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Core urology problems
Some of the urological issues that we deal with are tight foreskins, cysts and fluid in the scrotum, and the need for vasectomy.
Erectile and ejaculation problems
Sexual problems are common, especially as men get older. Patients are generally embarrassed to seek professional help. There are a number of causes for sexual problems and they can be signs of more significant health problems. Further investigations may be required. Based on the causes of the problems, a number of treatment strategies can be used to improve sexual function and optimise general health.
Urine infections can affect both men and women. They can be quite debilitating. Patients can be investigated using blood tests, questionnaires, scans (ultrasound scans) and cystoscopy (camera test). Based on the investigations, some patients may need treatments which range from simple day to day advice to antibiotics and surgery. Strategies to prevent further infections are also discussed.
Raised PSA blood test
Men can have a raised PSA blood test for many reasons. Generally, a raised PSA requires further investigations to rule out the presence of prostate cancer. These investigations include blood tests, a scan (MR scan) and biopsy of the prostate. Some patients may require treatments, depending on the results of the tests.
Problems with urination
Some men report problems passing urine, which include poor flow, going to the toilet a lot and/or at night. These problems may be related to the bladder, prostate or water-pipe (urethra). These symptoms can be investigated further using questionnaires, blood tests, scans (flow test, ultrasound scans) and cystoscopy (camera test). Some patients may require further treatments including tablets and surgery.
Some women have problems holding their urine and may need to go to the toilet very often. Some women may even leak urine. These symptoms can be related to the bladder or water-pipe (urethra). Patients can be investigated using blood tests, questionnaires and scans (ultrasound scans) and cystoscopy (camera test). Patients may go on to require treatments which include physiotherapy, tablets and surgery.
Pain in the urinary tract (kidney, bladder, prostate, scrotum) can be debilitating, affecting daily life activities. The mainstay of the management is understanding the cause of the pain, through various investigations. Once the cause of the pain is identified, the treatment options range from advice, to tablets and surgery.
Blood in the urine (haematuria)
People can present with blood in the urine at all ages. There are many reasons why patients have blood in their urine (infection, kidney stones, cancer). Blood in the urine usually requires further investigations, which may involve blood tests, a camera test (cystoscope) and a scan (ultrasound or CT scan). Once the investigations are completed, some patients may require further treatment.