Urological Assessment & Treatment
Diagnosis & Treatment of Urological Conditions
Patients receive a comprehensive evaluation and treatment for conditions of the urinary tract and male reproductive health. The diagnostic approach is tailored to each patient's symptoms and history, with the goal of selecting the most appropriate treatment strategy.
The Diagnostic Approach
Assessment of a urological problem always begins with a detailed history and clinical examination. Depending on the symptoms and findings, further laboratory or imaging tests may be required. The choice of each test is individualised — not every available test is performed on every patient.
Diagnostic Tests Performed in the Clinic
Depending on the urological problem and the findings of the clinical assessment, additional diagnostic tests may be recommended to provide more detailed information about the anatomy and function of the urinary tract.
Urinary Tract Ultrasound
Ultrasound may be used to assess the kidneys, urinary bladder, prostate and, when clinically indicated, the scrotum and testes.
Uroflowmetry
Uroflowmetry is a simple, non-invasive test that records the urinary flow during voiding. It can provide useful information about lower urinary tract function and is commonly used in the assessment of symptoms such as a weak urinary stream, difficulty initiating urination or a sensation of incomplete bladder emptying.
Post-Void Residual Urine Measurement
After urination, ultrasound may be used to measure the amount of urine remaining in the bladder when assessment of bladder emptying is clinically indicated.
Flexible Cystoscopy
Flexible cystoscopy allows direct visual examination of the urethra and the inside of the urinary bladder using a thin flexible endoscope. Depending on the indication, it may be used in the assessment of haematuria, recurrent urinary tract infections, urethral strictures, lower urinary tract symptoms or for surveillance of selected bladder conditions.
Comprehensive Urological Checkup
Depending on the case, a urological checkup may include:
- Urinalysis and urine culture
- PSA and other laboratory tests
- Kidney function
- Urinary tract ultrasound
- Uroflowmetry
- Post-void residual urine measurement
- Flexible cystoscopy
- Scrotal ultrasound
- CT or MRI when clinically indicated
- Prostate biopsy when considered necessary
When You Need a Urological Assessment
A urological assessment can be useful when symptoms such as the following are present:
- Weak urinary stream — often related to Benign Prostatic Hyperplasia (BPH)
- A sensation of incomplete bladder emptying, particularly alongside Benign Prostatic Hyperplasia
- Haematuria, which can be investigated through flexible cystoscopy
- Recurrent urinary tract infections, such as cystitis
- An elevated PSA, which may require further investigation for prostate cancer