Diagnostics

Preventive screening of male urological problems

Preventive screening of male urological problems

We offer our male clientele a screening service, preventive medicine and follow-up in a visit.

Here are the services offered exclusively to our male patients:

  • Screening and treatment of benign prostatic hypertrophy
  • Screening and treatment of overactive bladder
  • Screening and treatment of testosterone deficiency
  • Screening and Treatment of Erectile Dysfunction
  • Screening for prostate cancer

Male screening approach

Three questionnaires must be completed beforehand.

1-A questionnaire on the symptoms of benign prostatic hypertrophy (BPH).2- A questionnaire on sexual functions to evaluate erectile dysfunction. (IEEF-5)

3-A questionnaire on testosterone deficiency. (Q-ADAM)

Testosterone deficiency is a common disorder in men over the age of 45 that can have physical, sexual and psychological effects. Understanding testosterone deficiency can help you deal with the impact of testosterone in your daily life.

In addition, a urinary flow rate, an ultrasound of the bladder and measurement of the residual volume post micturition and laboratory examinations are scheduled at the appointment.

What is the IPSS questionnaire that assesses the symptoms of BPH in male screening?
Score of the International Prostate Symptom Score or International Symptomatic Score of the Prostate

1. Did you feel that your bladder was not completely empty after urinating?
2.Do you need to urinate again less than 2 hours after urinating?
3.Have you had an interruption of the urine stream, ie start of the jet, stop and restart?
4.Have you had difficulty retaining your urge to urinate after feeling the need?
5.Did you have a decrease in the size or strength of the urine stream?
6.Have you had to force or push to start urinating?
7.In the past month, how many times per night did you average to urinate?
What is the questionnaire on sexual functions to assess erectile dysfunction (IEEF-5) in male screening?
This questionnaire assesses your sexual function in the last 6 months:

1. How safe were you to have an erection and maintain it?
2.When you had erections as a result of sexual stimulation, how often was your penis rigid enough (hard) to penetrate?
3.When you have tried to have sex, how often have you been able to stay erect after penetrating your partner?
4.During your sexual intercourse, how difficult was it to stay erect until the end of these relationships?
5.When you tried to have sex, how often were you satisfied?

Interpretation of IEEF-5 Severe erection disorder (score 5 to 10), moderate (11 to 15), mild (16 to 20), normal erectile function (21 to 25) and uninterpretable (1 to 4).
What is the Questionnaire on Testosterone Deficiency (Q-ADAM) in Male Screening?
Androgen deficiency: ADAM questionnaire (Androgen Deficiency of Aging Male)

1. Do you experience a decline in sexual desire?
2. Do you experience a drop in energy?
3. Do you experience a decrease in strength and / or endurance?
4. Has your height decreased?
5. Have you noticed a decrease in your joie de vivre?
6. Are you sad and / or sullen?
7. Are your erections less strong?
8. Have you noticed any recent impairment of your abilities?
9. Do you fall asleep after dinner?
10. Has your job performance been reduced?
RESULTS:

-a score equal to or greater than 3 suggests a testosterone deficiency
-a positive answer to questions 1 and / or 7 suggests a testosterone deficiency
What is urinary flow measurement at the male screening appointment?
Urine flow measurement is a simple medical examination. It allows to evaluate exactly the pressure of the jet, the quantity of urine evacuated and the duration of the urination.

During this examination, you will urinate in a device that looks like a toilet. The device is a funnel. The exam lasts a few minutes. It is wirelessly connected to a computer. The result is then printed on a sheet. Urine flow varies with the age and sex of the patient. If the result indicates problems especially obstruction, other tests may be necessary to clarify the diagnosis.
What is an ultrasound of the bladder and measurement of the residual volume post micturition?
After urinating, a nurse will ask you to lie on your back on an examination table. You will be asked to unfasten your pants and expose the pubic area. An ultrasound probe with gel is placed on the belly. The bladder is visualized and the amount of urine remaining after urinating is measured.
What are the laboratory tests planned for a screening appointment?
Some laboratory tests can be done before the visit or after the visit:
  • Urine analysis
  • APS (prostate specific antigen)
  • Total and bioavailable testosterone

What are the possible diagnoses after screening?

Request an Appointment

Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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