Urology

Urology is a medical-surgical specialty that deals with the diagnosis and treatment of morphological renal diseases and diseases of urinary tract and retroperitoneum which affect both sexes, and the male genital tract diseases, without limit of age.

The urologic evaluation has become the best preventive method to rapidly detect prostate pathology in man. It is recomended to make an urological evaluation after the age of 45.

In Gynaecology Clinic Sants the urologist can approach from the point of view complete, medical and surgical, all anatomical ailments (organs, systems) and nosological (disease, syndrome, clinical signs and symptoms) and can respond to the patient problems, from a deep and thorough knowledge of the specialty.

1. What is vasectomy?

Vasectomy is the male sterilization method. It is a safe, simple and with no side effects. Also known as “tubal ligation”. A vasectomy is a surgery that involves cutting the vas deferens, which transport a sperm. Therefore, they can not leave the testes and can not get a woman pregnant.

2. What are the advantages of vasectomy?

It is a simple and painless operation.

It is a definite and permanent contraceptive method.

It is the safest method for man.

Your sexual relationship and ejaculations will remain the same.

It makes sexual relation more pleasant and enjoyable because there is no fear of pregnancy.

Is a decision in favour of the quality of life of the family.

It is economical.

3. How is a vasectomy performed?

Usually it is done in the surgery under local anaesthesia while awake. Or can be performed in ambulatory surgical centre.

A very small cut in the skin is made, usually without scalpel. Given that you have two testicles, and therefore two deferens should make two incisions: one for each vas deferens, then they are tied off and cut the vas deferens. You may feel some tugging and pulling. The wound is closed with stitches. No precise extract points after surgery and they fall in 7 to 10 days.

The patient can go home as soon as the procedure is finished and he can return to work the next day.

This surgery does not affect a man’s ability to achieve orgasm, ejaculate and achieve erections. The production of liquid (semen) in ejaculation continues normally, but without the presence of sperm.

4. How long does the procedure take?

It lasts about 40 minutes.

5. Is it painful?

Usually it is not painful and doesn’t have to hurt. Today anaesthetic means and methods allow us to eliminate pain in any operation

Anesthesia we choose to perform a vasectomy is local anaesthesia. The application of 2 cc of aesthetic is sufficient to achieve total elimination of pain, persisting only touch feeling.

6. How soon can I have sex after a vasectomy operation?

We recommend waiting 72 hours to have sex without forgetting that vasectomy is not operating as a contraceptive until we will find out by analysis of semen that the presence of sperm has gone completely. Consequently, you must maintain sexual relations using contraception method chosen by a couple.

7. Is there any chance to re-attach vas deferents if you want to have children in the future?

Yes it is possible; it is required to perform a recanalization procedure. Surgery consists of rejoin the cut ends through microsurgical techniques. Although the more time passes between vasectomy and recanalization there are less possibility.

1. What is frenulum?

The frenulum is a sheet of skin located on the underside of the penis that connects the glans – head of the penis with the foreskin, the hood of skin that covers it.

2. When do you have to operate it?

The presence of the frenulum can cause discomfort and pain during sex, usually to penetrate a vagina without proper lubrication. Moreover, in this case it is very common that the frenulum may break and started to bleed severely.

3. What are the advantages to operate frenulum?

The man will regain full stimulation of the glans, penis is stretched a few inches and therefore a full erection that will take the patient to a more pleasurable sex, which he couldn’t perform before the surgery.

It is also more hygienic, and once operated not risk that someday you will tear the frenulum.

4. How is it performed?

The surgery will be performed in Gynaecology Clinic Sants in a specialised operating room, and the technique used is simple because it simply consists in making a knife cut in the skin under local anesthesia with resorbable sutures (stitches fall alone).

5. How long does it take an operation?

It usually takes 10 minutes, depending on the circumstances

6. Is it painful?

It doesn’t have to hurt. The procedure is simple, with local anesthesia.

7. How soon can I have sex again?

You will have to wait for the skin to heal completely, so it is advisable to wait 15-20 days to initiate sex.

1. What is phimosis?

A man has phimosis when the skin covering the glans does not allow to find it out, so it makes sex and hygiene very difficult, making them even painful

2. When do you have to operate it?

In children phimosis have to be operated when does not let urinate properly because the skin closes urine pass. In elderly people operates when annoying to have sex or personal hygiene, because you can not find the glans or it is very difficult to find it. In older people may narrow the foreskin much so that also prevents them from urinating properly.

3. How is it performed?

This is an operation that is performed on an outpatient basis, i.e. not require hospital admission as standard.

It is performed under local anesthesia, which is placed on the skin of the penis.

4. How long does it take an intervention?

Normally it takes 30-45 minutes, depending on your circumstances.

Do not worry about that, because each patient represents a particular situation.

5. Does it hurt after?

The post-operative period is not painful, but it is annoying so the doctor will prescribe you pain-edicine. It is possible that for a few days rubbing with clothing bothers you, to avoid that cover the wound with gauze. The pain usually disappears in 3-4 days.

6. How soon can I have sex again?

You will have to wait for the skin to heal completely, so it is advisable to wait 25-30 days to initiate sex.

In Gynaecology Clinic Sants we offer special prices for urologist visit from 50 euros.

The price of surgical interventions include the first visit, the surgical intervention, the semen (sperm count for vasectomy surgery) and postoperative consultation.

1. Frenulum: 340Euros
2. Vasectomy: 400 Euros
3. Phymosis: 500 Euros

For others offers check OUR PRICES in the sections of our web or if you have any doubt call us the clinic 24 hours a day on the phone 93 339 01 36 and E-mail: info@cgsants.es