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Urology

Specialist evaluation and treatment of urinary symptoms, urinary tract conditions, prostate problems, kidney stones, incontinence, and conditions affecting the male genital organs.

Urology clinic

Targeted evaluation of urinary symptoms and urinary tract problems

Frequent or urgent urination, painful urination, a weak urine stream, urine leakage, or blood in the urine are symptoms for which both women and men should see a urologist. Urology covers surgical conditions of the kidneys, as well as the ureters, bladder, and urethra, and in men, problems of the prostate, testicles, epididymis, and external genitalia.

At the Swiss Clinic urology clinic, a detailed specialist exam can be supplemented as needed with ultrasound, urine and lab tests, uroflowmetry, or other targeted diagnostics. In some cases, flexible cystoscopy or prostate biopsy is also available.

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Urology clinic and examination

What to know before your visit

A general urology exam does not have a single set of preparation steps that applies in every case. However, if an ultrasound or uroflowmetry is planned, a full bladder can be important.

What to keep in mind before you arrive

  • Uroflowmetry: If possible, arrive with a full bladder. The device measures the volume and flow rate of your urine, so don’t empty your bladder right before your appointment.
  • Previous results: If you have urinary tract or prostate symptoms, bring your previous reports (urine culture, PSA result, ultrasound, CT, MRI, etc.).
  • Details about blood in the urine: Note whether it happened once or repeatedly, whether all of the urine was discolored, and whether it came with pain or fever.
  • Cystoscopy or biopsy: You can usually eat and drink before a flexible cystoscopy done with local anesthesia. Do not stop blood thinners on your own.

When should you see a urologist?

A urology exam is especially recommended if any of the following symptoms are persistent, keep coming back, or are new:

  • More frequent or urgent urination: If you need to urinate more often, wake up several times at night to do so, or have an urge that’s hard to put off.
  • Difficult or painful urination: A weak or interrupted urine stream, a burning or painful feeling, or the sense that your bladder isn’t emptying completely.
  • Blood in the urine: Blood in the urine, whether visible to the eye or found on a lab test, should not automatically be put down to an infection.
  • Difficulty holding urine: If you have involuntary urine leakage, incontinence with physical exertion, or sudden loss of urine.
  • Prostate, testicular, or genital problems: Urinary problems, testicular pain, an abnormality in the scrotum, or erectile problems.

Available urology exams and procedures

At our clinics, a range of diagnostic options is available, from a general specialist exam to urine flow measurement, ultrasound, and instrument-based examination of the bladder. Transperineal prostate biopsy can also be performed at Újbuda, and certain urologic surgeries can be done as day surgery.

Urology specialist exam with or without ultrasound

At the first visit, the urologist reviews your symptoms, urination habits, previous urinary tract conditions, and any available reports in detail. Depending on your symptoms, a physical exam, a digital rectal exam of the prostate for men, and an abdominal-urologic ultrasound may also be performed. Ultrasound can be used to evaluate, among other things, the kidneys, the bladder, and certain features of the prostate in men, and to measure the amount of urine left in the bladder after urinating.

Why choose Swiss Clinic?

Accurately assessing urologic symptoms often means interpreting the results of several tests together. At Swiss Clinic, a urology specialist exam can be combined with ultrasound, uroflowmetry, laboratory diagnostics, flexible cystoscopy, and, in certain cases, prostate biopsy.

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Specialist exam with ultrasound

Along with your symptoms and a physical exam, an ultrasound evaluation of the kidneys, bladder, and prostate can help guide your evaluation when needed.

Uroflowmetry

Objective measurement of urine flow rate and urination characteristics can help evaluate urinary problems more precisely.

Direct examination of the bladder

When indicated, the inner surface of the urethra and bladder can be examined with a flexible instrument under local or general anesthesia.

Transperineal prostate biopsy at Újbuda

If there is a well-founded suspicion of prostate cancer, tissue sampling through the perineum is also available to help establish a diagnosis.

Many different conditions can lie behind urinary symptoms

The first step in a urology exam is understanding exactly how your symptoms show up. The specialist may ask about, among other things, how often you urinate, the strength of your urine stream, nighttime urination, pain, any blood in the urine, infections, and problems holding urine. For men, symptoms related to the prostate and genital organs can also be part of the assessment.

Further tests are always chosen based on your symptoms and initial results. In some cases, ultrasound and lab tests can provide enough information; in others, uroflowmetry, cystoscopy, CT, MRI, or tissue sampling may be needed. The goal is to do only the additional tests that can truly help clarify the problem and determine the right treatment.

Are you having frequent or difficult urination, urine leakage, blood in the urine, or prostate or testicular problems? Our urologists use targeted testing to help clarify the cause of your symptoms and, based on the results, determine any further tests and treatment options you may need.

Main areas of care and examination:

Urinary and bladder symptoms

  • Frequent and urgent urination
  • Painful or difficult urination
  • Problems holding urine
  • Visible or lab-detected blood in the urine

Prostate and men’s urology

  • Symptoms related to benign prostate enlargement
  • Specialist interpretation of PSA results
  • Evaluation of suspected prostatitis
  • Testicular and external genital problems

Targeted diagnostics

  • Urologic ultrasound
  • Uroflowmetry
  • Flexible cystoscopy
  • Transperineal prostate biopsy when indicated

Don't let your symptoms leave you with unanswered questions

Our experienced medical specialists and advanced diagnostic technology can help identify the underlying causes of your symptoms. Choose an appointment time that works best for you.

Frequently asked questions

The most common questions about urology exams.

Yes. Urology is not only for men. In women, urology can include the evaluation of recurrent urinary tract infections, frequent or painful urination, blood in the urine, problems holding urine, kidney stones, and other urinary tract conditions.

It depends on which test is being done. For uroflowmetry, it’s especially important to have enough urine in your bladder, so if possible, arrive with a full or comfortably full bladder. A full bladder may also be needed for ultrasound. If you’re coming only for a specialist consultation, follow the instructions you received when you booked.

A higher PSA level does not by itself mean you have prostate cancer. PSA is specific to the prostate but not to cancer: benign prostate enlargement, prostatitis, and other factors can also raise it. Within certain ranges, a repeat PSA test, a physical exam, an MRI, or further risk assessment may be needed before a decision about biopsy is made.

With local anesthesia, an anesthetic gel is used in the urethra. The exam is brief, and many patients describe it as uncomfortable rather than painful, but temporary pressure, an urge to urinate, or discomfort can occur. Swiss Clinic performs flexible cystoscopy under both local anesthesia and general anesthesia.

A biopsy may be considered if, based on all the available information, there is still a suspicion of clinically significant prostate cancer. Such information may include, for example, a persistently abnormal PSA, the findings of a digital rectal exam, PSA density, and the result of a prostate MRI. The need for a biopsy should not be decided on a single PSA value. At Swiss Clinic, transperineal sampling, meaning sampling through the perineum, is available at Újbuda.