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Urology Services Manchester

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Urinary problems

  • Please find information below on some common urinary problems and how they are managed.

    Management of Urinary Symptoms in the Male
    (Benign Prostate Disease)

    Benign enlargement of the prostate is common as you get older. A full assessment of your symptoms will take place along with an examination that will include one of your prostate. You will have urine and blood tests and will be required to complete a symptom questionnaire. With this information we can decide whether you require treatment and which type of treatment you need, either simple advice, medicines or surgery. Standard surgery is offered as well as access to modern technology such as green light (KTP) laser.

    Read more about Benign Prostate Disease
  • Management of Overactive Bladder

    This can mean passing urine frequently and urgently. However there are lots of diseases that can cause this. A full assessment and examination is needed to ensure there is no serious cause. This can involve urine tests, urine flow tests, blood tests and x-rays. In most circumstances your symptoms can be dealt with by making lifestyle changes or taking medication that relaxes your bladder. If this does not work then further tests may be required to characterise the cause of your problem. This may include a bladder examination or special physiological tests called urodynamics. If you do have an 'overactive bladder' or 'unstable' bladder and treatment so far has not helped then new therapies such as Clostridium Botulimum injections may be beneficial. This can be discussed with you.

    Read more about management of overactive bladder
  • Management of Urinary Tract Infections

    Infections in the urine can occur for many reasons. You will require a full assessment/examination along with urine and blood tests. For women urine infections are commoner than in men. In women, on most occasions these will resolve with antibiotics but if they return this can be troublesome and should require a specialist opinion. We can provide this to ensure that any treatable cause is identified. In men, urine infections require much earlier investigations as it is not common for them to happen. Men will need x-rays, blood tests, and a bladder examination.
    Read more about management of Urinary Tract Infections
  • Management of Stress Incontinence

    This condition can be distressing. You will need a full assessment and examination for this. In most cases your GP may already have suggested pelvic floor exercises. We can ensure these are done correctly. If they have not helped then we would suggest tests to ensure your bladder is functioning adequately and that there is no other urinary problem. This would involve urodynamic tests (physiological tests). Once these are done and the correct diagnosis of stress incontinence is made then treatment can be offered. This may involve surgery in the form of trans-vaginal tapes, trans-obturator tapes or fascial sling procedures. These options will be discussed with you.
    Read more about management of stress incontinence
  • Haematuria

    This is blood in the urine and it may be visible by eye or only in a urine test. Up to 25 out of every 100 patients may have a significant cause for this, for example prostate disease, bladder cancer, infection, urinary tract stones and renal (kidney) cancer. A consultation with an examination is undertaken, after which the investigations needed to hopefully exclude any problem will be discussed and requested. These may include Blood tests, Urinary tract scans (Ultrasound), Urinary tract X-rays (plain and dye tests (IVU)), a local anaesthetic bladder examination (cystoscopy), Urine tests (for infection and abnormal cells) and sometimes a CT scan. NMP22 can also be used to aid diagnosis. If any cause is found then the appropriate treatment is discussed. Access is available to regional and national experts depending on your diagnosis.

    Read more about haematuria

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