Urology

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Advanced treatment methods

Cutting edge equipment

Don’t be afraid of the treatment

Erectile Dysfunction

Erectile dysfunction has been a taboo topic for a long time; however, an increasing number of men are contacting their doctors with this problem.
According to experts, the age of the patients is getting younger. Early erectile dysfunction is typically caused by the use of alcohol, tobacco, psychotropic substances, obesity, high blood cholesterol, uncontrolled diabetes, increased arterial pressure, insufficient physical activity, a fast pace of life, constant physical and emotional fatigue. More than a half of the patients with erectile dysfunction are diagnosed with a circulatory disorder, while a significant proportion of men also experience erectile dysfunction due to neurological problems.
In older men, in addition to the causes named above, erectile dysfunction can result from co-morbidities and age-related changes. Many men show signs of heart disease in the first few years after the occurrence of erectile dysfunction, and some even experience their first heart attack.
Erectile dysfunction is often associated with low self-esteem and emotional stress. In these cases, men will avoid sex, which complicates their relationship with a partner.
Urologists believe that in many cases, erectile dysfunction can be successfully treated. All that is needed is to contact your specialist without undue delay or embarrassment.
The causes of erectile dysfunction are diagnosed on the basis of the symptoms and test results. The most efficient treatment is then prescribed, depending on the diagnosis.

Premature ejaculation

Premature ejaculation means an inability to control the ejaculation in a way that ensure both partners can enjoy intercourse. Premature ejaculation can cause dissatisfaction with one’s sex life, while lowering a man’s self-esteem and having a negative impact on his relationships with partners. According to studies, one in three men suffers from this problem.
The causes of premature ejaculation can be different and include sexual arousal, fear of failure during sexual intercourse, hypersensitivity of the glans, inflammation of the prostate gland and other medical conditions, as well as certain medications.
It is important to determine the cause of this disorder to provide an effective treatment. An exact diagnosis is made based on the symptoms and test results. Once the causes of premature ejaculation have been identified, an effective treatment method is initiated. Sometimes, the recommendations of a urologist can prolong sexual intercourse and may be sufficient to improve a man’s intimate life.

Prostatitis

The majority of men who contact a urologist are suffering from some type of prostate disease.
Hormone changes that occur in the body over the years, especially changes in the levels of the male hormone testosterone, can lead to diseases such as chronic prostatitis, prostatic hyperplasia and prostate cancer.
As men age, the prostate cells begin to multiply due to the altered balance of sex hormones, which results in an enlargement of the prostate or benign prostatic hyperplasia.
As the prostate continues to grow, it compresses the urethra, narrows the ureter and makes it harder for urine to flow out of the bladder. This results in the lower urinary tract symptoms caused by prostatic hyperplasia, i.e., abdominal pain, urinary hesitancy, weak urine flow, urinary dribble after urination, a sensation of incomplete emptying, pain during urination and frequent night-time urination. Allowing the problem to progress without treatment, or with self-treatment, can lead to serious complications (impaired kidney function, etc.).
According to the statistics, prostatitis troubles between 35 and 50 per cent of men at some point in their life. Unfortunately, prostatitis often remains undiagnosed, which can severely affect a man’s quality of life.
The different causes of prostatitis require different treatments, which can only be accurately determined by a professional urologist.

Short frenulum

The frenulum is a strip of skin that begins at the prepuce of the penis and ends at the head. In most cases, a short frenulum is a congenitally predetermined, but it can sometimes become shortened due to an injury or inflammation.
The foreskin of a healthy man will move freely, with no tension either in a relaxed position or during an erection. However, a short frenulum does not allow for easy retraction of the foreskin and can cause great discomfort during intercourse. As well as feeling pain and tension, some men experience a rupture of the frenulum and bleeding. Due to the unpleasant sensations during an erection, sexual intercourse is avoided and an erectile dysfunction can occur.
A short frenulum can be extended by performing a surgical alteration of the frenulum, also known as frenuloplasty.

Phimosis

Phimosis, or narrowing of the foreskin, is a condition in which there is a very narrow opening in the prepuce that does not allow for its easy retraction. This can cause great discomfort during sex and difficulty when urinating. Such a narrowing of the foreskin can also increase the risk of inflammation of the glans and foreskin, as well as urinary tract infections, penile cancer, HIV and other sexually transmitted diseases, and therefore it must be treated.
Paraphimosis. Untreated phimosis can also cause various complications, such as paraphimosis, where the foreskin becomes trapped behind the corona of the glans and disrupts the blood supply. When the glans does not receive enough blood, the tissues are deprived of oxygen and nutrients, and it starts to turn blue. If left untreated, this condition can result in tissue necrosis.
Foreskin narrowing can be either congenital or acquired due to inflammation or injury. It is normal for the foreskin not to fully retract in a boy under 5 years of age; however, if the problem persists, surgery will be required. Phimosis can be treated initially with medication and foreskin stretching, but if these treatments do not prove to be helpful, surgery should follow. According to the experts, this is the most effective way of addressing the problem of a narrowed foreskin.

Sexually transmitted diseases

Sexually transmitted diseases are transmitted during sexual intercourse. The following symptoms of sexually transmitted infections should be viewed as warning signs and reasons to see a urologist: penile discharge, sores or blisters on the penis or rectum, irritation in the penis or rectum, increased urination, a burning sensation, or pain when urinating and during sexual intercourse.
Some venereal diseases may be asymptomatic and can only be accurately diagnosed via special tests. If you suspect that you may have been infected with a sexually transmitted disease, or if you had sex with a person who may be infected, contact your doctor immediately. The sooner you start, the faster and easier the treatment process will be.

Doppler and biothesiometer diagnostics

According to studies, 60 per cent of men who complain of erectile dysfunction are diagnosed with circulatory disorders, where the blood supply to the penis is disrupted or retracts too quickly.
InnMed Clinic uses Doppler ultrasound diagnostics to examine the penile blood flow parameters. This modern ultrasound machine enables the speed of the blood flow in the penis to be determined, making it possible to learn the extent of the problem and prescribe an efficient treatment.
Premature ejaculation is a condition that involves the inability to control an ejaculation in a way so that both partners can enjoy intercourse. The biothesiometer is an innovative device for measuring the genital sensitivity parameters, which operates on the principle of measuring the amplitude of vibrations felt by the patient. This gives our specialists an opportunity to accurately determine the causes of premature ejaculation.
The urologists at InnMed Clinic would like to remind the public that a satisfactory sex life not only makes people happier, but also healthier. If you notice symptoms of erectile dysfunction, do not hesitate to consult a specialist. The Doppler and biothesiometer diagnostics performed at InnMed Clinic will help our specialists make a quick and accurate diagnosis, before prescribing the treatment that is most effective in each particular case, and solving a problem that is reducing your quality of life without further delay.

Inn Med Men’s Health Unit

Medical therapy for erectile dysfunction

The causes of erectile dysfunction are diagnosed on the basis of the symptoms and on test results. The type of treatment is then prescribed, depending on the diagnosis. Often, erectile dysfunction can be treated with oral medications (tablets) with various durations of action that improve the blood flow to the penis; however, anti-anxiety medication taken before sexual intercourse, intraurethral gel therapy or intracavernous injections may also be prescribed. IN some cases, a combination therapy for erectile dysfunction with several medications may be used.

Current medical progress allows for the medical treatment of erectile dysfunction in a manner that practically free of side effects and without the development of addiction, even though many men still mistakenly think otherwise.

Make an appointment for a consultation with a urologist by telephone: +370 661 10011.

The experienced urologists at InnMed will quickly and accurately determine the cause of your problem and prescribe the most effective treatment.

Treatment of erection problems with the Renova device using electric shockwave therapy

Erectile dysfunction is a health problem that occurs where there is an insufficient blood flow in the penis, which prevents its hardening during sexual arousal. Men often avoid talking about this problem and hesitate to seek specialist assistance, while many mistakenly believe that erectile dysfunction is a natural consequence of ageing and should simply be accepted.

InnMed Clinic offers a successful form of treatment for erectile dysfunction with a new generation Renova device. Low-intensity shockwaves generated by an electromagnetic medical device stimulate the formation of new blood vessels and the dilation of existing ones. Unlike many other methods, this not only helps to temporarily achieve the desired erection, but also substantially eliminates the causes of erectile dysfunction. After a significant improvement in the penile blood flow, men can experience a normal erection following the treatment and continue to enjoy a satisfying sex life.

The electric shockwave therapy administered at the clinic is non-invasive and painless, and is currently one of the most effective treatment methods for erectile dysfunction. According to studies, 79% of patients had complete resolution of their erectile dysfunction after treatment with the Renova device. The duration of a treatment session is 30 minutes and the treatment course consists of four sessions, which should be performed once a week.

This well-tolerated therapy is free of side-effects and is recommended for men who want to permanently eliminate the causes of erectile dysfunction. Electric shockwave therapy is also the perfect solution when potency-enhancing drugs have failed to produce the desired outcome or if their side-effects are detrimental.

Make an appointment by telephone: +370 661 10011.

With the help of the most advanced treatment methods, the highly qualified specialists at InnMed Clinic will quickly and effectively eliminate the problems that are interfering with your quality of life.

Prostatitis treatment

The majority of men who contact a urologist are suffering from various types of prostate disease.

Hormone changes over the years, especially changes in the levels of the male hormone testosterone, can lead to diseases such as chronic prostatitis, prostatic hyperplasia and prostate cancer.

As men age, due to the altered balance of sex hormones in the body, their prostate cells begin to multiply and this results in an enlargement of the prostate or benign prostatic hyperplasia.

As the prostate grows, it starts to compress the urethra, narrowing the ureter and making it harder for urine to flow out of the bladder. This results in the lower urinary tract symptoms caused by prostatic hyperplasia, i.e. abdominal pain, urinary hesitancy, weak urine flow, dribble after urination, the sensation of incomplete emptying, pain during urination and frequent night-time urination. Allowing the disease to progress without treatment or self-treatment can lead to serious complications (impaired kidney function, etc.).

According to the statistics, prostatitis troubles affect between 35 and 50 per cent of men during their lifetime. Unfortunately, prostatitis often remains undiagnosed and severely affects a man’s quality of life.

The different causes of prostatitis require different treatment regimes, which can only be accurately determined by a professional urologist.

The InnMed urologists urge patients to remember that prostatitis will not go away on its own and if left untreated, can develop into a chronic inflammation, which will be much more difficult to treat than early-stage prostatitis.

Make an appointment by telephone: + 37070050050.

It’s time to take care of your health and enjoy a high quality life.

Frenuloplasty

Frenuloplasty, or a surgical alteration of the frenulum, is a small-scale invasive reconstructive procedure performed on men who are experiencing discomfort (usually during sexual intercourse) due to a short frenulum as the foreskin retracts.

The foreskin of a healthy man will move freely, with no tension either in a relaxed position or during an erection. However, a short frenulum does not allow for easy retraction of the foreskin and can cause great discomfort during intercourse. As well as feeling pain and tension, some men experience a rupture of the frenulum and bleeding. The uncomfortable sensation also makes it difficult to maintain an erection – as a result, sexual intercourse is avoided and erectile dysfunction can occur.

The surgical alteration of the frenulum (frenuloplasty) is performed under local anaesthesia of the related region, while the duration of the surgery is just 20-30 minutes. During the procedure, a small incision is made in the frenulum area, allowing it to be extended. The patient is discharged home on the same day as the operation.

It is possible to return to normal activities immediately after the surgery; however, it is not possible to have sex during the healing period until the dissolvable stitches fall out. During this time, it is advisable to avoid hot baths, outdoor swimming, very intense sports activities and visiting a sauna. It takes about 2 weeks until the patient has completely healed.

After frenuloplasty surgery, a patient should no longer experience discomfort during erections and can enjoy a fulfilling sex life.

Make an appointment by calling: + 37070050050.

InnMed Clinic urologists are professionals who will solve your health problems and eliminate the issues that are interfering with your quality of life.

Treatment of phimosis

Foreskin narrowing can either be congenital or acquired due to inflammation or injury. It is normal for the foreskin not to fully retract in a boy under 5 years of age; however, if the problem persists, surgery will be required. Phimosis can be treated initially with medication and by foreskin stretching, but if these treatments do not prove helpful, surgery should follow. According to the experts, this is the most effective way of addressing the problem of a narrowed foreskin.

The phimosis surgical treatment is performed under local anaesthesia, although a general anaesthesia may sometimes be used. During the procedure, part or all of the foreskin will be removed.

Treatment of prostate adenoma

Prostate adenoma or benign prostatic hyperplasia is one of the most common diseases in older men. In the presence of this condition, an enlarged prostate gland is palpable and can be diagnosed by a clinical or ultrasound examination.

The development of prostate adenoma and urinary disorders is usually determined by older age, genetic factors, sex hormones, various inflammations, or simply lifestyle.

As a result of benign proliferation, an enlarged prostate gland presses against the urethra, causing frustrating urinary disorders (urinary incontinence, excretory disorders and unpleasant symptoms after urination), significantly impairing quality of life and interfering with daily activities. The disease usually manifests by more frequent urination, particularly at night. Later, urination becomes more aggravated, the urine flow weakens, and partial urinary incontinence may develop. Sometimes the patient is unable to urinate at all.

Many patients, especially older men, still accept urinary incontinence as a natural symptom of ageing. They are ashamed to see a doctor and try to control their urinary incontinence themselves by changing their lifestyle habits, etc.

InnMed’s experienced urologists would like to warn patients that prostatic hyperplasia is a chronic and progressive disease that will not resolve on its own. Untreated or incorrectly treated urinary disorders may progress (symptoms may become more severe and complications may occur). Untreated prostatic hyperplasia can result in erectile dysfunction, bladder stones, urinary tract infection, renal failure, acute urinary retention and surgery, therefore, timely and accurate diagnosis and appropriate treatment are essential.

Treatment of prostate adenoma depends on the degree of enlargement of the prostate and urinary disorders, severity of the symptoms and their effect on a patient’s quality of life.

Mild symptoms can indeed be controlled by simple lifestyle changes, limiting fluid intake, and caffeine and alcohol consumption. However, medication should be used to treat moderate to severe symptoms. Only a urologist can prescribe a medication and the most appropriate treatment.

In order to select the most effective treatment plan, it is necessary to accurately assess the patient’s symptoms and their impact on the quality of life, perform a physical examination (rectal examination), determine the serum prostate specific antigen (PSA), and perform an ultrasound examination of urinary, bladder, prostate and upper urinary tract, and a uroflowmetry (a diagnostic test for urinary disorders).

In the past, benign prostatic hyperplasia was usually treated by surgical intervention. However, with the development of medicine and emergence of effective medical treatments, less than 10 per cent of the patients are currently treated surgically, while the majority successfully are treated with medication allowing to achieve symptom relief, significantly improve patients’ quality of life and reduce the risk of serious complications.

Aesthetic foreskin surgery

Aesthetic foreskin surgery is an invasive reconstructive procedure in which the foreskin is removed. This operation is not limited to treating the issue of a narrowed foreskin. It is generally recommended in cases of recurrent purulent balanoposthitis or inflammation, when paraphimosis is observed or if the retracted foreskin cannot be moved back into place. During the procedure, part or all of the foreskin is removed using a local, or sometimes general anaesthesia.

The healing period after aesthetic foreskin surgery depends on individual characteristics and usually takes 2-3 weeks. During this time, it is advisable for the patient to avoid sexual intercourse, taking baths or swimming (in a pool or outdoors). Dissolvable stitches are used during the surgery, which will not require to be removed. Occasionally, hypersensitivity of the glans may occur, but it is quickly resolved.

Aesthetic foreskin surgery can help to prevent painful erections and discomfort during intercourse, but it is also useful as a preventative measure. Men who have undergone aesthetic foreskin surgery are less likely to contract urinary tract infections or sexually transmitted diseases, while also having a reduced risk of purulent foreskin inflammation or penile cancer. Hygiene becomes easier, as there is no the need to retract foreskin. According to studies, circumcised men are also less likely to become infected with the human immunodeficiency virus (HIV). In addition, circumcision can help prevent premature ejaculation during intercourse.

Make an appointment by calling: + 37070050050.

The professional and experienced urologists at InnMed Clinic will help to quickly and effectively resolve the causes of any discomfort and restore your joy in living.

Consultation and treatment for sexually transmitted and infectious diseases

Some venereal diseases may be asymptomatic and can only be accurately diagnosed via special tests. If you suspect that you may have been infected with a sexually transmitted disease, or if you had sex with a person who may be infected, contact your doctor immediately. The sooner you start, the faster and easier the treatment process will be.

A patient who is infected with a sexually transmitted disease can infect others from the moment of contracting the infection, even without experiencing any symptoms.

During a consultation, the urologist will listen to the patient’s complaints and assess the general state of health. He will also check for signs of infection by examining’ the genitals, and may take swabs to send them to a laboratory for testing. A blood test (for syphilis or HIV) may also be prescribed. Once a diagnosis has been made, the treatment will be initiated. The treatment of venereal diseases is successful only when it is performed in combination with the patient’s sexual partner.

The InnMed Clinic urologists have many years of experience in offering consultations, providing accurate diagnoses and effectively treating all types of sexually transmitted and infectious diseases. Patients are guaranteed complete confidentiality.

Are you worried about your health? Make an appointment by telephone: +370 661 10011.

The InnMed specialists will sensitively and effectively diagnose and treat your undesirable problem.

Removal of external genital warts and atheromas

Genital warts (condylomas), papillomas, atheromas and other growths can appear on the external genitalia and their mucous membranes, as well as around the anus, perineum and buttocks skin. They are not only aesthetically unattractive, but can also cause various types of discomfort. For example, untreated genital warts and other growths can start to grow, expand and spread.

At InnMed Clinic, the removal of warts, atheromas and other growths on the external genitalia is achieved with a laser.

Laser removals of warts, papillomas and other benign skin formations have been recognised by specialists as the safest, most convenient and effective method to quickly and efficiently eliminate undesirable growths on the genitals, without damaging the surrounding tissue.

Removing warts, papillomas and condylomas not only improves the appearance of the genitals and prevents the development of cancer, but also reduces the risk of transmitting the human papillomavirus (HPV) to sexual partners.

Have you noticed skin formations on your external genitals? Make an appointment by telephone: +370 661 10011.

The experienced professionals at InnMed Clinic will use cutting-edge technologies to remove growths quickly and without discomfort.