Urology Clinic

Specialist assessment of the urinary tract, prostate, kidneys and men's health — evidence-based video consultations, second opinions and follow-up.

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Appointments in Swedish, English and Arabic
Evidence-based care
Written plan after every visit

About the clinic

Urology covers the urinary tract, the kidneys, the prostate and male reproductive health. It is a field where a strikingly large proportion of patients have waited a long time before seeking care — not because the symptoms are mild, but because the subject feels private. That delay is the real clinical problem in urology: many conditions are simple to treat early and considerably harder late.

We treat this like any other medical field — directly, factually and without euphemism. The fact that the appointment happens from home also means many people raise things they have put off for years.

Who we help

You with a frequent urge to pass urine
Men with prostate problems
You with kidney stones
You with blood in the urine
You with recurrent urinary tract infections
You with difficulty emptying the bladder
You with testicular pain
You after urological surgery
You with urinary leakage
You with pelvic pain
Men with erection problems
You with an abnormal PSA test
You who would like a second opinion

Symptoms

Conditions

Urinary tract infection
Enlarged prostate
Prostate cancer — PSA follow-up
Kidney stones
Urinary incontinence
Erectile dysfunction
Testicular pain
Difficulty emptying the bladder
Pelvic pain
Recurrent urinary tract infections

Services and examinations

A medical review and symptom assessment
Interpretation of blood tests and urine tests
Assessment of kidney stones
Evaluation of prostate problems
Interpretation of a PSA test
Second opinion
Follow-up after surgery

How it works

1Book and describe your main problem online.
2Upload previous results if you have them — test results, examinations, medication list.
3Video consultation — review of your history and targeted questions.
4A clear plan — next steps, any treatment, and a timeframe for follow-up.

What to prepare

A timeline of your symptoms (when it started, what triggers or relieves it)
Current medications and doses
Known allergies and previous illnesses
Previous test results and examinations, with dates if possible
Your three most important questions for the visit

Call your local emergency number immediately or go to the nearest emergency department if you have:

Being unable to pass urine
Sudden severe testicular pain
High fever with urinary symptoms. If sudden confusion, violent shivering, rapid or laboured breathing, skin that has turned mottled, pale or bluish, or passing noticeably less urine than you usually do comes with it — that can be urosepsis, blood poisoning arising from the urinary tract. Call your local emergency number. Fever does not have to be present for this to be sepsis.
Heavy bleeding in the urine
Severe pain with nausea and fever
An altered level of consciousness, or severe weakness

Digital care cannot replace emergency services. If unsure, seek care immediately.

Our doctors

See available doctors and book an appointment

Frequently asked questions

When should I book a urology assessment?

For urinary problems, blood in the urine, prostate problems or recurrent infections.

Do I need tests before the appointment?

Not always — the specialist assesses what is needed.

Can you interpret a CT, MRI or ultrasound?

Yes.

Can an online appointment replace in-person care?

Some conditions require a physical examination or emergency care; online appointments suit many assessments and follow-ups.

Do you offer second opinions?

Yes, on diagnosis and treatment.

Can you follow up PSA values?

Yes.

What do I do about sudden testicular pain?

Seek emergency care immediately — see the safety box.

Do I have to have a physical examination?

Not always. A great deal can be assessed through the consultation and test results — we say clearly when a physical examination is genuinely needed.

Can I book about something I have put off for a long time?

Yes, and it is more common than you think. How long you have waited never affects how we treat you.

Do I need a referral to book?

No, you book directly with us without a referral. If you have already been investigated elsewhere, it is valuable to upload those results before the appointment.

Fifteen common conditions

Urinary tract infection

Typical age: All ages.
Background: A bacterial infection of the urinary tract.
Symptoms: Burning on passing urine, a frequent urge.
What the doctor looks for: Fever and flank pain (signs that the kidneys are involved).
Investigations: A urine test.
Diagnosis: Symptoms and a urine test.
Management: Antibiotics where needed, plenty of fluids.
Follow-up: If symptoms persist, or where there is fever.
Prognosis: Good.
What you can do yourself: Drink plenty, pass urine often, and don't hold on.
When should you book?: For symptoms lasting more than two days. For fever or flank pain — the same day.

Enlarged prostate (benign)

Typical age: Men; more common with increasing age.
Background: Benign enlargement of the prostate gland.
Symptoms: A weak stream, a frequent urge, passing urine at night.
What the doctor looks for: The symptom picture and its effect on everyday life.
Investigations: A symptom score, a PSA test.
Diagnosis: The clinical picture, with or without test results.
Management: Lifestyle, medication, in some cases surgery.
Follow-up: Regular.
Prognosis: Good symptom control is achievable.
What you can do yourself: Avoid large amounts of fluid late in the evening, and cut down on alcohol and caffeine — both make the urge worse.
When should you book?: When night-time trips to the toilet or a weak stream disturb your day or your sleep.

Prostate cancer — PSA follow-up

Typical age: Men; more common with increasing age.
Background: Follow-up of an abnormal or known PSA value.
Symptoms: Often no symptoms where it is found early.
What the doctor looks for: How the PSA develops over time.
Investigations: A review of previous PSA tests and investigations.
Diagnosis: Usually requires specialist investigation for confirmation.
Management: According to the specialist plan.
Follow-up: Regular PSA checks.
Prognosis: Varies a great deal; often good where it is found early.
What you can do yourself: Avoid intercourse and hard cycling for two days before a PSA test — both can raise the value falsely.
When should you book?: For a raised or rising PSA, or for planned follow-up.

Kidney stones

Typical age: Adults.
Background: Mineral deposits in the kidney or the urinary tract.
Symptoms: Sudden severe flank pain, sometimes blood in the urine.
What the doctor looks for: The pain pattern.
Investigations: The clinical picture; imaging through in-person care for acute symptoms.
Diagnosis: Imaging.
Management: Pain relief, fluids, sometimes a physical procedure.
Follow-up: According to the course.
Prognosis: Good; many stones pass on their own.
What you can do yourself: Drink until your urine is pale — the single most effective preventive measure there is.
When should you book?: For recurrent stone attacks. For severe pain with fever — emergency care.

Severe pain that does not ease, or a fever, requires emergency care — see the safety box.

Urinary incontinence

Typical age: All adult ages; more common with age.
Background: Involuntary leakage of urine, with several possible causes.
Symptoms: Leakage on exertion, on urgency, or both.
What the doctor looks for: The type of leakage and its effect on everyday life.
Investigations: History, a symptom diary.
Diagnosis: The clinical picture.
Management: Pelvic floor training, lifestyle, sometimes medication or surgery.
Follow-up: According to the treatment plan.
Prognosis: Good improvement is achievable with the right measures.
What you can do yourself: Pelvic floor training has a good documented effect but needs at least three months of regularity before the result shows.
When should you book?: When the leakage affects your everyday life — however long you have had it.

Erectile dysfunction

Typical age: Adult men; more common with age.
Background: It can be due to vascular disease, hormones or other medical causes.
Symptoms: Difficulty achieving or maintaining an erection.
What the doctor looks for: Underlying risk factors (cardiovascular disease, diabetes).
Investigations: History, sometimes blood tests.
Diagnosis: The clinical picture.
Management: Directed at the cause, medication where needed.
Follow-up: As needed.
Prognosis: Good; it is often treatable.
What you can do yourself: Review your blood pressure, blood glucose and smoking — erectile dysfunction is often an early sign that the blood vessels are affected.
When should you book?: For problems lasting more than three months; it is also a reason to check your cardiovascular health.

Testicular pain and swelling (non-acute)

Typical age: All ages.
Background: Several possible causes, from infection to benign changes.
Symptoms: Pain or swelling in the scrotum.
What the doctor looks for: The onset and the character of the pain.
Investigations: The clinical picture; sudden severe pain requires emergency assessment in person to rule out testicular torsion.
Diagnosis: Depends on the findings.
Management: Directed at the cause.
Follow-up: According to the findings.
Prognosis: Varies with the cause.
What you can do yourself: There is nothing you can do yourself for sudden severe pain — it is time-critical.
When should you book?: For sudden severe testicular pain: emergency care immediately, not a booked appointment.

Sudden severe testicular pain is an emergency — see the safety box.

Difficulty emptying the bladder

Typical age: Adults; more common in men with prostate problems.
Background: Difficulty emptying the bladder completely.
Symptoms: A weak stream, a feeling of incomplete emptying.
What the doctor looks for: The underlying cause.
Investigations: The symptom picture, sometimes further investigation.
Diagnosis: The clinical picture.
Management: Directed at the cause.
Follow-up: According to the treatment.
Prognosis: Good with the right measures.
What you can do yourself: Note whether you feel completely empty afterwards — a lingering feeling of fullness is an important sign.
When should you book?: For increasing difficulty. For being unable to pass urine at all — emergency care.

Pelvic pain

Typical age: All adult ages.
Background: Pain in the pelvis with several possible causes.
Symptoms: Persistent or recurrent pelvic pain.
What the doctor looks for: The pain pattern and the associated symptoms.
Investigations: History, sometimes further investigation.
Diagnosis: Depends on the findings.
Management: Directed at the cause.
Follow-up: As needed.
Prognosis: Varies with the cause.
What you can do yourself: Note any link with passing urine, opening the bowels and sitting — that points towards different causes.
When should you book?: For pelvic pain lasting more than a few weeks.

Recurrent urinary tract infections

Typical age: All ages; more common in women.
Background: Repeated infections of the urinary tract.
Symptoms: Recurrent burning, a frequent urge.
What the doctor looks for: The pattern and the frequency.
Investigations: Urine tests, sometimes further investigation for an underlying cause.
Diagnosis: The clinical picture and the test results.
Management: Targeted treatment, sometimes preventive measures.
Follow-up: Regular.
Prognosis: Good with the right investigation and treatment.
What you can do yourself: Pass urine after intercourse and avoid intimate soaps. After the menopause, topical oestrogen has a good preventive effect.
When should you book?: For three or more infections a year.

Blood in the urine — urological assessment

Typical age: All adult ages; of greater significance after 50.
Background: Visible blood in the urine in an adult must always be investigated, even where it happens only once and even if it disappears. Most causes are benign, but it is also the most important early symptom of bladder cancer — where early detection affects the outlook noticeably.
Common symptoms: Red or brown urine, with or without pain.
What the doctor looks for: Whether there is pain (which more often points to stones or infection) or whether the bleeding is entirely painless (which needs more investigation).
Investigations: Urine test and culture; cystoscopy and imaging through in-person care where the blood is visible.
How the assessment is made: From age, smoking history, and whether the blood was visible or only in the test result.
Management: Directed at the cause.
Follow-up: According to the findings.
Risk factors to know: Smoking (the dominant risk factor for bladder cancer), age over 50, occupational exposure to dyes and chemicals, previous radiotherapy to the pelvis.
Common misconception: That blood which is only seen once can be ignored. It is precisely one-off bleeds that most often delay the diagnosis.
What you can do yourself: Note the colour, whether it hurt, and whether you have eaten beetroot or taken any medicine that colours the urine.
When should you book?: Every time there is visible blood in the urine. Do not wait for it to come back.
Prognosis: Good — most causes are benign, and the more serious ones are picked up early.

Prostate problems — investigating without unnecessary worry

Typical age: Men from 50, earlier where it runs in the family.
Background: Many men put off prostate problems out of fear of a cancer diagnosis — even though benign prostate enlargement is far more common and the PSA test in itself does not make any diagnosis. Understanding what the test actually means often reduces the worry considerably.
Common symptoms: A weak stream, night-time trips to the toilet, a feeling of incomplete emptying, urgency.
What the doctor looks for: The severity of the symptoms, the PSA value in relation to age, and how the PSA develops over time.
Investigations: PSA, a symptom score; further investigation (MRI, biopsy) only where there is an indication.
How the assessment is made: By weighing the symptom picture against the PSA trend rather than a single value.
Management: Medication for benign enlargement; further investigation where there is a suspicion.
Follow-up: Regular PSA checks where the values are raised.
Risk factors to know: Age, family history (a father or brother with prostate cancer raises the risk considerably), African ancestry.
Common misconception: That a raised PSA means cancer. Most raised values are due to benign enlargement, infection or inflammation.
What you can do yourself: Map your family history — your father, your brothers and their age at any diagnosis govern how early checks should begin.
When should you book?: For urinary problems from the age of 50, or from 45 where it runs in the family.
Prognosis: Very good — most have benign causes, and prostate cancer found early has a good outlook.

Erectile dysfunction as a warning sign

Typical age: Adult men; increasing with age.
Background: In many men erectile dysfunction has a vascular cause — and because the blood vessels of the penis are narrower than the coronary arteries of the heart, they often give symptoms sooner. That means erection problems can be an early warning sign of cardiovascular disease, often several years before any cardiac symptoms appear.
Common symptoms: Gradually worsening erectile function, usually both during masturbation and intercourse (which points to a physical rather than a psychological cause).
What the doctor looks for: Whether the onset was gradual or sudden, and whether morning erections are still present.
Investigations: Blood pressure, blood lipids, blood glucose, testosterone.
How the assessment is made: By separating vascular, hormonal and psychological causes.
Management: Treatment of the underlying risk factors; medication; psychological support where needed.
Follow-up: According to the findings.
Risk factors to know: Diabetes, high blood pressure, high blood lipids, smoking, overweight, certain medicines — the same risk factors as for heart disease.
Common misconception: That it is only about your sex life. It is also a chance to pick up cardiovascular risk in time.
What you can do yourself: Note whether morning erections are still present — that suggests the mechanics work and points towards a psychological cause.
When should you book?: For problems lasting more than three months, and always as a reason to check your cardiovascular health.
Prognosis: Good — both the erection problems and the underlying risk factors are usually treatable.

Overactive bladder

Typical age: All adult ages; more common with increasing age and in women.
Background: Sudden urges to pass urine that are hard to control, without infection. One of the urological conditions with the greatest effect on quality of life — many people plan their day around access to a toilet — but also one of the most treatable.
Common symptoms: Sudden urgency, frequent trips to the toilet day and night, sometimes leakage before you get there.
What the doctor looks for: The frequency, the volumes, and whether there is leakage on urgency or on exertion (different types, different treatment).
Investigations: A bladder diary (fluids and urine volumes over two days) is the most valuable basis there is; a urine test to rule out infection.
How the assessment is made: From the bladder diary and the type of leakage.
Management: Bladder training, reducing caffeine and alcohol, medication where the effect is insufficient.
Follow-up: After treatment has started.
Risk factors to know: Age, a high intake of caffeine and alcohol, overweight, neurological disease, previous pelvic surgery.
Common misconception: That you should drink less. Concentrated urine irritates the bladder and often makes the urgency worse — cut down on caffeine and alcohol rather than on fluids overall.
What you can do yourself: Keep a bladder diary for two days before the appointment — it often changes the assessment completely.
When should you book?: When the urgency governs your day or disturbs your sleep.
Prognosis: Good — most people improve considerably.

Sexually transmitted infections — testing and worry

Typical age: All sexually active ages; most common in young adults.
Background: Many STIs cause no symptoms at all, chlamydia in particular — which means they are passed on and can cause complications such as infertility before they are found. At the same time the threshold for seeking care is high, out of worry about how you will be treated. Lowering that threshold is in itself a clinical gain.
Common symptoms: Often none. Where there are symptoms: discharge, burning on passing urine, sores or a rash in the genital area.
What the doctor looks for: The exposure risk, the time since exposure (which affects when a test is reliable), and the symptom picture.
Investigations: Tests for chlamydia and gonorrhoea; blood tests for HIV and syphilis. Sampling takes place through in-person care or self-sampling depending on the region.
How the assessment is made: By judging which tests are relevant and when they should be taken.
Management: Antibiotics for a bacterial infection; partner notification is a legal requirement for certain infections.
Follow-up: A repeat test for certain infections.
Risk factors to know: A new partner or several partners, unprotected sex, a previous STI.
Common misconception: That you would notice if you had an STI. Most chlamydia infections cause no symptoms at all.
What you can do yourself: Test with a new partner even without symptoms — it is the only reliable method.
When should you book?: For symptoms, after unprotected sex with a new partner, or simply if you want to be tested for no particular reason.
Prognosis: Very good — most STIs are easily cured once they are found.

Contact

Book appointment info@medix7.com

The information on this page is general patient information and does not replace an individual medical assessment. Digital care has limitations and cannot handle emergencies — see the emergency box above. If you are unsure, contact healthcare services or your local emergency number.

About this content

This information draws on established Swedish clinical sources, primarily 1177 Vårdguiden, Internetmedicin and Läkemedelsboken. It is general patient information and does not replace individual medical assessment.