Urologist in Belgrade

When to see a urologist

A urologist deals with the kidneys, bladder and urinary tract in men and women, as well as the male reproductive organs, including the prostate. Many urological complaints develop gradually, so people often put them down to age or stress for a long time, although they can usually be checked quite simply. A consultation is worthwhile if you notice:

• frequent, painful or difficult urination, or burning when you pass urine
• waking at night to urinate, a weak stream or a feeling that the bladder has not emptied completely
• leaking urine when you cough, laugh or exert yourself, or a sudden, strong urge to urinate
• blood in the urine, even if it appeared only once and without pain
• pain in the flank that spreads towards the groin
• genital warts (condylomas), or swelling or pain in the scrotum
• difficulty conceiving, when the male factor also needs to be assessed

A urologist is not a doctor for men only. Women most often come because of recurrent urinary infections, urinary leakage and kidney stones. Men are usually advised to have a preventive prostate check from the age of fifty, and earlier if someone in the family has had prostate cancer. Before your consultation you can complete the prostate symptom test (IPSS) and bring the result with you.

What a urology consultation at Miren Medic is like

The consultation is carried out by Dr Aleksandar Lazić, specialist in urology. It begins with a conversation about your symptoms: how long they have lasted, how often you urinate during the day and at night, whether you have had infections or stones before, what medication you take and whether there is prostate or kidney disease in your family. A clinical examination follows, tailored to the reason you came.

Where needed, the consultation is complemented by a urological ultrasound, which assesses the kidneys, the bladder and, in men, the prostate. The consultation and the ultrasound can be done in the same appointment. The urologist may also recommend tests, for example a urine analysis and urine culture, a PSA blood test or, for male infertility, a semen analysis.

Based on the findings, the urologist explains what is causing your symptoms and proposes a plan for treatment or follow-up. For urinary disorders the plan may include medication, pelvic floor exercises and changes in habits and, as one of the options, MAGREX magnetic therapy, depending on the cause. Genital wart removal is also carried out at the polyclinic.

Conditions a urologist treats

• Enlarged prostate and difficult urination
• Acute and recurrent urinary infections
• Stones in the kidneys and urinary tract
• Urinary leakage and overactive bladder
• Genital warts and other changes on the genitals
• Male infertility

Preparing for your consultation and follow-up care

Bring your previous results: urine and blood tests, earlier ultrasound reports, discharge letters and reports from other doctors, as well as a list of the medication you take. If you have had PSA tests before, bring the older values too, because the urologist needs to see how the result changes over time.

For an ultrasound of the bladder and prostate the bladder should be full. So drink some water before your appointment and do not urinate just before the examination, and check the exact instructions when you book. If a PSA test is planned, avoid cycling and ejaculation for two days before the blood sample, as they can raise the value temporarily.

It also helps to note for a few days before the consultation how often you urinate and how much you drink. A bladder diary like this often tells the urologist more than a description from memory.

Many urological conditions, such as an enlarged prostate or a tendency to form stones, need longer treatment that is followed through check-ups, at which the urologist reviews your symptoms and results and adjusts the therapy if needed. With kidney stones you also receive advice on fluid intake and diet that lowers the risk of new stones forming.

When it is an emergency

Some urological problems should not wait for a scheduled appointment at the polyclinic. Go to the emergency department straight away or call an ambulance (194) if you have:

• complete inability to urinate with a painful, swollen bladder
• severe, cramping pain in the flank that does not ease, especially with a fever or vomiting
• a high temperature with shivering together with pain in the flank or when urinating
• sudden, severe pain and swelling of a testicle
• heavy bleeding in the urine with clots
• a painful erection that lasts for hours

These situations need urgent diagnostics and treatment in a hospital setting. Once the acute problem has been dealt with, further treatment and follow-up can continue with a urologist.

Frequently asked questions

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Doctors' advice: Prostate Symptom Test (IPSS) and a PSA Value Interpreter

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