Practical advice

Advice from the urologist

Short, specific answers to the questions patients ask most often – before, during and after the consultation.

Advice by topic

Check-ups and prevention

10 symptoms that mean you should see a urologist

Ten complaints that should not be put off – from blood in the urine to a lump in the testicle – with clear guidance on which are urgent, which can wait a few days and which can be planned calmly.

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Check-ups and prevention

How to prepare for a urology appointment

What to bring, how to describe your symptoms, why your bladder needs to be full for the ultrasound and what actually happens in Dr Penev's consulting room.

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Check-ups and prevention

Preventive urology check-up after 40: what it involves and how often

When prostate and kidney screening starts, what the check-up with Dr Penev involves, how often to repeat it and which symptoms should not be put off.

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Stones and kidneys

After kidney stone surgery: the JJ stent and what to expect

What a JJ stent is, which symptoms are expected after ureteroscopy or stone breaking, how to recover faster, and when stent removal and a follow-up check are essential.

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Stones and kidneys

Diet and fluids with kidney stones

Practical rules on fluids, salt, meat, calcium and oxalates depending on the type of stone, why beer is not a treatment and why analysing the stone is decisive.

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Stones and kidneys

Renal colic: what to do and what not to do

Step by step: what relieves renal colic at home, which mistakes make it worse and which warning signs mean you should seek emergency help without waiting.

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Prostate and urination

Living with a urinary catheter: practical tips

How to look after your urinary catheter and drainage bag, what to drink, how to sleep and move about, and which signs mean an infection or a blockage and need a doctor.

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Prostate and urination

Night-time urination: practical tips for better sleep

What you can change yourself – evening fluids, caffeine and alcohol, salt, raising your legs in the afternoon, a bladder diary – and when night-time urination is a sign of a prostate, heart or diabetes problem.

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Prostate and urination

Prostate myths and facts

Nine of the most widespread misconceptions about the prostate – from 'an enlarged prostate is cancer' to 'surgery puts an end to your sex life' – and what medicine actually says about each of them.

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Infections

How to prevent urinary tract infections

Measures against recurrent cystitis, honestly ranked by the evidence – from fluids and everyday habits to the preventive treatment plans prescribed by a urologist.

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Men's health

Erections as a barometer of your health

Erection problems are often the first visible sign of damage to the blood vessels. What they mean, what the urologist checks and why the conversation is worth having.

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Do you have symptoms or a question for a urologist?

Book a consultation in Plovdiv or Karlovo. Dr Penev will examine you carefully, explain things clearly in English and suggest a treatment plan.

Severe pain?

Severe pain?

What to do now

Choose the description that matches your situation.

Emergency

Call 112 or go to an emergency department if you have:

  • sudden severe pain in a testicle or the scrotum;
  • pain in the lower back or abdomen with a temperature above 38 °C or shivering;
  • you cannot pass urine and your lower abdomen is swollen and painful;
  • severe pain that does not ease after a painkiller;
  • heavy bleeding in the urine with clots.

Today

Call the practice today if you have:

  • attacks of pain in the lower back that ease with a painkiller but keep coming back;
  • burning and frequent urination, especially with a slightly raised temperature;
  • blood in the urine without clots and without pain;
  • swelling or pain in a testicle that has come on gradually;
  • increasing discomfort or leakage around a catheter or stent.

The practice is open now. Call us and we will tell you when we can see you.

We are closed at the moment. If you have any of the signs on the red card, call 112. If it is not urgent, send a Viber message and we will call you back the next working morning.

Routine

Book an appointment if:

  • your symptoms are mild or have lasted for weeks;
  • you have a raised PSA or an ultrasound finding;
  • a stone was found by chance and does not hurt;
  • you would like a preventive check-up.

This is guidance, not a diagnosis. If you are unsure whether it is an emergency, call 112.