Conditions and treatments Department of Urology

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​​Urological diseases include diseases in the adrenal glands, kidneys, urinary tracts and male genital organs. The majority of patients admitted to the department are treated for​​:

  • cancer
  • kidney transplant
  • bladder dysfunction​​

Cancer of the urinary tracts and male genital organs. Cancer of adrenal glands

  • Outpatient preliminary examination:  Clinical assessment, scanning, endocrinological assessment.
  • Admitted: Surgery, open or laparoscopic 

Kidney cancer​

  • ​Outpatient: Clinical assessment, scanning.
  • Outpatient treatment: For metastatic disease, the possibility of surgical and/or medical treatment is assessed. Medical treatment is mainly done on an outpatient basis.
  • Admitted: Surgery, open, laparoscopic or robot-assisted. For suitable tumours a kidney-saving technique is applied; spreading veins (cava-thrombus) are treated (by thrombus close to the heart) in cooperation with heart surgeons; spreading or recurrence to liver, lung, brain or bone is treated in cooperation with the surgical specialist departments in question.

Cancer of the urinary tract (renal pelvis, ureter, bladder)​

  • ​​​Outpatient preliminary examination:  Clinical assessment, scanning.
  • Admitted: Surgery, endoscopical resection and open, laparoscopic or robot-assisted. For surgery where the bladder is removed, a urinary diversion is est​ablished, as wet ostomy, continent reservoir or neobladder. For spreading or recurrence, resection or chemotherapy may be offered in cooperation with the Department of Oncology.

Prostate cancer​

  • Outpatient preliminary examination:  Clinical assessment, ultrasound scan, biopsy.
  • Outpatient treatment: Patients suitable for active surveillance. Patients not suitable for primary surgery/radiotherapy are assessed for hormonotherapy or possibly chemotherapy in cooperation with the Department of Oncology.
  • Admitted: Surgery, open or robot-assisted. Advanced endocrine therapy in patients with hormone-resistant prostate cancer.​

Penis cancer

  • ​Outpatient preliminary examination:  Clinical assessment, scanning, sentinel node marker.
  • Admitted: Surgery, open. For suitable tumours, a penis-preserving technique is used. After partial penis amputation, reconstruction of the glans may be offered. Any lymph nodes in the groin are removed, guided by sentinel node markers. For spreading or recurrence, resection or radiotherapy and chemotherapy may be offered in cooperation with the Department of Oncology.

Testiscancer​

  • ​Outpatient preliminary examination:  Clinical assessment, scanning, marker examination, offer of sperm depositing.
  • Admitted: Surgery, open. Removal of testis after freeze microscopy, and simultaneous biopsy of contralateral testis. For spreading or recurrence, resection or radiotherapy and chemotherapy are offered in cooperation with the Department of Oncology.

Retroperitoneal cancer (sarcoma, recurrence, metastasising)​

  • ​Outpatient preliminary examination:  Clinical assessment, scanning.
  • Admitted: Surgery, open. For spreading to other organ systems, treatment is carried out in cooperation with relevant surgical specialist departments. Any radiotherapy and chemotherapy is performed in cooperation with the Department of Oncology.

2. Kidney transplant​

  • Kidney transplant
  • Outpatient preliminary examination:  Recipient: Clinical assessment, ultrasound scan. Living donor Joint diagnostic evaluation with the Department of Nephrology, including clinical assessment, CT-angiography, renography, clearance.
  • Admitted: Donor surgery, open or laparoscopic. Recipient surgery, open. Children weighing 9-10 kg are transplanted.

3. Neurogenic bladder dysfunction​

  • Outpatient preliminary examination:  Clinical assessment, urodynamic examination.
  • Outpatient treatment: Bladder-dampening medicine (anticholinerg) as a tablet, in the event of unsatisfactory effect of Botox.
  • Admitted: In rare cases, surgical correction may become relevant (augmentation, Mitranoff procedure, ostomy, etc.).​​​​​​​
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