Investigation and treatment of urological complaints, symptoms, and diseases. This includes
urinary tract stones, urinary tract infections, urological tumors, prostate enlargement, urinary
incontinence, erectile dysfunction, and the diagnosis and management of urological developmental
disorders.
KEY PROFESSIONAL PROFILE
Investigation and treatment of female urinary retention and voiding disorders.
Investigation and treatment of male urinary retention and voiding disorders.
Investigation and treatment of neurogenic bladder and urethral sphincter dysfunction.
Investigation and treatment of female urogenital prolapse (bladder, uterus, rectal descent
and hernias).
Comprehensive, multidisciplinary assessment and differential diagnosis of chronic pelvic pain, with
full medical and conservative treatment, provided in a unique private care setting. The initial
examination for these patients includes a 60-minute consultation and assessment, after which further
diagnostic tests and treatment options are determined.
Modern treatment of female and male stress urinary incontinence based on pelvic floor exercises,
electrostimulation (vaginal or rectal), and computerized and mechanical biofeedback.
The painless treatments aim to strengthen the pelvic muscles and improve sphincter function, performed
twice a week in a course of 10 sessions.
(in progress)
Our primary professional profile includes the psychodiagnostic assessment and treatment of the
following symptoms: psychological complaints associated with urological symptoms and diseases, chronic
pelvic pain and associated psychological symptoms, male and female sexual dysfunctions, relationship
difficulties, somatization disorders, anxiety and mood disorders.
Assessment and treatment of urinary retention and voiding disorders resulting from neurological
diseases, conditions, or injuries.
Preoperative counseling to prevent and alleviate urinary retention disorders following radical
prostate cancer surgery.
(in progress)
Assessment and management of female urinary retention disorders, pelvic organ prolapse, urogenital
infections, urinary fistulas, and injuries.
Catheter-based examination of lower urinary tract dysfunction. The most accurate method for measuring
bladder and urinary sphincter function. Used to determine the type of urinary incontinence when basic
tests cannot precisely identify the form, or when invasive surgical intervention is required due to
incontinence.
In our urology clinic, we assess and treat urinary tract infections, stone diseases, tumors,
developmental disorders, urinary retention and voiding disorders, and male sexual dysfunctions with
medication and conservative therapy. In addition to basic examinations (urine test, ultrasound,
physical examination), we also perform special tests and minor procedures (e.g., cystoscopy,
catheterization, urethral dilation, bladder irrigation).
Pessary therapy, self-catheterization, and training in the use of artificial sphincters are also
available in a discreet, modern environment.
All Services
Every “new patient” examination starts this way. We listen to complaints, review previous
findings, then after physical examination, ultrasound, urine flow, and urine test, we recommend
further tests and discuss treatment options. If necessary, we prescribe medication or aids, or
recommend to the GP to prescribe medication/aids. The basic physical examination includes abdominal,
vaginal, rectal (prostate palpation through the rectum), and external genital physical examination,
always performed after recording complaints and medical history.
Urological ultrasound examination: Includes ultrasound of the kidneys, bladder, and in men,
the testicles and prostate. Examinations are performed with modern Mindray and GE ultrasound devices
equipped with convex and linear probes. The technique is suitable for examining visible kidney,
bladder, and testicular tumors, kidney stones larger than 5 mm, ureteral stones causing dilation,
developmental abnormalities, fluid collections, and residual urine. The examination is performed
with a full bladder.
Urine test: Performed on freshly voided urine using a rapid test, with immediate results. If
necessary, urine bacteriology may be indicated, for which sampling is possible in our clinic, and
the sample is sent to a contracted laboratory for analysis.
Uroflowmetry: Non-invasive measurement of urine flow. Women void in a sitting position, men
in a standing position, so that the urine flows into a funnel and the device measures the maximum
and average urine flow rate. The test is performed with a full bladder.
Basic health assessment (only during the initial medical examination): Measurement of height
and weight, calculation of BMI, blood pressure and pulse measurement. Our principle is that anyone
coming for private care should receive a basic health assessment regardless of complaints.
Includes evaluation of previously recommended therapy, discussion of changes in complaints and symptoms,
necessary physical examination, recommendation of new therapy if needed, and prescription.
Includes evaluation of previously recommended therapy, discussion of changes in complaints and symptoms,
recommendation of new therapy if needed, and prescription.
For patients previously examined and treated with medication, if no change in therapy or re-examination is
needed and the patient only requests prescription of their medications, our prescription service is
available with a short consultation time (10 min). Here, one or two brief questions can be answered, and
the results of completed reports can be briefly discussed.
Recommended for asymptomatic patients, includes physical examination, ultrasound, and urine rapid test.
The aim is early detection of hidden urological diseases (e.g., prostate cancer, kidney cancer, bladder
cancer, kidney stone disease, urinary tract infections).
Recommended for patients who have already seen one or more colleagues with their complaints but would like
to request an additional specialist opinion, more detailed discussion of complaints, and broader
information than previously received. The consultation includes physical examination, ultrasound, urine
test, and urine flow measurement, but not invasive instrumental examinations (e.g., urodynamics,
cystoscopy).
Initial specialist examination with a 60-minute medical consultation and review of previous findings by
Dr. Miklós Romics, Associate Professor. Multidisciplinary consultation background. Please complete the
recommended questionnaires before the examination, which can be found in the Useful
Information/Downloadable Documents menu.
Performed by Dr. Péter József Molnár, Assistant Professor. Recommended for patients undergoing surgical
treatment for prostate cancer. The counseling covers the risks of postoperative urinary retention
disorders, possible risk factors, and treatment methods for urinary incontinence that may occur after
surgery. The patient receives advice on preoperative pelvic floor muscle training and other conservative,
medical, and physiotherapy treatments that can be used after surgery.
(Not performed alone, only with another examination.) Helps to accurately assess the anatomical position
of female urogenital prolapse through pelvic or vaginal ultrasound, performed with a modern Mindray
ultrasound device using a transvaginal probe. After unsuccessful previous sling or mesh implantation, it
helps to assess the position of the implanted devices and determine the cause of recurrent complaints.
Catheter-based examination of lower urinary tract dysfunction. The most accurate method for measuring
bladder and urinary sphincter function. Used to determine the type of urinary incontinence when basic
tests cannot precisely identify the form, or when invasive surgical intervention is required due to
incontinence. In voiding disorders, it is also performed to assess bladder function or confirm lower
urinary tract obstruction. In neurogenic bladder dysfunction, it is always mandatory. The examination is
performed with special measuring catheters (double-lumen). One lumen is used to fill the bladder, the
other to record bladder pressure. Abdominal pressure is measured via a catheter placed in the rectum. The
examination also includes urological ultrasound, urine test, uroflowmetry, and residual urine
measurement. If your treating physician refers you directly to our clinic for urodynamic examination, we will
perform the urodynamic test together with the initial specialist examination (approx. 50 min). If we
have already examined you and recommend urodynamic testing, we will perform the urodynamic test without
additional specialist examination. After urodynamic examination, urinary tract infection, pain,
difficulty urinating, or urinary retention may occur. In such cases, please contact your local
outpatient clinic or emergency care.
Endoscopic examination of the bladder. Performed under local anesthesia, the bladder is filled with
physiological saline and inspected with an endoscope. We look for tumors, sources of bleeding, stones,
lower urinary tract obstruction, and abnormalities explaining bladder irritability. Can be performed with
rigid or flexible instruments; the method is chosen by the examining physician based on the patient's
complaints and circumstances. After cystoscopy, urinary tract infection, pain, difficulty urinating, or urinary retention may occur.
In such cases, please contact your local outpatient clinic or emergency care.
In case of urinary retention, a balloon bladder catheter (Foley) is inserted through the urethra under
local anesthesia. The bladder can be emptied through the catheter. The balloon prevents the catheter from
slipping out.
For patients requiring long-term urinary diversion, latex catheters should be replaced every 2-3 weeks,
and 100% silicone catheters every 6-8 weeks, performed under local anesthesia.
In cases of repeated, recurrent urethral stricture, if other surgical solutions are not possible or have
failed, we may attempt periodic catheter dilation of the stricture. The procedure is performed with
catheters of various sizes under local anesthesia.
In cases of persistent urinary tract infection not responding to antibiotics, bladder irrigation with a
diluted disinfectant solution may be beneficial for patients with long-term catheters. The bladder is
repeatedly irrigated with a 50 ml syringe using diluted Braunol solution, continuing until the urine
clears.
One possible treatment for prostate cancer patients is an injection administered into the subcutaneous fat
every 1-3 months, which inhibits the production of androgen hormones.
Includes local disinfection, evacuation and probing of hematoma or fluid in the wound, and dressing
change.
Removal of surgical wound sutures, wound disinfection, and, if necessary, application of a new dressing.
Step 1: Determining the appropriate size of vaginal pessary (device) with a series of measurements.
Step 2: The patient obtains the correct size and type of pessary.
Step 3: We insert the pessary. The one-week and three-week follow-up examinations (removal of
pessary, checking for vaginal inflammation) are included in the price.
After this, the patient must return for check-ups every 3 months.
The best method for neurogenic or myogenic bladder emptying disorders is regular intermittent
self-catheterization performed by the patient. The technique is simple; we recommend using hydrophilic
(pre-lubricated, water-soluble) catheters. Patients are taught the technique in 2 sessions.
Training in the use of an artificial sphincter.
Catheter removal, voiding trial, checking for residual urine, and catheter reinsertion if necessary.
Pelvic floor muscle training (see Partners menu: Rita Hannes, physiotherapist, and Useful
Information/Downloadable Documents menu, pelvic floor muscle training)
Vaginal (intravaginal) electrostimulation (VES): The pelvic floor muscles around the vagina
are stimulated via an electrode placed in the vagina. The treatment is painless; the patient feels a
tingling sensation in the vagina during the procedure. No serious side effects are expected. Primarily
used for stress urinary incontinence due to sphincter weakness and mixed urinary incontinence, but
after unsuccessful first-line treatment, it can also be used for urgency incontinence/overactive
bladder syndrome. Performed twice a week for 20 minutes. A series consists of 10 treatments. Although
electrostimulation can be effective on its own by passively exercising the pelvic muscles, it is
always recommended together with pelvic floor muscle training. Especially effective for patients who
have lost control of vaginal-pelvic nerve-muscle innervation and cannot contract the correct muscles
during pelvic floor exercises. The method is even more effective when combined with biofeedback.
Rectal (transrectal) electrostimulation (RES): The pelvic floor muscles are stimulated via an
electrode placed in the rectum. The treatment is painless; the patient feels a tingling sensation in
the rectum during the procedure. No serious side effects are expected. Primarily used for stress
urinary incontinence due to sphincter weakness and mixed urinary incontinence, but after unsuccessful
first-line treatment, it can also be used for urgency incontinence/overactive bladder syndrome.
Performed twice a week for 20 minutes. A series consists of 10 treatments. Although electrostimulation
can be effective on its own by passively exercising the pelvic muscles, it is always recommended
together with pelvic floor muscle training. Especially effective for patients who have lost control of
pelvic nerve-muscle innervation and cannot contract the correct muscles during pelvic floor exercises.
The method is even more effective when combined with biofeedback. Primarily used in men.
Pelvic muscle strengthening biofeedback (BF): Used to make pelvic floor muscle training more
effective. The amplitude and duration of pelvic muscle contractions are recorded with vaginal or
rectal electrodes and then visually displayed to the patient. Based on the visible results, the
patient tries to gradually increase the strength and duration of contractions. Recommended for both
women and men. A series consists of 10 treatments. Performed twice a week for 20 minutes. Intensive
pelvic floor muscle training is recommended alongside the treatments.
Muscle relaxation biofeedback (RELAX-BF): Using perineal EMG electrodes or vaginal/rectal
probes, feedback is provided to the patient about the resting and voluntary contractions of the pelvic
muscles. With this feedback, the patient tries to gradually relax and maintain relaxation of the
pelvic floor and perineal muscles for longer periods during simulation exercises. Recommended
primarily for those whose urinary complaints are due to increased tone or spasticity of the pelvic or
sphincter muscles, as determined by previous examinations. The treatment does not cause pain or
serious side effects. Recommended for both women and men. Usual treatment time is 20 minutes, 2-3
times per week. A treatment series consists of 10 sessions.
Recommended for urgency urinary incontinence and overactive bladder, especially when medication and other
conservative treatments are ineffective. Patients can rent an ambulatory neurostimulator from our clinic
for 3 months under a rental agreement, allowing daily nerve stimulation at home. The treatment is simple
and painless; training is provided. If the device proves effective, the patient may purchase it for
permanent home use from the distributor. This package allows patients to try the device at a much lower
cost than the purchase price and only buy it for personal use if its effectiveness is confirmed.