FAQ

If you are not sure, call the office. The staff will check your insurance and let you know whether a referral is needed.

To make your first visit smoother, bring:

• Photo ID
• Insurance card
• A list of current medications and supplements
• Any recent lab results related to your urologic issue
• Any recent imaging reports, for example CT, MRI, ultrasound
• New patient forms, if you completed them in advance

If you have imaging on a disc, bring the disc and the written report.

Yes. Urology is for both men and women.

Examples:

• Men often come for kidney stones, prostate problems, urinary symptoms, erectile dysfunction, Peyronie’s disease, and low testosterone.
• Women often come for kidney stones, blood in the urine, recurrent urinary tract infections, overactive bladder, and incontinence.

Start with your primary doctor for many issues, especially if they are new or mild. You should consider a urologist when:

• You have kidney stone pain, blood in the urine, or fever with urinary symptoms
• You have urinary problems that do not improve with basic treatment
• You have repeated urinary infections
• You have long term problems with erections or low testosterone
• You have concerning imaging results for the kidneys, bladder, or prostate

If you are unsure, call the office. Staff can help you decide whether to schedule.

If you have chest pain, trouble breathing, sudden weakness, confusion, or any life-threatening symptom, call 911 or go to the nearest emergency room.

For urgent urologic issues such as:

• Severe kidney stone pain
• High fever with urinary symptoms
• Inability to urinate
• Heavy blood in the urine

Call the office during business hours. The team protects time for urgent visits when possible. After hours, the phone message will guide you on next steps.

Do not use the website contact form or email for emergencies.

Past public profiles for Dr. Libby list hospital affiliations such as North Cypress Medical Center and Memorial Hermann facilities, which reflects his experience in hospital based care.

Your procedure page and pre-op instructions will state clearly where you should go and when to arrive.

For new problems, Dr. Libby often needs to examine you in person. When you call to schedule, the staff will tell you whether a telehealth option is appropriate based on your situation and insurance rules.

For refills:

• Use the patient portal when possible, or
• Call the office during business hours

Have this ready:

• Your name and date of birth
• Medication name and dose
• Pharmacy name and phone number

Some refills require a visit or lab work, especially for controlled medicines or testosterone therapy. This is based on safety guidelines and insurance rules.

Do not use the website contact form or social media for refill requests.

Timing depends on the test:

• Basic blood and urine tests often return within a few days
• Imaging reports such as CT or ultrasound can take a few days
• Biopsy and genetic tests can take longer

Once results return, the office will:

• Release them through the portal when possible, and
• Contact you by phone or schedule a follow-up visit for results that need more explanation

Ask at your visit how long your specific tests usually take so you know what to expect.

Riverstone Urology works with many major insurance plans. Past public listings for Dr. Libby show acceptance of insurers such as Aetna, Cigna, Blue Cross Blue Shield, UnitedHealthcare, and others.

Plan participation can change. When you call, the staff will:

• Confirm whether Riverstone Urology is in network for your plan
• Tell you if a referral or pre-authorization is needed
• Explain estimated out-of-pocket costs when possible

You should also check directly with your insurance company.

New patient visits take longer than follow-ups, because there is more history to review and often more testing to plan. Exact times vary by visit type.

The team aims to:

• Start visits as close to the scheduled time as possible
• Keep you informed if emergencies cause delays
• Give you enough time to ask questions without feeling rushed

Bring reading material or something to do in case the clinic is running behind, especially on days when many urgent problems show up.

Yes, in most cases, a family member or trusted friend can come with you. This can help with:

• Remembering instructions
• Asking questions you might forget
• Providing support during difficult conversations

If clinic or hospital policies change due to infection control rules or other reasons, staff will explain those limits when you schedule.

You can:

• Bring paper copies and discs to your visit, or
• Ask your previous office or hospital to fax or electronically send records to Riverstone Urology

Helpful items include:

• Prior urology notes
• Operative reports
• Lab results
• Imaging reports and discs

If you are not sure what to request, ask the Riverstone team. They can tell you which records help the most for your problem.