Urological Services

Benign Prostatic Hyperplasia – This is a common condition that affects older men. It is inflammation of the prostate gland due to old age. The enlarged prostate can press upon the urinary bladder, causing manifestations of dribbling, urgency, frequency, and incontinence.

Bladder fistula – A fistula is an abnormal connection between two organs. The bladder can form a connection with the bowel or the vagina. A bladder fistula with the intestine is termed enterovesical fistula while that with the vagina is termed vesicovaginal fistula.

Erectile Dysfunction – Erectile dysfunction or impotence as it is more commonly called, is the inability to keep or get a firm erection during sexual intercourse.

Interstitial cystitis – The exact cause of interstitial cystitis is unknown, but it is common in women more than in men. It is also called painful bladder syndrome because it causes severe bladder and pelvic pain. Some of its other symptoms include urinary frequency and painful sexual intercourse.

Kidney Stones – Also known as renal lithiasis or nephrolithiasis, kidney stones are deposits of minerals and salts such as calcium, uric acid, oxalate, etc. in the kidney. These stones provoke renal colic (severe abdominal pain that radiates to the back), and urinary symptoms such as hematuria (blood in urine), frequency, urgency and painful urination may be observed.

Male and Female Voiding Dysfunction - Voiding dysfunction is a term used to describe lack of coordination between the muscles of the urinary bladder and the urethra. This incoordination causes either overactivity or incomplete relaxation of the pelvic floor muscles during urination.

Male infertility – This is a condition whereby a man’s semen is deficient; low or abnormal semen production, and cannot fertilize a woman’s eggs, i.e., a man’s inability to impregnate a woman.

Neurogenic bladder – Neurogenic bladder is a malfunction of the urinary bladder caused by trauma, injury or diseases of the CNS. Simply put, it is lack of bladder control as a result of spinal cord, brain or nerve problem.

Peyronie's disease – is characterized by a curved penis and painful erections, Peyronie's disease is the presence of scar tissue formation inside the penile shaft. Often, the scar tissues can be felt as painful bumps through the skin when palpating the penis.

Prostate Cancer – Prostate cancer is one of the most common types of cancer affecting men. Its clinical manifestations include symptoms such as erectile dysfunction, pelvic pain or discomfort, urinary incontinence, and blood in semen.

Prostate Enlargement – Prostate enlargement is a common problem for men as they get older. As the prostate gland grows larger, it can press upon the urinary bladder, causing pain, frequency, and urgency during urination. Prostate enlargement is also known as benign prostatic hyperplasia.

Sexual Dysfunction – Sexual dysfunction is a term used to describe disorders of the sexual response cycle that inhibits sexually active individuals from attaining satisfaction during sexual intercourse. It could be pain, lack of orgasm, lack of arousal or lack of sexual desire.

Urinary incontinence – Loss of bladder control manifested as involuntary passage of urine from the urinary bladder is called incontinence.

Urological Treatments and Procedures

Bladder Cancer Treatment – There are five stages of bladder cancer progression (Stage 0, I, II, III, IV) and the treatment depends on the stages. The standard treatment options used are surgery, chemotherapy, radiotherapy and immunotherapy.

Bladder Control – In a bid to get the bladder under control, certain lifestyle changes must be made. Some of these changes include: reducing caffeine and alcohol consumption, avoiding artificial sweeteners, avoiding food that may cause bladder irritation, exercising the pelvic floor muscles and retraining the bladder.

Cystoscopy – Cystoscopy is a somewhat invasive medical procedure used to view the inner lying of the urinary bladder. The cystoscope is passed through the urethra till it reaches the bladder. This test is always done with an empty bladder for adequate visualization. It is the gold standard diagnostic method for bladder carcinoma.

Green Light Laser and TURP Treatment – GreenLight Laser is a surgical procedure used to remove overgrowths in the prostate gland with the use of pulses of light. TURP (Transurethral Resection of the Prostate) is an invasive surgical procedure performed by a urologist to remove unwanted growth around the prostate. Green light laser treatment has more advantages than TURP treatment because it involves nearly no bleeding, a shorter recovery time, and less catheterization.

HIFU for Prostate Cancer - High-Intensity Focal Ultrasound (HIFU) is a noninvasive procedure that incorporates the use of high-frequency sound waves to destroy cancer cells. An ultrasound probe is inserted into the rectum, and the beams of high-frequency sound waves are focused on the cancerous part of the prostate gland. Incontinence Treatment – Urinary incontinence can be treated using behavioral techniques such as bladder training, fluid and diet management and double voiding. Constant exercise of the pelvic floor muscles, electrical stimulation, medical devices, certain medications, absorbent pads and catheters, and surgery are also useful in the treatment of incontinence.

Kidney Stones Treatment – Small kidney stones usually don’t require extensive therapy; they can be passed out via urine by drinking as much as 2L of water daily, using analgesics for pain and other medications that relax the ureter. Large kidney stones, on the other hand, may require extensive and sometimes invasive therapy to get rid of the stones. Procedures for removing large stones include extracorporeal shock wave lithotripsy, percutaneous nephrolithotomy, parathyroid gland surgery and removal of stones with a ureteroscope.

Laparoscopic Kidney Surgery – Also known as laparoscopic nephrectomy or laparoscopic keyhole surgery, this minimally invasive surgery makes use of series of surgical incisions and a tiny laparoscope with a camera attachment to visualize the kidney. Although the procedure takes more time than the traditional kidney surgery, it is less painful with minimal scarring. The duration of hospital admission and recovery is also shorter than that of traditional kidney surgery.

Laser Vaporization - This procedure uses a laser to destroy premalignant cells of the genitourinary system. The affected tissues are resected and removed with the help of laser energy before they become cancerous.

Low Testosterone Treatment – The treatment for low testosterone depends on the underlying cause. If the cause is obesity, the patient will be advised to engage in physical activity and lose weight. Hormone replacement therapy might also be recommended in some cases.

No Scalpel Vasectomy – No-scalpel vasectomy (NSV) is also called keyhole vasectomy, and it involves the use of a sharp dissecting forceps or hemostat to puncture the scrotum to access the vas deferens. No incision is needed, hence the name.

Penile Cancer Treatment – There are five stages of penile cancer (Stage 0, I, II, III, IV) and the treatment of choice usually depends on the stage of malignancy. The standard treatment options used are surgery, chemotherapy, radiotherapy, and immunotherapy. Other treatment options undergoing clinical trials are radiosensitizers and sentinel lymph node biopsy.

Penile Implants – Penile implants or penile prosthetics as they are commonly called is a treatment option for men suffering from erectile dysfunction. These devices are placed inside the penis to enable men to get a firm erection. The two types of penile implants in use are the semi-rigid and the inflatable implants.

Prostate Biopsy – A prostate biopsy is an invasive diagnostic method whereby samples of suspicious tissues are removed from the prostate gland for further examination.

Prostate Cancer Treatment – There are four stages of penile cancer (Stage I, II, III, IV) and the treatment of choice usually depends on the stage. The standard treatment options used are surgery, chemotherapy, radiopharmaceutical therapy, bisphosphonate therapy, biologic therapy HIFU and hormonal therapy. Other options undergoing tests in clinical trials are cryosurgery and proton beam radiation therapy.

Pyeloplasty – Pyeloplasty is a surgical procedure performed to drain the renal pelvis and decompress the kidney. This procedure focuses on reconstructing the renal pelvis in other to relieve ureteropelvic junction obstruction.

Testicular Cancer Treatment - There are four stages of penile cancer (Stage 0, I, II, III) and the treatment of choice usually depends on the stage. The standard treatment options used are surgery, chemotherapy, radiotherapy and high dose chemotherapy with stem transplant.

Ultrasound – Ultrasonography or ultrasound is an imaging modality that uses high-frequency sound waves to visualize internal organs. It is a safe, painless and noninvasive diagnostic method that produces live images of internal structures of the body. Ureteral reimplant – Ureteral reimplantation is a surgical procedure done to treat urine reflux. The position of the ureter is changed to stop urine back flow.

Urethral slings – Urethral slings are soft, flexible meshes that look like a hammock. They are placed into the urethra to provide support and as a form of treatment for urinary incontinence.

Urinary Tract Infection Treatment - Antibiotics such as Fluoroquinolones, Cephalosporins, and Nitrofurantoin are the first line treatment for UTIs.

Urodynamics Studies – Urodynamic studies involve tests that help to access the bladder and urethra functions. These tests help to explain the signs and symptoms of urinary incontinence, frequency, and urgency.

Urogynecology – Urogynecology or Female Medicine and Reconstructive Surgery is a branch of gynecology that deals with diagnosis and treatment of disorders that affect the pelvic floor, urinary bladder and reproductive organs in women.

Urolift – Urolift is a minimally invasive procedure used to treat lower urinary tracts symptoms that arise as a result of prostate enlargement. It holds or lifts the enlarged prostate gland so that the urethra is no longer obstructed.

Vaginal Rejuvenation – Also known as vaginoplasty, this procedure is used to increase sexual gratification by tightening the vaginal walls and reshaping the vulva or labia.

Vasectomy – Vasectomy is a surgical procedure for males that involves severing the vas deferens. This procedure leaves men sterilized and unable to fertilize a woman’s eggs.