طب المسالك البولية وأمراض الذكورة

Department of Urology & Andrology​

A center with the most advanced technologies available

The Urology and Neurourology Department at Fakeeh University Hospital treats patients with problems with the bladder, prostate, kidneys, and reproductive organs in men. The latter may include problems with erections, ejaculation, and infertility.
 
Particular attention is given to the functional aspects of urology, like urinary dysfunctions (leak of urine, difficulty to pass urine) and chronic pelvic pain (pain in the genital and anal area). A high standard of diagnosis and treatment of urological problems is provided. 
 
The urology department is now at the forefront of performing minimally invasive procedures and diagnosing and treating neurological conditions (functional conditions related to any neurological disease affecting the urinary system). 
 
The department also stands out as the first and only center in the United Arab Emirates that treats patients with electrical stimulation of peripheral nerves using electrical neuromodulation, neurophysiology, and Pulsed Radio Frequency. These minimally invasive procedures allow for less pain, reduced use of pain medication, and much faster recovery. Moreover, robotic and laparoscopic oncologic surgeries will be made available. 

What we treat

Bladder conditions

The Urology Department offers highly specialized care for conditions such as:

  • Urinary incontinence (inability to hold urine) 
  • Voiding dysfunctions (difficulty urinating on incomplete emptying of the bladder)
  •  Chronic pelvic pain (pain in the genital and anal area)
  • Interstitial cystitis/bladder pain syndrome (a condition that can mimic a urinary tract infection)
  • Acute and chronic urinary tract infections (cystitis)
  • Bedwetting (enuresis) and nocturia (frequent urination during the night not related to prostate conditions)
  • Polyuria (excessive production of urine due to a lack of a hormone)

Kidney conditions

Kidney conditions treated by our team include:

  • Kidney infections and inflammations (pyelonephritis, cysts)
  • Kidney and ureteral stones (hard salt and mineral deposits in the kidneys that pass into the urinary tract)
  • Ureteropelvic strictures (a narrowing of the ureter due to a congenital malformation causing dilatation and pain in the kidney)

Prostate conditions

Physicians offer men treatment for conditions of the prostate, including minimally invasive prostate cancer surgery. The team addresses:

  • Prostate cancer 
  • Enlarged prostate, including benign (noncancerous) enlargement of the prostate
  • Acute and chronic prostatitis (inflammation and infection of the prostate causing burning, pain, and voiding dysfunctions
  • A bacterial prostatitis (prostatic symptoms without infection, due to nerves inflammation)

Male health and reproductive system conditions

Dedicated care to assisting patients with a wide range of conditions of the male genital and reproductive system, including:

  • Varicocele (when the veins in the scrotum, the sack that holds the testes, get enlarged)
  • A scrotal abscess (a tender, pus-filled spot on the scrotum, usually caused by infection)
  • Andropause (hormonal changes in men that may occur with age, also known as testosterone deficiency)
  • Anejaculation (difficulty ejaculating)
  • Balanitis (inflammation of the head of the penis or foreskin)
  • Bedwetting
  • Difficulty urinating
  • Decreased libido
  • Erectile dysfunction (difficulty maintaining an erection, also known as impotence)
  • Male infertility (inability to conceive a child)
  • Genital diseases (such as sexually transmitted infections) 
  • Genital malformations 
  • La Peyronie disease (recurvatum of the penis due to fibrosis)

Diagnosis & Treatment with Urology

Diagnosis with urology

Diagnostic testing may include:

  • Measurement of the flow of urine (urine flow rate)
  • Urodynamic testing to examine the filling and emptying of the bladder/activity of pelvic floor muscles
  • Examination of the bladder and prostate with a telescopic camera (cystoscopy)
  • Male fertility testing
  • Neurophysiological evaluation with a machine that detects electrical activity of pelvic floor muscle and the integrity of nerves
  • Duplex Ultrasound for varicocele and erectile dysfunctions

Once the condition is correctly identified, physicians will discuss medical and surgical treatment options with the patient.

Treatment with urology

Medical or surgical treatment options may be available for most urological conditions. The Urology Department doctors are experienced in performing several advanced procedures to treat urologic diseases, including:

  • Sacral roots and pudendal neuromodulation for incontinence and pain: Placement of electrodes in the sacrum or close to the pudendal nerve with a minimally invasive technique under local anesthesia 
  • Pudendal nerve blocks and/or ablation with Pulsed Radiofrequency for pelvic pain: Block the pain with a mix of drugs injected close to the nerve or ablate of the nerve using radio frequency generated energy under the neuro physiological guide.
  • TURP (endoscopic resection of the enlarged prostate) to improve urinary flow and bothering symptoms
  • TURBT (endoscopic resection of bladder cancer) to remove small bladder neoplasia and diagnosing cancer
  • Varicocelectomy: Ligation of spermatic veins in the scrotum/lower abdomen to treat infertility
  • Penile and scrotal surgery: for deformity/ bending of the penis, erectile dysfunction, and scrotal/ testicular conditions
  • Non-invasive electrical stimulation (PTNS): Transcutaneous electrical stimulation of tibial, sacral, and pudendal nerve in adults and children for urinary dysfunction, pain, and bedwetting
  • Cystoscopy: Procedure in which a small tube with a camera is inserted through the urethra to explore the bladder. In some cases, cystoscopy can be used to remove a bladder tumor or a small stone
  • Cystectomy: Using a minimally invasive, robotic/laparoscopy surgical approach to remove the bladder. This procedure can be used in some cases of bladder cancer
  • Prostatectomy: Using a minimally invasive, robotic/laparoscopy surgical approach to remove the prostate for cancer
  • Renal surgery: For cancer or benign conditions, using a minimally invasive, robotic/laparoscopy surgical approach to remove the kidney or treating benign conditions 
  • Urethral reconstruction: Surgery to treat urethral stricture or narrowing of the urethra (the tube that carries urine, as well as semen in men)
  • Bladder neck suspension: Surgery used to reposition a woman’s bladder, offered in some cases of urinary incontinence
  • Sphincter prosthesis: Placement of an artificial sphincter, offered in some cases of urinary incontinence

All patients who have surgical treatment must return to Fakeeh University Hospital for a routine follow-up appointment with the surgeon.

Pelvic Health Centre

Pelvic floor disorders like pelvic pain, urinary, and fecal incontinence, voiding dysfunctions, endometriosis, can often be successfully treated and improve quality of life. The caregivers in the Pelvic Health Centre at Fakeeh University Hospital, work as a multidisciplinary team that includes specialties from Urology and Neurourology, Gynecology, Colorectal Surgery, Gastroenterology, Physical Therapy, Radiology, and Nursing. 

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