Urology

Urology deals with disorder of the urinary tracts of males and females, and on the reproductive system of males and covers kidneys, adrenal glands, ureters, urinary bladder, urethra, and for men’s reproductive organs, the testes, epididymis, vas deferens, seminal vesicles, prostate and penis.

In men, the urinary system overlaps with the reproductive system, and in women the urinary tract opens into the vulva.  In both sexes, the urinary and reproductive tracts are close together, and disorders of one often affect the other.  Urology combines management of medical (i.e. non-surgical) problems such as urinary tract infections and benign prostatic hyperplasia, as well as surgical problems such as the surgical management of cancers, the correction of congenital abnormalities, and correcting stress incontinence.  Medical professionals specializing in the field of urology are called urologists. Urologists are trained surgeons and can diagnose, treat, and manage patients with urological disorders as well as performing the necessary operation on the relevant organ is the needs arise.

Urology is closely related to, and in some cases overlaps with, the medical fields of oncology, nephrology, gynaecology, andrology, paediatric surgery, gastroenterology, and endocrinology.

Signs and Symptoms

BPH – Benign Prostatic Hyperplasia

BPH can be a progressive disease, especially if left untreated.  Incomplete voiding results in stasis of bacteria in the bladder residue and an increased risk of urinary tract infection.  Urinary bladder stones are formed from the crystallization of salts in the residual urine.  Urinary retention, termed acute or chronic, is another form of progression.  Acute urinary retention is the inability to void, while in chronic urinary retention the residual urinary volume gradually increases, and the bladder distends.  Some patients that suffer from chronic urinary retention may eventually progress to renal failure, a condition termed obstructive uropathy.

•    Urinary Frequency
•    Urgency (Compelling need to void that cannot be deferred)
•    Urgency Incontinence
•    Nocturia (Voiding at night)
•    Hesitancy (Needing to wait for the stream to begin)
•    Intermittency ( When the stream starts and stops intermittently)
•    Straining to void and dribbling
 
Kidney Stones

These are crystal deposits that can accrete in the urinary system when certain chemical substances become concentrated in the urine. Presenting symptoms include

•    Intense colicky pain,
•    Nausea
•    Fever,
•    Chills,
•    Reduction or blockage of urine flow.

Urinary Tract Infection

Urinary tract infection (UTI) is a bacterial infection that affects any part of the urinary tract.  Although urine contains a variety of fluids, salts, and waste products, it does not usually have bacteria in it.  When bacteria get into the bladder or kidney and multiply in the urine, they may cause a UTI.

The most common type of UTI is acute cystitis in which the infection only affects the bladder. When infection goes up to affect the upper urinary tract or kidney, it is known as pyelonephritis, which is more serious and potentially more dangerous.  Although they cause discomfort, urinary tract infections can usually be easily treated with a short course of antibiotics with no significant difference between the classes of antibiotics commonly used.  UTI commonly presents with the any of the following symptoms:

•    Frequent feeling and/or need to urinate
•    Pain during urination
•    Cloudy urine.

 

 

Our Doctors Specializing In Urology

Dr Loh Chit Sin

MB ChB Hons (Liverpool), MD (Liverpool), FRCS (Edin), FRCS Urol., AM (Mal), FAMM
Specialty: Urology, Robotic Surgery, Cancers, Prostate
Location : Gleneagles Hospital Kuala Lumpur

Dr Chua Chong Beng

B MED SCI (Hons), BMBS, DM (Nottingham), FRCSED, FRCS Urology (UK), FAMM
Specialty: Urology, Robotic Surgery, Uro-oncology, BHP & Stones
Location : Sunway Medical Centre , Gleneagles Hospital Kuala Lumpur

Dr George Lee Eng Geap

MB BChir(Cambridge), MA (Cambridge), FRCS (UROL), FEBU
Specialty: Urology
Location : Gleneagles Hospital Kuala Lumpur

Datuk Dr Pang Kim Keng

DPSM BSc (Hons), MBBS (London), FRCSEd, FAMM
Specialty: Urology
Location : Hospital Pantai Ayer Keroh

Dr Git Kah Ann

MBBS (Malaya), M.Surgery (UKM), Certificate (Malaysian Board of Urology) Fellowship in Urology (Australia), AM (Malaysia)
Specialty: Urology
Location : Pantai Hospital Penang

Datuk Dr Liong Men Long

DMSM, MBBS (Mal), FRCS (Edin), FRCS (Glasg)
Specialty: Urology
Location : Island Hospital Penang

Dr Badrulhisham Bahadzor

MBBCh BAO (Ireland), FRCS (Urology)(Glasgow), MS (UKM), MBUCert
Specialty: Urology
Location : Sunway Medical Centre