Minor urology

A number of diseases of the genitourinary system are ranked in the field of minor urology. Within the framework of this urological direction, they are engaged in the treatment of diseases such as:

  • Hydrocele, also called dropsy of the membranes of the testicles. With this pathology, fluid accumulates between the testicular membranes, and the blood supply to the tissues surrounding the testicle is disrupted.
  • Varicocele is an enlargement of the veins of the spermatic cord. It can interfere with the normal blood supply to the testicles and their function - primarily spermatogenesis. Usually in men, the left side is affected, and right-sided and bilateral varicocele is much less common.
  • Phimosis is a narrowing of the foreskin, which makes it impossible to expose the glans penis.
  • Paraphimosis is a pathological condition characterized by clamping of the head of the penis by the foreskin displaced back. If it develops, the patient needs emergency medical attention.
  • Cyst of the epididymis. It is a volumetric formation, which is an accumulation of liquid, sharpened in a dense capsule or shell next to the testicle, its appendage or as part of the spermatic cord.
  • Urethral polyps are benign formations that occur on the mucous membrane of the urinary tract. As they grow, they can block the urethra.

Many other diseases are also referred to as minor urology. They can cause the patient a lot of problems and lead to consequences of varying severity.

Symptoms of urological diseases

In the case of a disease related to the field of minor urology, the patient may experience the following symptoms:

  • soreness in the genital area (in the case of some diseases, this symptom may be absent - for example, with dropsy of the testicle);
  • discomfort, aching sensations in the groin that men experience when urinating, walking, physical activity, sexual arousal and / or sexual intercourse;
  • burning, pain in the scrotum, lower abdomen;
  • increased urination;
  • the presence of blood impurities in semen, urine;
  • problems with ejaculation - uncontrolled, late or premature ejaculation.

With some diseases, for a long time, the patient may not be bothered by any alarming symptoms. Nevertheless, it is still necessary to pay attention to external changes in the external genital organs and the groin area.

Diagnosis of diseases

To establish the correct diagnosis, the doctor listens to the patient's complaints, makes his external examination and prescribes additional studies:

  • urological examination;
  • digital rectal examination;
  • instrumental examination performed using a urethroscope (ureteroscopy);
  • tests - blood, urine, for the presence of genital infections;
  • taking a smear from the urethra, followed by bacteriological culture;
  • scraping from the genitourinary tract and its study using PCR - a high-precision method of laboratory diagnostics;
  • semen analysis - semen analysis.

Hardware diagnostics is of great importance in determining urological diseases. Computed and magnetic resonance imaging (CT and MRI), ultrasound (scrotum, pelvic organs, kidneys) are often used.

Treatment methods used in the field of minor urology

The selection of treatment methods largely depends on the disease identified in the patient and the characteristics of its course. The patient can be prescribed a course of drug therapy, which consists in the use of different groups of drugs. In some cases, they may be sufficient. In addition to medication, you may need the help of a surgeon. Often, it is surgery that is most effective, as, for example, in the case of varicocele or varicocele. If the veins are dilated, then conservative treatment is not able to give the desired result.

Cysts of the epididymis, urethral polyps and other formations must be removed. In this case, the integrity of the education is not violated, but it is removed entirely. With phimosis, if indicated, an operation is performed - circumcision. It consists in reducing the foreskin. With a hydrocele, during the operation, the contents of the dropsy are emptied and the testicular membrane is plastic.

There are many other types of operations that are carried out according to indications. Surgical treatment is usually combined with conservative (drug) treatment.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist