General Information Urology is the medical-surgical speciality covering study, diagnosis and treatment of pathologies that affect the urinary system, suprarenal glands and retroperitoneal glands of both sexes and the male reproductive system, with no age limit. At Vithas Xanit International Hospital, we have a Urology Department made up of widely-experienced urologists, all certified by the European Board of Urology. This unit can offer you the latest techniques in diagnosis, treatments and procedures. It stands out for being a top quality, highly specialised department. Solutions as innovative as prostate laser, laparoscopy surgery or minimally invasive surgery for cancer or incontinence form part of our wide-ranging service portfolio. Services Urodynamics (cystomanometry, complete urodynamics study). Rehabilitation of pelvic floor. Biofeedback and electro-stimulation. Green light laser for prostate. Laparoscopy surgery. Prostate. Renal and suprarenal. Bladder. Urethral. Fistulas. Prostate checks. Andrology. Erectile dysfunction study. Premature ejaculation. Lithotripsy with Holmium laser, bladder, urethral and renal. Transrectal scan and eco-directed prostate biopsy. Ureteroscopy, rigid and flexible ureterorenoscopy. Nefroscopy. Radical cystectomy with continent derivation. Retroperitoneal lymphadenectomy. Percutaneous renal surgery. Renal embolization. Varicocele embolization. Vasectomies. Professionals Dr. Arocena, Juan Dr. Agüera, Luis Dr. García, Francisco Javier F.A.Q.   I feel fine but my doctor told me that my PSA level is high after a routine test. What should I do?   PSA is a tumour marker that, when high, indicates that there is greater probability of having a prostate tumour. But this is not the only reason it might rise. Therefore, although you feel well, you must go and see your urologist to check your prostate knowing that in most cases the study result is favourable.   A tumour was found in my prostate biopsy. What do you recommend?   Over half prostate tumours evolve so slowly that we can even keep an eye on them. However, others require surgery or radiotherapy treatment or both. Therefore, you need to find out exactly what type of tumour you have and, after presenting your case to the Oncology Committee, work with your urologist to pick the best option for your case. Within surgery, the best options seem to be a laparoscopic or robotic radical prostatectomy, in expert hands.   I find it harder to urinate every day; I have to go to the bathroom more often and with greater difficulty. What do you recommend?   There are several possible causes but most frequently prostate growth is the first thing we look at. With correct examination and several additional tests, your urologist should be able to assess how much this will affect your quality of life and the risks of not treating it on time, the need for treatment with drugs or surgery and if necessary, the type of surgery. KTP green light laser surgery with or without associated bipolar resection are most interesting right now.   I've been leaking urine for a while and I need to use pads. It is affecting my quality of life?   Urine incontinence is not the same for everyone. This might be due to a weakness in the pelvic musculature, a bladder problem or both. It might even be down to a sphincter injury in patients who have been operated on. The causes should be studied and a specific treatment proposed. Pelvic floor units are extremely useful.   There was blood in my urine.   The most frequent causes of bleeding are infections or lithiasis (stones in the urinary tract) but they are not the only causes. We have to rule out that there is not a tumour in your kidneys or bladder. Therefore, go and see your urologist so he can check out where the bleeding is coming from.

  Urology