Urology

What is Urology?

Urology is a medical specialty that focuses on the diagnosis, treatment, and management of disorders that affect the urinary system, which includes the kidneys, bladder, urethra, and reproductive organs. Typically, in women, urological disorders only affect the urinary tract, while in men, they can affect both the urinary and reproductive systems. It is advisable to consult a urologist if you are experiencing urination problems or any of the following urology symptoms:

• Pain or burning during urination
• Frequent urination
• Urgent need to urinate
• Incontinence
• Blood in the urine
• Pain in the lower back or pelvis
• Problems with sexual function
• Enlarged prostate

Why Should You Choose Prince Court’s Urologist?

Expertise and Specialisation

At Prince Court Medical Centre, we have a team of urologists with international training and extensive experience in urology and its subspecialties, such as urologic oncology, male infertility, female urology, and paediatric urology. We offer services including routine check-ups, preventative care and complex surgical procedures. We are equipped to manage all types of urological conditions such as bladder and prostate cancer, kidney stones, urinary tract infections, incontinence, and erectile dysfunction.

Advanced Technology

Our urology centre is equipped with the latest technology for diagnosing and treating urological disorders, including advanced imaging equipment and state-of-the-art surgical tools. This allows us to provide our patients with the most accurate diagnoses and effective treatments possible.

• Imaging Modalities

  • Includes 3D imaging and high-resolution capabilities
  • Advanced ultrasound and MRI machines to obtain detailed images of urinary tract, kidneys, and other organs to detect abnormalities and evaluate treatment options

• Robotic and Laparoscopic Equipment

  • Used in surgeries to perform precise and minimally invasive procedures
  • Allows for smaller incisions, less pain and faster recovery

• Shockwave Therapy

  • A non-invasive approach for certain urological conditions
  • Involves delivering focused, high-energy sound waves to targeted areas, promoting tissue healing and improving blood flow
  • Has shown promising results in treating erectile dysfunction and kidney stones
  • Offers patients alternative options with minimal discomfort and downtime

One-Stop Prostate Cancer Diagnosis and Management

Being diagnosed with prostate cancer can be overwhelming, which is why we prioritise compassionate care and support for our patients throughout their diagnostic and treatment journey at our urology centre. As part of our commitment to providing comprehensive care, we offer one-stop prostate cancer diagnosis and management services.

How We Care for You

Transrectal ultrasound biopsies

• Uses ultrasound imaging to guide a biopsy needle through the rectum and into the prostate gland to obtain tissue samples accurately to be analysed to detect cancer cells

MRI fusion or targeted biopsy

• Employs magnetic resonance imaging (MRI) to create detailed images of the prostate gland, which are then fused with real-time ultrasound imaging during a biopsy procedure for more accurate and precise biopsies, enabling us to provide better targeted treatments for prostate cancer

Multidisciplinary approach

• We collaborate closely with oncologists, radiologists, and pathologists to develop a personalised and suitable treatment options. By leveraging the expertise of multiple specialists, we ensure that you receive the most effective and individualised care in a supportive and patient-centred environment.

Common Urology Conditions:

Among the wide range of common urological conditions that affect both the male and female urinary tracts, as well as the male reproductive system, are kidney stones, urinary tract infections (UTIs), overactive bladder, interstitial cystitis (also known as painful bladder syndrome), and bladder function issues such as incontinence (urine leakage) and urinary retention (difficulty emptying of the bladder). Other common urological conditions include:

• BPH (Benign prostatic hyperplasia)
• Erectile dysfunction
• Infertility
• Urethral stricture
• Pelvic organ prolapses
• Prostatitis
• Varicocele ligation
• Prostate cancer
• Bladder cancer
• Testicular cancer

Urology Diagnostic Tests and Procedures

Urologists perform a variety of diagnostic tests and procedures to evaluate and treat urological conditions. Common diagnostic tests include cystoscopy, where a thin, camera-equipped tube is inserted through the urethra to visualise the bladder, and urodynamic studies, which assess how well the bladder and urethra store and release urine. Other diagnostic tests and procedures include:

• Extracorporeal Shock Wave Lithotripsy (ESWL) Therapy – a non-invasive medical procedure that uses shock waves to break up kidney stones
• Robotic-assisted surgery – a minimally invasive surgical technique that uses a robot to perform surgery with more precision and control
• Prostate biopsy – a procedure in which small samples of prostate tissue are removed for examination
• Vasectomy – a surgical procedure cutting or blocking the vas deferens, which carries sperm from the testicles to the urethra, to prevent pregnancy
• Testicular biopsy – a procedure where a small sample of testicular tissue is removed for examination
• Transurethral resection of the prostate (TURP) – a procedure that removes a portion of the prostate gland that is causing urinary symptoms
• Vaginal mesh surgery – a procedure that uses a synthetic mesh to support the pelvic organs in cases of pelvic organ prolapse

Treatments Options for Urological Conditions

Endoscopic Procedures

• Benign prostatic enlargement
• Inflammation of the prostate
• Urinary tract infection
• Bladder, ureter and kidney stones
• Prostate, bladder and kidney cancers
• Paediatrics hypospadias and anti-reflux surgery

Open Urological Procedures

• Simple and radical nephrectomy
• Nephroureterectomy
• Partial nephrectomy
• Cystoprostatectomy
• Pyeloplasty
• Reimplantation of ureter for adults and children
• Surgery for Peyronie´s disease
• Urethroplasty and substitution urethroplasty
• Radical orchidectomy
• Surgery for penile trauma

Advanced sub-specialty procedures

Urology also includes several advanced sub-specialty procedures that utilise cutting-edge technology or address complex reconstructive needs. A significant component of this is robotic-assisted surgery, which offers enhanced precision for minimally invasive operations such as robotic radical prostatectomy (prostate removal), robotic pyeloplasty (repair of kidney blockage), and robotic ureteric reimplantation.

Other specialised procedures focus on restoring function or anatomical form. For instance, the implantation of an artificial urinary sphincter provides an advanced solution for managing severe urinary incontinence. Similarly, complex reconstructive surgeries for penile curvature correction are performed to treat conditions such as Peyronie's disease.