Pain when urinating
It is most often associated with the following problems:
Our office is highly equipped for the treatment and diagnosis of irritable (hyperactive) bladder syndrome.
You urinate frequently ?
Are you bothered by nighttime urination?
Do you urinate small amounts of urine?
Do you have a strong urge to urinate?
Do you suffer from lower abdominal pain?
Irritable bladder is a disease of both women and men that is often misdiagnosed as frequent urinary tract infections. Subsequently, it is unnecessarily treated repeatedly with antibiotics. Some people are affected by frequent urination and the urge to urinate, others have pain in the lower abdomen. The peak stage of the disease is urine leakage associated with the urge to urinate. Our workplace provides a comprehensive program of diagnosis and treatment of this disease. Diagnosis consists of a thorough history combined with filling out a voiding diary, urine examination, ultrasound and possibly cystoscopic examination. Treatment is multimodal, including not only treatment with modern medications but also training of the pelvic floor muscles on the unique electromagnetic chair EMSELLA, which we own as the only workplace in Slovakia. During treatment on our modern device, you will feel your pelvic floor and bladder, and by activating your own muscles and nervous system, we will together restore normal urination and the ability to hold urine.
Chronic prostatitis is the cause of pelvic floor pain, difficulty urinating, and is sometimes accompanied by increased body temperature and problems in sexual life. It is not only a disease of older men, but also of younger age groups. There are several forms of prostatitis: 1. Acute bacterial prostatitis. It is caused by bacteria and is manifested by acute symptoms: Chills and fever, pain in the lower back, lower abdomen, perineum, burning during urination and inability to urinate. 2. Chronic bacterial prostatitis is also caused by bacteria, but has a long course. Its symptoms are pain in the lower abdomen and perineum, occasional burning during urination, lack of interest in sex and often erectile dysfunction. 3. Chronic pelvic pain syndrome is the most common form of prostatitis. It has a long course, but without the presence of infection. It can be inflammatory or non-inflammatory. It manifests itself similarly to chronic bacterial prostatitis: Pain in the perineum, in the testicles, in the penis and in the bladder area, pain during urination and ejaculation. The disease has periods of improvement and deterioration. 4. Asymptomatic inflammatory prostatitis is an asymptomatic disease that is discovered incidentally during a urological examination or prostate biopsy.
Diagnosis of prostatitis involves a thorough history, examination of urine, prostate secretions, ejaculate, palpation of the prostate, and ultrasound examination.
Treatment of prostatitis involves the use of antibiotics / in the case of bacterial prostatitis /, nonsteroidal analgesics, alpha-blockers, herbal preparations, antimuscarinics, and heat application. A highly effective method of treating chronic prostatitis is ESWT / shock wave therapy /. Chronic prostatitis and chronic pelvic pain syndrome are optimal indications for shock wave therapy. The ESWT method consists of applying extracorporeal shock waves to calcified prostate scars to which bacteria adhere. The effect of the shock wave destroys calcifications, which are phagocytized by leukocytes and subsequently more easily eliminated by the body’s own immune system. The treatment is outpatient, does not require hospitalization. The patient completes a series of at least 4 sessions with us, once every one to two weeks.
When diagnosing urine leakage in women, it is first necessary to perform a correct diagnosis of the type and degree of incontinence. Subsequently, an effective treatment can be proposed. When analyzing treatment options, it is necessary to take into account not only the patient’s age, the limits resulting from the individual’s health condition, but also the patient’s wishes. After conducting a thorough diagnosis, our workplaces offer non-invasive, minimally invasive and even surgical treatment methods. We will always try to find the optimal and least unpleasant solutions for our patient.
