WHAT DOES THE CLINIC OFFER PATIENTS?

We provide diagnosis-specific treatment, laboratory testing, ultrasound examinations of the urinary tract and pelvic organs, as well as clinical evaluations.

 

WHEN TO MAKE AN APPOINTMENT?

For issues with the prostate, erectile dysfunction, incontinence, recurring urinary tract inflammation, and urinary tract disorders. Following a visit to another urologist, we also provide a second opinion based on the documentation you bring.

 

ULTRASOUND

To determine the size and shape of your prostate, your doctor will do an ultrasound scan. Additionally, he will measure the bladder’s obstruction, which is crucial for both treating the issue and identifying its source. Your physician will also do an ultrasound to assess the health of your kidneys.

 

FLEXIBLE URETHROCYSTOSCOPY

A diagnostic endoscopic technique called flexible urethrocystoscopy is used to identify disorders of the bladder and urethra. The prostate section of the urethra is also inspected in males. Suspected bladder cancer, urethral strictures, diverticula, bladder stones, ureteroceles, and benign prostatic hyperplasia with blockage are all treated using flexible urethrocystoscopy. A bladder swab may be obtained if necessary to examine for cancer cells in the bladder. It is a quick and painless process. A topical anesthetic gel is administered into the urethra before the surgery. After the procedure, the person can usually go home. Sufficient hydration is all that is needed.

 

PROSTATE BIOPSY

Transrectal ultrasonography is used to do a prostate biopsy (TRUZ). It is an invasive diagnostic procedure used when prostate cancer is suspected. A sample of prostate tissue is taken during the operation by inserting a tiny needle and an ultrasound probe into the rear of the colon. Several tissue samples are typically collected and sent to a pathology lab for additional diagnosis. A local anesthetic gel is injected into the buttocks before the surgery to numb the area. The patient is given instructions before being sent home after a brief period of relaxation in our facilities.

 

GENITAL LESION REMOVAL

• SURGICAL – Your doctor can remove skin lesions that are bothering you or that you worry could jeopardize your health while you are under local anesthesia.  If necessary, the doctor can send the removed lesion for histological examination.
• LASER – Skin blemishes that irritate you or that you worry could jeopardize your health can be removed by your doctor using a laser. If necessary, the doctor can send the removed lesion for histological examination.

 

INTRACAVERNOSAL APPLICATION

• CAVERJECT – Caverject is recommended for the symptomatic treatment of erectile dysfunction in adult males that is caused by neurogenic, vasculogenic, or psychogenic factors, or a combination of these. Additionally, it can be used as a supplementary test to diagnose erectile dysfunction.
• VERAHEXAL – It is used to treat Peyronie’s disease. The medicine is injected into the lesion to shrink it.

 

UROFLOW

Urine flow can be evaluated with Uroflow, a simple urodynamic test. The test aids in determining the problem’s cause and enables us to evaluate the problem’s seriousness objectively.

 

TREATMENT OF CYSTISTIS (Cystistat treatment)

A persistent, chronic inflammation of the bladder that results in frequent urination and recurrent pain is known as painful bladder syndrome or chronic (interstitial) cystitis. If there is no bacterial cause, antibiotics unfortunately cannot help. Patients often experience frequent urges to pee and bladder pain. Although the illness is not outwardly apparent, it significantly lowers the quality of life. Glucosaminoglycans, which make up the bladder mucosa’s protective layer, are compromised in this condition. The bladder becomes more sensitive and uncomfortable due to the weakening lining. The same symptoms are caused by a bacterial infection, which must be ruled out before a diagnosis is determined.

Symptoms of recurrent interstitial cystitis (bladder inflammation not caused by a bacterial infection):

• bladder pain and tenderness above the pubic bone,
• urge to urinate even when the bladder is empty,
• sleep disturbances,
• pain in the lower back,
• painful sexual intercourses,
• general tiredness.

For the majority of individuals with painful bladder syndrome and chronic cystitis, Cystistat alleviates symptoms. It consists of hyaluronic acid, a component of the bladder’s protecting glucosaminoglycan layer.

Do not consume any liquids for a few hours before receiving it. Let your doctor know:

• if you feel sick, have a fever, or are extremely exhausted;
• your urine is cloudy or you notice blood in the urine;
• if you had any issues following a prior therapy;
• if issues with urination continue;
• inform your doctor of any issues you may have had with Cystistat in the past.

Before taking the medication, the bladder should be emptied. After emptying your bladder and inserting a tube into your urethra, your doctor will administer Cystistat. Cystistat should be left in the bladder for at least half an hour or up to two hours for optimal effects. Until the issue has been resolved or if required, repeat the process four to six times every week, and then once a month for maintenance.

It is anticipated that Cystistat will alleviate symptoms and enhance quality of life. The medicine is well accepted.

 

CIRCUMCISION (CIRCUMCISION OF THE PENIS)

The surgical removal of the foreskin, or the skin covering the penis’s head, is known as circumcision (circumcision of the penis). For medical reasons, an increasing number of men are choosing to have this operation done these days.

Skin alterations in this area or an excessively tight foreskin (phimosis) are the most frequent causes of this surgery. Infections or painful sexual encounters can result from phimosis. An additional risk factor for penile cancer is unrepaired phimosis. The excised skin is sent for pathohistological analysis if circumcision is carried out due to skin abnormalities thought to be malignant.

The procedure takes no more than an hour and is carried out under local anesthesia. Following the operation, you can return home. It takes roughly a week to recuperate, and you can resume having sex in four to six weeks. Following the surgery, you should avoid driving for at least 48 hours and take it easy for at least 72 hours. Painkillers that are sold in pharmacies can be used to relieve mild pain. Regular genital hygiene and daily wound dressing are required. In two to three weeks, the stitches will come out.

Swelling and slight bruising can be expected for up to two weeks after treatment. Following the procedure, the tip of the penis may become more sensitive for a while, and a temporary decrease in sensitivity can also be expected in this area.

 

FRENULOTOMY

A disorder known medically as a short frenulum occurs when the skin connecting the penis’s glans (head) and foreskin (penis skin) is excessively short. A small frenulum limits the foreskin’s range of motion and can lead to numerous issues. Frequent skin tightening on traction and painful intercourse with a short frenulum are indications of frenulotomy.

Enhancing a person’s quality of life and self-esteem is the goal of frenulotomy.

The frenulum of the penis is cut during a surgical operation called frenulotomy. It is performed under local anesthesia. It can take up to half an hour. You may need up to two weeks to recover and you will be absent from work for a few days. Following the surgery, you should refrain from driving for at least 48 hours and maintain rigorous rest for up to 72 hours. Pain is moderate and can be managed with painkillers available from a pharmacy. You should anticipate some swelling and mild bruising for up to two weeks following the surgery. Until the wound heals completely, which should take four to six weeks, sexual activity is not advised.

Additionally, there are dangers and consequences related to the surgery. Hematomas (bruises) and local infections are uncommon. Surgery is rarely needed in this situation; instead, antibiotic therapy is required.

 

BLADDER EPICHECK

Patients with non-muscle invasive bladder cancer (NMIBC) can have their current risk of recurrence assessed with the Bladder EpiCheck, a simple, painless, and non-invasive urine dipstick test. Because of the high likelihood of recurrence, surveillance is essential. Although many high-risk tumors are not included, current standards recommend cytology and cystoscopy. Patients who undergo routine invasive treatments bear a heavy burden.
Patients with NMIBC who are over 22, have had a tumor surgically removed, and are being watched for a potential bladder cancer recurrence can use the test.

A simple urine sample can provide important information about the recurrence of NMIBC. In the context of long-term bladder cancer surveillance, the Bladder EpiCheck biomarker test is an ideal adjunct to cystoscopy and can safely decrease its frequency. Urine from the patient is transferred to the lab in a special reservoir. After receiving the sample, the result is often ready a few weeks later. The referring urologist receives it and notifies the patient of the outcome.

Based on 15 urine biomarkers, the Bladder Epicheck test can optimize clinical decision-making and identify bladder cancer recurrence. By drastically lowering the quantity and frequency of invasive treatments, the strain on patients and doctors will be lessened.

The number of cystoscopies required to check for new-onset bladder cancer (NMIBC) may be decreased using the Bladder Epicheck test.

The Bladder EpiCheck is very reliable. In as much as 99 percent of cases, the test accurately predicts a negative result for high-risk BMIBC. Depending on the urologist’s judgment, negative test findings may consequently result in fewer follow-up appointments and fewer cystoscopies during follow-up.
You can talk to your urologist about the possibility of cystoscopy and other procedures being suggested for additional diagnosis and to pinpoint the precise location of the tumor if the urine test indicates a high probability of aggressive NMIBC.

The most recent guidelines for the diagnosis of muscle-invasive bladder cancer include the Bladder EpiCheck. Due to its great reliability and clinical utility, the test is already included in the European Association of Urology (EAU) guidelines for the diagnosis of prostate cancer.

 

MEATOTOMY

To prevent recurrence, the urologist cuts the urethra and adds stitches to expand the external urethral meatus. You can return home immediately after the treatment because the procedure is performed under local anesthesia. After two weeks, the stitches go away.

 

ADHESIOLYSIS (growth removal)

The urologist mechanically separates the growths between the prepuce and the glans while under local anesthesia. To virtually eliminate pain during the surgery, a specific anesthetic cream is applied to the penis’s skin before the procedure.

In elderly patients, the loosening of the foreskin and glans is so severe that urologists often have to operate under local anesthetic.

To prevent regrowth, the patient should rinse the genitals only with saline solution at least three times a day for two to three days following the treatment. After that, rinsing with tap or shower water is adequate. The process typically works perfectly and doesn’t need to be repeated.

 

PARAPHIMOSIS REPOSITIONING

When the foreskin does not revert to its natural position and stays below the head, the condition is known as paraphimosis. Additionally, the foreskin may swell and hurt. To restore the foreskin to its initial position during surgery, the urologist will typically provide a local anesthetic.

 

UROLOGIST – PRP PLASMA

Autologous plasma rejuvenation is a novel technique stimulating the body’s natural healing processes.

When injected into subcutaneous tissue, platelet-rich plasma—made from the patient’s blood—normalizes cellular respiration, water balance, fibroblast cell development, collagen and elastin production, and metabolism. Vitamins, proteins, amino acids, and growth factors found in platelet autoplasma promote tissue regeneration and biorevitalization, which enhances and renews the skin overall. Growth factors, also known as plasma proteins, stimulate skin cell regeneration and function as a youth elixir.

PRP helps treat erectile dysfunction by improving the health of the penis’s blood vessels and tissues.

The process is perfectly safe. The platelet-rich plasma is entirely biocompatible since it is made from the patient’s blood without any additional ingredients. Allergies and immunogenic responses are not possible.

At the beginning of the procedure, the doctor draws a tiny amount of the patient’s venous blood. After that, platelet-rich plasma is extracted from the blood by centrifugation. It is well known that blood platelets have a restorative role and can stop bleeding.

The plasma from the patient’s blood is then injected beneath the skin.

The PRP application doesn’t require any specific preparation. It is a simple process that takes around an hour.

We use it to treat:

• Dysfunction
• Peyronie’s disease
• Penis enlargement
• Increase sexual performance