UROLOGY at J|medical

When a person experiences symptoms relating to the urinary tract, or in cases of sexual dysfunction or problems affecting the genital organs, it is necessary to consult a specialist in urology — including for routine check-ups and not necessarily only in the presence of complications.

Can both women and men see a urologist? Yes. Conditions can be of various types and often affect the urinary tract (kidneys, bladder, urethra, and ureters). Urodynamic studies can also be performed at J|medical.

What is a urodynamic study? A urodynamic study is an investigation that examines the function of the lower urinary tract — that is, the bladder and urethra — and is essential as a diagnostic tool for assessing certain functional aspects of various conditions, through a non-invasive pressure-flow study.

And from a therapeutic standpoint? From a therapeutic standpoint, medical, surgical, or rehabilitative treatments are available, prescribed by the urologist and carried out by specialised personnel with the aid of specific next-generation equipment.

• SERVICES OFFERED AT J|medical

• Urological consultation. This is an appointment with a urology specialist focusing on the assessment and treatment of medical conditions related to the reproductive and urinary systems, both male and female. During the consultation, symptoms, medical history, and family history are discussed. Physical examinations and diagnostic tests may be carried out at the physician’s request.

• Urological andrological consultation. This is a type of urological consultation specifically addressing problems and conditions relating to the male sexual and reproductive sphere, such as erectile dysfunction, infertility, and disorders of the genital system.

• Paediatric urological consultation. This is aimed at children and focuses on the diagnosis and treatment of urological problems that may arise during childhood, such as urinary tract infections, renal or genital developmental issues, and other urological disorders specific to the paediatric age group.

• Urogynaecological consultation. This is a consultation focusing on the health and related problems of the urinary and genital apparatus, combining certain aspects of gynaecology. During the consultation, a urogynaecologist examines the patient to assess the function and structure of the pelvic floor muscles, urethra, bladder, and uterus. It is a particularly important consultation for women who may experience symptoms such as urinary incontinence, pelvic organ prolapse, chronic pelvic pain, or other similar conditions.

• Uroflowmetry. This is the examination performed to measure and evaluate urinary flow. This simple and non-invasive test is used to identify any bladder obstruction, loss of muscle tone, or urinary incontinence.

• Non-invasive pressure-flow study. This is an equally useful examination for the diagnosis and assessment of urinary incontinence, benign prostatic hyperplasia, and other urological conditions. It is a non-invasive approach (and therefore more comfortable for the patient) for studying urinary flow pressure, using instruments such as the uroflowmeter (which measures the flow of urine during voiding) and cystometry (which records bladder pressure during filling and emptying). These data provide valuable information on the bladder’s capacity to retain and release urine, as well as the coordination between the muscles of the urinary tract. This study is particularly useful for diagnosing and assessing conditions such as urinary incontinence, benign prostatic hyperplasia, and other urological conditions.

• Complete urodynamic study. This is a diagnostic procedure that involves the insertion of a thin catheter into the patient’s bladder, with the aim of assessing the function and capacity of the bladder and urethra. The objective is to obtain accurate information on the bladder’s ability to retain and release urine and to verify the efficiency of the urinary tract. It is a study that provides important details for the diagnosis and management of urological disorders such as urinary incontinence or pelvic organ prolapse.

Flexible urethrocystoscopy. To diagnose and assess a range of urological conditions (including urinary tract infections, blood in the urine, obstructions, calculi, or neoplastic conditions), a diagnostic procedure involving the use of a flexible cystoscope to examine the urinary tract is often employed. This instrument makes it possible to visualise the inner walls of the urethra and bladder, thereby detecting any abnormalities, lesions, inflammation, or other conditions. Flexible urethrocystoscopy is often preferred as it is less invasive than traditional rigid cystoscopy.

OUTPATIENT SURGERY IN THE OPERATING THEATRE

• The J|medical facility is equipped and qualified to carry out urological procedures in the operating theatre under a complex outpatient surgery regime.

• Endoscopic removal of double-J stent. The urology department manages procedures such as the removal of a post-operative stent, commonly used to keep the ureter open (for example following surgical procedures) or to manage kidney stones. The stent must be properly removed to allow the patient to return to normal daily life.

• Hydrocele. The centre also addresses conditions such as hydrocele — a condition in which fluid accumulates in the scrotum, causing swelling. This condition can result in the pooling of fluid around the testicle. Hydrocele can occur in both newborns and adults and is often painless. Furthermore, while in many cases hydrocele resolves spontaneously in the first months of life, if it persists or causes discomfort, surgical intervention to drain the accumulated fluid may be necessary.

• Circumcision. To resolve problems such as phimosis or to prevent complications and recurrent urinary tract infections, this procedure is often necessary and can be performed at various stages of life. It must be carried out by a qualified professional. Frenuloplasty. This procedure corrects a short or tight frenulum, which can cause discomfort during erection and sexual intercourse. It may sometimes be associated with phimosis or difficulty retracting the foreskin. Frenuloplasty involves loosening or lengthening the frenulum, allowing greater mobility of the foreskin and reducing potential complications related to excessive tension. The procedure is performed by a specialised surgeon and is generally brief and well tolerated by the patient.