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The Urology is a medical-surgical specialty that deals with the study, diagnosis and treatment of the medical and surgical conditions of the urinal device and retroperitoneal, for both sexes, and with the masculine genital apparatus, without any age limit, caused by congenital, trauma, septic, metabolic, obstructive and oncological disorders.

As such specialty, the Urology has his propedeutic, semiotics, nosology and diagnostic and therapeutic specific procedures, surgical, endoscopic and other physical means. In general, it includes the following interesting areas: Andrology, Urolithiasis, Endourology-Laparoscopic surgery and Robotics, urooncology, Urodynamics, feminine urology, paediatric urology, Renal Transplant and General Urology.
Recently, new technologies and therapeutic approaches have been integrated, for pathologies so fundamental as the prostate cancer (more common tumor for men), the benign prostate hyperplasia, the erectile dysfunction or the feminine urine incontinence which have transformed its approach.

It is, therefore, a full expansion specialty, that at the beginning of the XXIst century, the assistance outlook has been strengthened as one of major content.

Our team is headed by Dr. Allona Almagro who brings together experience, engagement and necessary commitment for the correct diagnose and treatment of the overall urology pathology.

Our goal is always the patient, and to his care we devote all our efforts. It is indispensable for this a high staff technique qualification, a careful and professional care and undoubtedly a teamwork of all and every one of us.
The current medicine and surgery have many available innovations, among them stand out the ones which provoke a minor aggression to the patient, known as minimal invasive therapies. Recently and, with the aim to better our results, we have implanted the assisted laparoscopy surgery by robot (da Vinci).


General urology

We offer a whole approach of every patient, diagnosis (detailed medical interview and physical exploration), complementary diagnostic studies (imaging, endoscopics, functional, etc.) and medical or surgical treatment minimally invasive (therapies) personalized for each case.

In the outpatient consultation, all the pathologies included in this area will be diagnosed and treated

Hematuria study

Hematuria is defined as blood presence during urinating (macroscopy). Microscopic haematuria is when two or more erythrocytes by field are detected in at least two urine sedimentation analyses. It is a warning sign, both for patient as for the physician, since it is disease evidence and it may be going from a simple cystitis to a malignant neoplasia. Patient’s evaluation and treatment through the imaging studies (urologic echography, uro-CT, Uro-MRI, etc.) as a endoscopic assessment (flexible instrumental under sedation) if necessary.
Urinary infections
This is the most common urinary tract pathology and, in general, the most frequent second infection. A microbiological diagnosis will be carried out in each case if needed. The recurrent UTI’s (urinary tract infections) will be specially studied and in pregnant women to diagnose feasible underlying causes.

Renal and ureteric calculi

Reno-ureteral calculi are the third most common disorder in the urinary tract. The annual incidence in Spain overcomes two million afflicted and, a 5-10% of them will suffer the symptoms. We offer diagnosis and treatment of this pathology, including the following options:
• Monitoring: Monitoring until the spontaneous release, what normally happens to most of the patients.
• Extracorporeal lithotripsy by shock waves (LEOC) in outpatient basis under sedation.
• Flexible and rigid uteroscopy. Lithotripsy by Holmium-Yag Laser.
• Endoscopic percutaneous nephrolithotomy.
• Laparoscopic ureterolithotomy.
• Ureter-catheterism under sedation. Retrograde and anterograde pyelogram.

Sexually transmitted diseases (STD)

Benign scrotal pathology
Genital cutaneous diseases

Other procedures:
• Outpatient surgery: “No-scalpel” Bilateral vasectomy, hydrocelectomy, circumcision, frenuloplasty, endoscopic internal urethrostomy, genital lesions exeresis (sebaceous cysts, etc.), flexible cytoscopy.
• Surgery with hospitalization: Robotic pyeloplasty (pyelo-ureteral joint stenosis), robotic renal suture (renal ptosis), uretral surgery (uretra stenosis and hypospadias aftermaths.)


We offer a whole approach of every patient, diagnosis (detailed medical interview and physical exploration), complementary diagnostic studies (imaging, endoscopics, functional, etc.) and medical or surgical treatment minimally invasive (therapies) personalized for each case.
By the outpatient consultation, all the pathologies included in this area will be diagnosed and treated.
Further information in:

Vesical and upper urothelium cancer
It is the sixth death cause for cancer in the USA. Most of these tumors are superficial with a overall survival over 90 %, but, with a high recurrence rate. Its basic treatment is the Transurethral Vesical Resection and posterior endovesical instillations according to the tumor histology. In cases of tumor-infiltrating it is necessary to apply more aggressive treatments as radical cystectomy or external radiotherapy.
All the necessary innovative techniques for your diagnóstico y tratamiento will be performed, as well as the close collaboration, if necessary, of the Medical Oncology Services, Radiation Therapy Oncology, Pain Unit, for complementary treatments (chemotherapy, radiotherapy, etc.).
The procedures and techniques available are these ones:
• Técnicas de diagnóstico and endoulogical treatment (cystoscope, examination under anaesthesia, transurethral vesical resection, outpatient fulguration with Laser Holmium-Yag)
• Outpatient endovesical instillations if chemotherapeutic agents or immunotherapy (MMC C, BCG, etc.)
• Advanced surgical techniques.
a. Cistectomía Radical Abierta ó Robótica con Linfadenectomía extendida.
b. No-continent and continent urinary shunt by orthotropic vesical replacement.
c. Nefroureterectomía Abierta y Robótica

a. Más información de cáncer vesical. Más información de cáncer de urotelio superior.

Renal cancer

The adenocarcinoma renal is the most frequent kidney type of tumor. Its primary treatment is surgery. A big percentage of them are currently diagnosed incidentally, allowing, in many cases, to apply a renal unit conservative treatment by a partial surgery. During the last years, new technologies have been integrated to its treatment, with minor morbidity, less hospitalization time with the same oncological protection.
The procedures and techniques available are these ones:
• Advanced imaging techniques for its diagnóstico ( Helical CT with volume reconstruction”3D”, Uro-MRI, Digital angiography, etc.).
• Técnicas quirúrgicas convencionales y mínimamente invasivas:
a. Nefrectomía radical y parcial robótica y abierta.
b. Kidney tumor with venous thrombus: Radical nephrectomy with thrombectomy (in collaboration with the Cardiovascular Surgery Service if necessary).
c. Crioablación laparocópica.
d. Ablación percutánea y laparoscópica mediante Radiofrecuencia.
Testicular cancer
It is the most typical tumor in men aged between 15 and 35. When there is an early diagnosis the possibilities of healing are very high. El tratamiento of testicular cancer include different approaches as surgery, chemotherapy and radiotherapy, depending on the type and estadio clínico of tumor. We provide an almost direct diagnostic evaluation from a clinical misgiving, likewise, all subsequent treatments.
• Radical orchiectomy by groin area (exclusive cases conservative testicular surgery.)
• Valoración multidisciplinar entre Urológo, Oncólogo y Radioterapeuta.
a. Systematic chemotherapy.
b. External radiation therapy.
c. Retroperitoneal lymphadenectomy with ejaculation preserving techniques as previous semen cryopreservation.
Other (penile cancer, retroperitoneal tumors, adrenals tumors, urologic bodies invasion by abdominal tumors, etc.)
• Tumores de Pene:
a. Penectomía parcial, emasculación.
b. Linfadenectomía inguinal.
c. Ablación de lesiones sospechas mediante Láser.
• Tumores Adrenales:
a. Diagnóstico and tratamiento in partnership with the Endocrinology Service.
b. Minimally invasive surgical techniques (laparoscopic adrenalectomy).
• Tumores uretrales.
a. Diagnosis and treatment.
• Retroperitoneal tumors and neighbouring organs (digestive, gynaecologic)
a. Diagnosis and treatment in collaboration with the oncological gynaecology service and digestive surgery.
b. Combined surgical techniques:
i. Retroperitoneal tumors scission.
ii. Anterior, media, posterior or complete pelvic exenteration with urinary diversion.
Prostatic pathology. Prostate unit.
We offer a whole approach of every patient, diagnosis (detailed medical interview and physical exploration), complementary diagnostic studies (imaging, endoscopics, functional, etc.) and medical or surgical treatment minimally invasive (therapies) personalized for each case.
We believe that the prostatic pathology (Hiperplasia Benigna de Próstata, Cáncer de Próstata, etc) has a common diagnosis field and treatment.
• High resolution consultation.
• Prostate benign hyperplasia. Minimally invasive therapies.
• Diagnóstico precoz and tratamiento of prostate cancer. Tratamiento multidisciplinar.
High resolution consultation.
Just in a visit, with previous coordination inter-services.
• Medical evaluation.
• Laboratory test.
• Imaging study.
• Functional tests.
• Diagnosis and final treatment proposal.

Prostate benign hyperplasia. Minimally invasive therapies

It is the most usual prostatic gland pathology. It is a benign growth of it affecting a 40% of adult males over 60 and a 80% over 80. In many cases, it makes difficult to urinate and causes a symptomatology which greatly alters the patient’s quality of life. It is early diagnosed, and its treatment may, in many cases, prevent complications presence as urine retention, renal insufficiency, gallbladder calculi, etc.
In recent times, there new technologies have emerged improving this pathology treatment possibilities. We offer the following diagnostic and therapeutic techniques:
• Flujometría, Estudios Urodinámicos en régimen ambulatorio.
• Abdominal-pelvic urologic echography.
• Ecografía transrectal con biopsia prostática de alta resolución y bajo sedación.
• Flexible endoscopy under sedation.
• Pharmacologic personalised treatment (new approaches).
• Minimally invasive and conventional surgical treatment.
a. Resección transuretral de próstata con tecnología Bipolar (Mínima estancia hospitalaria).
b. Fotovaporización prostática mediante Láser KTP “Green Light” en régimen ambulatorio.
c. Conventional endoscopic lithotripsy by Holmium Yag laser.
d. Prostate transurethral resection and conventional open surgery.

Early diagnose and prostate cancer treatment. Multidisciplinary treatment

Prostate carcinoma is the most current tumor in males in the USA and in the European Union it is the second one after lung cancer. Its impact has recently increased, in 1990, in Spain its rate was 39,8/100.000 inhabitants.
Its effect increases with the age, especially after 50 years old. Its diagnosis may be performed by the PSA (Antígeno prostático específico) , determining, rectal examination and prostatic biopsy guided by ultrasound. The treatment is subjected to the disease spread, but, in most of the cases, a therapy with healing purpose may be provided. It is also necessary to evaluate its functional results tempting to maintain, the patient’s most quality of life (urinal continence and sexual function) preserving the oncological safety.
We offer the following diagnostic approaches and therapeutic techniques:
• Each case detailed evaluation, considering the familiar background, PSA and rectum examination as foregoing patient data.

• Individual prescription, if necessary of Ecografía Transrectal con biopsias múltiples (alta resolución) y bajo sedación.
• Innovative diagnosis and scope studies:
a. Helical CT with 3D reconstruction.
b. Prostate MRI with endorectal transducer and spectroscopy.
c. Positron emission tomography (PET) and PET-CT.
d. Bone Scintigraphy and selective radiology.
e. Expert pathology anatomical evaluation (option to have an international second opinion in 72h).
a. Study and Estimation of individual risk based in nomograms and predition charts (Kattan and Partin). Option of individual risk estimation based on the Aureon Technologies system. Possibility of available treatment in our centre, to be defined and personalized for each case:
b. Radical robotic prostatectomy (da Vinci) with bilateral neurovascular preservation, for exclusive cases.
c. Open retro pubic prostatectomy with bilateral neurovascular preservation, for exclusive cases.
d. Radical laparoscopic prostatectomy with bilateral neurovascular preservation, for exclusive cases.
e. Radioterapia Externa Conformacional “3D”.
f. Prostatic brachytherapy.
g. Prostatic cryotherapy: If other techniques fail (radiotherapy).
h. Hormoterapia: In widespread tumor cases. New guidelines to minimize the quality of life impact (intermittent and sequential androgenic lump).
i. Particular cases monitoring watching.
j. Precocious sexual and urinary rehabilitation through new treatment strategies (PDE5 suppressors, intracavernous injection, perineal exercises and rehabilitation, electrostimulation, etc.)
k. Accurate patient’s monitoring with the purpose of reaching the TRIFECTA state (tumor absence after surgery, urinary and erectile function equivalent to before treatment.)

Acute and chronic prostatitis. Chronic pelvic pain syndrome.
In this field we offer these services:
• Personalized evaluation and diagnosis.
• Specific microbiologic studies.
• Particular pharmacological treatment.
• Additional techniques usage (pelvic floor rehabilitation, biofeedback, electrostimulation, etc.)
• Chronic pain unit collaboration (pharmacological therapy, nerves blocks, etc.)
Robotic surgery and minimally invasive (da Vinci). We offer a whole approach of every patient, diagnosis (detailed medical interview and physical exploration), complementary diagnostic studies (imaging, endoscopics, functional, etc.) and medical or surgical treatment minimally invasive (therapies) personalized for each case.
From July 2006, one of the four units available in our country of da Vinci surgical system is in our hospital. With it, the following surgeries can be performed:
a. Prostatectomía Radical
b. Nefrectomía Parcial y Radical
c. Nefroureterectomía
d. Pieloplastia

The advantages of robotic surgery regarding other techniques, are the following ones:
a. Postsurgical pain minimization.
b. Reduction of blood loss risk and transfusion need.
c. Low rate of complications.
d. Reduced hospitalization.
e. Quick recovery and normal activity resume.
f. Best cosmetic result (smaller incisions.)
g. Surgeon’s greater accuracy for the based in a better vision (magnified and in 3D) and finest movements, scaled and without trembling.
h. Minimization of surgery impact in the patient’s quality of life (sexual and urinary function.)

Sexual medicine and male infertility

We offer a whole approach of every patient, diagnosis (detailed medical interview and physical exploration), complementary diagnostic studies (imaging, endoscopics, functional, etc.) and medical or surgical treatment minimally invasive (therapies) personalized for each case.

Erectile dysfunction

It is estimated that it affects in between 15 and 30 million population in USA. The causes are multiple, among them systemic diseases affecting erection (arterial hypertension, diabetes mellitus, hypercolesterolemia, etc), smoking, previous pelvic surgery, concomitant medication, etc. There are also patients with psychological causes who need a multidisciplinary approach (medical and psico-sexolologist). We provide the following diagnostic and therapeutic options:
• Comprehensive diagnosis, through clinical and sexual consultation. These optional diagnosis test performance:
a. Penile Doppler ultrasound.
b. RigisScan- nocturnal penile erections.
c. Cavernosometry and cavernosography.
d. Intracavernose injection test (IIC).
e. Inter-specialists evaluation to assess and treat feasible underlying causes (cardiology, neurology, endocrinology, etc.)
• Etiologic and symptomatic treatment:
a. Pharmacological treatment with PDE5, Sildenafil, Vardenafil and tadalafil inhibitors (new approaches).
b. Replacement therapy with testosterone in cases of associated hypogonadism.
c. Penile vascular surgery (microsurgical vascular by-pass).
d. Prosthetic penis implant (hydraulic with three components).
e. Evaluation and psychosexological advice.

Ejaculation disorders

Premature ejaculation
There are four types of disorder in this area: Premature ejaculation, retrograde ejaculation, delayed ejaculation and an ejaculation. Its diagnosis and therapeutic process is complex. It requires the combined treatment by the Urologist, andrologist and the psychosexologist. There are new efficient pharmacological therapies.
Penile incurvation. Peyronie disease
It is a pathology affecting the penis geometry. It produces a curve or it making impossible or hampering the penetration during sexual intercourse. Once the initial phase is passed, its treatment is surgical. We offer the following technical options, to personalized in each case
• Penile plication surgery with or without graft.
• Prosthesis implant of penis and modelling.


Late male hypogonadism
It is known as the incapacity to produce testosterone, spermatozoa or both. In some men as the age is increasing, they can show symptoms compatible with the androgenic deficiency, what may be known as andropause or ADAM syndrome (Androgen Deficiency Aging Male). They must be studied to check the potential decrease of blood hormones level. It early diagnoses and the appropriate treatment can improve their quality of life and prevent later complications as osteoporosis, etc. In addition, the hypogonadism causes must be analysed (hypophysary disorders, etc.). We offer the following coverages:
• Diagnosis studies:
a. Symptoms survey.
b. Hormones tests.
c. Sperm analysis.
d. Brain imaging tests (MRI, CT.)
e. Genetic studies.
f. Testicular biopsy.
• Therapeutic options:
a. Replacement hormonal therapy (injections, patch, transdermal gel).
Female sexual dysfunction
Fully introduced and expanded pathology in the field of the Sexual Medicine. We propose the creation of a multidisciplinar unit (urologist-andrologist, gynaecologist and psychosexologist) for the diagnosis evaluation and a treatment of this pathology. Among its more common disorders are:
• Anorgasmia.
• Vaginismus.
• Dyspareunia.
• Hypoactive sexual desire disorder or sexual anaesthesia
Male infertility. Microsurgical treatment.
The infertility affect to 10-20% of couples of childbearing age. The cause often comes from a 40% masculine, a 40% feminine and a 20% both or unknown. In this field we offer these coverages:
• Diagnosis of infertile man:
a. Physical examination.
b. Sperm analysis. (Semiogram).
c. Hormonal profile.
d. Genetic analysis. Karyotype.
e. Deferentography.
f. Seminal vesicles transrectal echography.
g. Scrotal Doppler ultrasound.
• Surgical treatment:
a. Varicocele correction microsurgery.
b. Testicular Biopsy with Microaspiration and seminal cryopreservation (Coordination with the Assisted Reproduction Service) for the achievement of ICSI (intracytoplasmic sperm injection).
c. Microsurgical techniques of reversal vasectomy (vessel-vasostomy, epydim-vasostomy and tubule-vasostomy).
d. Transurethral resection of ejaculation ducts.

Urodynamics Unit

We offer a whole approach of every patient, diagnosis (detailed medical interview and physical exploration), complementary diagnostic studies (imaging, endoscopics, functional, etc.) and medical or surgical treatment minimally invasive (therapies) personalized for each case.

Urinary incontinency and pelvic organs prolapse, rehabilitation and surgical treatment.
Urinary incontinence (UI) is defined as the involuntary loss of urine through the urethra objectively demonstrably and that is considered as an hygienic and social problem. It is classified in three types: Due to effort, urgency need and mixed. Also the prolapses existence or coeles due to insufficiency of the muscular support can join this problem. Among them are bladder prolapses (cystocele), uterine prolapses, rectal prolapses (rectocele) that can increase or hide the UI. They can produce abdominal annoyances, urinal infections, make difficult sexual intercourse, generally altering quality of life. We offer the following therapies in this regard:
• Physical examination and diagnosis methods (urodynamic studies, cystography, bladder diary, etc.)
• Pelvic floor rehabilitation:
a. Pelvic floor Physiotherapy (pre and postdelivery).
b. Vesical re-education and modification of the urinary habits.
c. Biofeed-Back.
d. Electrostimulation.
• Pharmacologic treatment (new drugs).
• Surgical treatment:
a. Free of tension sub-urethral tapes, retropubic or transobturator, fixes and readjustables.
b. Vaginal surgery of pelvic prolapse using biocompatible meshings.
c. Complete prolapse robotic surgery (laparoscopic colposacropexy).
d. Urethral injectable substances.
Post prostatectomy male incontinence
Lately, a big number of radical prostatectomies have been performed as located prostate cancer treatment. One of its deleterious effects is the effort incontinence urinary cause due to sphincter deficiency. We propose the following coverages for its diagnosis and treatment:
• Physical examination and diagnosis methods (urodynamic studies, flexible endoscopy, bladder diary, etc.)
• Surgical treatment:
a. Sub-urethral readjustable tape.
b. Artificial urinary sphincter implant.
Functional disorders, chronic pelvic pain and interstitial cystitis.
Urodynamic unit
Directed by Dr. Salinas, provided with latest innovation in this field.


General Urology. Urinary lithiasis surgery.

General Urology. Ambulatory Major Surgery. Day hospital

General urology- Hospitalization surgery

Uro-Oncology. Urothelial Tumor

Uro-Oncology. Renal Tumor

Uro-Oncology. Testicular Tumor

Uro-Oncology. Penis Tumors

Uro-Oncology. Retroperitoneal tumors and surrounding areas

Prosthatic Pathology. Prostate benign Hyperplasia

Prostatic Pathology . Prostate Cancer

Robotic surgery and minimally invasive

Sexual medicine: Andrologic surgery: Sexual medicine: Male infertility Surgical treatment

Feminine urology