Urology & Andrology in Bahawalpur

The urology and andrology service treats conditions affecting the kidneys, bladder, urinary tract and prostate, as well as male reproductive health concerns. Care usually begins by assessing your symptoms and arranging any tests or imaging needed to understand the cause before treatment is discussed.

About the urology & andrology department

Urology and andrology deals with conditions of the kidneys, bladder and urinary tract, the prostate in men, and male reproductive health concerns. This includes assessment of urinary symptoms, kidney stones, bladder problems and male fertility factors.

Care usually begins by assessing your symptoms and arranging any urine tests, blood work or imaging needed to understand the cause before treatment is discussed.

Many urological conditions are common and treatable. Early assessment can help identify the cause of symptoms and guide the right approach, whether that is medical management, a procedure, or simply reassurance and monitoring.

Common reasons patients seek care

Patients are commonly referred to urology & andrology for assessment of concerns that may include:

• Kidney or urinary tract pain, including loin pain or flank pain
• Known or suspected kidney stones
• Urinary stones causing pain or obstruction
• Blood in the urine (haematuria), visible or found on testing
• Burning or pain during urination (dysuria)
• Frequent urination or needing to pass urine urgently
• Difficulty passing urine or a weak urinary stream
• Urinary retention (inability to pass urine)
• Recurrent urinary tract infections
• Bladder symptoms such as incomplete emptying or incontinence
• Prostate-related urinary symptoms in men, such as a slow stream or getting up at night
• Erectile difficulties or concerns about sexual function
• Male sexual health concerns
• Male fertility concerns, including difficulty conceiving
• Testicular pain, swelling or a lump
• Scrotal swelling or discomfort
• Varicocele (swollen veins around the testicle)
• Male reproductive health concerns

Common conditions

The urology & andrology specialty commonly involves the assessment of conditions that may include:

• Kidney stones (renal calculi)
• Ureteric stones (stones in the tube between kidney and bladder)
• Bladder stones
• Urinary tract infections and recurrent UTIs
• Benign prostatic enlargement (BPH) and prostate-related urinary symptoms
• Urinary retention, acute and chronic
• Overactive bladder and urinary urgency
• Urinary incontinence
• Erectile dysfunction
• Male infertility and subfertility
• Varicocele
• Testicular conditions, including hydrocele and epididymal cysts
• Bladder conditions requiring assessment
• Urethral stricture (narrowing of the urine passage)
• Haematuria (blood in the urine) requiring investigation

Treatments and procedures

Treatment options depend on your individual condition. Depending on the diagnosis, your doctor may discuss approaches that can include:

• Assessment and medical management of urinary symptoms
• Medication for urinary tract infections, prostate symptoms and bladder conditions
• Minimally invasive stone treatment, depending on stone size and location
• Surgical treatment where the diagnosis calls for it
• Male fertility assessment and andrology evaluation
• Conservative management and lifestyle advice where appropriate
• Follow-up and monitoring of chronic urological conditions

Procedures

Depending on the diagnosis, procedures in urology & andrology may include:

• Common procedures within urology can include ureteroscopy (URS) for stone removal, percutaneous nephrolithotomy (PCNL) for larger kidney stones, and cystoscopy (examination of the bladder with a camera)
• Management of urinary obstruction, including stent placement
• Prostate procedures for benign enlargement, depending on the severity
• Varicocele surgery where indicated
• Male fertility evaluation, including semen analysis and hormonal assessment
• Andrology assessment for erectile difficulties and male sexual health
• Circumcision and other minor urological procedures

Diagnostic approaches

To reach a clear diagnosis, your doctor may use one or more of the following:

• Urine tests (urinalysis, culture and sensitivity)
• Blood tests including kidney function and PSA where indicated
• Ultrasound of the kidneys, bladder and urinary tract
• CT urogram or other imaging for stone disease
• Uroflowmetry (urine flow test) for prostate and bladder symptoms
• Cystoscopy for direct examination of the bladder
• Semen analysis as part of male fertility evaluation

When to seek specialist care

Patients may seek assessment for severe loin or abdominal pain, difficulty or pain passing urine, blood in the urine, urinary symptoms that do not settle, recurrent urinary infections, or male reproductive health concerns. Testicular pain or swelling, erectile difficulties and fertility concerns are also common reasons for consultation. Depending on the diagnosis, your doctor may recommend imaging or other tests before planning treatment.

What patients can expect

The urologist reviews your symptoms and test results, explains the likely cause, and discusses the options. Treatment choices depend on the type and severity of the problem and your general health. Where a procedure is recommended, the steps involved and what to expect during recovery are explained beforehand.

Booking a consultation

You can request an appointment with the Urology & Andrology team using the appointment form, or by calling the hospital on 0300 9687763. If you have previous imaging or reports, please bring them to your appointment.