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When to go to the urologist?

When to go to the urologist?

, by Soporte Hallusa Natural, 6 min reading time

Urology includes the study and treatment of diseases that affect the uro-genital apparatus, both male and female. What are the biggest queries?

Conditions such as kidney stones, prostate cancer and sexual dysfunctions are seen by the urologist

The specialty of Urology covers different pathologies, of low complexity and others of difficult resolution that require diagnoses and treatments with specialists capable of covering all areas of this discipline.

For this, the Chicureo Integral Medical Center has two urologists, Rodolfo Rosenfeld and Juan Fullá, in charge of different pathologies such as:

urinary stones

A kidney stone, also called a kidney stone, is a hard mass that forms in the kidney from substances in the urine. These can be as small as a grain of sand or as large as half the palm of a hand.

Most kidney stones are passed through the urinary tract, but sometimes they do not pass spontaneously and a doctor's attention is needed. Here, when they get stuck in the urinary tract, they can cause a lot of pain.

A calculation can produce:

Very severe pain in the back or side
Blood in the urine
Fever and chills
Nausea and/or vomiting
Foul-smelling or cloudy urine
Burning when urinating

Treatments: There are various treatments. However, the best option will depend on the type of stone, its size, location and the patient's discomfort.

Prevention: Drink plenty of water. The water helps to eliminate the substances that form the stones or calculations in the kidneys. If you've had a stone before, talk to your doctor about other ways to prevent new occurrences. He even consults for a study that allows detecting alterations in metabolism (functioning of the organism).


Prostate cancer

It is the malignant tumor that most frequently affects the urogenital system. In Chile, it constitutes the second cause of death from cancer in men.

It occurs especially after the age of 50 and in those men with a family history of the disease.

Early diagnosis is extremely important, since it allows detecting tumors in early stages of their evolution and, therefore, they are curable with the appropriate treatment. On the other hand, one must be active in the search for this disease, since in its initial stages it is asymptomatic.

There are two tools that help us with the diagnosis: rectal examination or digital palpation of the prostate, and specific prostate antigen, which is a blood test that, when elevated, allows us to suspect the presence of the disease. Both should be performed annually starting at age 50 in the general population, and starting at age 40 in men with a family history.

On suspicion, a biopsy of the prostate should be performed to confirm the presence of the tumor. This is an outpatient procedure, which in most cases is performed under local anesthesia and which allows samples of prostate tissue to be obtained for microscopic analysis, thus confirming the existence of cancer. If a tumor is not demonstrated, the patient must continue controls according to his individual condition.

male sexual dysfunction

Male sexual function occurs in response to adequate sexual stimulation for the individual and is characterized by obtaining and maintaining penile erection, sperm emission, ejaculation and orgasm, thus allowing a satisfactory sexual relationship for the man and his partner.

For all this to occur, it is necessary that vascular, neurological, hormonal and psychological mechanisms are operating, individually and synchronously, in a normal way.

The deterioration of any of these functions will produce an alteration in any of the phases of the male sexual response, which is a sequence of physiological phenomena, or of partial or complete sexual function, which can have a significant impact on the quality of life of the patient, his partner and his family environment.

The male sexual response, like other functions, undergoes normal physiological changes and alterations at any age, especially over the years. In addition, with aging, many of the phenomena involved in this important function are affected by habits, behaviors, and organic and psychological pathologies typical of adults.

In the elderly there is a decrease in the secretion of the male sex hormone -testosterone- and approximately in 39% of men between 45 and 85 years of age this situation is accompanied by alterations that are expressed as decreased libido, erection disorders (which become less frequent and intense), and the need for higher levels of stimulation to obtain and maintain it.

There may be a decrease in the quantity and quality of the semen, accompanied by sometimes less pleasant ejaculations, with episodes of brief and less intense orgasms.

There are also very frequent ejaculation disorders, such as premature or premature ejaculation, absence of ejaculation, delayed ejaculation, and painful ejaculation, which must be adequately studied to indicate treatment.

31% of men between the ages of 18 and 59 present some symptom of sexual dysfunction
52% of men between the ages of 40 and 70 suffer from some degree of erectile dysfunction itself.

In the latter, the cause is due to other pathologies and their treatments: arterial hypertension, metabolic disorders such as diabetes mellitus, use of vasodilators, medications to compensate for heart disease, obesity, sedentary life, smoking and drug use, among others.

Men's Health Program

According to the World Health Organization (WHO), the life expectancy of men is six to eight years less than that of women. For this reason, Clínica Las Condes created the first Men's Health Program in order to guide and answer all your concerns.

The man is the one who "never gets sick", or at least that's what they say and, when they are faced with some ailment, they have to be forced to go to the doctor's office, without being very clear which specialist they should go to. Children have their pediatricians, women their gynecologists, and men, who do they have as their family doctor?

For this reason, Clínica Las Condes has this program in which different specialists participate, to provide comprehensive care aimed at prevention, early diagnosis and consensual treatment of male health problems.

The interrelation of various pathologies in their etiology and clinical presentation, treated separately by specialists, many times, do not provide definitive solutions definitive to the problem consulted. For this reason, this program tends to involve all doctors who share an integral vision in the solution to the problem of men's health.


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