Urinalysis is a test that examines the content of urine for abnormal substances such as protein or signs of infection. This test involves urinating into a special container and leaving the sample to be studied.

Urodynamic tests measure the storage of urine in the bladder and the flow of urine from the bladder through the urethra. Your doctor may want to do an urodynamic test if you are having symptoms that suggest problems with the muscles or nerves of your lower urinary system and pelvis.

This term means protein in the urine and may indicate that there is a problem with your kidneys.

This term means blood in the urine and may be the result of inflammation or other problems with your kidneys, blockages in your ureter, infection or other problems with your bladder or problems with your prostate.

A UTI is caused by an infection in the urinary tract. Women get UTIs more often than men. UTIs are treated with antibiotics. Drinking lots of water also helps by flushing out the bacteria. If the infection is in the bladder it is called cystitis. If the infection is in the kidneys it is called pyelonephritis.

Urinary incontinence or loss of bladder control is the involuntary passage of urine (passing urine without meaning to). There are many causes and types of incontinence, and many treatment options. Treatments range from simple exercises to surgery. Women experience incontinence more often than men, and this may result from muscle damage during pregnancy and childbirth or the changes associated with menopause. The most common type of urinary incontinence in women is stress incontinence. This is when urine leaks out when movements, such as coughing, laughing or sneezing put pressure on the bladder.

Sling procedures are common surgical operations to stop stress incontinence. This is a condition where urine leaks out when movements, such as coughing, laughing or sneezing put pressure on the bladder. Stress incontinence occurs when the muscles supporting the urethra (tube that carries the urine out of the body) become weak and the urethra no longer works well as a valve to keep the urine in the bladder. Sometimes this results from the effects of childbirth. Sling procedures provide support to the weakened muscles by placing a stitch or strip of mesh under the urethra so that it won’t accidentally release urine when there is pressure on the bladder. Burch Procedure In the Burch procedure, permanent stitches are placed on both sides of the urethra to give it more support. The Burch procedure is done under a general anaesthetic (you sleep throughout the procedure) and can be performed by laparoscopic surgery. Tension-Free Vaginal Tape (TVT) Procedure In tension-free vaginal tape (TVT) surgery, a mesh-like tape is placed under the urethra to give it support. The TVT procedure is done through a small cut in the vagina and it is usually performed under local anaesthetic (this means that you don’t have to go to sleep during the operation).

Urinary retention, or abnormal holding of urine in the bladder, is a common urological problem. Possible causes of acute urinary retention (sudden inability to urinate) include a blockage in the urinary system, stress or nerve problems. Chronic urinary retention (some urine is always left in the bladder after emptying) may be caused by bladder muscle failure, nerve damage, or obstructions in the urinary tract. Treatment for urinary retention depends on the cause.

If the uterus (womb) or bladder slips out of position, this is referred to as a prolapse. It is caused when the supporting muscles become weak, allowing a part of the uterus or bladder to bulge into the vagina. The most common reason that these muscles become weak is childbirth, and a uterine prolapse or bladder prolapse (also called cystocoele) is more common in women who have had a lot of babies. Symptoms include pain, heaviness in the vaginal area and a frequent need to pass urine. In mild cases, exercises may help improve the symptoms, but women with more severe prolapses may need to have surgery.

What causes bladder cancer is not always clear, but the risk of developing bladder cancer can be increased by smoking, getting older, long term bladder problems and unsafe exposure to aniline dyes which are used in some industries. Bladder tumours usually form in cells lining the bladder. Once a tumour begins to enlarge, it may stay in the lining or grow into the wall of the bladder. If untreated, the tumour may then grow into other structures such as lymph nodes. If the cancer enters the bloodstream it may spread to other areas of the body (metastasis). Often the first symptom noticed is blood in the urine, other symptoms such as needing to pass urine more often or feeling as if you need to go but can’t affect about 1/3 of people with early bladder cancer. As the tumour grows these symptoms affect more people. The first test to diagnose bladder cancer is usually a urine sample. Sometimes a tube will be inserted through the urethra and the bladder will be washed with liquid to try to wash out some cancer cells for diagnosis. If cancer is suspected, the next step is usually a cytoscopy (a tube is inserted into the urethra to allow the doctor to look inside the bladder). If there is to be a tumour the doctor can take a small sample (biopsy) for testing. CT or MRI scans are also used to scan the body to see if the cancer has spread to other areas. Treatment depends on the size of the tumour and how much it has grown into the bladder wall. Surgery may be considered especially if the tumour is still small. The surgeon can insert a cytoscope through the urethra and cut out the tumour or burn it away. If the tumour has grown more deeply the surgeon may cut open the abdomen and remove some or the entire bladder (a partial or full cystectomy). If the whole bladder is removed an artificial bladder will be created on the inside or a urostomy bag on the outside. Radiotherapy (an x-ray beam) can be used as the main treatment in some people and in others may be used after surgery to remove any remaining cancer cells. In early cancer, drugs (chemotherapy) or another treatment called BCG may be placed directly into the bladder to kill cancer cells (intravesical treatment). Usually though, chemotherapy is used in the later stages where it can attack cancer cells throughout the body (not just the bladder) and help stop the cancer spreading.

This term refers to stones in the urinary system. They form in the kidneys but can be found anywhere in the urinary system. They vary in size and the amount of pain they cause. Many of these stones can pass though without help but some require medical intervention. Extracorporeal shockwave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. The stones break down into very small particles and are easily passed through the urinary tract in the urine.

Kidney failure occurs when the kidneys cannot remove waste products from the blood or control the amount of water in your body. Acute kidney failure occurs suddenly and may be the result of injury, loss of large amounts of blood, drugs or poisons. Kidneys may return to normal function if they are not too badly damaged. Chronic renal failure means a slow decline in kidney function, which may not be noticed immediately. If renal function continues to deteriorate dialysis may be needed.

This is an enlargement of the prostate gland. In BPH there may be difficulties in passing urine as the enlarged prostate can cause a blockage. Patients with BPH often notice an increased urge to empty the bladder, especially at night. Many men over 60 years of age have some BPH. There are many different treatment options available for people with BPH. Most commonly your doctor can prescribe tablets to improve urinary function.

This is the term used to describe inflammation of the prostate gland. Symptoms can include increased need to pass urine and pain on passing urine as well as perhaps lower back pain. Sometimes this inflammation is due to an infection and an antibiotic will be prescribed, otherwise pain relief medication may be prescribed.

Prostate cancer typically consists of many very small, tumours within the prostate. At this stage, the disease is often curable (rates of 90% or better) with standard treatments such as surgery or radiation. Unfortunately, at this stage the cancer produces few or no symptoms and can be difficult to detect. If untreated and allowed to grow, the cells from these tumours can spread to other parts of the body in a process called metastasis. Once the cancer has spread beyond the prostate, cure rates drop dramatically. In most cases, prostate cancer is a relatively slow-growing cancer, which means that it typically takes a number of years for the disease to become detectable, and even longer to spread beyond the prostate. However, a small percentage of patients experience more aggressive forms of prostate cancer. Treatments options for prostate cancer include surgery, radiation, hormone treatment and chemotherapy. Which treatment is chosen depends on factors such as the stage of the cancer and the patient’s age, other health issues and willingness to undergo certain procedures or therapies – some of which may have side effects.

A long, thin tube with a tiny camera attached (resectoscope) is inserted into the urinary opening of the penis and through the urethra (the tube that carries urine from your bladder to the outside of your body) to your bladder. The urologist is then able to view the prostate gland and, by passing an instrument through the resectoscope, is able to remove the part of the gland that has become enlarged.

A tiny incision (cut) is made in the scrotum and a short length of the vas deferens (the tube carrying sperm away from the testicles where it is produced) is removed.

Undescended testes occur in less then 4% of children, and are more common in premature babies. Many “undescended” testes are simply lying very high in the groin and can be brought down by hand, and some true undescended testes will come down by themselves in the first year of life. After one year, undescended testes always remain so. It is important for your GP to refer your child to a paediatric surgeon (children’s surgeon) if the testes are not felt in the scrotum. If not treated there may be problems in adult life with infertility or an increased risk of cancer of the undescended testis. A surgeon will see your child in a hospital outpatient clinic. What will happen at the appointment? The surgeon will examine your child carefully to see if the testis can be felt in the body. If the testis can be felt, a simple operation under general anaesthetic (putting your child to sleep during the operation) would be performed between 9 and 12 months of age. If the testes cannot be felt, a different type of operation would be performed so that the surgeon can check where the testes are. In some cases, the testes are absent. Both types of surgery involve an overnight stay in hospital.

A small incision (cut) is made in the groin on the side of the undescended testicle and the testicle pulled down into the scrotum. Sometimes a small cut will need to be made in the scrotum as well.

What is a urine infection? A urine infection is the presence of bacteria in the urinary tract (bladder and kidneys). Urine should be sterile (free of bacteria). Why did my child get a urine infection? Approximately 1% of boys and 3% of girls get a urine infection in the first ten years of life. Bacteria can enter the urinary tract from the skin around the urethra (where the urine normally comes out), or occasionally from infection within the body. Constipation can contribute to a urine infection and children who hold on to their wees for long periods are also at risk of developing a urine infection. Some children will have a blockage in the urinary tract, or a back flow of urine from the bladder towards the kidneys (called vesico-ureteric reflux VUR) which has cause the infection. How is the urine infection treated? A course of antibiotics will treat a urine infection. If your child is vomiting or too unwell to take antibiotics by mouth, hospitalisation for intravenous (in the vein) antibiotics may be needed. Antibiotics should improve symptoms within 48 hours. If they have not, see your GP. Why does my child need to have tests done? All babies and very young children should have tests done to check their urinary tract. In up to 40% of young children with a urine infection, there is a back flow of urine towards the kidneys, and in a very small percentage there is a blockage in the urinary tract. These conditions stop the urine flowing normally and make children more likely to have repeated urine infections. Blockages and severe VUR may need to be repaired with surgery, and VUR may need long term treatment with antibiotics to help prevent kidney scarring and possible kidney failure. It is important therefore to take antibiotics until the tests are done, in case VUR is diagnosed. What tests will be done? The tests your GP has referred you for may include: kidney ultrasound: this is similar to the ultrasound to check the baby in the womb during pregnancy. It shows the size and shape of the kidneys and is usually done about one month after referral micturating cystourethrogram (MCUG): this test uses x-rays to see dye moving out of the bladder. It will detect back flow of urine (VUR) and blockages in the urinary tract. The dye is put into the bladder through the urethra using a thin tube called a catheter. Your child is then held still for several minutes while x-rays are taken. Inserting the catheter can be uncomfortable, and hands-on support by the accompanying adult may be needed. Arranging child care for any other children in your care is advisable for this test. In children older than about 18 months, sedation may be offered to make your child sleepy and less aware of the test. The MCUG is done approximately one month after the referral. What if the tests show an abnormality? You should see your GP after these tests have been done. Your GP may refer your child to a children’s doctor (paediatrician) at a hospital clinic. Antibiotics should be continued unless you are told otherwise. Will my child get further urine infections? Repeated urine infections can occur even when antibiotics are being taken. It is important to have your child’s urine checked if the following symptoms develop: fever; strong smelling or discoloured urine; pain on passing urine; your child is “not well” or has unsettled behaviour. To prevent further infections, avoid constipation, avoid bubble baths (or other irritating soaps), take antibiotics when prescribed, change soiled nappies quickly, and wipe the bottom from the front to the back.

The foreskin is pulled away from the body of the penis and cut off, exposing the underlying head of the penis (glans). Stitches may be required to keep the remaining edges of the foreskin in place.