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.

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.

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.

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.