Problems with urination
It is most often associated with the following problems:
Our office is highly equipped for the treatment and diagnosis of irritable (overactive) bladder syndrome.
Do you go to urinate often?
Do you suffer from nighttime urination?
Do you urinate small portions of urine ?
Do you have a strong urge to urinate?
Do you suffer from pain in your lower abdomen?
Irritable bladder is a disease of women and men, which 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, while others have pain in their 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, aversion to 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.
The diagnosis of prostatitis consists of a thorough history, examination of urine, prostate express, ejaculate, palpation of the prostate and ultrasound examination.
The treatment of prostatitis consists of the application of antibiotics / in the case of bacterial prostatitis /, non-steroidal analgesics, alpha-blockers, herbal preparations, antimuscarinics and the application of heat. 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 the application of 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.
Balanitis (balanoposthitis, balanitis)
Balanitis is a yeast infection or bacterial infection that forms on the glans of the penis and is most often caused by the yeast Candida albicans, in the case of yeast balanitis, or by various bacteria in the case of bacterial balanitis.
What are the causes of balanitis?
- Sexual intercourse – during sexual intercourse, yeast or bacteria can be transmitted to a man. A man becomes a carrier, who may not show symptoms of mycosis, but he infects his sexual partner.
- Hygiene – low hygiene standards
- Diet – in terms of diet, mycosis mostly occurs in men who have an excessive intake of sugar in their diet, or in diabetics.
What are the symptoms of balanitis?
- increased temperature
- swelling, pain and redness of the glans – balanoposthitis
- problems with urination
- spreading of redness to the entire glans
- itching and burning of the glans – balanitis
- purulent secretion
If balanitis is not treated in time, scars may form on the foreskin of the penis. to the formation of ragades and subsequent narrowing of the foreskin. Balanitis also occurs with phimosis, when a man is unable to pull the foreskin over the glans and wash the foreskin sac and glans. In the treatment of chronic balanitis, it is recommended to perform circumcision – when the foreskin is removed. Balanitis does not occur in men who have undergone circumcision.
When diagnosing urine leakage in women, it is first necessary to perform a correct diagnosis of the type and degree of incontinence. Subsequently, effective treatment can be suggested. 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.
