04

What we do and
what we treat

A comprehensive portfolio of services at the Urology Clinic: precision diagnosis, cutting-edge technology and medical and surgical procedures with a profound human touch.

04.1

Consultation, Laboratory & On-Site Diagnosis

Everything needed to assess and diagnose our patients in a single visit.

Consultation & Electronic Medical Record Consultation & Electronic Medical Record

Consultation & Electronic Medical Record

Initial and follow-up consultation with a complete clinical history and a detailed physical examination. Each patient has a personalized electronic medical record that safeguards their information and provides continuity and follow-up to their care.

Clinical Services in the Office Clinical Services in the Office

Clinical Services in the Office

Vital signs, clinical evaluation, administration of medications and vaccines, and clinical ultrasound performed in the office itself — which speeds up the assessment and diagnosis of the patient in a single visit.

Laboratory Studies On-Site Laboratory Studies On-Site

Laboratory Studies On-Site

We have laboratory studies available in the same physical area of the clinic, which allows results to be obtained promptly and clinical decisions to be made without delays or transfers for the patient.

04.2

Imaging Studies

Studies indicated by the urologist according to each patient's needs to refine the diagnosis.

Ultrasound

Ultrasound

Real-time evaluation of kidneys, bladder and prostate, radiation-free, available in the office.

Excretory Urography

Excretory Urography

Radiological study with contrast medium to visualize the anatomy and function of kidneys, ureters and bladder.

CT & MRI

CT & MRI

High-precision imaging studies to define the diagnosis according to the specific needs of each patient.

Nuclear Medicine & PET

Nuclear Medicine & PET

Renal scintigraphy and positron emission tomography (PET) for functional and oncological evaluation.

04.3

Urological Endoscopies

Visualization of the interior of the urinary tract, most frequently performed in urology.

Urethra & Bladder

Urethra & Bladder

Bladder endoscopy with a flexible cystoscope to visualize the interior of the urethra and bladder.

Ureters & Kidneys

Ureters & Kidneys

Ureteroscopy for diagnosis and treatment inside the ureters and kidneys, including stone management.

Nephroscopy

Nephroscopy

Endoscopic access to the kidney for the diagnosis and treatment of renal lithiasis and other conditions.

04.4

Functional Studies

To understand how the bladder and urethra work.

Urodynamic Study

Urodynamic Study

Evaluates in depth how the bladder and urethra work: their function, the degree of obstruction and its possible causes.

Uroflowmetry

Uroflowmetry

Provides data on bladder strength, the degree of obstruction, and whether bladder emptying is complete or incomplete.

04.5

Surgical Modalities

Surgical procedures performed according to the patient's needs: open surgery, endoscopic surgery and endourology, minimally invasive surgery, laparoscopy, robot-assisted surgery and microsurgery.

04.6

Diagnosis Supported by Artificial Intelligence

A process that combines machine learning, deep learning and neural networks to assist the physician in decisions about each patient.

Patient data

  • Gender
  • Age
  • History and exam
  • Hereditary history
  • Personal history
  • Laboratory studies
  • Imaging studies
  • Other
Processing
Machine learning Supervised · Unsupervised · Reinforcement learning
Deep learning Neural networks
Physician support for
  • Diagnosis
  • Treatment
  • Prognosis
  • Rehabilitation
  • Cost – effectiveness – utility analysis
Analysis
Feedback · Learning

Feedback / Learning ↔ Processing

04.7

Problems & Conditions We Treat

Specific conditions we treat and procedures we perform as a urology team.

01

Prostate Diseases

We Treat
  • Benign growth (benign prostatic hyperplasia)
  • Prostatitis
  • Prostate cancer
Procedures We Perform
  • Transurethral prostate surgery — monopolar, bipolar and laser for enucleation or electrovaporization; open surgery and other treatment modalities.
  • Treatment of prostatitis: medical or surgical.
  • Prostate cancer treatment — Medical: hormone therapy, chemotherapy, immunotherapy.
  • Prostate cancer treatment — Surgery: radical prostatectomy (open, laparoscopic or robot-assisted); transurethral resection of the prostate; orchiectomy.
  • Palliative care, pain management and infections.
  • Rehabilitation.
02

Stone Disease (Lithiasis)

We Treat
  • Stones in kidney, ureter, bladder, prostate and urethra
Procedures We Perform
  • Nephrolithotripsy (fragmentation and removal of kidney stones).
  • Laser ureterolithotripsy (ureteral stones) and cystolithotomy (bladder stones), transurethral or suprapubic.
  • Endourology (endoscopic surgery) for the diagnosis and treatment of stones in kidney, ureter, bladder and urethra.
  • Medical treatment of obstructive stones and/or drainage: nephrostomy (endoscopic, percutaneous or open), double-J catheter placement, cystostomy.
  • Percutaneous treatment.
  • Comprehensive evaluation to find the etiology of the lithiasis (cause of stone formation).
  • Prevention.
03

Urinary Tract Infections

We Treat
  • In men, women and children
  • Localized infections: cystitis
  • Systemic infection: pyelonephritis (kidney); prostatitis
  • Asymptomatic bacteriuria
  • Specific groups: pregnant women, patients with catheters, with anatomical or functional abnormalities, with lithiasis, geriatric or frail patients, with neurological disorders, and women with genital prolapse and menopause
Procedures We Perform
  • Diagnosis by clinical examination and laboratory studies: urinalysis, urine culture, cervicovaginal culture, blood culture; imaging studies.
  • Treatment with general measures: hydration, antimicrobials, drainage of collections or obstruction of urinary flow.
  • Rational use of antimicrobials, avoiding self-prescription and misuse.
  • Infection prevention.
  • Prophylaxis before performing surgical procedures.
04

Obstructive Uropathy

We Treat
  • Congenital anomalies of the kidney and urinary tract: polycystic kidney, ureteropelvic stenosis, ureterocele, urethral valves, urethral stricture
  • Ureteral obstruction due to traumatic injury, fibrosis, radiation, benign tumors and cancer
  • Physiological alterations: megaureter, bladder and urethra dysfunction
Procedures We Perform
  • Diagnosis by clinical examination, laboratory and imaging studies: urodynamics, ultrasound, renal scintigraphy, CT, MRI, endoscopy and ascending pyelography.
  • Detection of comorbidities: diabetes and high blood pressure.
  • Treatment of associated pain and infection, and of the obstruction via percutaneous nephrostomy, double-J catheter, cystostomy, urethral catheter and urinary diversions.
  • Treatment of post-obstructive diuresis.
05

Uro-genital Cancer

We Treat
  • Adrenal gland
  • Kidney
  • Bladder
  • Prostate
  • Testicle and scrotum
  • Penis
  • Urethra
Procedures We Perform
  • Medical treatment: hormone therapy, chemotherapy, immunotherapy.
  • Open, laparoscopic, endoscopic or robot-assisted surgery.
  • Simple and radical nephrectomy (removal of the kidney and tissues).
  • Radical cystectomy with ileal conduit or internal urinary diversion, and partial cystectomy.
  • Radical prostatectomy and lymphadenectomy.
  • Radical orchiectomy (testicle) and penectomy (penis and tissues).
  • Other modalities: radiofrequency, cryoablation, HIFU, phototherapy, external radiotherapy, brachytherapy.
  • Palliative care, pain management, rehabilitation and follow-up.
06

Urological Trauma

We Treat
  • Kidney
  • Ureter
  • Bladder
  • Urethra
  • Testicle
  • Genitals
Procedures We Perform
  • Initial evaluation with multidisciplinary and intensive management.
  • Diagnostic procedures: clinical examination, laboratory and imaging studies.
  • Application of ATLS strategies (Advanced Trauma Life Support).
  • Urinary diversion.
  • Endoscopic, open or laparoscopic surgery for reconstruction or removal of structures.
  • Multidisciplinary surgical approach, rehabilitation and follow-up.
07

Men's & Older Adult Health

We Treat
  • Sexual dysfunction
  • Erectile dysfunction (impotence)
  • Ejaculation problems
  • Late-onset hypogonadism (andropause)
  • Successful aging, health promotion, prevention and positive health
Procedures We Perform
  • Multidisciplinary management of sexual dysfunction.
  • Medical management of erectile dysfunction and of desire, ejaculation and orgasm problems.
  • Devices and prostheses for the management of erectile dysfunction.
  • Comprehensive and multidisciplinary treatment of late-onset hypogonadism in older adults (andropause).
  • Lifestyle modification for successful aging.
08

Female Urology

We Treat
  • Genital prolapse (fallen bladder)
  • Urinary incontinence
  • Urethral stricture
  • Urethral syndrome
  • Voiding dysfunction
Procedures We Perform
  • Diagnosis and medical management of stress, urge and mixed urinary incontinence.
  • Surgical procedures for urinary incontinence.
  • Placement of an artificial sphincter.
  • Diagnosis and treatment of functional voiding disorders.
09

Pediatric Urology

We Treat
  • Undescended testicle (cryptorchidism)
  • Hypospadias
  • Vesicoureteral reflux
  • Ureteropelvic junction stenosis
  • Ureterocele
  • Phimosis
Procedures We Perform
  • Medical treatment.
  • Surgery for undescended testicle (orchidopexy).
  • Surgery for hypospadias.
  • Circumcision.
  • Surgery for vesicoureteral reflux (reimplants and others).
  • Pyeloureteral junction plasty.
10

Scrotal Sac Problems

We Treat
  • Testicular torsion
  • Inflammation
  • Hydrocele
  • Hernia
  • Trauma
Procedures We Perform
  • Medical treatment of inflammatory problems.
  • Surgery for varicocele, hydrocele, testicular torsion and hernia.
11

Infertility & Fertility

We Treat
  • Study of the infertile man
  • Sperm retrieval from the testicle
  • Birth control
  • Vasectomy reversal
Procedures We Perform
  • Vasectomy.
  • Vasectomy reversal (vasovasostomy: microsurgical recanalization).
  • Sperm retrieval from the testicle.
12

Adrenal Gland Pathology

We Treat
  • Incidentalomas
  • Adenomas
  • Carcinomas
Procedures We Perform
  • Multidisciplinary management with endocrinology.
  • Diagnostic procedures: laboratory, imaging and special tests, together with endocrinology.
  • Adrenal gland surgery: open, laparoscopic or robot-assisted.
13

Functional Urology

We Treat
  • Neurogenic bladder
  • Overactive bladder
  • Nocturia (nighttime urination)
  • Bladder-sphincter dyssynergia
Procedures We Perform
  • Multidisciplinary management with neurology, psychiatry and gynecology.
  • Urodynamic study.
  • Pelvic floor rehabilitation.
  • Neuromodulation.
  • Multidisciplinary management of nocturia (cardiologist, geriatrician, among others).
14

Sexually Transmitted Diseases

We Treat
  • HIV and AIDS
  • Syphilis, gonorrhea, Chlamydia infection
  • Human papillomavirus (HPV)
  • Chancroid, hepatitis B and C, genital Mycoplasma
  • Ectoparasites and care in cases of sexual abuse
Procedures We Perform
  • Evaluation of risk behavior and habits; education and counseling to prevent sexually transmitted infections.
  • Guidance on immunization (vaccination) for preventable infections.
  • Identification of people with asymptomatic infection and with associated symptoms.
  • Effective diagnosis and treatment, counseling, follow-up and control.
  • Evaluation, treatment and counseling of the partners of infected patients.
15

Adolescent Urological Health

We Treat
  • Development and physiological changes
  • Urological pathology of the adolescent
  • Detection of congenital abnormalities
  • Sexual and reproductive health
  • Use of anabolics and steroids
  • Life project and quality of life
Procedures We Perform
  • Education: knowing your body and your mind.
  • Guidance on the use of substances to improve physical and mental performance.
  • Guidance on risky sexual practices for STDs and unwanted pregnancy.
  • Detection and treatment of adolescent pathology.
  • Disease prevention activities and health promotion.
  • Multidisciplinary approach to the adolescent's comprehensive health.
16

Collaboration in Kidney Failure

We Treat
  • Obstructive uropathy
  • Acute kidney failure
  • Chronic kidney failure
  • Kidney transplant: performance, monitoring and complications
Procedures We Perform
  • Diagnosis, treatment and prevention of the causes of acute or chronic kidney failure associated with obstructive uropathy, medications, surgical procedures or sepsis.
  • Kidney transplant.
  • Management of renovascular hypertension.
  • Urinary diversion: urethral Foley catheter, percutaneous cystostomy, double-J catheter and percutaneous nephrostomy.