Dr Hugo Le Roux

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Services includes :

• Renal Stones
  Kidney stones or renal calculi are solid deposits of crystals formed in the urinary tract, consisting of the kidneys, ureters, bladder, and urethra. These stones can cause mild to severe symptoms. Treatment for kidney stones depends on the size, number, and position of the urinary tract stones. Different treatment modalities may be used to treat stones. Initial treatment is aimed at controlling pain and treating a urinary tract infection if present. Dr le Roux may recommend further treatment, including expulsive medical therapy, ureteric stent installation, extracorporeal shockwave lithotripsy, ureterorenoscopy, and stone fragmentation Percutaneous Nephrolithotomy.
• Urological Cancers
  Cancer is the uncontrollable growth of abnormal cells in the body due to their genetic material. These rapidly dividing cells create masses called tumours. Cancer can grow and directly invade organs in proximity to where the cells originated from. These cells can spread to other organs via the bloodstream or lymphatics. There are a few cancer strains that Dr le Roux can treat. Treatment of cancer is individual as several factors need consideration when deciding the most appropriate treatment strategy.
• Incontinence/ Involuntary Leakage of Urine
  The involuntary leakage of urine is known as urinary incontinence and is a common condition affecting anyone. Urge incontinence, stress incontinence, overflow incontinence, and mixed incontinence are the different urinary incontinence types. Urinary incontinence is treated with bladder training, pelvic floor exercises, medication, Botox injections, and surgery.
• Blood in the Urine (Haematuria)
  Haematuria or blood in the urine should not be ignored and needs to be investigated. It could be a sign of kidney or urological diseases. Blood in the urine can come from the urethra, bladder, ureters, or kidneys. Gross haematuria and microscopic haematuria are the two different types of haematuria. Treatment of haematuria depends on the cause and severity of the blood in the urine. Dr le Roux will initiate treatment if and when required.
• Difficult and Frequent Urination
  Symptoms for lower urinary tract are straining to pass urine, hesitancy or delayed urination, intermittent or interrupted urinary stream with incomplete urination, poor urinary flow and dribbling, frequent urination, urgent need to pass urine and troublesome need to pass urine at night, causing interrupted sleep. Benign enlargement of the prostate gland, bladder stones, cancer of the bladder and prostate, urinary tract infections, weakness and prolapse of the pelvic floor, and diabetes frequently cause difficult urination. Dr le Roux will offer treatment to provide relief and prevent further deterioration of the urinary tract.
• Bladder and Kidney Infections
  Urinary tract infections (UTIs) are characterised by micro-organisms that cause inflammation and result in discomfort. They are most commonly caused by bacteria and are primarily seen in adult females. UTIs can be classified according to micro-organism, community or hospital-acquired, part of the urinary tract involved, anatomy, unresolved, untreated, recurrent, reinfected, bacterial persistence, severity, and underlying immune deficiency. Treatment usually consists of appropriately chosen antibiotic. General prevention strategies and patient-specific measures to prevent infections will be suggested and prescribed by Dr le Roux.
• Chronic Pelvic Pain Syndrome and Interstitial Cystitis
  Lower abdominal pain in the bladder and genitalia may be attributed to chronic pelvic pain syndrome or chronic prostatitis in males and interstitial cystitis or bladder pain syndrome in females. Chronic pelvic pain syndrome or chronic prostatitis leads to longstanding pain such as lower abdominal pain, genitals and perineum, burning urination, pain with ejaculation, early ejaculation, and poor erections. The urgent need to pass urine and pelvic pain, pressure, and discomfort are interstitial cystitis characteristics. It is often associated with irritable bowel syndrome, migraines, sensitive skin, and body aches. Treatment depends on the severity of the conditions but could include physical therapy, medication, and surgery in rare cases.
• Male Factor Infertility
  Infertility is the inability of conception between a couple within a year of unprotected sexual intercourse. Male factor infertility is more common than thought. In 35% of couples with infertility, a male factor is found with a female factor and with 10%, a male factor is the only identifiable cause. Typically, there is either a problem with the production or the transport of good quality sperm cells. Treatment depends on the cause of infertility and usually involves hormonal therapies, supplements, or surgeries that usually address varicocele.
• Low Testosterone Levels/ Testosterone Deficiency Syndrome
  Testosterone is the primary sex hormone in men and is essential to developing male features such as facial hair, a deeper voice, body hair, muscle strength, and sperm production. Low testosterone in men or testosterone deficiency syndrome (TD) is common in older men as testosterone decreases with age. Dr le Roux may prescribe testosterone replacement therapy together with lifestyle modification.
• Erectile Dysfunction and Premature Ejaculation
  Erectile dysfunction or impotence occurs when men cannot get or keep an erection firm enough to have satisfactory intercourse. 40% of men at the age of 40 have some degree of erectile dysfunction. It is often a signal of underlying cardiovascular disease that needs urgent evaluation. First-line therapy, injection therapies, vacuum constriction devices, and surgery may be involved in treatment. Premature ejaculation is the most common sexual dysfunction in men younger than 40 (Beste Potenzmittel). It manifests as ejaculation earlier than desired with a lack of control leading to stress and sexual dissatisfaction. It is treated with PDE-5 inhibitors, topical anaesthetic creams, certain anti-depressants, and specific behavioural techniques.
• Testicular/ Scrotal Masses
  A lump or mass felt in the scrotum needs further investigation. It is often caused by a benign collection of fluid known as hydrocoele. Scrotal lumps may also be a cancer of the testes. Testicular cancer is most common in men between the ages of 15 and 35 years old. Testicular cancers typically respond well to treatment. The different testicular masses are infections of the testes and epididymis, hernias, damage caused by trauma, twisting/torsion of the testes, cysts, testicular cancer, and varicocele/ scrotal varicose veins. Treatment is dependent on the condition. Antibiotics, surgery, chemotherapy, and radiotherapy are different types of treatments for scrotal masses.
• Testicular Pain
  Longstanding and persistent testicular pain is most commonly encountered in men older than 35. This may be caused by previous surgery or trauma to the groin or scrotum, mass lesions in the scrotum, longstanding scrotal infections, neurological conditions. Pain is treated with anti-inflammatories, anticonvulsants, and muscle relaxants. Nerve blocks with local anaesthetic agents, physiotherapy and surgery may also be recommended.
• Urological Conditions in Children
  Paediatric urological conditions may be present at birth and are often diagnosed either during prenatal care or in infancy. Some conditions may be acquired during childhood. Paediatric urological conditions are urinary tract infections, phimosis, undescended testicles, antenatal hydronephrosis, nocturnal enuresis/ troublesome bedwetting, hypospadias, and epispadias.