Urology and Andrology in Budapest, District 13
German- and English-Speaking Specialist

When should you see a urologist?

A urological examination may be recommended for symptoms such as frequent or painful urination, blood in the urine, recurrent urinary tract infections, flank or kidney-area pain, prostate problems, testicular pain or swelling, as well as concerns related to male hormones or fertility.

Common symptoms

• burning or painful urination

• frequent or urgent need to urinate

• blood in the urine

• recurrent cystitis

• urinary incontinence

• weak urine stream

• difficulty starting urination

• frequent urination at night

• prostate-related symptoms

• flank pain or suspected kidney stones

• testicular pain or swelling

• a lump or other abnormality in the scrotum

• erectile dysfunction or premature ejaculation

• concerns related to male fertility.

 

Prostate Problems, Prostatitis and Urinary Symptoms

Benign prostate conditions often cause urinary symptoms. These may include benign prostatic hyperplasia (BPH), acute or chronic prostatitis, and lower urinary tract symptoms (LUTS).

During the consultation, prostate symptoms, urinary problems, prostate screening, PSA testing and other urological concerns can be discussed. Depending on the symptoms, the diagnostic assessment may include a physical examination, laboratory tests and ultrasound.

Symptoms may include

• frequent urination

• frequent urination at night

• weak urine stream

• difficulty starting urination

• sudden or urgent need to urinate

• elevated or abnormal PSA levels

• discomfort in the lower abdomen or perineal area

• recurrent prostate-related symptoms.

 

Urinary Tract Infections, Cystitis and Female Urological Problems

Urology is not only for men. Recurrent cystitis, painful urination, blood in the urine, urinary incontinence and overactive bladder are also common urological problems in women.

At the Visegrádi40 Urology Clinic, female patients can also undergo urological assessment for urinary tract infections, cystitis, urinary incontinence or urinary urgency. When necessary, the diagnostic work-up may include urinalysis, urine culture, laboratory tests and ultrasound.

Common symptoms and conditions

• cystitis

• recurrent urinary tract infections

• frequent need to urinate

• burning or painful urination

• lower abdominal pain

• blood in the urine

• elevated inflammatory markers in laboratory tests

• urinary incontinence

• overactive bladder (OAB).

 

Blood in the Urine, Bladder Stones, Kidney Stones and Flank Pain

Blood in the urine requires medical evaluation even when it occurs without pain. Possible causes include urinary tract infections, urinary stones, inflammatory conditions or other urological disorders. For this reason, a urological examination is recommended whenever blood is detected in the urine.

Urological assessment is also available for suspected bladder stones, kidney stones, inflammatory kidney conditions, flank or kidney-area pain, and suspected kidney tumours.

Severe cramping pain, fever, a significantly unwell general condition or inability to urinate may require urgent medical care.

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Testicular Problems and Testicular Ultrasound

A urological examination is recommended in cases of testicular pain, swelling, a palpable lump or abnormality in the scrotum, or recurrent testicular symptoms. Conditions such as inflammation of the testis or epididymis, hydrocele, varicocele and epididymal cysts can also be assessed during the consultation.

When necessary, the diagnostic assessment may include a testicular ultrasound examination performed by Dr Tamás Fél himself.

Conditions include

• inflammation of the testis (orchitis)

• inflammation of the epididymis (epididymitis)

• hydrocele

• varicocele

• epididymal cysts.

 

Penile Conditions

Patients with symptoms affecting the penis can also seek urological assessment at our clinic. These may include phimosis (tight foreskin), a short frenulum (frenulum breve) and inflammatory conditions of the penis.

Although these symptoms can be uncomfortable or embarrassing for patients, timely urological assessment can help identify the underlying cause and determine the appropriate treatment.

 

Andrology Consultation and Men’s Health

Andrology is a specialised field of men’s health. It includes the assessment of male hormonal disorders, fertility problems, erectile dysfunction and premature ejaculation.

Dr Tamás Fél also provides specialist andrology consultations. During the consultation, semen analysis results can be reviewed, male hormonal abnormalities assessed, and questions concerning male infertility discussed.

As the investigation of male infertility may require specific laboratory tests, we recommend checking the availability of specialised andrology testing in advance.

 

Urological Ultrasound and Laboratory Diagnostics

At Visegrádi40 Private Clinic, urological assessment can be supported by laboratory tests and ultrasound examinations when required. Dr Tamás Fél performs ultrasound examinations of the testicles, kidneys, prostate and bladder and holds professional accreditation in ultrasonography.

Laboratory diagnostics can be useful in the assessment of a wide range of urological conditions, including prostate problems, urinary tract infections, kidney function abnormalities, inflammatory conditions, suspected sexually transmitted infections and andrological concerns.

Laboratory tests that may be recommended

• complete urinalysis and urine sediment examination

• urine culture

• PSA, free PSA and PHI (Prostate Health Index)

• kidney function tests

• inflammatory markers

• male hormone tests

• STD PCR tests

• semen culture and specialised andrology laboratory tests, subject to availability.

 

What Happens During Your First Urology Consultation?

During your first urology consultation, the doctor will review your symptoms, previous medical conditions, current medications and any existing medical reports or test results.

Depending on your symptoms, the consultation may include a physical examination, laboratory testing, ultrasound examination or recommendations for further diagnostic tests.

The examination is carried out in a private and discreet environment. The aim is to identify the possible cause of your symptoms, determine which examinations may be required and discuss the appropriate treatment or follow-up plan.

 

How to Prepare for a Urological Examination

Please bring any previous urology reports, laboratory results, urine test results and ultrasound reports, as well as a list of any medications you take regularly.

If you have prostate-related symptoms, previous PSA results may be helpful. For urinary tract symptoms, please also bring any previous urinalysis or urine culture results if available.

If you are attending for an examination of the abdomen, pelvis, urinary tract, bladder or prostate, please arrive with a moderately full bladder.

Your bladder does not need to be uncomfortably full. Ideally, you should feel a mild urge to urinate while still being able to wait comfortably. A moderately full bladder helps provide a clearer ultrasound assessment of the bladder, urinary tract, lower abdomen, pelvis and prostate.

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We recommend drinking approximately 300–500 ml of water about one hour before your appointment and, if possible, avoiding urination immediately before the examination.