Department of Urology (2022)

The Department of Urology at Karolinska University Hospital is a major academic centre for urological diseases and conducts specialized and highly specialized urology with focus on surgery. Here the team of exceptional experts will customize your treatment to ensure the best possible outcomes.

The clinic has been a pioneer in Robotic surgery and the technique was initiated at the department already 2002. Today the Urology Clinic is one of the world´s leading clinics in urological surgery with a very high volume of robot assisted surgeries. Highly specialized surgeons perform more than 600 prostatectomies and about 100 cystectomies a year, always at the cutting edge to increases precision and minimize side effects. The clinic is in the research frontline of prostate cancer and bladder cancer and collaborates with major international urological centres.

In addition to the surgeons, the team includes oncologists, pathologists and radiologists as well as specially trained support staff. The all cooperate closely to provide you with comprehensive but personalized care, from counselling and treatment to end of recovery, even after leaving the hospital.

Robot assisted radical prostatectomy

If you are diagnosed with prostate cancer and surgery is a treatment option, one of the most important factors to consider is the skill and experience of your surgeon. Both oncological and functional outcomes following radical prostatectomy are related to surgical experience.

Karolinska University Hospital has pioneered robotic-assisted radical prostatectomy and robotic-assisted radical cystectomy and is one of the highest volume robotic surgery centers in Europe. The Urology clinic performs about 600 prostatectomies every year.

With the radical prostatectomy or nerve-sparing surgery performed at the Urology clinic at Karolinska University hospital, a great number of patients retain their potency and their continence. Surgeons from around the world regularly visit Karolinska to learn more about robotic surgery. Karolinska is also leading research in the potential benefits of robotic-assisted radical prostatectomy in patients previously not considered for surgery, such as:

(Video) Department of Urology, Paediatric Urology & Urologic Oncology, St. Antonius-Hospital Gronau

  • Patients with limited metastatic disease,
  • Patients with a history of failed treatment from radiotherapy or other treatment modalities
  • Patients with significant co-morbidities.

Robot-assisted radical cystectomy

Cystectomy is a surgical procedure to remove the bladder completely or partially. Cystectomy is usually used to treat bladder cancer. It is a complex procedure and surgeons may use different surgical techniques, such as:

  • Open surgery, which requires one long incision to access the bladder
  • Robot assisted minimally invasive surgery, which involves several small incisions where special surgical tools are inserted to access the bladder. The surgeon sits in a console and remotely operates the surgical tools. If your bladder is removed completely, surgeons work to reconstruct the urinary tract in order to ensure that you will be able to urinate in one way or another. Several options exist:
  • Orthotopic continent urinary diversion (neobladder). During this procedure the surgeon uses a piece of your intestine to create a tube that runs from your kidneys to a small reservoir that allows you to urinate through your urethra in a relatively normal way.
  • Urinary conduit (ileal conduit or urostomy). During this procedure, the surgeon uses a piece of your intestine to create a tube that runs from your kidneys to your abdominal wall. A bag you wear on your abdomen collects the urine.

The Urology Clinic at Karolinska University Hospital has been pioneer in developing a method of totally minimal invasive approach for cystectomies where the whole procedure is done inside the body, intracorporeal.

The Urology Clinic has long experience of performing Robot assisted radical cystectomies, (RARC), and is the leading clinic today when it comes to this minimal invasive method with totally intracorporeal urinary reconstruction for patients with clinically high-risk or muscle-invasive bladder cancer.

The potential advantages of a complete intracorporeal procedure are:

  • Less intraoperative blood loss
  • Decreased bowel manipulation and exposure
  • Reduced insensible losses
  • Decreased morbidity from smaller incisions
  • Reduced postoperative analgesic requirements
  • Shorter hospital stay
  • Earlier return to normal activities

The procedure has demonstrated good oncological outcomes and encouraging long-term cancer specific survival rates.

The procedure has also shown good functional outcomes with intracorporeal continent diversion and high levels of quality of life after surgery.

(Video) Department of Urology, Marien Hospital Herne, Ruhr-University Bochum

What type of cystectomy and reconstruction you undergo depends on several factors, such as the reason for your surgery, your overall health and your preferences. Discuss your options with your surgeon to determine which procedures are appropriate for you.

In order to give you the best possible recovery, the clinic has developed an enhanced recovery program that starts directly after the surgical treatment. Once you have returned home, the staff will continue to support you through out the whole recovery process.

Nephrolithiasis

Most people get their first kidney stone before the age of 50. The lifetime risk of having a renal colic is one in ten and once you have had a stone the risk of having one more is almost 50 per cent. The most prominent symptom is intense pain, along with urgency and difficulty to void. Treatment options for renal colic include medication and placement of a urethral stent or a nephrostomy in the urinary tract. These interventions reduce the risk of having a new colic and kidney failure.

Most stones in the urinary tract resolve on their own. However, when the stones are too big or if there are anatomical abnormalities, the stones will not pass. At that stage, active treatment is necessary.

There are three treatment modalities for urolithiasis; extracorporeal shock-wave lithotripsy (ESWL), endoluminal laser lithotripsy with an ureteroscope (URS and RIRS) and percutaneous nephrolithotomy (PCNL). ESWL is the most common and is used for smaller stones (<20 mm) in the urethra and the kidney. URS and RIRS have the same indications while PCNL is used for bigger stones (>20 mm) in the kidney. ESWL, URS and RIRS are performed in daytime care. PCNL most often requires an overnight stay in the hospital.

The Department of Urology at Karolinska University Hospital is an academic centre for urological diseases and conducts specialized and highly specialized urological treatment with a focus on surgery. Here the team of exceptional experts will customize your treatment to ensure the best possible outcomes.

(Video) Department of Urology - HUG

The clinic has been a pioneer in extracorporeal shock-wave (ESWL) treatment of kidney stones. Under the former professor Hans-Göran Tiselius the Kidney Stone department of Karolinska University Hospital Huddinge developed into one of the world's leading centres for this treatment modality. In addition to ESWL we offer endoluminal and percutaneous surgery of stones in the kidney and the ureter as well as metabolic evaluation and pharmacologic treatment of patients with recurrent kidney stone disease.

Urinary Incontinence

Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. We offer a wide range of surgical and medical treatments for urinary incontinence. The treatment for the patient is customized to give the best results and it is therefore of great importance that the pre-treatment investigations for urinary incontinence is meticulous. The pre-treatment work up includes an assessment of the bladder and sphincter function through cystoscopy and urodynamics.

Our surgical treatment options include slings, ProACT ™, ATOMS and the artificial urinary sphincter AMS 800™. For those having severe urinary incontinence where these surgical options may not be feasible we can also offer more extensive surgical treatments such as urinary diversions and bladder augmentations.

We mainly treat male incontinence following surgery or radiation therapy but also patients with neurological disorders causing urinary incontinence. For women with incontinence we may offer treatment options for those having already undergone incontinence surgery without improvement and for women with incontinence following surgery or radiation therapy.

Erectile Dysfunction

Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. The causes for erectile dysfunction are many and they can be divided into:

  • Vascular causes
  • Neurological causes
  • Hormonal causes
  • Structural causes
  • Psychological causes
  • Medications, drugs and alcohol

Patients that has undergone surgery or radiation for prostate cancer have a high risk for erectile dysfunction caused by damage to the erectile nerves.

(Video) Department of Urology and Andrology, Paracelsus Medical University Salzburg

Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options, the most common being treatment with oral PDE5-inhibitors. There are also medical treatments with urethral suppositories and self-injections into the corporal bodies of the penis.

If medical therapy is not sufficient or contraindicated an erectile implant may be an option. There are different types of implants with the simplest type consisting in a pair of malleable rods surgically implanted within the corporal bodies of the penis. With this type of implant the penis is always semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sex. This type of implant is a good choice for men with limited dexterity or high risk of developing infection after surgery. Today, it is more common to choose a hydraulic, inflatable implant. The implant consists of two inflatable cylinders placed in the corporal body, a pump placed in the scrotum and a fluid reservoir placed under the muscles of the abdominal wall. This implant gives a more natural look and feeling, both in the erect and flaccid state.

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General information about patient care at Karolinska

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FAQs

What does the Department of urology do? ›

Urologists (also known as urological surgeons) treat problems of the female urinary system and the male genitourinary tract. They diagnose and treat disorders of the kidneys, ureters, bladder, prostate and male reproductive organs.

What are the common urology problems? ›

Urologic diseases or conditions include urinary tract infections, kidney stones, bladder control problems, and prostate problems, among others. Some urologic conditions last only a short time, while others are long-lasting.

Why would you need to see a urologist? ›

Why Would You See a Urologist? A urologist might treat bladder problems, urinary tract infections (UTIs), bladder and kidney cancer, kidney blockage, and kidney stones. Men might also see them for: Erectile dysfunction (ED)

What problems does a urologist treat? ›

10 Conditions Your Urologist Treats
  • Kidney Stones. Kidney stones are a buildup of minerals and salts that harden inside the kidneys. ...
  • Enlarged Prostate. ...
  • Prostate Cancer. ...
  • Urinary Incontinence. ...
  • Erectile Dysfunction. ...
  • Urinary Tract Infections. ...
  • Male Infertility. ...
  • Vasectomy.
7 May 2020

What happens at a urology referral? ›

You'll be asked to fill out forms and discuss your medical history with the urologist, as well as describing any symptoms you may be experiencing. It also helps if you have the names of any medications you're taking to hand, as the urologist will want to know what you're on.

What happens at first urologist appointment? ›

The doctor will perform a male genitourinary exam during your first appointment. That is a complete examination of the urinary tract region. The physician will perform a genital exam and a digital rectal exam to explore the prostate. The urologist may evaluate other areas as well.

What are the symptoms of urology problems? ›

Common Symptoms of Urologic Disorders
  • Back and/or Groin Pain. Oftentimes back and groin pain are overlooked, or attributed to other causes such as muscle strains. ...
  • Blood in the Urine. ...
  • Frequent Urination. ...
  • Painful Urination. ...
  • Uncontrolled Urine Leakage.

What are the 5 diseases of the urinary system? ›

Examples of urinary disorders include cancers of the urinary tract, incontinence (inability to control urine flow), interstitial cystitis, kidney stones, kidney failure, and urinary tract infections.

What is the most common urinary disorder? ›

Urinary tract infections are among the most widespread urological health issues. “A UTI is a bacterial infection of the urethra or bladder that occurs when outside bacteria gets into those spaces,” Murawsky said.

How do I prepare for a urologist appointment? ›

Getting Ready for Your Urologist Visit
  1. Before Your Visit. Prior to confirming your urologist appointment, make sure that you talk to your health care provider. ...
  2. Things to Bring. ...
  3. Write a Medication List. ...
  4. Gather Your Medical History. ...
  5. Make a List of Questions. ...
  6. Be Prepared for Testing. ...
  7. Urinalysis. ...
  8. Digital Rectal Exam.
18 Aug 2021

How does a urologist check your bladder? ›

A cystoscopy is a procedure to look inside the bladder using a thin camera called a cystoscope. A cystoscope is inserted into the urethra (the tube that carries pee out of the body) and passed into the bladder to allow a doctor or nurse to see inside.

What is a urology procedure? ›

Urology is one of the most varied branches of surgery and encompasses diseases of kidneys, bladder and prostate, including incontinence, impotence, infertility, cancer and reconstruction of the genito-urinary tract. It caters for patients of both sexes and all ages, from newborn infants to elderly pensioners.

Why would a urologist order a CT scan? ›

A CT urogram is used to examine the kidneys, ureters and bladder. It lets your doctor see the size and shape of these structures to determine if they're working properly and to look for any signs of disease that may affect your urinary system.

When should men see a urologist? ›

“To take charge of your prostate, urinary and sexual health — not just to protect you from prostate cancer — I recommend every man start seeing a urologist regularly at age 40,” says urologist Eric Klein, MD.

Does a urologist treat kidneys? ›

Urologists are medical doctors who specialize in the diagnosis and treatment of diseases of the kidneys and urinary system in men and women and disorders of the male reproductive system.

How does a urologist examine a woman? ›

A urine sample and evaluation of your pain will be necessary to determine a diagnosis. Based on the initial results, more specialized tests could be ordered for further evaluation, including a cystoscopy or urodynamics test to evaluate bladder function.

Is a cystoscopy painful? ›

People often worry that a cystoscopy will be painful, but it does not usually hurt. Tell your doctor or nurse if you feel any pain during it. It can be a bit uncomfortable and you may feel like you need to pee during the procedure, but this will only last a few minutes.

What happens in a male urology exam? ›

What Happens During a Urology Exam? The urologist will usually start by discussing your medical history with you and checking any symptoms you may be experiencing. Next, he will conduct a physical exam, including a genital exam and a prostate exam. Then, he will ask for a urine sample to get it tested in a lab.

What should a woman expect at a urologist appointment? ›

What can I expect during my first office visit? During your first office visit you will be asked to complete a questionnaire about your medical problems, including medical history, medications, allergies, and social history. You should come to the office with a full bladder so that a urine specimen can be analyzed.

What will a urologist do for enlarged prostate? ›

The urologist can remove all or part of the prostate through the incision. This surgery is used most often when the prostate is greatly enlarged, complications occur, or the bladder is damaged and needs repair.

What 2 disorders affect the urinary system? ›

Common problems

Bladder infections - (cystitis) usually caused by bacteria. Enlarged prostate - in men, this can make it difficult to empty the bladder. Incontinence - when urine leaks out of the urethra. Kidney infections - when a bladder infection 'backs up' the ureters.

What medications cause urinary problems? ›

Urinary retention has been described with the use of drugs with anticholinergic activity (e.g. antipsychotic drugs, antidepressant agents and anticholinergic respiratory agents), opioids and anaesthetics, alpha-adrenoceptor agonists, benzodiazepines, NSAIDs, detrusor relaxants and calcium channel antagonists.

What type of problem most commonly affects the urinary system organs? ›

The most common urinary issues are bladder infections and urinary tract infections (UTIs). UTIs are more common in women than in men. More than 60% of women will get a UTI in their lifetime.

What is severe urinary tract infection? ›

UTIs are common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract. The infections can affect several parts of the urinary tract, but the most common type is a bladder infection (cystitis). Kidney infection (pyelonephritis) is another type of UTI.

How does a urologist check your bladder? ›

A cystoscopy is a procedure to look inside the bladder using a thin camera called a cystoscope. A cystoscope is inserted into the urethra (the tube that carries pee out of the body) and passed into the bladder to allow a doctor or nurse to see inside.

Why would a urologist order a CT scan? ›

A CT urogram is used to examine the kidneys, ureters and bladder. It lets your doctor see the size and shape of these structures to determine if they're working properly and to look for any signs of disease that may affect your urinary system.

What is the difference between a kidney specialist and a urologist? ›

To summarize, nephrologists specifically treat diseases that affect the kidneys and their ability to function, such as diabetes or kidney failure. Urologists treat conditions of the urinary tract, including those that can be affected by the kidneys such as kidney stones and obstruction.

How does a urologist examine a man? ›

The urologist will usually start by discussing your medical history with you and checking any symptoms you may be experiencing. Next, he will conduct a physical exam, including a genital exam and a prostate exam. Then, he will ask for a urine sample to get it tested in a lab.

Do they put you to sleep for a cystoscopy? ›

The procedure

For a rigid cystoscopy: you're given an injection of general anaesthetic (which makes you fall asleep) into your hand, or a spinal anaesthetic (which numbs the lower half of your body) into your lower back. you will be lying on a special couch with your legs in supports.

How painful is a cystoscopy? ›

Results: The most painful part of the procedure was as the cystoscope passed through the membranous urethra with a median pain score of 2.82. The initial lidocaine administration gives a median pain score of 0.84. The other parts of the cystoscopy produced median scores of between 0.14 and 0.33.

How do I prepare for a urologist appointment? ›

Getting Ready for Your Urologist Visit
  1. Before Your Visit. Prior to confirming your urologist appointment, make sure that you talk to your health care provider. ...
  2. Things to Bring. ...
  3. Write a Medication List. ...
  4. Gather Your Medical History. ...
  5. Make a List of Questions. ...
  6. Be Prepared for Testing. ...
  7. Urinalysis. ...
  8. Digital Rectal Exam.
18 Aug 2021

Can a bladder tumor be seen on a CT scan? ›

Computed tomography (CT) scan

A CT scan uses x-rays to make detailed cross-sectional pictures of your body. A CT scan of the kidney, ureters, and bladder is called a CT urogram. It can provide detailed information about the size, shape, and position of any tumors in the urinary tract, including the bladder.

Why would a urologist order an MRI? ›

Not only is a prostate MRI as accurate as a biopsy at detecting prostate cancers, but it can also tell how advanced the cancer is and if it has spread to other parts of the body. A prostate MRI can also detect other prostate conditions, like infections or benign prostatic hyperplasia (BPH).

Does kidney disease show on CT scan? ›

A CT scan of the kidney may be performed to assess the kidneys for tumors and other lesions, obstructions such as kidney stones , abscesses, polycystic kidney disease , and congenital anomalies, particularly when another type of examination, such as X-rays or physical examination, is not conclusive.

What are the first signs of kidney disease? ›

Symptoms
  • Nausea.
  • Vomiting.
  • Loss of appetite.
  • Fatigue and weakness.
  • Sleep problems.
  • Urinating more or less.
  • Decreased mental sharpness.
  • Muscle cramps.
3 Sept 2021

What are the signs that your kidneys are not working properly? ›

If your kidneys aren't working properly, you may notice one or more of the following signs:
  • Fatigue (extreme tiredness)
  • An upset stomach or vomiting.
  • Confusion or trouble concentrating.
  • Swelling, especially around your hands or ankles.
  • More frequent bathroom trips.
  • Muscle spasms (muscle cramps)
  • Dry or itchy skin.
10 Jan 2018

At what stage of kidney disease should you see a nephrologist? ›

Seeing a doctor when you have stage 3 CKD

As stage 3 progresses, a patient should see a nephrologist (a doctor who specializes in treating kidney disease). Nephrologists examine patients and perform lab tests so they can gather information about their condition to offer the best advice for treatment.

How long does urology surgery take? ›

Ureteroscopies are usually performed in an operating room under anesthesia. A simple exploratory procedure takes about 15 to 30 minutes, including preparation. The procedure can be longer if your urologist performs additional work like taking a biopsy or removing stones from the bladder or ureters.

Videos

1. Department of Urology, University of Minnesota
(WebsEdgeMedicine)
2. Massachusetts General Hospital Department of Urology and Urologic Oncology
(WebsEdgeMedicine)
3. Cleveland Clinic Glickman Urological & Kidney Institute, Department of Urology
(WebsEdgeMedicine)
4. Kameda Medical Center, Department of Urology - Raising the Standard of Urology throughout Asia
(WebsEdgeMedicine)
5. University Hospitals Case Medical Center - Department of Urology
(WebsEdgeMedicine)
6. Department of Urology, Mount Sinai Health System
(WebsEdgeMedicine)

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