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

What Does Urology Cover?

Urology is the medical specialty concerned with the diagnosis and treatment of conditions affecting the kidneys, urinary tract and bladder, as well as the male reproductive organs and prostate.

Common symptoms

• pain or a burning sensation when urinating

• frequent or urgent need to urinate

• blood in the urine

• recurrent cystitis (bladder infections)

• urinary incontinence or difficulty controlling urination

• weak urine stream

• difficulty starting urination

• urination during the night

• prostate-related symptoms

• pain in the kidney area or suspected kidney stones

• testicular pain or swelling

• a palpable lump or abnormality in the scrotum

• erectile dysfunction or premature ejaculation

• questions or concerns relating to male fertility.

 

Prostate Problems, Prostatitis and Urinary Symptoms

Benign prostate conditions often present with urinary symptoms. These may be associated with 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

• straining or the need to use abdominal pressure when urinating

• urgent need to urinate

• frequent urination

• frequent urination at night (nocturia)

• weak urine stream

• difficulty starting urination

• abnormal PSA results

• discomfort in the lower abdomen or perineal area

• recurrent prostate-related symptoms

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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).

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Overactive Bladder (OAB)

Overactive bladder (OAB) can cause a sudden, strong and difficult-to-control urge to urinate, frequent urination, urination during the night and, in some cases, involuntary urine leakage.

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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 stone disease, inflammatory conditions or other urological abnormalities, including malignant disease. 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, feeling very unwell or inability to urinate may require urgent medical care.

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Testicular Problems (Hydrocele/Varicocele) 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.

A hydrocele is an accumulation of fluid around the testicle, which may cause swelling of the scrotum.

When necessary, the diagnostic assessment may include a testicular ultrasound examination performed by the urologist.

Conditions include

• inflammation of the testis (orchitis)

• inflammation of the epididymis (epididymitis)

• hydrocele

• varicocele

• epididymal cysts.

 

Penile Conditions

Patients with symptoms or conditions affecting the penis can also seek urological assessment at our clinic. These may include:

• phimosis (tight foreskin),

• a short frenulum (frenulum breve),

• Peyronie’s disease (induratio penis plastica), an acquired condition in which hard, fibrous scar tissue or plaques develop in the tunica albuginea, the fibrous layer surrounding the erectile tissue of the penis. This may cause pain during erection, characteristic curvature of the penis and, in more severe cases, difficulty with sexual intercourse or erectile dysfunction,

• inflammatory conditions affecting 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, among other areas:

• male hormonal disorders,

• male fertility problems,

• erectile dysfunction,

• ejaculatory disorders, including premature ejaculation,

• reduced sexual desire,

• the assessment of Peyronie’s disease.

During an andrology consultation, semen analysis results can be reviewed, male hormonal abnormalities assessed and questions concerning male infertility discussed. Based on the patient’s medical history and examination findings, the andrologist determines which additional laboratory tests or other investigations may be required.

The assessment of male fertility problems may, when indicated, include laboratory tests, hormone testing, semen analysis and other targeted investigations in addition to the andrological examination. Further investigations are determined by the andrologist based on the results. If assisted reproductive treatment becomes necessary, referral to a reproductive medicine centre may be recommended.

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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 or specialised andrology laboratory tests, subject to availability.

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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.

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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.