHealthcare
• LinkedInlinkedin.com/company/helios-specialty-healthcare
• Instagraminstagram.com/heliosspecialtyhealthcare
• TikToktiktok.com/@heliosspecialtyhealth?lang=en

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Urology of St. Louis