The HealthBay Centre for Functional Urology and Neuro-urology provides comprehensive evaluation and treatment to patients with bladder and lower urinary tract problems.

Urinary tract disorders are significantly underreported and undertreated in our society. One of the main impediments to treatment is the embarrassment many patients feel in discussing these sensitive issues. Our staff is committed to preserving patient dignity and providing the highest quality care and comfort.

  

What We Treat

Bladder Conditions

The Urology Department offers highly specialized care for conditions such as:

• Urinary incontinence (inability to hold urine)
• Voiding dysfunctions (difficulty urinating on incomplete emptying of the bladder)
• Chronic pelvic pain (pain in genital and anal area)
• Interstitial cystitis/Bladder pain syndrome (a condition that can mimic a urinary tract infection)
• Acute and chronic urinary tract infections (cystitis)
• Bedwetting (enuresis) and nocturia (frequent urination during the night not related to prostate conditions)
• Polyuria (excessive production of urine due to a lack of a hormone)

 

Kidney Conditions

Kidney conditions treated by our team include:

• Kidney infections and inflammations (pyelonephritis, cysts)
• Kidney and ureteral stones (hard salt and mineral deposits in the kidneys that pass into the urinary tract)
• Uretero-pelvic strictures (a narrowing of ureter due to a congenital malformation causing dilatation and pain in the kidney)

Prostate Conditions

Physicians offer men treatment for conditions of the prostate, including minimally invasive prostate cancer surgery. The team addresses:

• Prostate Cancer
• Enlarged prostate, including benign (noncancerous) enlargement of the prostate
• Acute and chronic prostatitis (inflammation and infection of the prostate causing burning, pain, and voiding dysfunctions</li.
• Abacterial prostatitis (prostatic symptoms without infection, due to nerves inflammation)

Male Health and Reproductive System Conditions

Dedicated care to assisting patients with a wide range of conditions of the male genital and reproductive system, including:

• Varicocele (when the veins in the scrotum, the sack that holds the testes, get enlarged)
• Scrotal abscess (a tender, pus-filled spot on the scrotum, usually caused by infection)
• Andropause (hormonal changes in men that may occur with age, also known as testosterone deficiency)
• Anejaculation (difficulty ejaculating)
• Balanitis (inflammation of the head of the penis or foreskin)
• Bedwetting
• Difficulty urinating
• Decreased libido
• Erectile dysfunction (difficulty maintaining an erection, also known as impotence)
• Male infertility (inability to conceive a child)
• Genital diseases (such as sexually transmitted infections)
• Genital malformations
• La Peyronie disease (recurvatum of penis due to fibrosis)

Treatment with Urology

Medical or surgical treatment options may be available for most of urological conditions. The Urology Department doctors are experienced in performing several advanced procedures to treat urologic diseases, including:

• Sacral roots and pudendal neuromodulation for incontinence and pain: placement of electrodes in the sacrum or close to the pudendal nerve with a minimally invasive technique under local anesthesia
• Pudendal nerve blocks and ablation with Pulsed Radiofrequency for pelvic pain: block the pain with a mix of drugs injected close to the nerve or ablate of the nerve using radio-frequency waves under neurophysiological guide.
• TURP (endoscopic resection of the enlarged prostate) to improve urinary flow and bothering symptoms
• TURBT (endoscopic resection of bladder cancer) to remove small bladder neoplasia and diagnosing cancer
• Varicocelectomy: ligation of spermatic veins in the scrotum to treat infertility.
• Penile and scrotal surgery: for deformity/ bending of the penis, erectile dysfunction, and scrotal/ testicular conditions
• Noninvasive electrical stimulation (PTNS): transcutaneous electrical stimulation of tibial, sacral, and pudendal nerve in adults and children for urinary dysfunction, pain, and bedwetting.
• Cystoscopy: Procedure in which a small tube with a camera is inserted through the urethra to explore the bladder. In some cases, cystoscopy can be used to remove a bladder tumor or a small stone.
• Cystectomy: Using a minimally invasive, robotic/laparoscopy surgical approach to remove the bladder. This procedure can be used in some cases of bladder cancer.
• Prostatectomy: Using a minimally invasive, robotic/laparoscopy surgical approach to remove the prostate for cancer.
• Renal surgery: for cancer or benign conditions, using a minimally invasive, robotic/laparoscopy surgical approach to remove the kidney or treating benign conditions.
• Urethral reconstruction: Surgery to treat urethral stricture or narrowing of the urethra (the tube that carries urine, as well as semen in men).
• Bladder neck suspension: Surgery used to reposition a woman’s bladder, offered in some cases of urinary incontinence.
• Sphincter prosthesis: Placement of an artificial sphincter, offered in some cases of urinary incontinence.

Pelvic Health Centre

Pelvic floor disorders like pelvic pain, urinary and faecal incontinence, voiding dysfunctions, endometriosis can often be successfully treated and improve quality of life. The caregivers in the Pelvic Health Centre at Healthbay work as a multidisciplinary team that includes specialities from Urology and Neurourology, Gynecology, Colorectal Surgery, Gastroenterology, Physical Therapy, Radiology and Nursing.