PARAMEDICAL SERVICES OFFERED BY STEINBERG UROLOGY

We offer quick access the paramedical services listed below. Our nursing team is available by appointment to support with these services, and more. New and existing clients are welcome. No referral required. Please go ahead and contact us to book an appointment.

NURSING COUNSELLING

Exceptional health care depends on an outstanding team of practitioners—and nurses are an integral aspect of that care. At Steinberg Urology our professional nurses work side-by-side with physicians and colleagues to provide a continuity of care that enhances patients’ outcomes.

Our urology nurse specialists have provided services to thousands of men and women seeking general urology advice or counselling for specific problems.

We build a lasting relationship with you, identify your needs and advocate for your health. We work in a variety of specialties to deliver evidence-based care that puts patients and their families first.

We understand that care doesn’t end once you leave Steinberg Urology. That’s why our nurses partner with you and your family to help manage medications, educate you about your health and assist you in succeeding in caring for yourself at home. With a large number of trained nurses providing care at your bedside and beyond, you can rest assured that your health is in experienced hands.

CATHETERIZATION

Catheterization allows the patient’s urine to drain freely from the bladder for collection. It may be used to inject liquids used for treatment or diagnosis of bladder conditions. This can be done by passing the catheter in and out of the bladder, and is called intermittent catheterization. An indwelling catheter is used when continuous bladder drainage is needed; it stays in the bladder by means of a self-retaining balloon.

Urinary catheterization can be useful for people with bladder problems, such as:

  • urinary retention – inability to empty the bladder, for example due to neurological conditions such as stroke and multiple sclerosis, or other factors such as faecal impaction or enlarged prostate.
  • bladder obstruction – for example, caused by bladder stones or narrowing of the urethra (the passage from the bladder to the outside).

It can also be useful on a temporary basis, such as:

  • to help people to retrain their bladder – catheterization can be discontinued as soon as bladder control is re-established
  • after surgery to the genital area – such as prostate gland or hip surgery or a hysterectomy
  • for the first few days after major surgery or to monitor fluid output in patients receiving intravenous fluids.

ALPROSTADIL® INJECTION TEACHING

ALPROSTADIL® INJECTION is indicated for the treatment of erectile dysfunction as well as an adjunct to other diagnostic tests in the diagnosis of erectile dysfunction.

Our specialists will give your first dose and teach you how to properly use the medication by yourself.

Follow all directions on your prescription label and read all medication guides. Use the medicine exactly as directed. Contact our experts if you have any questions.

You should visit us every 3 months to be sure alprostadil® or trimIx® is not causing harmful effects on your penis.

Occasionally some patients may experience a very prolonged painful erection, lasting more than 4 hours. This condition is called priapism. If this happens you need to present to the emergency room immediately.

CIC TEACHING

Clean Intermittent Catheterisation (CIC) is a method of draining urine via a catheter inserted into the urethra, past the sphincter into the bladder. Once the urine is drained the catheter is removed. CIC is vital in reducing bladder pressure or draining residual urine, and therefore preserving kidney health. Correctly performed, CIC can also reduce the risk of urinary tract infections (UTIs) and promote continence.

If you have to perform CIC, you will be inserting and removing the catheter several times a day; your doctor will tell you how many times.

Patients who need to use a catheter to empty their bladder can be taught to do so by themselves.

Our specialists will teach you how to properly use Clean Intermittent Catheterisation. Contact our experts if you have any questions.

LHRH INJECTIONS

LHRH agonist and antagonist medications stop your body from producing testosterone.

These medications are injected under your skin or into a muscle monthly, every three months or every six months. Testosterone levels may increase briefly (flare) for a few weeks after you receive an LHRH agonist. Decreasing the risk of a flare is particularly important if you are experiencing pain or other symptoms due to cancer because an increase in testosterone can worsen those symptoms.

You’ll meet with your cancer doctor regularly for follow-up visits while you’re taking hormone therapy for prostate cancer. Your doctor will ask about any side effects you’re experiencing. Many side effects can be controlled.

Depending on your circumstances, you may undergo tests to monitor your medical situation and watch for cancer recurrence or progression while you’re taking hormone therapy. Results of these tests can give your doctor an idea of how you’re responding to hormone therapy, and your therapy may be adjusted accordingly.

PHYSIOTHERAPY

Physiotherapy provides significant benefits for patients with chronic urologic pain.

At Steinberg Urology, our commitment to comprehensive care includes offering patients in-office physical therapy and rehabilitation services. Physical therapy is a beneficial treatment option for urology patients diagnosed with several urinary conditions, or who are experiencing symptoms that negatively impacts their quality of life.

For urology patients, physical therapy is focused on pelvic floor rehabilitation. The pelvic floor is composed of muscle and connective tissue that support the pelvic organs.

A typical course of therapy may be once per week for six weeks, depending on the health concern. However, treatment may be much longer, and can include maintenance therapy over time. The ultimate goal of pelvic floor physical therapy is achieve improvement and patient satisfaction without resorting to medications or surgery. Before pelvic floor treatment begins, your pelvic health physiotherapist will take your full medical history and thoroughly discuss your current problems and symptoms.

Since every person has a unique case, it is important that your treatment is customized to address your specific needs. If you are experiencing any of urological conditions, talk to your doctor about the benefits of physical therapy.

Some of the treatment options are:

  • Manual therapy
  • Exercises
  • Kegel Exercises
  • Electrical Muscle Stimulation (EMS)
  • Biofeedback
  • Bladder and/or bowel routine tracking
  • Other treatments to alleviate pain

Some conditions that can be treated with pelvic physiotherapy include:

  • urinary incontinence
  • frequency and urgency
  • bowel dysfunction
  • pelvic pain
  • sexual dysfunction
  • pre- and post-natal care
  • pelvic organ prolapse
  • post-radical prostatectomy incontinence and erectile dysfunction
  • various other symptoms related to the above list

To book an appointment with our trained physiotherapist, contact Steinberg Urology. You do not require a doctor’s referral.

PELVIC FLOOR MUSCLE EXERCISES (PMEs)

These simple exercises can strengthen your pelvic floor muscles – the muscles that hold you bowel and uterus (if you’re a woman) in place.

1. Finding the right muscle

Before you can do PMEs. you have to find the right muscles to squeeze. Use the following guide to help you.

  • Try tightening your rectum by squeezing the muscles you would use to stop the passage of gas or urine. You may find it helpful to sit down first and close your eyes
  • When you tighten the muscles around your front and back passages, you should feel your pelvic floor lift up and away from the chair you are sitting on. It’s important to continue breathing normally and make sure you only contract your pelvic floor muscles (not your tummy, thigh or buttock muscles)

2. Doing your PMEs

Now that you know what muscles to squeeze, you can begin doing your PMEs. Here’s how:

  1. SQUEEZE your pelvic floor muscles with enough strength to contract your rectum.
  2. HOLD your squeeze for up to 10 seconds.
  3. RELAX your muscles while slowly counting to 4
  4. REPEAT
  • Each cycle of squeezing, holding and relaxing is one repetition, and should take about 14 seconds
  • Try working your way up to doing 10 repetitions per set and 5 sets per day
  • You can spread your PMEs out over the day or do them all at once over a half-hour time period

3. Working PMEs into your daily life

At first, it may seem difficult to find the time to do these exercises. If so, don t worry. Like all new routines, you just have to get into the habit of doing them. And that’s just a matter of building these exercises into your regular daily schedule. Many people, for example, prefer to do their PMEs just before they get dressed in the morning and 5 minutes before bedtime. Of course, once you get used to them, you can try adding some quick PMEs while you do other activities, like working at your desk, ironing, watching TV, etc.

You may see results within a few weeks, or it may take a few months. Remember, the more you do your PMEs, the stronger your pelvic floor muscles will become. It’s important to do them regularly – look for opportunities to add a few quick ones in, wherever possible.

COMPREHENSIVE UROLOGICAL CARE AT YOUR FINGERTIPS

Our compassionate and approachable nature is one of our greatest values. We understand the need to take the time to explain complex medical conditions in simple terms to ensure that you and your family are properly informed throughout your patient journey.

Book a consultation online or call us at 514-312-2821.

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At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.

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