Urinary infections
Recurrent infection may need evaluation for stones, obstruction, poor bladder emptying or another underlying cause rather than repeated antibiotics alone.
Evaluation and treatment for urinary, bladder, urethral and male urological problems beyond prostate disease, stones and cancer.
Similar urinary symptoms can come from very different conditions. The useful first step is to understand the pattern, examine the relevant anatomy and use tests selectively rather than treating every symptom in the same way.
Recurrent infection may need evaluation for stones, obstruction, poor bladder emptying or another underlying cause rather than repeated antibiotics alone.
Narrowing of the urethra can cause weak flow, straining, incomplete emptying, urinary retention and recurrent infection.
Frequency, urgency, poor emptying, bladder stones and other lower urinary tract symptoms can arise from several different conditions.
Selected problems involving erectile function, ejaculation, male infertility and other male genitourinary concerns are assessed by looking for the actual cause rather than treating a symptom in isolation.
Hydrocele, varicocele, epididymal problems, pain, swelling and testicular lumps often need examination and, when appropriate, ultrasound assessment.
Difficulty emptying the bladder can result from prostate enlargement, urethral stricture, bladder dysfunction, medication effects or neurological causes.
Most urological problems can be evaluated in a planned clinic visit, but a few presentations can be time-sensitive.
This can represent testicular torsion and should be assessed urgently rather than waiting for a routine appointment.
Acute urinary retention can require prompt bladder drainage and evaluation of the cause.
Infection with impaired drainage can become serious and may need urgent treatment.
It can be useful when several treatments have been offered, when surgery has been advised but the indication is unclear, or when you want to understand the trade-offs between procedures before deciding.
For a useful review, bring: