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Dr. György Bógyi

Urologist
Visiting hours:
Tuesday 16-17.30

Languages spoken: ENGLISH

Urology

Urology is the medical specialty that focuses on the urinary tract of males and females, and on the reproductive system of males. The urologist diagnoses and treats the diseases of the kidneys, ureters, urinary bladder, urethra, and of the male reproductive organs. Urology combines management of medical (i.e. non-surgical) problems such as urinary tract infections and benign prostatic hyperplasia, as well as surgical problems such as the surgical management of cancers, the correction of congenital abnormalities, and correcting various urinary incontinence problems of males and females.

Main activities at Coral Medical Center:

Urological ultrasonography

In case of lumbar, abdominal or urinary problems it is useful to perform first an urological ultrasound (US) examination. Urological US may include the examination of the kidneys, renal vessels, urinary tract, bladder, prostate, and scrotum. Ultrasound examination may reveal existence of urological disease even before it causes any symptoms and is highly indicated in particular for males over 50 years of age as an annual screening test for potential prostate disorders.

Urological ultrasound imaging is a simple examination that does not require any particular preparation. You can eat and drink as usual, except you may be instructed to drink at least half a liter of liquids and not to empty your bladder starting 2-3 hours before the examination.

Treatment of prostate diseases,
Prostate enlargement (also called benign prostatic hyperplasia or BPH),
Prostate cancer

Prostate problems are common in men 50 and older. Most can be treated successfully without harming sexual function.

Benign prostatic hyperplasia or BPH is the nonmalignant (non-cancerous) enlargement of the prostate gland a common occurrence in older men. BPH generally begins in a man's 30s, evolves slowly, and most commonly only causes symptoms after 50. It is present in about 40% of men over 60. The enlarged prostate gland may compress the urethra impeding the flow of urine from the bladder through the urethra to the outside. It can cause urine retention leading to the need to urinate frequently during the day and night. Other common symptoms include a slow flow of urine, the need to urinate urgently and difficulty starting the urinary stream. More serious problems include urinary tract infections and complete blockage of the urethra, which may be a medical emergency and can lead injury to the kidneys.

See a doctor promptly if symptoms occur such as:

  • a frequent urge to urinate,
  • difficulty in urinating, or
  • dribbling of urine.

Regular checkups are important even for men who have had surgery for BPH.

The best protection against prostate problems is to have regular medical checkups that include a careful prostate exam.

Medical treatment of BPH is usually reserved for men who have significant symptoms. There are today excellent drugs that improve symptoms significantly and allow delaying the need for endoscopic or conventional surgery. Surgery is commonly used in men who have not responded satisfactorily to medication or those who have more severe problems, such as a complete inability to urinate.

Prostrate cancer - a malignant (cancerous) tumor of the prostate gland, usually grows slowly and remains confined to the gland for many years. During this time, it produces little or no symptoms. 40% of the cases is diagnosed when men seek help for urination problems. Prostate cancer is most common in older men (e.g. over 70). Most men diagnosed with prostate cancer do not die of it. In a major part of the cases good results are obtained with the available treatment. Evidence suggests that consideration of screening is warranted because earlier diagnosis has the potential to improve outcome. Routine urological screening using the battery of available diagnostic means is justified over the age of 60.

Bladder control problems (BCP), Urinary incontinence, diagnosis and treatment

The bladder has two major functions: storage and emptying of urine. Problems in either function of the bladder significantly affect the quality of life of a person. Among the problems of bladder control are urinary incontinence, frequency and urgency of urination and difficulties emptying the bladder. The occurrence of BCP increases with aging in both sexes. Urinary (or bladder) incontinence is common in elderly. Women are more likely than men to have urinary incontinence. Incontinence – the inability to keep urine from leaking from the urethra - can range from an occasional leakage of urine, to a complete inability to hold any urine. Depending upon the cause and the symptoms there are several types of the disease.

The common symptoms of BCP are: leakage of urine resulting from a cough, sneeze or physical activity, or urgency and lack of desired control to hold urination. In addition, symptoms such as frequency of urination (more than eight to ten times per day) or waking up to go to the bathroom more than twice a night have been considered as "abnormal urinary habits."

Urinary incontinence is not a disease, it is a symptom. It can be caused by everyday habits, underlying medical conditions or physical problems. A thorough evaluation by your doctor can help determine what's behind your incontinence. Seeking medical advice is important for several reasons:

  • Urinary incontinence may indicate a more serious underlying condition, especially if it's associated with blood in your urine.
  • Urinary incontinence may be causing you to restrict your activities and limit your social interactions to avoid embarrassment.
  • Urinary incontinence may be caused by easily treatable conditions such as urinary tract infections, vaginal infection or irritation, constipation. Even some medicines can cause bladder control problems that last a short time.

Bladder control problems should not be considered "normal" as a majority of aged people do not have such problems. Today, there are more treatments for urinary incontinence than ever before. The choice of treatment depends on the type of bladder control problem you have, how serious it is, and what best fits your lifestyle.

Urological Screening

Cancer Screening: Urologic cancers may occur in both men and women, with exception of prostate cancer and testicular cancer, disease of men. All urologic cancers are relatively common. Prostate cancer, for example, is the second most common cancer in men. Bladder cancer is the fourth most common cancer among men and the ninth most common among women in the United States. The incidence of kidney cancer is on the rise. The use of ultrasound imaging is a significant advancement in the early detection of cancer.

An ultrasound scan of the kidney can usually detect a kidney cancer before its symptomatic stage, when the tumor is small and can be successfully removed by surgery.

Kidney stones (Urolithiasis), screening and prevention

A kidney stones are smaller or larger pieces of solid material that form in the kidney or urinary tract from mineral substances in the urine. The condition is more frequent in men and appears often between the ages of 30 and 50. Kidney stones have many causes. A number of factors, often in combination, create the conditions in which susceptible people develop kidney stones. Kidney stones form when the components of urine — fluid and various minerals and acids — are out of balance. When this happens, the urine contains more crystal-forming substances, such as calcium, oxalate and uric acid, than the available fluid can dilute. Risk factors for the condition include familial predisposition, certain autoimmune diseases, dietary factors and others.

The following may be signs of kidney stones that need a doctor's help:

  • Severe pain in the side and back, below the ribs
  • Pain that spreads to the lower abdomen and groin
  • Pink, red or brown urine, blood in urine
  • Fever and chills if an infection is present
  • Nausea and vomiting
  • Urine that smells bad or looks cloudy
  • Pain or a burning feeling on urination
  • Persistent urge to urinate

Seek immediate medical attention if you experience:

  • Very severe pain
  • Pain accompanied by nausea and vomiting
  • Pain accompanied by fever and chills

Anyone with a past history of kidney stones should have regular screening performed as the recurrence rate is high.

Pediatric urology, screening

Disorders of the kidney and the urinary tract and reproductive system are only part of what is called pediatric urology. Screening for urological problems and treating disorders in the childhood can efficiently improve conditions that in adulthood could influence sexual life and reproductive capability. A meticulous child friendly examination and non hurtful and non anxiety producing laboratory and imaging studies, if necessary, may be undertaken as an outpatient with little risk or discomfort to reach a diagnosis and treatment plans with options.

The urogenital system is affected by a large number of congenital anomalies and there are also a large number of acquired disorders in pediatric urology. Common pediatric urology conditions include pediatric urinary tract infections, vesicoureteral reflux (when urine passes back up the ureter instead of passing out of the body), urine control problems such as bed wetting, overactive bladder. Bed-wetting can have an underlying cause, or it can simply require reassurance and motivational therapy. An urologist can help a child overcome these problems after determining the cause.

Andrology

Andrology is a fast growing subject, organizing as a subspecialty in its own right and reflecting the increasing awareness of the role of diseases and of dysfunction of the male reproductive system, and of the clinical consequences for fertility of androgen and testosterone levels. Included are also impotence, or erectile dysfunction (ED, E.D.), as andrologists prefer to call it), andropause (male menopause, male contraception, infertility.

Last Updated on Wednesday, 17 July 2013 18:38
 

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