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Urology Clinic

ANDROLOGY SERVICES and DISEASE PROFILES

1.General Health Counseling For Males

Starting from infancy to the end of life, male patients need control check-ups for diseases related to their gender. General counselling and routine check-ups are provided for you and your loved sons.

Infancy controls:

Testicles (male gonads-nuts) should be in the scrotum (testicular sac) at birth; in case they are not, they should be followed-up and treated. This situation is known as undescended testicles and has very serious effects if not treated on time. If untreated, these testicles lose their ability to produce sperm and become infertile later in life. However, more importantly, the risk of developing testicular cancer is considered much higher in the undescended testicle than normal population. 

Circumcision is also a very important issue. It should always be kept in mind that circumcision is a surgical procedure and should be performed accordingly.

Puberty Controls:

Before going into active mature life, puberty is a major period where the male body goes through many changes. Hormonal changes and body structure evolve in such a way that effects all life cycle. A urological control at this phase may result in great benefits. HPV is an example. Since its widespread occurrence HPV vaccination is advised to both boys and girls before active sexual life. 

Prostate and Regular Urological Controls: Prostate cancer is the most common cancer among males after the age of 50. It is a treatable condition as long as it is diagnosed early enough. Unfortunately prostate cancer does not have any signs until it’s too late. Therefore annual prostate control is the only way to diagnose an early stage prostate cancer. The prostate check-up should be performed in every men over 50, but, if you have any close relatives with prostate cancer history this control should start at the age of 45.

2.Erectile Dysfunction

Erectile dysfunction is the inability of men to achieve or maintain sufficient penile rigidity to have a satisfactory intercourse. It effects almost 2 out of every 3 men between the ages of 40-70. Keeping this fact in mind, 21st Century medicine offers every men the ability to pursue their sexual life. If a man is having trouble there is no need to hesitate, as there are many treatment options all tailored according to your problems with satisfaction guaranteed.

Diagnostic Work-Up

  • Severity assessment ( IIEF)
  • Careful expert examination and evaluation
  • Penile Doppler ultrasound ( assessment of arterial and venous flow to the penis)
  • Hormonal profile
  • Penile injection test

Treatment Modalities:

  • Medical treatments
  • Hormone replacement therapies
  • Penile injection therapy ( P-Shot)
  • Stem cell therapy (PRP)
  • Shock-wave therapy ( ESWT)
  • Penile prosthesis implantation

3. Penile Cosmetic Procedures:

  • Penile lengthening ( surgical procedures)
  • Penile widening ( both fillers and surgical)
  • Penile enhancement ( lengthening + widening)
  • Functional cosmology ( penile enhancement + penile implant)
  • Penile curvature treatments ( Peyronie’s Disease and congenital curvature)
  • Buried penis
  • Hypospadias correction

4.Scrotal Diseases and treatments

  • HPV cauterization and laser ablation
  • Scrotal web correction and shortening
  • Varicocele
    • Scrotal Doppler ultrasound
    • Sperm analysis
    • Microscopic varicocelectomy
  • Hydrocele diagnosis and correction
  • Testicular implant surgery
  • Vasectomy

5. Infertility

Male factor is present in 50% of all couples who did not have babies even though they have been trying for a year. This is called male infertility. It may be due to many different etiologies. Right diagnosis and right treatment may give you the baby you want to take home.  There are diagnostic evaluations and treatment modalities depending on your personal situation

  • Expert evaluation
    • Sperm analysis
    • Hormonal profile
    • Scrotal Doppler ultrasound
  • Treatments:
    • Medical / hormonal therapies
    • Micro-TESE ( microscopic sperm retrieval from the testicular tissues)
    • Vaso-vasostomy / epididymo-vasostomy

6. Prostate Diseases

In contrast to common knowledge in the population “Prostate” is not a disease. It is actually an organ (a gland) responsible for the production of most part of the liquid portion of the ejaculate. Due to infections, hormonal changes related to age and family factors, prostate gland tends to enlarge and cause different problems most of which are related to urination (peeing). The right diagnosis gives the person a much better quality of life.

  • Patient evaluation
    • Expert consultation
    • Patient self- assessment
    • Physical examination
  • Uroflowmetry ( measuring of urine flow rate)
  • Post-voiding residual urine measurement
  • Blood / urine analysis
  • Urodynamics ( a sophisticated computerized test that evaluates both obstruction and the functional aspects of the urinary bladder )
  • Flexible cystoscopy ( looking inside the urinary tract with a video scope )
  • Urinary system ultrasound
  • Transrectal prostate biopsy
  • Treatment modalities:
    • Medical treatments
    • Open and endoscopic surgical options
    • Prostate botox injections
    • Laser applications
    • Prostate stent placements

7. Incontinence treatments

Incontinence in both male and female patients can be treated. It is a devastating condition, which puts people in shameful situations but may also cause lethal accidents to toilet necessity at nights. A wide range of therapy options will certainly improve the patients’ quality of life.

  • Diagnostics
    • Uroflowmetry / urodynamics
    • Post-voiding residual urine measurements
    • Ultrasound
    • EMG
  • Treatment
    • Medical treatments
    • Treatments for bed-wetting
    • Bladder Botox injections
    • Pelvic floor magnetic chair treatments
    • Laser treatments
    • Anti-incontinence implant surgery ( urinary sphincter)

8. Sexually Transmitted Disease

Protection and detection of sexually transmitted diseases is very important since they do not just involve you but all those in contact with you. Education and prevention are key but if you have already been infected, appropriate treatment should be established to decrease the risk of insufficient treatments, recurrent disease and treatment resistant bacteria.

9. Neuro-urology

Urological problems due to neurological diseases are common and need expertise to be assessed and treated. Incontinence, not being able to urinate, pelvic floor dysfunctions, erection and ejaculation disorders are the main issues. Neurological diseases get significantly worse once urinary system is involved. A good diagnosis, treatment options and a careful follow-up is necessary for both the treatment of the main disease as well as the quality of life of the patient and the caregivers.

  • Physical examination
  • Necessary biochemical work-ups
  • Urodynamics / uroflowmetry
  • Pelvic floor stimulation therapies ( tibial nerve stimulation / magnetic innervation therapy)
  • Bladder and bladder neck botulinum toxin injections
  • Bladder augmentation and urinary diversion surgeries

10. General UROLOGY

Our team has en extensive experience to deal with the most complicated forms of all urological diseases, including stone diseases, urological cancers, endo-urological procedures, female urology and neuro-urology.

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