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Men urology clinic

Man Clinic Services

 

  • Urogenital surgeries
  • Prostatic diseases and urology system tumors
  • Medical & surgical treatment of urine incontinence
  • Urodynamic device which is considered the best device for treating the bladder problems
  • Treatment of varicocele
  • Renal Extra corporal lithotripsy shockwaves & Reproduction assistance
  • Treatment of Andrology & Infertility diseases, sexual disorders & ejaculation
  • Microscopic surgical procedures
  • Genitalia transplant and penileplasty
  • treatment of short penis , and phalloplasty surgery.
  • Tel :
  • 014888807
    050255808

Women urology clinic

Woman Clinic Services

  • OB Gyne diseases & infertility
  • Delivery and pre-natal check up
  •      I V F

Tel:

014888806

0507559090

Children Urology clinic

Children Urology clinic

Negligent treatment of urinary tract disease in children may cause kidney failure

One urinary root causes of recurrent urinary tract infections
Of the most important diseases of the kidney and urinary tract illness in children is called vesico-ureteric root (polyurethane) or another language reflux of urine from the bladder to the college through the ureters. To clarify the picture, the urine in cases of natural output from the kidneys passes into the urinary bladder via the ureters in the direction of descending and one is then take it out through the urethra in contractility bladder time urination, either in the case of root vesico ureteric the urine may bounce from the bladder to college again time urination and sometimes without urinate, this is considered apostasy Urinary divided into five degrees of hand the intensity of the most important causes that lead to chronic kidney failure, which develops into renal failure Advanced in children as well as adults, and lead by 20% to high blood pressure when these children as well as When adults.

Treatment:
Goal of treating reflux is to maintain the kidneys and their function does not deteriorate and end the state of reflux and reflux of urine.
Most studies have shown that the reflux of urine could be improved or completely disappears when a large proportion of children, especially with the growth of the child, even without medical treatment, but generally reflux treatment depends on several things, including:
The child's age
Degree urine reflux
Symptoms associated with reflux of urine
The impact on the kidneys urine rebound
Responsiveness and commitment to the patient and his family therapy

Andrology clinic

 

 
Erection problems
Constitute sex generally cause problems see a lot of men to the doctor, and may affect these sexual problems for men and women alike, as it may affect the couple together.

If the beginning of these symptoms may appear only when a couple it is necessary to search for the inability of both spouses.

1 - the inability of the penis to have an erection
They lack the ability to have sex, or rather the impossibility of achieving an erection of the penis despite the presence of sexual effects (introductions intercourse), or in other words a simple inability of the male (penis) puberty stage hardness qualify for entry into the vagina even get the ejaculation process. Must distinguish between:

    
Primary deficit: in the absence of any erections qualifies for sexual practice.
    
Secondary deficit: is the loss of an erection necessary for sexual practice.

Look anatomical and physiological:


Consists member erectile dysfunction (male):

    
Two bodies flanked harsh sheath
    
Spongy body Takes ureter and ends  well innervated sensory terms.
    
The fabric is also composed penis itself of small arteries surrounded by smooth muscle fibers constitute 50 per cent of the size of the corpus cavernosum. Erection process occurs when you extend these muscle fibers under the influence of neurobiological sentence.
    
The proximity Woody nervous system: epicenter bone deficit, and is one of the most important engines of erectile dysfunction
    
The sympathetic nervous system: epicenter issued / lumbar responsible for relaxation.


The male hormones observer of the sexual process by androgens is the most important primarily testosterone and its role in organizing the sudden
Erections  (night and morning in particular), as well as the role of facilitator of a wet dream.



Clinical examination "clinical":
Interviewing: define whereby

    
Sexual problem: the inability to have sex, premature ejaculation ...
    
The presence of sexual dysfunction is simple: especially when newly married, which may disappear with the passage of time

Male infertility clinic





Surgery & Circumcision clinic

 

 
What is male circumcision?

    
Is the eradication or removal of the foreskin, any introduction of the penis skin, and child circumcision is usually done in the first few days or weeks of birth. The other circumcise their children vassals of the social habits and religious beliefs, while the others to health knowledge of its benefits. And circumcision is a necessary process for males to maintain the cleanliness of the penis and the prevention of certain diseases, urinary tract sore.

    
Does male circumcision is necessary and healthy?

    
Yes, the Messenger Muhammad, peace be upon him and recommended him, and is not only a passion, and newly proven health benefits of male circumcision recognized by the World Health Organization and the most important benefits of male circumcision:

        
Prevention of urinary tract infections

        
Prevention of disease transmitted through sex and AIDS

        
Prevention of penile cancer in the future

        
The health authorities recently in the United States of America to advise a male circumcision

    
Is there a risk when you make male circumcision?

    
The risks of male circumcision small compared with its benefits, and circumcision is a process that has its complications and risks like any other medical procedure, if it is not performed correctly. And is accompanied by inflammation usually swelling the region and constitute crust and ulcers yellow or appearance liquids blisters and urination problems, and problems are transient improved look after wound excision by washing the wound with a solution Alnormal Salin, and must then return to the doctor when continuity, must after circumcision of a dressing of sterile gauze on the penis, with constant change to ensure the cleanliness of the wound. It is natural that a little bleeding wound after circumcision, and pocket to see a doctor if the bleeding continues or thickly, and natural to look Introduction penis reddish color with the appearance of some yellow discharge that lasts a few days.

    
What are the contraindications male circumcision?

    
Not recommended circumcision of the child who suffers from the urethra infrastructure or other health problems such as blood diseases and bleeding only after consulting your doctor

What is the best date for male circumcision?
There is no specific time to do the circumcision, and the earlier it was much better. However prefer the lack of circumcision immediately after birth, but to wait for several days or weeks, and is considered the age of 3 to 4 weeks the best time to circumcise the child, and should not be delayed circumcision several months or years in order not aware of the child what is happening to him, not subjected to psychological abuse .

Women clinic and antenatal


The obstetricians/gynecologists on women  clinic offer gynecological, reproductive health care to women of all ages. Equipped with the highest standards of medical technology and run by a highly qualified staff of consultants and specialists, the obstetrics unit offers premium management for any medical emergencies that may occur during labor.
Obstetrics and Gynecology Department takes care of women during pregnancy and delivery, as well as the diseases of the female genital tract including endocrinology and reproductive physiology. Obstetrics and gynecology sub-specializes in two distinct disciplines: General obstetrics and gynecology, and maternal-fetal medicine.

Women infertility clinic

The following services are successfully provided by our competent IVF consultants along with our embryologists and well-trained nurses in our up-to-date IVF unit:

• Infertility Investigations Accurate Diagnosis

• Ovulation Induction

• 1000 IUI – Intra-Uterine Insemination

• IVF –In-Vitro Fertilization

• ICSI-Intra-Cytoplasmic Sperm Injection with PESA, MESA,TESA.

• Embryo/Sperm Cryopreservation

• Investigation and Treatment of Recurrent Abortion

• Pre and Postnatal Care

All the IVF tests and procedures are successfully conducted in isolation, inside our state-of-the-art well – equipped in-house IVF laboratory, by our experienced and qualified embryologists and well-trained technicians.

IVF clinics & assisted reproductive

Assisted reproductive technology (ART) is a general term referring to methods used to achieve pregnancy by artificial or partially artificial means. It is reproductive technology used primarily in infertility treatments. Some forms of ART are also used in fertile couples for genetic reasons. ART is also used in couples who are discordant for certain communicable diseases , to reduce the risk of infection when a pregnancy is desired. Examples of ART include in vitro fertilisation, intracytoplasmic sperm injection (ICSI), cryopreservation, and intrauterine insemination (IUI). There is yet no strict definition of the term. Usage of the ART mainly belongs in the field of reproductive endocrinology and infertility.

Female urinary incontinence

 

Urinary incontinence surgery: When other treatments aren't enough

Urinary incontinence surgery includes a variety of procedures, from minimally invasive injection of bulking agents to major surgical intervention. Find out which urinary incontinence surgical procedure might be an option for you.

 

For some women, the symptoms of stress incontinence or overactive bladder don't respond to conservative treatment. When urinary incontinence markedly disrupts your life, urinary incontinence surgery may be an option.

Urinary incontinence surgery for women is usually considered only if more-conservative strategies aren't helping. Urinary incontinence surgery is more invasive and has a higher risk of complications than do many other therapies, but it can also provide a long-term solution in severe cases. Most options for urinary incontinence surgery are used to treat stress incontinence. However, low-risk surgical alternatives are also available for other bladder problems, including severe urge incontinence, which is also called overactive bladder and nonobstructive urinary retention.

Things to consider

Before you choose urinary incontinence surgery, get an accurate diagnosis. Different types of incontinence require different surgical approaches. Your doctor may refer you to an incontinence specialist, urologist or urogynecologist for further diagnostic testing.

If you plan on having children, your doctor may recommend holding off on surgery until you're finished with childbearing. The strain of pregnancy and delivery on your bladder, urethra and supportive tissues may "undo" any prior surgical fix.

Surgery can only correct the problem it's designed to treat and, in some cases, won't cure your incontinence. If you have mixed incontinence, for instance, surgery for stress incontinence may not improve your urge incontinence. You may need medications and physical therapy after surgery to treat the urge incontinence. Incontinence is caused by weak or damaged nerves and muscles, and surgery can only compensate for the damage. It can't repair the damaged nerves and muscles.

Know the risks

Like any surgical procedure, stress urinary incontinence surgery comes with risks and potential complications. For instance, surgery itself may give rise to different urinary and genital problems, such as:

  • Difficulty urinating and incomplete emptying of the bladder (urinary retention), although this is usually temporary
  • Development of an overactive bladder, which could include urge incontinence
  • Pelvic organ prolapse
  • Urinary tract infection
  • Difficult or painful intercourse

Talk with your doctor to understand the risks and benefits of the different types of surgery.

Surgery for stress incontinence

Several procedures have been developed to treat stress incontinence. Most surgical procedures fall into two main categories: sling procedures and bladder neck suspension procedures.

Sling procedures
A sling procedure — the most common surgery to treat stress incontinence — uses strips of your body's tissue or synthetic material such as mesh to create a pelvic sling or hammock around your bladder neck and the tube (urethra) that carries urine from the bladder. The sling provides support to keep the urethra closed — especially when you cough or sneeze. Slings typically have high rates of effectiveness and low risks of complications.

Categories of slings include:

    Tension-free slings. No stitches are used to attach the tension-free sling, which is made from a synthetic strip of mesh. Instead, tissue itself holds the sling in place initially. Eventually scar tissue forms in and around the mesh to keep it from moving. Though rare, serious complications from the surgical mesh can occur, including erosion, infection and pain.

    Within the category of tension-free slings there are two approaches: retropubic, also known as suprapubic, and transobturator.

    For the retropubic procedure, a small incision is made inside the vagina just under the urethra, and then two small openings are made above the pubic bone. These openings are just large enough for a needle to pass through. The surgeon uses a needle that is holding the sling to place the sling inside the body. Stitches are not needed to keep the sling in place, although the vaginal incision is closed with a few absorbable stitches and the needle sites may be sealed with skin glue or sutures.

    The newer, transobturator approach involves a slight modification to the retropubic approach. Here, the surgeon uses a similar vaginal incision, but sling arms are not passed between the pubic bone and bladder. This approach lowers the risk of urethral and bladder injury. The needle enters next to the labia and is threaded under the urethra. Like the retropubic approach, stitches are not needed to hold the sling in place, and the needle site may be sealed with skin glue.
    Adjustable slings. Doctors are studying a sling that can be adjusted during and after surgery. After the sling is placed and while the person is awake, the doctor tests and adjusts the sling's tension according to the person's needs. Adjustments can continue to be made months or years later and require only a local anesthetic to access the adjustable portion. More study is needed to determine how effective adjustable slings are over time.
    Conventional slings. The surgeon inserts a sling through a vaginal incision and brings it around the bladder neck. The sling may be made of a synthetic material, or occasionally your own tissue, animal tissue or tissue from a deceased donor may be used. The surgeon brings the ends of the sling through a small abdominal incision and attaches them to pelvic tissue (fascia) or to the abdominal wall with stitches to achieve the right amount of tension. Conventional slings sometimes require a larger incision and an overnight stay in a hospital. A temporary catheter may be necessary after surgery as the bladder heals. Conventional slings aren't proven to be better than newer tension-free slings.

Most sling procedures use synthetic materials. Using natural sling materials taken from animals or deceased donors may be less effective than natural materials from your body or synthetics, because there's a tendency for the body to absorb animal and deceased donor material.

Sling procedures take less time than retropubic bladder neck suspension procedures, and because they're less invasive, sometimes they can be done under local anesthesia and on an outpatient basis. But in some cases, more invasive procedures may be the right ones based on your medical history and test results. Discuss with your doctor which procedure is right for you.

Recovery time for tension-free sling surgery varies. Doctors may recommend two to six weeks of healing before returning to normal activities.

Bladder neck suspension procedure
This procedure is designed to provide support to your urethra and bladder neck — an area of thickened muscle where the bladder connects to the urethra.

For this procedure, an incision is made in your lower abdomen. Through this incision, your surgeon places stitches (sutures) in the tissue near the bladder neck and secures the stitches to a ligament near your pubic bone (Burch procedure) or in the cartilage of the pubic bone itself (Marshall-Marchetti-Krantz procedure). This has the effect of reinforcing your urethra and bladder neck so that they don't sag.

The downside of this procedure is that it involves an abdominal incision. It's done under general or spinal anesthesia. Recovery takes about six weeks, and you may need to use a catheter until you can urinate normally.

Medical laboratories & analysis

Laboratories Services

·        Hormones analysis
·        Comprehensive examination analysis
·        Venereology diseases analysis
·        All blood chemistry analysis



Phone:0114888807- 0114888806
Fax: 014825937
PO Box: 365141
Postal Code: 11393

Saudi Arabia -Riyadh
Altakhassy Street North of Almalk Faisal Hospital

info@drtalalmerdad.com.sa