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In this section you will find the specialties and treatments that I can help you with.

Urinary tract problems

Kidney stones of the urinary tract and bladder +

Stones are hard deposits made of minerals and salts that form inside the kidneys. They have many causes and can affect any part of the urinary tract, from the kidneys to the bladder.

Symptoms:
  • Pain in the back, belly or sides
  • Pain or burning when urinating
  • Urgent need to urinate
  • Blood in the urine
  • Cloudy or odorous urine
  • Urinate small amounts
  • Nausea and vomiting
  • Fever and chills

Benign prostatic hyperplasia +

Also called an enlarged prostate gland, it's a common condition as men age. Enlargement of the prostate gland can cause bothersome urinary symptoms, such as blocking urine flow from the bladder. It can also cause bladder, urinary tract or kidney problems.

Symptoms:
  • Urgent need to urinate
  • Increased frequency of urine at night
  • Difficulty starting to urinate
  • Weak or stop-and-start urine flow
  • Dripping after urinating
  • Impossibility to empty the bladder completely

Prostatitis +

It is usually caused by a bacterial infection of the prostate gland. Any bacteria that can cause a urinary tract infection can lead to acute bacterial prostatitis.

Symptoms:
  • Pain or burning when urinating
  • Increased frequency of urine at night
  • Difficulty starting to urinate
  • Weak or stop-and-start urine flow
  • Urgent need to urinate
  • Blood in the urine
  • Cloudy or odorous urine
  • Pain in the abdomen, groin or lower back
  • Pain in the perineum, between the scrotum and rectum
  • Pain or discomfort in the penis or testicles
  • Painful ejaculation
  • In bacterial prostatitis, flu-likes symptoms

Balanitis +

Balanitis is inflammation of the head of the penis (the glans) due to different factors, including bacteria, viruses, allergens and the most common: a fungus called candida.

Symptoms:
  • Red spots, swelling and itching
  • Pain or burning when urinating
  • Fluid buildup under the foreskin
  • Inability to retract foreskin

Phimosis +

Phimosis is a narrowness of the skin that surrounds the glans of the penis making it difficult to see the foreskin. This anomaly is very common in newborns, in fact, most children are born with phymosis, also called balano-prepucial adhesions.

Symptoms:
  • Inability to retract foreskin
  • Pain or burning when urinating
  • Fluid buildup under the foreskin
  • Recurrent infections

Varicocele +

Scrotum is the enlargement of the veins within the loose skin that supports the testicles (scrotum). Varicoceles are a common cause of low sperm production and quality, which can lead to infertility. Varicocele often produces no signs or symptom.

Rarely, there is pain that can:
  • Vary between acute pain and mild discomfort
  • Increase when standing or making physical exertions, especially for long periods of time
  • Getting worse over the course of the day
  • Decrease when you lie on your back
  • Altering fertility

Urinary tract infection +

Infection that occurs anywhere in the urinary tract: the kidneys, ureters, bladder and urethra. Most infections occur in the lower urinary tract (bladder and urethra).

Symptoms:
  • Pain or burning when urinating
  • Increased frequency of urine at night
  • Cloudy or odorous urine
  • Impossibility to empty the bladder completely
  • Pelvic pain

Interstitial cystitis (painful bladder syndrome) +

Interstitial cystitis is a chronic condition that causes bladder pressure, bladder pain and sometimes pelvic pain. You can feel everything from mild discomfort to severe pain. When you have interstitial cystitis, the walls of your bladder become irritated and inflamed compared to those of a normal bladder. This is especially common in women and often goes overlooked or minimized by family doctors or even gynecologists.

Symptoms:
  • In women: pain in the pelvis or between the vagina and the anus
  • Chronic pelvic pain
  • Frequent and/or urgent need to urinate
  • Pain or discomfort while filling the bladder and relief after urination
  • Pain during sex

Urinary incontinence +

Intensity ranges from occasionally losing urine when coughing or sneezing to having a need to urinate so sudden and loud that you don't get to the bathroom in time.

Symptoms:
  • Involuntary urine loss
  • Frequent and/or urgent need to urinate
  • Occasional or constant urine drip

Cancers

Prostate cancer +

One of the most common types of cancer in men. Prostate cancer usually grows slowly and is initially limited to the prostate gland, where it may not cause serious damage. However, while some types of prostate cancer grow slowly and may need minimal treatment or even no treatment, other types are aggressive and can spread quickly.

IMPORTANT: Remember that all men should have a prostate exam from 45 years and older 1 time a year to prevent it. If you don't have or have symptoms, it doesn't mean you don't have prostate cancer.

Kidney cancer +

Kidney cancer forms in the membrane that coats the tiny tubes inside the kidneys. This cancer becomes more common as we age. Risk factors include smoking, some genetic diseases, and long-term misuse of painkillers.

Symptoms:
  • Blood in the urine
  • Pain on one side of the lower back
  • A mass or lump in the lower side or back
  • Tiredness
  • Loss of appetite
  • Weight loss without dieting
  • Anemia

Testicular cancer +

Testicular cancer occurs in the testicles. Testicular cancer is treatable, even when it has spread beyond the testicle. Depending on the type and stage of testicular cancer, you may receive one or a combination of treatments.

Symptoms:
  • Bulking or enlargement in any of the testicles
  • Feeling heavy in the scrotum
  • Sudden buildup of fluid in the scrotum
  • Pain or discomfort in a testicle or scrotum

Bladder cancer +

Bladder cancer is directly related to smoking and originates when the cells that make up the urinary bladder begin to grow uncontrolled. As more cancer cells develop, they can form a tumor and over time spread to other areas of the body.

Symptoms:
  • Blood in the urine
  • Back pain
  • Frequent need to urinate
  • Pain when urinating

Sexuality

Erectile dysfunction +

Erectile dysfunction (impotence) is the inability to get an erection or maintain it firmly enough to have a sexual relationship.

Premature ejaculation +

It occurs when a man ejaculates earlier than desired, either by him or by his partner, by having sex. Premature ejaculation is a common sexual problem. Calculations vary, but 1 in 3 men say they experience this problem sometime.

Curved penis +

It is called a curved penis in which the curvature is pronounced. Typically, that abnormal curvature of the penis is congenital.

Sexually transmitted diseases +

Infections that spread from person to person usually during vaginal, anal or oral sex.

Human papillomavirus +

Human papillomavirus (HPV) is a group of related viruses. They can cause warts in different parts of the body. There are more than 200 types. About 40 of them affect the genitals. These are spread through sexual contact with an infected person. They can also spread through other intimate skin-to-skin contact. In extreme cases it can cause penile cancer. HPV may not cause symptoms right away, but they may appear years late.

There is currently a HPV vaccine that can be applied in the office.

And warts are treatable by different means such as heat, hydrogen and ointments.

Common symptoms of some types of HPV are warts, especially genital warts.

Urethritis (urethral secretion) +

Urethritis is a urinary tract infection that affects the urethra and can produce both bacteria (the most common being, Clamidia trachomatis and Neisseria gonorrhoeae) and viruses (herpes simplex and cytomegalovirus), causing inflammation and irritation of the urethral duct.

Male infertility (badly called sterility) +

Male infertility (badly called sterility)

Procedures

Surgery of kidney stones, ureter and bladder +

It is done through the urethra until it reaches the site where the liths (stones) are located which are fragmented by laser, and in this way extracting them completely.

Prostate surgery +

It is done by endoscopy through the penis either by extracting fragments or vaporizing prostate tissue with laser. Surgery for prostate cancer is also performed.

Renal surgery for laparoscopy +

Procedure that can be performed through small incisions and in this way remove a sick kidney.

Circumcision +

It is a surgical operation that involves cutting off a part or all of the foreskin of the human penis.

Testicular surgery +

Testicular surgery.

HPV warts treatment +

HPV warts treatment.

Vasectomy +

It consists of a small operation that is performed without scalpel, under local anesthesia, punctuating the skin of the scrotal pooch above where the testicles are located, through which the deferential ducts are located, ligated and cut, where sperm pass.

Vasovasostomy (Vasectomy Reversal) +

Vasectomy reversal is a reversal where each tube (deferential duct) that transports sperm from a testicle to semen is reconnected. After a successful vasectomy reversal, your semen contains sperm and your partner may become pregnant.

Pediatric urology

Cryptorchidism (undescended testicle) +

Cryptorchidism is a pathology that occurs when there is no descent of the testicle into the scrotum. When it occurs only in a testicle we talk about unilateral cryptorchidism, while when it occurs in both testicles, it is called bilateral cryptorchidism.

Enuresis (wet the bed) +

Urinary enuresis or incontinence involves repeatedly issuing urine inadvertently during the day or in bed at night.

  • Primary enuresis: a child who has never had bladder control at night and has always urinated in bed.
  • Secondary enuresis: a child who had bladder control at night for a period of at least 6 months but who lost it and now urinates in bed again.

Retractile testicle +

A retractile testicle is a testicle that can move back and forth between the scrotum and groin. When the retractable testicle is in the groin, it can be easily guided during a physical examination with your hand to its proper position in the scrotum, the bag of skin that hangs behind the penis.

Phimosis +

Phimosis is a narrowness of the skin that surrounds the glans making it difficult to see the foreskin. This anomaly is very common in newborns, in fact, most children are born with phymosis, also called balano-prepucial adhesions.

Can it be cured?
Correct? Treat?

This will depend on whether you're treating yourself preemptively or when the problem is already very advanced, this is evaluated in consultation and with clinical tests to give you the solution you need.

What's the cost?

To determine the patient's operating price, the patient must first be evaluated by the specialist to know their health condition. If you want to know the price of a certain procedure request an appointment so that it can provide you with personalized information and know the details of the surgery.

Remember that your health is first