Male diseases in urology: treatment and symptoms. Urology By urology

The Urology Department of City Clinical Hospital No. 71 in Moscow provides assistance in the treatment of genitourinary diseases.

The main directions in the treatment of urological diseases in the urology department at hospital No. 71 are the treatment of urolithiasis, benign prostatic hyperplasia, and the treatment of inflammatory diseases of the genitourinary system.

The Urology Department provides assistance to all patients with any pathology of the genitourinary system; various high-tech operations are performed. Particular attention is paid to the use of low-traumatic interventions using modern technologies that reduce pain for patients and shorten their rehabilitation time after operations. The Urology Department of City Clinical Hospital No. 71 provides its patients not only with emergency care, but also with planned treatment of various diseases of the genitourinary system.

Carrying out an integrated approach to the provision of medical services, we provide medical care to patients, from outpatient visits to inpatient treatment and their subsequent rehabilitation.

Department of Urology

A team of young, highly qualified urologists specializes in various areas urology: traditional urology, andrology, neurourology, oncourology, plastic urology, etc.

• treatment of acute and chronic prostatitis and urethritis;
• treatment of prostate adenoma;
• diagnosis and treatment of kidney diseases, bladder diseases, urolithiasis;
• diagnosis and treatment of sexually transmitted infections;
• treatment of sexual problems.

The Urology Department successfully performs the most modern plastic surgeries on patients with urological diseases of varying degrees of complexity. The urology department has the most modern equipment for diagnostics and various manipulations of any complexity. Almost all types of surgical treatment are actively used, open operations on the organs of the genitourinary system and low-traumatic interventions are performed.

We have extensive experience in treating patients with various urological cancers.

Urology at City Clinical Hospital No. 71 in Moscow

IN Department of Urology The following types of diagnostics are performed:

• Cystoscopy is one of the main diagnostic methods in urology, which allows you to detect and evaluate diseases such as chronic cystitis, neoplasms of the bladder and ureters, as well as some anomalies in the development of the bladder.
• Ultrasound of the kidneys, bladder, prostate gland.
• Uroflowmetry (determines the speed of urine flow) is a modern diagnostic method, important in the diagnosis of adenoma and urethral structures.

A qualified consultation with a urologist at City Clinical Hospital No. 71 is always at your service.

The list of medical organizations was compiled based on an analysis of reviews of patients treated for urology. All clinics presented on the list have more positive reviews than negative ones.

State clinics

Russian Children's Clinical Hospital

The Russian Children's Clinical Hospital (RCCH) of Moscow is the country's largest children's multidisciplinary hospital complex.

The Department of Urology is one of the largest clinical departments of the Russian Children's Clinical Hospital (60 beds). Patients are accommodated in 1-, 2- and 4-bed wards. Children of early age groups are hospitalized together with their parents.

The diagnostic facilities of the department meet modern requirements of pediatric urology. Modern diagnostic methods are used: ultrasound, excretory urography, cystourethrography, urethrocystoscopy, radioisotope studies, urodynamic studies, computed tomography, angiography, laparoscopy, electromyography.

Most children are referred from regional medical institutions to clarify the diagnosis, undergo surgical treatment or correct various urological complications. About 1,500 patients are treated annually, most of whom undergo surgical interventions. Patients operated on in the urology department of the Russian Children's Clinical Hospital are under observation until they reach the age of 17 or are declared cured.

The concept of the department is that patients with any pathology of the genitourinary system, from phimosis to cloacal anomaly, receive qualified care.

Children's City Clinical Hospital No. 9

GBUZ "DGKB No. 9 named after. G.N. Speransky Health Department" is a modern multidisciplinary medical institution.

The Center for Urology, Andrology and Pathology of the Pelvic Organs within the hospital has been operating since 1992 and provides care to children from 0 to 18 years old with diseases of the urinary system, genitourinary pathology, including urinary disorders.

Children's City Clinical Hospital No. 13

The Filatov Children's Hospital is equipped with the latest medical equipment, which makes it possible to provide care to children with various diseases at the highest level.

The Department of Urology is one of the high-tech departments of the hospital. Every year, more than 3,500 children with developmental defects and diseases of the urinary system, genital organs, groin area and abdominal wall of any age from 0 to 18 years receive qualified care in the urology department. Every year, more than 3,500 operations and over 800 endoscopic procedures are performed on children from Moscow, Russian cities and other countries. Academicians, professors, associate professors and assistants of the department take part in the medical work of the department. Doctors have a variety of highly informative diagnostic methods at their disposal, including endoscopic, functional, ultrasound, radioisotope, and radiation (radiography, computed tomography, angiography). The latest endoscopic and microsurgical equipment is used to treat children. The staff of the department has accumulated extensive experience in the treatment of malformations and diseases of the urinary system, using modern surgical and non-surgical methods.

City Clinical Hospital No. 52

Hospital 52 is the largest hospital in Moscow.

The urological department of City Clinical Hospital No. 52 is rightfully considered one of the leading urological departments in Moscow. The department has 50 beds. Every month, the department examines and treats about 350 patients admitted both on a planned and emergency basis.

The department is general urology, i.e. Help is provided to patients with any pathology of the genitourinary system, including the full range of high-tech operations.

Particular attention is paid to the introduction and use of minimally invasive, low-traumatic interventions based on the latest technologies, which reduces pain to a minimum, reduces the patient's length of stay in the hospital, reduces recovery time after operations and, as a result, reduces the overall period of disability.

The urology department is equipped with the most modern equipment. All types of surgical treatment are widely used, including open operations and minimally invasive types of interventions: endoscopic, percutaneous and laparoscopic surgical procedures.

The department has its own X-ray operating room, where surgical interventions are performed under ultrasound and X-ray television control (percutaneous puncture nephrostomy, ureterolithoextraction, ureterolithotripsy, nephrolitholapaxy, etc.).

Transurethral resection (TUR) of the prostate gland, bladder, and internal urethrotomy are also performed there.

Research Institute of Urology and Interventional Radiology

Research Institute of Urology and Interventional Radiology named after. ON THE. Lopatkina branch of the Federal State Budgetary Institution "National Medical Research Center of Radiology" of the Ministry of Health of Russia is the main center in Russia for the development and application in medicine of high-tech methods of diagnosis and treatment of patients with urological and oncological diseases.

The Research Institute of Urology is a leading institution in the field of urology, which has trained more than one generation of first-class specialists not only for Russia, but also for the CIS countries. A unique school of domestic urology was created here.

The Research Institute of Urology employs highly qualified specialists: 17 doctors of medical sciences, 48 ​​candidates of medical sciences, 100 scientists and 120 doctors. The latest diagnostic and treatment technologies are used, there are 8 clinical departments with a bed capacity of 150 beds, 8 laboratories, 17 scientific departments. The institution's specialists perform 360 types of operations. 12,000 consultations are carried out per year. The number of operations performed at the Urology Research Institute exceeds 3,500 per year.

Diagnosis and treatment of complex pathologies is carried out using radiation technologies in the field of urology, nephrology, and oncology.

City Clinical Hospital named after. Botkin

Every year, approximately ninety thousand patients receive medical care at the hospital, of which more than fifty percent are admitted for emergencies.

Urology department No. 41. Urology department No. 41 is a general urology department; patients with any urological diseases are accepted for treatment. The All-Russian Center for Diagnosis and Treatment of Interstitial Cystitis operates on the basis of the department.

Every year, the department provides inpatient treatment to more than 2 thousand patients, who undergo an average of 800 operations, of which about 100 are laparoscopic.

Patients in the department are accommodated in single, double and four-bed wards with individual toilets and showers. The wards are equipped with oxygen, a communication system with nursing staff, and postoperative wards, in addition, are equipped with a system for continuous monitoring of vital functions with information displayed on the computer display of the resuscitator on duty.

Diseases of the urinary organs in men are considered in a separate medical section - urology. She studies the types of diseases of the urinary system, methods of recognition, their symptoms, prevention and treatment. Urology has an additional branch - nephrology, covering only kidney diseases. Essentially, urology is a surgical discipline that mainly studies surgical methods for treating urological diseases, which is what makes urology fundamentally different from nephrology.

Urology: general concepts

Relatively recently, the section of urology also included diseases of the male genital organs, but over time these diseases began to be studied a separate medical section - andrology. Despite the fact that urology is often closely related to andrology, these two medical branches are increasingly separated. Today, male urology is divided into narrower specialties: geriatric urology, pediatric urology, phthisiurology, oncourology.

Urological diseases can significantly complicate a man’s life, undermine self-confidence and self-esteem, reduce self-confidence and the ability to socially adapt, and worsen his well-being. Urological diseases in 2/3 of cases are asymptomatic in men, therefore they tend to unnoticed regression and transition to the chronic stage. In addition, often men, even knowing about their disease, do not go for examination and do not begin treatment.

The reason for this may be ordinary fear or shame, the habit of letting everything take its course, and simple laziness. Delays in visiting a specialist and treating urological diseases in men are often leads to serious consequences Therefore, we must not forget that starting treatment and examination in the early stages will make it possible to avoid many problems and cure the disease.

Types of urological diseases in men

Among men aged 20-40 years, these types of urological diseases are the most common.

Venereal diseases:

Inflammatory diseases:

• Balanoposthitis is an inflammation of the head of the penis and foreskin.
• Urolithiasis disease.
• Urethritis is inflammation of the urethral tract.
• Orchiepididymitis is inflammation of the testicle and epididymal tissue.
• Prostatitis is inflammation in the tissues of the prostate gland.
• Pyelonephritis is inflammation of the kidneys.
• Cystitis is inflammation in the bladder.

Intimate diseases:

• Infertility.
• Impotence.

Signs of urological diseases

In most cases, urological diseases in men pass without any symptoms and often go undetected. But there are still common symptoms that are common to many urological diseases with a pronounced clinical picture:

• Itching, burning, pain.
• Redness, discharge, rash on the genitals.
• Pain during or after sexual intercourse.
• Urinary disorders.
• Enlarged lymph nodes.
• Weakness and fatigue.

Diseases of the genitourinary organs in men do not always have pronounced symptoms and can be characterized by both urinary disorders and pain.

If you have an active sex life and you have identified any of the listed symptoms, then immediately undergo a urological examination and examination by a venereologist– timely treatment can help maintain your health.

Balanoposthitis

It can occur in a chronic or acute stage. The acute form of the male disease is characterized by such signs as purulent discharge, erosive rashes on the foreskin and glans penis, redness, pain, swelling, and sometimes white growths. Acute balanoposthitis is characterized by an increase in temperature, weakness in the legs and throughout the body, in some cases leading to fainting. During the chronic course of the disease, the signs are significantly smoothed out, the skin on the foreskin and head of the penis is wrinkled.

Urethritis

The main signs of this male disease are discomfort, discharge from the urethral canal, pain during urination, burning. The cause of urethritis, as a rule, is the entry of a pathogenic virus into the genitourinary canals or their injury during the passage of urinary stones.

Orchiepididymitis

The acute form of the disease is characterized by symptoms such as severe pain in the scrotum, redness, increased temperature, hardening and enlargement of the epididymis and testicle. After about 5 days, the process becomes chronic, and the symptoms of the disease are smoothed out, but the epididymis and testicle remain enlarged and dense.

BPH

In men, prostate adenoma manifests itself in the form of the following main symptoms: frequent, intermittent and difficulty urinating in the form of drops or a weak stream, a feeling of incomplete emptying of the bladder. Prostatitis is characterized by symptoms such as pain in the lumbar and groin area, urination disorder, decreased ability to erect and sexual desire, pain during ejaculation, and increased temperature.

Pyelonephritis

It often develops as a complication of prostatitis adenoma, inflammation of the urethra, urolithiasis or prostate in older men. The acute course of the disease is characterized by the following symptoms: headache, a sharp increase in temperature to 39 degrees, dull pain in the lumbar region, vomiting and nausea, weakness.

Cystitis

This male disease is characterized by painful and frequent urination, a constant urge to urinate, pain, burning, stinging, and mucus or blood appearing in the urine. Moreover, weakness and increased temperature may be noted. In the chronic stage, the symptoms are smoothed out; only mucus may be present in the urine.

Impotence

Impotence in men is mainly characterized by erectile dysfunction: in this case, the erection is completely absent or weak, and sometimes disappears directly during sexual intercourse, ejaculation occurs quite quickly, and it is not always possible to complete the act.

Urolithiasis disease

This disease is characterized by acute, aching and dull pain in the lumbar region, difficulty and frequent urination, and the release of blood in the urine. During the passage of stones, attacks of renal colic occur with sharp, cramping pains that can involve the lower abdomen, side and lumbar region, and also “give” to the testicle, perineum or thigh.

Diagnosis methods

In order to timely determine and accurately identify the source and nature of the disease, it is necessary consult an experienced doctor, he will examine the patient and conduct a comprehensive examination, laboratory and other required studies.

An initial examination of the patient is necessary to determine subsequent medical procedures and make a priority diagnosis. Examination of the genitals makes it possible to determine the presence of inflammatory processes, as well as infectious diseases that are transmitted through sexual contact. In addition, an examination by a urologist to exclude a tumor process includes mandatory palpation of the prostate through the rectum.

To establish an accurate diagnosis, the doctor takes a smear from the patient’s urethra for analysis. A smear is required for laboratory testing for the presence of pathogenic microflora, determining its degree and nature of pathogenicity. A urogenital smear makes it possible to determine the presence of a hidden infection and inflammatory process in the genitourinary organs of a man. Moreover, a smear from the urethra makes it possible to identify the type of bacteria that has settled in it, due to which the urologist prescribes treatment with those medical agents that are effective against this virus.

A smear is taken to clarify the diagnosis during symptoms of inflammation of the bladder, prostate and urethra. Moreover, a smear can show the presence of infections such as chlamydia, ureaplasmosis, thrush, trichomoniasis, mycoplasmosis, etc. A urogenital smear taken makes it possible to diagnose a specific urological disease more accurately.

Treatment of any urological disease in a man must be comprehensive and begin with treatment of the cause that caused it.

During urethritis, treatment involves:

The doctor selects the method of treatment individually only after identifying an accurate diagnosis.

Treatment of balanoposthitis involves:

• Treatment of the infected area with antiseptic ointments (chlorhexidine, miramistin, xeroform, syntomycin).
• Laser surgical interventions.
• Rinsing the glans penis and foreskin with a solution of hydrogen peroxide or furatsilin.
• In difficult cases, surgical intervention is resorted to. When a patient has a narrowed foreskin, surgery is required to cut it. Then, when the symptoms of inflammation subside, surgery begins to completely remove the foreskin. The essence of this operation is to widen the external opening of the urethra.
• Taking antifungal, antiviral or antibiotic drugs.

Treatment of prostate adenoma involves the following activities:

Treatment of urolithiasis, pyelonephritis and cystitis is carried out comprehensively using symptomatic therapy and antibacterial agents. For urinary incontinence, an additional remedy such as urological pads, protecting clothing from absorbing involuntary urine. Urological inserts are designed specifically to facilitate the socialization of patients who suffer from this disease.

Treatment of any urological diseases in men must be combined with an indispensable transition to a balanced, healthy and proper diet, regulation of sexual activity, lifestyle, careful adherence to personal hygiene and establishment of a daily routine.

Male diseases in urology

Urology is one of the important areas of activity of the DECA Clinic. Our highly qualified specialists diagnose and treat a number of diseases related to the male genitourinary system, as well as urogynecology. The DECA Clinic Urology Center uses modern equipment that allows for an accurate diagnosis in order to individually select the necessary treatment regimen. In addition, our doctors perform operations to correct deformities of the male genital organs. You can also contact the urology center in Moscow for treatment if you are diagnosed with sexual disorders.

Main symptoms

It is important to remember that some diseases are not accompanied by obvious symptoms. This means that visiting a male urologist is recommended even in cases where there are no signs of the disease. This will allow you to identify possible deviations in time, start treatment in a timely manner and thereby increase the effectiveness of the procedures. However, there are a number of symptoms, the appearance of which is a reason for immediate contact with the clinic for diagnosis and solution of problems in the field of urology. These signs include the following:

• painful or simply frequent urination;
• swelling, tenderness, enlargement or hardening of the testicle, scrotum;
• burning, itching, pain in the genital area, increasing during urination;
• pain in the lower abdomen and sacrum;
• increased fatigue, deterioration of health;
• change in urine color;
• the presence of blood, mucus or pus in the urine, redness of the external opening of the urethra;
• sexual disorders;
• increase in body temperature to +38…+39 °C, chills, weakness.

What problems do we work with?

In our urology in Moscow, specialists work with conditions such as:

• male infertility,
• nephritis,
• pyelonephritis,
• phimosis,
• urolithiasis disease,
• varicocele,
• prostatitis,
• balanoposthitis,
• erectile disfunction,
• BPH,
• premature ejaculation,
• other conditions.

Women's diseases in the field of urology are urethritis, cystitis, sexually transmitted infections and their consequences.

How are urological diseases diagnosed?

At the DECA Clinic, urology includes the necessary examinations that are required to identify pathologies at the initial stages of their development. All procedures take a minimum amount of time. Paid urology services include various laboratory tests. Hardware diagnostics are carried out using equipment that ensures the accuracy of the examination.

Diagnostic services in urology include the following procedures:

• determination of immune status;
• blood chemistry;
• clinical blood test;
• spermogram;
• bacterial culture;
• Ultrasound of the prostate, kidneys, scrotum, bladder;
• analyzes of prostate secretions, discharge from the urethra;
• diagnosis of varicocele, erectile dysfunction;
• Analysis of urine;
• cystoscopy;
• urethroscopy;
• blood tests for coagulation, tumor markers and hormones, HIV, RW (syphilis), hepatitis B.

How is the treatment carried out?

Urological diseases concern both men and women. Urology is a field of medicine that studies various diseases that are subject to mandatory and immediate treatment. This is a science that studies ailments of the male reproductive system, factors contributing to their occurrence and development, diagnosis and therapy. Diseases of the adrenal glands and urinary system in men and women are also studied.

Urology in men

It is widely believed that urology is the science of studying and treating infections and diseases of the male body. Diseases of the genitourinary system have a high correlation with sexually transmitted infections. Most often they pass without symptoms and are hidden. Therefore, a urologist diagnoses and treats infections.

Nowadays, men are increasingly faced with the following urological ailments:

• erectile disfunction;
• prostatitis;
• BPH;
• cystitis;
• urethritis.

Diseases such as cystitis can be treated with or without the use of medications (Furadonin, Munoral and others). To avoid the appearance and development of other infectious diseases, it is best to diagnose cystitis in a timely manner, prevent the progression of the disease, or take preventive measures. The consequences of complicated cystitis are the occurrence of inflammatory processes in the prostate gland and their spread to other organs. Most men, closer to 40 years of age, develop urethritis, which is a consequence of infectious factors.

There is also a disease called varicocele. It is characterized by dilation of the veins of the pampiniform venous spermatic cord. More than 40% of men with this disease are infertile. Therefore, emergency urology is necessary when identifying symptoms of the disease.

Andrology and oncourology are components of urology. They are based on the diagnosis and treatment of congenital pathologies and acquired diseases of the male genital organs.

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Female urology

Not only men, but also women turn to urologists. Often emergency urology becomes important for them as well. Most women visit a urologist's office at least once in their lives.

Diseases of female urology include:

• inflammation of the bladder (cystitis);
• pyelonephritis;
• inflammation of the urethra;
• urinary incontinence;
• urolithiasis;
• trophic changes in the mucous membranes in the genital area.

The causes of female urological diseases can be untimely identified infections or incorrect therapy. These most often include E. coli, mycoplasma, chlamydia, ureoplasma, genital prolapse, hormone deficiency, weakening of the pelvic muscles, disorders of the pelvic organs and metabolism, deposits of stones and salts in the kidneys, tumor neoplasms of the pelvic organs, wearing synthetic and tight clothing , ignoring protective equipment during sexual intercourse.

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Diagnostic and treatment methods

The most common symptoms of urological diseases:

• pain during sexual intercourse;
• pain in the lumbar and lower abdomen;
• increased body temperature;
• burning and discomfort when urinating;
• frequent urination;
• change in urine color;
• discomfort in the vagina.

If these symptoms occur, emergency care is essential. The urologist will draw up the correct diagnostic scheme and further therapy. For diagnosis, urine tests are prescribed (general, according to Nechiporenko, for bacteriological culture and sensitivity to drugs), ultrasound, cystoscopy (endoscopy), X-rays, MRI and radioisotope studies of the kidneys, and diagnosis of sexually transmitted infectious diseases are performed.

When the tests are carried out, urology requires urgent treatment of the disease. Since the range of research methods is very large, for certain cases the doctor draws up the necessary list. Methods of combating illnesses include rational antibiotic therapy, treatment of sexually transmitted infections, restoration of microflora, adherence to a diet, herbal medicine, and traditional medicine. If the above is ineffective, surgical intervention is used.

After the operation, discomfort may occur due to damage to the mucous membrane of the vaginal wall that occurs after correction of the prolapse.

If the purpose of surgical intervention is associated with prolapse of the genital organs, invasive surgery is used.

Treatment methods include such important actions as conducting exercise therapy sessions (therapeutic physical education), physiotherapy, sanatorium treatments and the use of folk remedies.