Prostate health

Men’s Health
We take a proactive approach to Men’s Health.
More and more men are taking an active interest in health issues specific to them. As a result, more diseases are being caught and treated in earlier stages.
In addition to the Men’s Health Risk Assessment, our team of urologists offer a number of procedures either on site, or at the hospital of your choice.
Our Men’s Health Risk Assessment provides the opportunity for the early identification and potentially life-saving intervention of men’s health related diseases such as prostate cancer, Benign Prostatic Hyperplasia (BPH), erectile dysfunction and urinary problems.
We highly recommend this comprehensive evaluation to all men age 40 and over, and men over the 35 who have a family history of prostate disease. (It is estimated that 1 in 8 men will develop prostate cancer.)
Our team of highly qualified urologist offer a number of non-invasive services and procedures for men. They are typically performed under local anesthesia and done on an outpatient basis.
Prostate Health
Benign Prostate Hypertrophy is an enlarged prostate obstructing the bladder outlet and urine tube (urethra). We screen for BPH, conduct a yearly digital rectal examination (DRE), and run a prostate-specific antigen test (PSA – a blood test), UroCuff test, Uroflowmetry. These tests will help determine your risk of prostatic enlargement and prostate cancer.
Prostate Cancer
This is the most common cancer affecting men 50 years of age and over in North America. Prostate cancer is a slow-growing cancer that starts within the prostate ducts and glands. Screening for this disease involves a digital rectal examination (DRE), a prostate-specific antigen test (PSA – a blood test) and a prostate biopsy.
Studies have been done to link diet to prostate cancer. It is generally thought that a high-fat diet stimulates cell growth and division, thereby increasing the risk of prostate cancer. Our dietitian works with you to ensure your dietary risk for prostate cancer is minimized.
Our healthcare team provides customized services specifically designed to assess men who may be at risk from specific health issues. These issues include:
Increasingly, the public is gaining awareness of the hormonal changes that occur in men over age 45 and the impact on their personal and professional lives. We can conduct biochemical analyses to determine the risk for andropause.
Erectile Disfunction
Erectile Disfunction
Hormonal, vascular and psychological screenings are performed to determine the risk of erectile dysfunction. Specifically, we assess orthostatic hypotension, testosterone and androstenedione levels.
A detailed historical review is conducted and a complete male health examination will be performed by the physician. Subsequently, male hormonal levels may be measured. Along with investigations of fertility. This involves a semen analysis including sperm count and motility.
Urinary Incontinence; Ballder and Bowel rehabilitation; Pelvic Muscle Training Bladder Control
Bladder function improvement training (BFIT) is a comprehensive, stepwise approach to managing dysfunctional voiding and includes our Try for Dry program for treatment of nighttime wetting. Children referred to this program are evaluated and managed by our experienced urology nurse practitioners and urologists. More here on dysfunctional voiding and its management through BFIT.
Bladder and bowel rehabilitation/stimulation program
Our program is for treating children with neurogenic bladder disease. The goals are to:
  • Improve bladder compliance and/or increase capacity.
  • Initiate or increase bladder sensation.
  • Promote effective bladder contractions.
  • Initiate synergistic controlled urination, or voiding.
This relatively new procedure is designed to improve stool continence in the child with neuropathic bowel dysfunction. It is non-invasive, well-tolerated and performed on an outpatient basis.
Its success appears statistically significant for the following benefits:
  • A decrease in the number of daily accidental stools.
  • Increased sensation to have a bowel movement
Urodynamics services
To help gather specific date about how a child’s bladder is functioning, the Urodynamics service provides several tests that may suggest treatment plans for.
Enuresis Try for dry Program 
Try for Dry program
Wet pants and wet beds as a result of poor bladder control are common childhood problems. Enuresis is a condition in which children ordinarily thought to be old enough to control their bladders cannot; it is not caused by “bathroom laziness.”
The following factors may prevent dryness in children:
  • Deep sleep
  • Small bladder size
  • Constipation
  • Food sensitivities
  • Poor understanding of the factors involved
  • Flagging motivation
The Try for Dry program offers a comprehensive, specialized approach to achieving dryness.
Treatment techniques
During the child’s first clinic visit, the enurologist will first determine that the cause of wetness is enuresis (not incontinence). He or she will do a physical exam, check to be sure that the urine is not infected and review the voiding diary and pre-treatment questionnaire.
Based on the evaluation of the data collected, the enurologist will devise a treatment plan. Motivational components and parental understanding are accomplished on an individual basis.
Urinary biofeedback; Biofeedback training
Biofeedback is a technique whereby children are taught to identify and properly relax their urinary sphincter muscle when urinating as well as contract the muscle effectively to maintain normal urinary control.
How biofeedback can help
Biofeedback is effective in many children with different bladder control problems such as those:
  • Who do not empty their bladders completely
  • Who strain in order to urinate
  • Who get recurrent urinary tract infections
  • Who experience periods of urgency to urinate
  • Who continue to wet despite other therapies
How biofeedback is performed
A set of sensors (sticky patches) that detect muscle activity is placed on your child’s buttocks near the sphincter area. The sensors are attached to a small computer that records the signals from the sensors and presents them on the computer screen for you and your child to see. The signals change as your child contracts and relaxes the sphincter muscle. In this way, the process of isolating the sphincter muscle and understanding how to properly relax this muscle begins.
The procedure is not painful
The placement of the sensors and the recordings into the computer are not painful. No electric shocks pass to the patient.
Other testing may be performed during biofeedback
In order to better assess the way in which your child empties her bladder, an ultrasound of the bladder is performed to measure the volume of urine at the beginning of the session and the amount left inside after she urinates. Also, a uroflow (voiding into a special commode) is performed to evaluate her voiding pattern.
Therefore, it is important that your child arrives for the biofeedback session with a full bladder. To do this, have the child drink clear liquid for one hour prior to the session.
  • Children under 7 years of age should drink at least 2 cups of water.
  • Children over 7 years of age should drink at least 4 to 5 cups of water.
Some foods can affect the results of biofeedback
Bowel habits also can affect biofeedback
Please remember…
All of your questions concerning biofeedback are welcome. The more you understand, the better you can help your child overcome her bladder control problem.
For questions or for more information, please call +37491 42 15 35
Incontinence in Men
Urinary Incontinence in Men 
The physicians of “Maple Leafs” Medical Clinic are highly experienced in the treatment of urinary incontinence in men and are committed to improving the quality of life of patients suffering from this condition. Urinary incontinence is typically treated on an outpatient basis, meaning that a visit to the hospital is usually not necessary.
We treat men who experience urinary incontinence due to overactive bladder, conditions of the prostate, or neurological conditions such as stroke, spinal cord injury, multiple sclerosis or Parkinson’s disease. Our urologists have particular experience in treating the small fraction of men who experience incontinence after removal of the prostate. Treatments range from conservative to surgical and are tailored to each man’s situation.
Our team is also using the results of the latest medical research and technological advances in the treatment of urinary incontinence. Through their use of state-of-the-art treatment techniques and a caring approach to patients, the physicians helped many men manage or overcome urinary incontinence.
Male Stress Incontinence
Urinary incontinence in men after prostate treatment
Involuntary leakage of urine (incontinence) is a common problem in men who have been treated for prostate cancer or benign prostate disease. This bothersome condition can have a serious impact on quality of life, but it is important to know that it is highly treatable.
This type of incontinence is typically caused by damage to the sphincter muscle, which normally controls the starting and stopping of urination. When urine is lost during strenuous activities (such as coughing, laughing, sneezing, or exercising), it is known as stress incontinence.
The choice of treatment depends on the cause of the incontinence, its severity, and each patient’s personal preferences.
Nonsurgical treatment of stress incontinence
There are several nonsurgical, minimally invasive treatments for stress incontinence in men:
• Restricting fluid intake
• Bladder training
Pelvic floor exercises. These exercises can help strengthen the muscles of the pelvic floor and the external sphincter, helping to prevent involuntary leakage of urine. As with any exercise program, patients must be motivated to continue the exercises to maintain the benefit.
Incontinence in Women
Urinary Incontinence in Women 
The physicians of the Female Urology program of Maple Leafs Medical Clinic are highly experienced in the treatment of urinary incontinence in women and are committed to improving the quality of life of women suffering from this condition. Urinary incontinence is typically treated on an outpatient basis, meaning that a hospital stay is usually not necessary.
Through their use of state-of-the-art treatment techniques and a caring approach to patients, urologist has helped many women manage or overcome urinary incontinence.
Types of incontinence
Our expert urologists are experienced in the treatment of all types of urinary incontinence in women, including:
• Incontinence due to overactive or spastic bladder (urge incontinence)
• Incontinence due to urethral weakness (stress incontinence)
• Urinary incontinence caused by neurological conditions such as stroke, spinal cord injury, multiple sclerosis, Parkinson’s disease or spina bifida
Treatment of incontinence
Treatments include behavioral modification and exercise, medication, stimulation of nerves leading to the bladder (neuromodulation) procedures, biofeedback training, pessaries, special medical non-invasive device to treat the hipo-contractile bladders etc.