In the fully equipped practice of Surgeon-Urologist Georgios Garaganis, in Haidari, a wide range of urological diseases is treated after a thorough clinical examination and diagnosis. The physician and his medical team are always ready to deal with even the most complex urological problems.
The services offered in the clinic of Georgios Garaganis MD, MSc, and his medical team:
Andrology is the medical specialty that deals with the health of men and, in particular, with diseases related to the male reproductive system and urinary system diseases. Andrologists, i.e. the physicians that practice andrology, are trained surgeons-urologists who have further specialized in male sexual and reproductive health care.
Oncological Urology is a sub-specialization of urology, specializing in diagnosing and treating patients with urinary or genital cancer. With many years of experience and specialization as well as absolute respect for their patients, Georgios Garaganis and his medical team provide services addressed to patients with oncological, urologic problems.
Urinary Calculus (Lithiasis)
Urinary Calculus is a disease caused by stones in any part of the urinary tract. Depending on where the stones are located in the urinary tract, there can be kidney stones [nephrolithiasis], lithiasis of the ureters [the tubes that carry urine to the bladder], lithiasis of the bladder.
Peyronie's disease (Peroni), or penile curvature, is a condition of unknown origin and cause, where penile curvature or loss of length or circumference is caused, often so acute that it can make sexual intercourse impossible. Peyronie's disease is a benign condition of the penis characterized by fibrous plaque or hard area on the upper or lower side of the penis, in the layers surrounding the erectile tissue. It usually occurs in middle age but can also develop in younger men. Timely treatment immediately after the development of the condition can prevent deteriorating or even improve symptoms.
The prostate is a small gland that exists only in men, with the shape and size of a chestnut. The role of the prostate is the production of a fluid that mixes with the sperm and ensures the vitality of spermatozoa, thus helping in reproduction and fertilization. It also produces an important enzyme, PSA, which allows the liquefaction of the sperm. Some of the primary diseases of the prostate are prostatitis [inflammation of the prostate], which is a common condition for men of all ages, benign prostatic hyperplasia, that is, the increase in the size of the prostate gland resulting in the pressure of the wall of the urethral and the bladder causing disorders in urination.
In the context of the infertility investigation, the control of male fertility is essential in order to find the cause and to plan appropriate treatment. The most necessary examination for a man is the sperm diagram (semen analysis); then, more specialized examinations may be needed depending on the results and the medical history records.
Uroflowmetry is the simplest diagnostic procedure used to measure the flow rate of urine. It provides valuable information about the quality of urination, the flow rate, as well as the flow time. It is a non-invasive, painless examination in which the patient urinates in a specific machine and the urine weight is converted into a graph depicting the patient’s flow rate of urination, i.e., the graphic representation of the flow rate of urination. Uroflowmetry can show whether there is a blockage in the lower urinary tract.
Ultrasound examination (or "ultrasound") is a painless diagnostic technique that makes use of the way sound waves "travel" in the body. When sound waves pass through the body, they "bounce" from tissues and organs in specific ways. Sound waves do not harm the body, and there is no radiation usage. Ultrasounds can be used to examine various organs in the body. Indicatively: ultrasound of the bladder, kidneys, ultrasound of the scrotum, ultrasound of the prostate, etc.
Flexible cystoscopy is performed under local anesthesia, which allows the physician to endoscopically examine the bladder and the urethra using a thin, flexible tube with a tiny camera. It is performed under local anesthesia (xylocaine) in the physician's practice or clinic. The procedure is performed for diagnosis in patients with hematuria, urinary incontinence and dysuria; It is also used to evaluate patients with bladder cancer, enlarged prostate, or urethral stenosis.
Transrectal Prostate Ultrasound
Transrectal ultrasound (TRUS) offers the physician important information about the prostate. It provides images of the surrounding tissue and allows the physician to examine the gland for abnormalities. Transrectal ultrasound or directed-targeted prostate biopsy can be used to diagnose prostate cancer in patients with suspicious digital rectal examination or elevated PSA levels, assess prostate tumor, and detect inflammations (e.g., prostatitis) abscesses, prostate calcifications.
Transrectal Prostate Biopsy
Prostate biopsy is a procedure to remove samples of suspicious tissue from the prostate. The prostate is a small chestnut-shaped gland that produces fluid that nourishes and carries sperm. A needle is used to collect several tissue samples from your prostate gland during the prostate biopsy. The urologist may recommend a prostate biopsy if the results of initial tests, such as a prostate-specific antigen (PSA) blood test or a digital rectal examination, suggest that you may have prostate cancer. Tissue samples from prostate biopsy are examined under a microscope for cellular abnormalities that are a sign of prostate cancer.
Laser Wart Removal
Lasers and especially CO2 Laser can be used to destroy warts. Laser surgery can be performed in the practice under local anesthesia. The recovery time depends on the localization and the number of warts that have been removed. Recovery usually lasts 1 to 2 weeks, and, at the same time, it is recommended to avoid sexual intercourse until the area is treated. This is an effective and safe treatment, but warts can always return after removal. An advantage of this method is the accuracy with which it destroys the damage without affecting the adjacent healthy skin. Treatment of genital warts cannot cure infection with the human papillomavirus (HPV). The virus can remain in the body in an inactive state after the removal of warts.
Plastic surgery of the short frenulum
By the term "frenulum" of the penis, we mean this elastic fold of the skin, which connects the underside of the glans [head] of the penis with the inner surface of the foreskin (the part of the skin that covers the glans of the penis). The function of the frenulum is to help the foreskin so that the glans of the penis is released. We are talking about a short penile frenulum, when this fold of skin is so small that it ends up limiting the movement that the foreskin can make, as a result of which it becomes impossible to reveal the head of the penis. This causes discomfort during sexual intercourse, injury, and bleeding. The rehabilitation is performed with a minor surgical operation under local anesthesia in the practice. The frenulum is intersected using a Laser and then sutured. Healing of the wound takes a few days.
One of the newest, innovative strategies for the treatment of erectile dysfunction is the PRP treatment (Platelet-Rich Plasma) and which aims at the underlying cause of endothelial dysfunction and the restoration of the structure and function of the affected erectile tissue in order to achieve a "cure" of the pathological problem and not only simple treatment of symptoms. PRP (Platelet-Rich Plasma) therapy uses platelet-rich plasma, that is, our blood. It takes advantage of the healing properties of our blood to stimulate penile cells through the activation of natural regeneration mechanisms.