Urology in Budapest, District 13
English-Speaking Specialist

What Does Urology Cover?

Urology diagnoses and treats conditions affecting the kidneys, urinary tract and bladder in both women and men. In men, it also covers conditions affecting the prostate and male reproductive organs.

Common symptoms and Concerns

• Pain or a burning sensation when urinating

• Frequent or urgent need to urinate

• Recurrent bladder or urinary tract infections

• Blood in the urine

• Difficulty controlling urination

• A feeling that the bladder has not emptied completely

• Weak urine stream

• Difficulty starting urination

• Needing to urinate at night

• Lower abdominal, pelvic or perineal pain

• Pelvic pain syndrome or pelvic floor muscle spasms

• Prostate problems

• Pain around the kidneys or suspected kidney stones

• Testicular pain or swelling

• A lump or other change in the scrotum

• Erectile dysfunction or other male sexual health concerns.

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Prostate Problems, Prostatitis and Urinary Symptoms

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

During the consultation, you can discuss prostate concerns, urinary difficulties, prostate health checks, PSA testing and any questions you have about your urological health. Depending on your symptoms, the assessment may include a physical examination, laboratory tests or an ultrasound scan.

Symptoms and Concerns

• Needing to strain or use your abdominal muscles to urinate

• An urgent need to urinate

• Frequent urination

• Needing to urinate at night

• A weak urine stream

• Difficulty starting urination

• An abnormal PSA test result

• Lower abdominal or perineal discomfort

• Recurrent discomfort in the prostate area.

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Urinary Tract Infections, Cystitis and Urological Concerns in Women

Urologists also see women. Recurrent cystitis, painful urination, blood in the urine, incontinence and overactive bladder can all affect women.

At Visegrádi40, women can see a urologist for urinary tract infections, cystitis, difficulty controlling urination or an urgent need to urinate. If needed, the assessment may include a urine test, urine culture, blood tests or an ultrasound scan.

Symptoms and Conditions

• Cystitis (bladder inflammation)

• Recurrent urinary tract infections

• A frequent need to urinate

• Pain or a burning sensation when urinating

• Lower abdominal pain

• Blood in the urine

• Elevated inflammatory markers in blood test results

• Difficulty controlling urination or urinary incontinence

• Overactive bladder (OAB).

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Chronic Pelvic Pain Syndrome and Pelvic Floor Muscle Spasms

Chronic pelvic pain syndrome (CPPS) can affect both women and men. Pain or an uncomfortable feeling of pressure may occur in the lower abdomen, pelvis, perineum or around the rectum. It may also be accompanied by urinary, bowel or sexual symptoms.

In some cases, increased tension or spasms in the pelvic floor muscles may contribute to these symptoms. When the levator ani muscle is involved, the condition may be called levator ani syndrome. Related terms include pelvic floor muscle pain, pelvic floor myalgia and myofascial pelvic pain.

A urological assessment may be helpful if you experience:

• Persistent or recurrent pain in the lower abdomen, pelvis or perineum

• Pressure around the rectum or pain that worsens when sitting

• A frequent or urgent need to urinate

• Pain or a burning sensation when urinating, especially if urine cultures have repeatedly been negative

• A feeling that your bladder has not emptied completely

• Pain during sex or painful ejaculation

• Recurrent symptoms resembling cystitis or prostatitis.

Similar symptoms can have urological, gynaecological, colorectal or musculoskeletal causes. The purpose of the assessment is to investigate whether an infection, urinary tract condition, prostate concern, bladder pain or increased pelvic floor muscle tension may be contributing to your symptoms.

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Overactive Bladder (OAB)

Overactive bladder can cause a sudden, strong urge to urinate that is difficult to control. It may also cause frequent urination, needing to urinate at 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 should be investigated, even if it occurs without pain. Possible causes include a urinary tract infection, urinary stones, inflammation or another urological condition, including cancer. If you notice blood in your urine, a urological assessment is recommended.

A urological assessment may also be appropriate if a bladder stone, kidney stone, kidney inflammation or kidney tumour is suspected, or if you have pain around the kidneys. Severe cramping pain, fever, feeling very unwell or being unable to urinate may require urgent medical care.

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Testicular Concerns, Hydrocele, Varicocele and Testicular Ultrasound

A urological assessment is recommended if you have testicular pain, swelling, a lump or other change in the scrotum, or recurrent testicular symptoms. The consultation can include assessment for inflammation of the testicle or epididymis, hydrocele, varicocele and epididymal cysts.

A hydrocele is a build-up of fluid around a testicle that can cause swelling of the scrotum.

If needed, the assessment may include a testicular ultrasound scan performed by the urologist.

Conditions Assessed

• Inflammation of the testicle (orchitis)

• Inflammation of the epididymis (epididymitis)

• Hydrocele

• Varicocele

• Epididymal cyst.

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Conditions Affecting the Penis

You can also see a urologist about concerns affecting the penis, including:

• A tight foreskin (phimosis)

• A short penile frenulum (frenulum breve)

• Peyronie’s disease

• Inflammatory conditions affecting the penis.

Peyronie’s disease involves scar tissue forming in the fibrous tissue of the penis. It can cause pain during erections, a noticeable curvature and, in more severe cases, difficulties with sexual activity or erections.

It can feel uncomfortable to talk about these symptoms. A urological assessment can help identify the cause and determine an appropriate treatment plan.

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Laboratory Tests That May Be Considered

• Urinalysis, including urine sediment examination

• Urine culture

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

• Kidney function tests

• Inflammatory markers

• Male hormone tests

• PCR tests for sexually transmitted infections (STIs)

• Semen culture.

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What Happens During Your First Urology Consultation?

The urologist will ask about your symptoms, medical history, medications and any test results you already have. Depending on your symptoms, the next steps may include a physical examination, laboratory tests, an ultrasound scan or further diagnostic tests.

The consultation takes place in a private setting. Its purpose is to identify the possible cause of your symptoms, decide which tests are needed and discuss a treatment or follow-up plan.

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How to Prepare for Your Urology Appointment

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 comfortably 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.