Urology

At Biruni Hospital, we deliver cutting-edge urological care through a team of seasoned specialists and state-of-the-art technology, ensuring precise diagnoses and effective treatments for diverse urinary tract conditions. Our services encompass the management of kidney, ureter, bladder, and urethral disorders, as well as prostate diseases in men, offering both medical and surgical solutions customized to each patient to achieve optimal recovery results.

What is Urology?

Urology focuses on diagnosing and treating urinary tract disorders in men and women, as well as male reproductive conditions. It covers cases from simple infections to complex issues like kidney stones, tumors, and bladder disorders. 

Using clinical evaluations, lab tests, and advanced imaging, urologists provide accurate diagnoses and offer treatments ranging from medication and minimally invasive procedures to advanced surgeries, aiming to restore health and quality of life.

Conditions treated at Biruni hospital

At Biruni Hospital, we offer advanced urology treatments covering a wide range of urinary tract and male reproductive system disorders, from common infections to complex conditions that may require precise surgical interventions.

Kidney, ureter, and bladder stones

Kidney, ureter, and bladder stones are hard mineral deposits that form in the urinary tract when certain salts build up in the urine. They can be as small as grains of sand or large enough to block urine flow, causing severe pain.

Symptoms:

• Sudden, sharp pain in one side or the lower back, sometimes radiating to the lower abdomen and groin (renal colic)
• Blood in the urine, giving it a pink, red, or brown color (hematuria)
• Frequent, urgent need to urinate with small urine volumes
• Pain or burning during urination
• Nausea or vomiting accompanying severe pain
• Fever and chills when a urinary tract infection is present
• Profuse sweating and paleness during intense pain episodes

Treatment Steps at Biruni Hospital:

1. Accurate Diagnosis
   

• CT scan or ultrasound to determine the stone’s location, size, and number
• Urine and blood tests to check for infection or impaired kidney function
  

2. Pain Relief and Support

• Administration of effective painkillers (NSAIDs or opioids in severe cases)
• Intravenous fluids to help flush out small stones and support kidney function

3. Stone Removal Methods

• ESWL (Extracorporeal Shock Wave Lithotripsy): Non-surgical procedure using high-energy waves to break stones into small fragments for natural passage
• Ureteroscopy: Insertion of a thin, camera-equipped tube through the urinary tract to locate, fragment, or remove stones, especially those stuck in the ureter
• PCNL (Percutaneous Nephrolithotomy): Minimally invasive procedure for very large kidney stones
• Open Surgery: Reserved for rare, complex cases
  

4. Supportive Medications

• Alpha-blockers to relax the ureter and aid stone passage
• Antibiotics if an infection is detected

Recurrent urinary tract infections (UTIs)

Repeated bacterial infections that affect the bladder, urethra, or kidneys. More common in women due to a shorter urethra, and in men often linked to prostate enlargement or urinary obstruction.

Symptoms:

• Burning or stinging sensation when urinating
• Frequent urge to urinate with minimal output
• Cloudy, foul-smelling, or bloody urine
• Lower abdominal or flank pain
• Fever, chills, and fatigue in severe cases

Treatment steps at Biruni Hospital:

1. Precise Diagnosis

• Urinalysis and urine culture to detect bacteria and determine antibiotic sensitivity
• Blood tests if infection is suspected to have spread to the kidneys
• Ultrasound or CT scan if underlying structural problems are suspected

2. Targeted Medical Therapy

• Antibiotics chosen based on culture results for maximum effectiveness
• Pain relief with urinary analgesics and anti-inflammatory medications
• Intravenous antibiotics and fluids in severe or recurrent cases

3. Addressing the Underlying Cause

• Removal of urinary stones or treatment of strictures
• Management of enlarged prostate in men to prevent blockage
• Correction of anatomical abnormalities when indicated

4. Prevention & Long-Term Care

• Lifestyle and hygiene guidance to reduce recurrence risk
• Recommendations for adequate fluid intake and bladder-emptying habits
• In certain cases, preventive low-dose antibiotic therapy
• Regular follow-up urine tests to ensure infections are fully cleared

Benign prostatic hyperplasia (BPH)

A non-cancerous enlargement of the prostate gland, common in men over 40, which can obstruct the flow of urine and affect bladder function.

Symptoms:

• Difficulty starting urination
• Weak, slow, or interrupted urine stream
• Feeling of incomplete bladder emptying
• Frequent urination, especially at night (nocturia)
• Sudden urgency and occasional leakage
  

Treatment Steps at Biruni Hospital:

1. Accurate Diagnosis

• Digital rectal examination (DRE) to assess prostate size and shape
• Prostate-specific antigen (PSA) blood test to rule out cancer
• Uroflowmetry to measure urine flow rate
• Ultrasound of the prostate and bladder to detect obstruction or residual urine

2. Medical Management

• Alpha-blockers to relax the muscles of the prostate and bladder neck
• 5-alpha-reductase inhibitors to shrink the prostate over time
• Combination therapy when necessary for greater symptom relief

3. Minimally Invasive Surgical Options

• Laser vaporization to remove excess prostate tissue
• Thermal therapy or microwave therapy to shrink tissue with heat

4. Standard Surgical Treatment

• Transurethral resection of the prostate (TURP) for advanced obstruction

5. Ongoing Monitoring

• Regular follow-up visits to check urinary function and prevent complications

Urological and prostate tumors

Cancers affecting the urinary tract (kidneys, bladder, ureters) and prostate, requiring early detection and tailored treatment.

Symptoms:

• Blood in the urine (hematuria)
  
• Persistent pelvic or back pain
  
• Unexplained weight loss or fatigue
  
• Difficulty urinating or changes in urine flow
  
• In advanced cases, swelling in the legs or pelvic area
  

Treatment Steps at Biruni Hospital:

1. Comprehensive Diagnostic Workup

• Urine cytology to detect cancer cells
  
• PSA blood test for prostate tumors
  
• Ultrasound, CT, or MRI scans for tumor location and staging
  
• Cystoscopy for direct visualization of bladder tumors
  
• Biopsy to confirm cancer type and grade
  

2. Individualized Treatment Planning

• Multidisciplinary team consultation (urology, oncology, radiology)
  
• Personalized treatment protocol based on tumor type, stage, and patient health
  

3. Surgical Interventions

• Tumor removal via minimally invasive laparoscopic or robotic surgery
  
• Partial or total removal of affected organs when necessary (e.g., nephrectomy, cystectomy, prostatectomy)
  

4. Adjunctive Therapies

• Chemotherapy, radiotherapy, or immunotherapy as indicated
  
• Intravesical therapy for bladder cancer to prevent recurrence
  

5. Long-Term Monitoring

• Regular imaging and lab tests to detect recurrence early

Urinary incontinence and bladder control disorders

Loss of voluntary bladder control, leading to leakage or frequent urination. Can result from weak pelvic muscles, nerve damage, prostate issues, or bladder dysfunction.

Symptoms:

• Leakage during coughing, sneezing, or exertion (stress incontinence)
• Sudden, strong urge to urinate with little warning (urge incontinence)
• Constant dribbling due to incomplete emptying (overflow incontinence)
• Mixed symptoms combining more than one type

Treatment Steps at Biruni Hospital:

1. Detailed Evaluation

• Patient history and bladder diary
• Physical examination, including pelvic or prostate assessment
• Urodynamic studies to measure bladder function
• Ultrasound to detect residual urine

2. Non-Surgical Management

• Pelvic floor muscle training (Kegel exercises)
• Bladder retraining and lifestyle adjustments
• Medications to relax bladder muscles or reduce urgency

3. Minimally Invasive Options

• Urethral bulking agents to improve closure
• Botox injections into the bladder wall to control overactivity

4. Surgical Solutions

• Sling procedures or artificial urinary sphincters for severe cases

5. Long-Term Support

• Ongoing monitoring, counseling, and physical therapy as needed

Male infertility and erectile dysfunction

Conditions affecting male reproductive health and sexual performance, often linked to hormonal imbalances, structural issues, or chronic illnesses.

Symptoms:

• Difficulty achieving pregnancy despite regular intercourse
• Low sperm count or abnormal sperm motility
• Reduced sexual desire or difficulty achieving/maintaining an erection

Treatment Steps at Biruni Hospital:

1. Comprehensive Assessment

• Semen analysis for sperm count, shape, and motility
• Hormonal blood tests (testosterone, LH, FSH)
• Ultrasound of testicles and prostate
• Specialized imaging for vascular or structural problems

2. Medical Management

• Hormone replacement or medications to boost sperm production
• Oral or injectable treatments for erectile dysfunction (e.g., PDE5 inhibitors)

3. Minimally Invasive and Surgical Treatments

• Varicocele repair to improve sperm quality
• Penile implants for severe erectile dysfunction unresponsive to medication

4. Assisted Reproductive Techniques

• Intrauterine insemination (IUI)
• In vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI)

5. Psychological Support

• Counseling for sexual health and emotional well-being

Congenital urinary tract abnormalities in children

Structural problems present from birth that can affect kidneys, ureters, bladder, or urethra, potentially impacting urinary function and growth.

Symptoms:

• Frequent urinary infections
• Abnormal urine flow or difficulty urinating
• Swelling in the abdomen or flanks
• Bedwetting beyond the normal age

Treatment steps at biruni hospital:

1. Early Detection

• Prenatal ultrasound screening for abnormalities
• Postnatal imaging (ultrasound, voiding cystourethrogram)

2. Conservative Management

• Monitoring mild cases that may resolve naturally
  
• Antibiotic prophylaxis to prevent infections
  

3. Surgical Interventions

• Minimally invasive correction of reflux, obstructions, or strictures
• Reconstruction surgeries for complex malformations

4. Long-Term Pediatric Follow-Up

• Growth and kidney function monitoring
• Supportive care for healthy development

Urinary tract injuries from trauma

Damage to the kidneys, ureters, bladder, or urethra caused by accidents, surgery, or pelvic fractures.

Symptoms:

• Blood in the urine
• Abdominal or pelvic pain
• Difficulty urinating or inability to urinate
• Swelling or bruising in the lower abdomen or genital area

Treatment Steps at Biruni Hospital:

1. Emergency Evaluation

• Stabilization of vital signs
• Physical examination and urgent imaging (CT, ultrasound)

2. Immediate Medical Management

• Catheterization to drain urine if needed
• Antibiotics to prevent infection

3. Surgical Repair

• Endoscopic or open surgery to repair damaged structures
• Reconstruction in severe cases

4. Rehabilitation & Follow-Up

• Bladder training and physical therapy if needed
• Long-term monitoring for complications such as strictures or kidney damage

Why choose Biruni hospital for urology treatments?

At Biruni Hospital, we are committed to delivering excellence in urological care through a blend of medical expertise, advanced technology, and patient-centered service.

• Highly Qualified Specialists: Our team of urology consultants and surgeons combines strong academic backgrounds with years of hands-on clinical experience, ensuring accurate diagnoses and effective treatments.
• Cutting-Edge Technology: We utilize advanced diagnostic tools such as endoscopy, laser systems, and bladder function testing, enabling precise evaluation and minimally invasive treatment options.
• Comprehensive, Individualized Care: From the first consultation to full recovery, every patient receives a tailored treatment plan designed to meet their specific medical needs and lifestyle.
• Comfort and Support: Our facilities provide a private, comfortable environment, complemented by psychological and emotional support to help patients feel at ease during their treatment journey.
• Specialized Adult and Pediatric Services: We offer expertise in treating both adults and children, including advanced minimally invasive pediatric urological surgeries for faster recovery and reduced discomfort.

By combining medical innovation with compassionate care, Biruni Hospital ensures that every patient receives world-class urology treatment in a supportive and respectful setting.

Comprehensive urology care with Biruni hospital experts

At Biruni Hospital, your health and comfort are our top priorities. We are dedicated to providing exceptional specialized care in urology and urological surgery, supported by the latest medical technologies and a team of experienced specialists. 

 Book your appointment today with our urology experts and take the first confident step toward better health.