ENT

We specialize in the diagnosis, treatment and management of issues and diseases of the ear, nose and throat.

We offer the highest standard of quality care, in a modern and comfortable setting. Our compassionate ENT team has special training and expertise in diagnosing and treating ear, nose and throat problems due to infection, inflammation, injury, degeneration, or paralysis.

ENT treatments and services offered at our ELNA clinic include:

  • Hearing loss, deafness, tinnitus, ear pain, ear infections, ear wax
  • Vertigo and balance disorders
  • Nose or sinus problems, sinusitis, nasal polyps, stuffy nose, snoring, sleep apnea, nose bleeds
  • Throat problems, tonsillitis, chronic sore throat, amygdala
  • Thyroid issues, trachea, larynx, pharynx, repeated angina
  • Difficulty swallowing or speaking
  • Loss of taste or smell
  • Lumps in the neck.

When preparing for an ENT appointment, be sure to have your RAMQ insurance information available. Also, bring a list of any medications you are taking, as well as any concerns you may have. Our patient-centred approach means that we take the time to listen, answer your questions, and respond to your concerns.

Nephrology

Proper functioning of the kidneys is needed to cleanse your blood, maintain a balance of salt and minerals in your body, and regulate blood pressure. These tasks are accomplished by filtering and removing waste products and excess fluid through your urine.

At ELNA, emphasis is placed on combining the latest in medical science with the ultimate in personalized care. We also consult with patients on diet and lifestyle changes to help improve overall health of the kidneys. Conditions when you might visit our nephrology clinic include:

  • Kidney stones
  • Decline in kidney function
  • Chronic kidney disease
  • Kidney dialysis
  • Renal ultrasound
  • Chronic hematuria (blood in urine)
  • Diabetes
  • Autoimmune disease
  • Hypertension
  • Electrolyte imbalance
  • Urine protein imbalance
  • Chronic urinary tract infections (UTIs)
  • Amyloidosis
  • Polycystic kidney disease.

When preparing for a nephrology appointment, be sure to bring your health insurance card, a list of your symptoms and any medications you are taking, as well as any questions you may have.

Infusion

Treatment consists of delivering intravenous medications through the veins in order to achieve the desired effect toward the affected organs or tissues.

Our infusion clinic provides a safe and relaxing environment where you can receive needed medications via infusion or injection. We make you feel as comfortable as possible throughout the infusion process, and provide education and counseling to help you take appropriate steps to achieve the best outcome for your condition.

Our caring professionals have extensive training and experience in administering intravenous medications. We monitor vital signs during treatment, deal with any side effects you may experience, and provide emotional support for long-term care situations. ELNA Infusion works in partnership with Centre de Perfusion de Montréal to offer infusion treatment for the diseases including:

  • Crohn’s disease
  • Ulcerative colitis
  • Rheumatoid arthritis
  • Ankylosing spondylitis
  • Psoriasis
  • Psoriasis multiple sclerosis
  • Sjogren’s syndrome
  • Other complex conditions.

We also provide intravenous infusion of iron (venofer, monoferric) and vitamins C.

When preparing for an infusion consultation, be sure to have your doctor’s prescription and your insurance information available. Also, bring a list of any medication you are taking and any concerns you may have. Our patient-centered approach means that we take the time to listen and address your concerns.

Discover our private services

We offer a wide array of intravenous therapies to various clientele. Our services include IV administration and subcutaneous injections of the following biologics:

Biologics Indication
Infliximab (Remicade, Avsola, Inflectra, Renflexis) IBS (Crohn’s disease, Ulcerative colitis, Rheumatoid arthritis)
Ustekinumab (Stelara) IBS (Crohn’s disease, Ulcerative colitis, Plaque Psoriasis, Psoriatic arthritis)
Golimumab (Simponi) Rheumatoid arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Ulcerative colitis
Vedolizumab (Entyvio) IBS (Crohn’s disease, Ulcerative colitis)
Rituximab (Rituxan, Ruxience) Non-hodgkin’s lymphoma, Rheumatoid arthritis
Tocilizumab (Actemra) Rheumatoid arthritis, Giant cell arteritis, juvenile idiopathic arthritis
Guselkumab (Tremfya) Plaque Psoriasis, Psoriatic arthritis
Pertuzumab (Perjeta) Used in combination with trastuzumab, docetaxel and chemotherapy to treat metastatic breast cancer, early breast cancer
Ado-trastuzumab emtansine (Kadcyla) Adjuvant & neoadjuvant treatment for HER2-positive early breast cancer
Polatuzumab vedotin (Polivy) Used with bendamustine and rituximab to treat relapsed or refractory diffuse large B-cell lymphoma

Podiatry

Our dedicated team of podiatrists and podologists are specially trained to examine, diagnose and surgically treat conditions of the foot and ankles. Using the very latest state-of-the-art equipment, our professionals are experts at diagnosing and treating all related dermatological and musculoskeletal issues.

If you suffer from gait or posture alignment issues, our podiatrists and podologists are here to help you get to the root of your problem and prescribe the most appropriate orthotics and corrective footwear. Our team is also skilled in performing the latest surgical procedures and prescribing medication in accordance with professional practice guidelines.

Our podiatrists are here to carefully assess your condition and provide you with the most personalized care. Make an appointment with one of our professionals today.

Cystoscopy

It is used both to diagnose or treat problems affecting the bladder and to monitor a lesion’s progress.

Your doctor may prescribe a cystoscopy in any of the following situations:

  • Unexplained blood in the urine (hematuria);
  • Recurrent urinary tract infections;
  • Lower abdominal pain in the bladder;
  • Suspected polyps or tumors in the urinary tract;
  • Problems with urination.

Cystoscopy procedure

The cystoscopy is performed under local anesthesia by a urologist using a cystoscope, a thin tube equipped with fiber optics or a mini video camera. The doctor first disinfects the urinary meatus (the opening through which urine exits the body), then instills an anesthetic gel into the urethra. The cystoscope is then inserted into the bladder through the urethra.

Once the cystoscope is inserted, the doctor instills sterile water into the bladder to fill it and gain a better view of surrounding walls. The images are displayed on a screen. The doctor performs a biopsy or, if necessary, removes any present foreign bodies. At the end of the examination, you will be asked to urinate in order to flush the water from your system.

A urine test may also be performed prior to the examination.

You may feel some pain and a burning sensation during urination in the hours following the examination. Please note that any discomfort is short-lived.

Hydrocele Drainage

It is a benign condition and is usually painless, but it can cause discomfort, embarrassment, or esthetic issues.

One possible treatment is hydrocele drainage, which consists of removing fluid from the scrotum with a needle. The procedure restores the volume of the scrotum and makes your symptoms disappear.

Although more common in infants at birth, hydrocele can also occur in adolescents and adults due to infection, inflammation, or injury to the testicles.

In young boys, a hydrocele will go away on its own by the time they reach 1 year of age. In men under 65 years of age, it may also disappear on its own after a while. This is generally not the case, however, if you are over 65 years old. You can seek treatment if your hydrocele is causing you pain, discomfort or embarrassment.

Hydrocele drainage procedure

Hydrocele drainage is performed under local anesthesia. After applying the anesthetic, the doctor inserts a needle into the scrotum until it enters the hydrocele. The fluid is then evacuated by suction. In some cases, a liquid called sclerosing fluid may be injected into the penis to prevent further accumulation of fluid in the scrotum. The procedure takes between 20 and 30 minutes.

Transrectal Ultrasound

It is painless and non-invasive.

Your doctor may recommend a transrectal ultrasound for any of following:

  • Abnormalities detected during a digital rectal exam;
  • An abnormal PSA (prostate-specific antigen) value;
  • To guide the physician in a prostate biopsy;
  • To diagnose benign prostatic hyperplasia;
  • For some cases of male infertility;
  • Urinary symptoms such as frequent urges to urinate, small urinary stream, pain during urination, difficulty urinating, etc.

Transrectal prostate ultrasound procedure

You lay on your left side with your knees bent over your chest during the examination. The doctor puts a protective cover and lubricant on the ultrasound probe (transducer) and inserts it into the rectum through the anus. You may feel fullness in the rectum or pressure similar to a bowel movement.

Once the probe is in place, images of the prostate and surrounding organs begin to appear on the screen. The ultrasound report is sent to your doctor following the exam.

Frenulectomy

The frenulum is the band of tissue under the penis that connects the foreskin to the head (glans) and body of the penis. A tight or short frenulum causes tension, bleeding, and pain during erection or intercourse, leading to loss of erection or premature ejaculation.

A short frenulum (also known as frenulum breve) can also cause a curvature of the penis. A tight or short frenulum can be found among both circumcised and uncircumcised men.

A frenulectomy ensures greater amplitude in the skin of the penis, increasing both comfort and pleasure during sexual intercourse.

Frenulectomy procedure

A frenulectomy is performed under local anesthesia. The procedure takes roughly 20 minutes. The doctor begins by applying a local anesthetic to the frenulum in order to numb the area. The frenulum is then cut with a scalpel, surgical scissors, or a cautery instrument. Patients need not worry, as they won’t feel a thing. Stitches are usually required, and healing is relatively quick.

Most men do not need to take pain medication after the procedure. You can return to work the next day if your job does not require strenuous physical activity. Otherwise, you will need a few days to recover.

We recommend that you do not have sexual relations for 5 to 6 weeks following the procedure in order to promote optimal penile healing.

Colposcopy

Your doctor may recommend a colposcopy if they suspect abnormal lesions on the cervix, especially following a Pap test. An abnormal Pap test result does not necessarily indicate an issue. A colposcopy will help determine if the abnormality requires any further treatment.

Depending on your situation, your doctor may perform a biopsy during your colposcopy. This procedure may produce a similar sensation to that of a Pap test. Some women report feeling cramps similar to menstrual cramps when a biopsy is performed. Slight bleeding is also common.

Our caring team of experienced gynecologists are here to ensure that your procedure is as comfortable as possible.

What happens during a colposcopy?
During the colposcopy, you will lie down as you would for any other gynecological examination.

Your gynecologist will use an instrument called a speculum to open the walls of your vagina and a colposcope to examine your cervix. They will then apply a vinegar-like liquid to the cervix to increase the contrast between abnormal and normal cells. Using the colposcope, your gynecologist will conduct a thorough examination of your cervix and vagina.

If a biopsy is required, your doctor will collect tissue and send it for further analysis.

You can return to your daily routine immediately following the procedure.

Colposcopy is covered by RAMQ but there are lab fees for biopsies.

Bladder Injections

Are oral medications not working for you? Your doctor may recommend injections of neuromodulators into the bladder. These products are made of proteins that target nerve receptors.

Such injections are also recommended if you have incontinence secondary to a neurological problem.

A neuromodulator acts on the nerve endings in the bladder wall and helps reduce uncontrolled bladder contractions and urgency. This results in a reduction of urine leakage and frequent urges to urinate.

Its effect starts 2 to 10 days following the injection and lasts on average 6 to 9 months. The effectiveness and duration varies from person to person. It can be reinjected as many times as necessary, with an interval of 3 months between injections.

Procedure: Neuromodulator injections into the bladder

The urologist begins by inserting a urinary catheter followed by a local anesthetic into the bladder. You may feel some discomfort.

An instrument called a cystoscope is inserted through the urinary tract, and then, using a small needle inserted through the cystoscope, the doctor injects 10 to 20 times into the bladder wall. You may feel a slight tugging or pressure, but there is no need to worry, as the procedure is painless. The procedure takes less than 5 minutes.