Paideia International Hospital provides a comprehensive service delivered by leading specialists in the prevention, diagnosis and treatment of diseases of thegenitourinary system, i.e. kidneys, ureters, bladder, prostate and the male reproductive system.
The specialist team uses the very latest and minimally invasive urology technologies currently available for the treatment of specific diseases.
Urology, the main conditions:
- Urogenital tract tumours
- Benign prostatic hyperplasia
- Urinary calculi
- Adrenal nodular diseases
- Uretero-pelvic junction stenosis
- Urinary incontinence
- Urethral pathology
Diagnostic tests in the urology unit:
- Kidney ultrasound
- Suprapubic vesicoprostatic ultrasound
- Transrectal prostate ultrasound with biplane probe and/or end-fire
- Color Doppler ultrasound of the scrotum and spermatic cord
- Basal and dynamic penile colour Doppler echo
- Multiparametric MRI
- Uroflowmetry with possible perineal electromyography
- Complete urodynamic examination with possible perineal electromyography
- Video-urodynamic examination
- Flexible cystoscopy
- Urine cytology
- Random transperineal prostate biopsy
- Prostate fusion biopsy
Prostate biopsy
Prostate biopsy is the only test that provides certain diagnosis of prostate cancer. It consists of taking small fragments of the prostate gland which are then studied under a microscope.
A biopsy may be indicated after finding a prostate gland nodule during a rectal examination, an increase in serum PSA or the presence of a suspicious lesion found during an MRI.
Biopsies are currently performed under ultrasound guidance, using transrectal ultrasound, by taking multiple “random” transperineal or transrectal samples, under local anaesthesia or sedation.
There is also a new method in use, called prostate fusion biopsy, which uses MRI images superimposed on transrectal ultrasound images to obtain a three-dimensional reconstruction of the prostate gland.
This targeted technique offers greater diagnostic accuracy and better patient management.
Multiparametric Magnetic Resonance Imaging
Multiparametric Magnetic Resonance Imaging is currently the best method for assessing the anatomy of the prostate gland. The term multiparametric refers to the acquisition of multiple parameters such as anatomy, vascularisation, tissue density and metabolism.
This method of investigation is indicated in the following situations:
- For patients with suspected prostatic intraepithelial neoplasia (on the basis of serum PSA values or rectal examination)
- Before performing a biopsy
- For patients who have already completed negative prostate biopsies but for whom there is still suspected disease
- To assess the extent of the disease
- In the follow-up for patients undergoing treatment
