Services
Urology services
From the first consultation to surgery and follow-up. Choose a service to see who it is for, what it involves and where it is done.
Examinations and consultations
The first step for any complaint. A conversation, an examination, ultrasound if needed and a clear plan for what comes next.
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Consultation and treatment for kidney stones
From the ultrasound and tests to the choice of treatment – watchful waiting, medication, shock wave lithotripsy or endoscopic laser removal at Kaspela University Hospital. Dr Penev specialises in the endoscopic treatment of stones.
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Consultation for urinary problems
A focused urology consultation for a weak stream, frequent and night-time urination, stinging, leaking or a feeling of incomplete emptying – with ultrasound, residual urine measurement, uroflowmetry and a clear treatment plan.
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Paediatric urology consultation
A gentle urology consultation for children and teenagers with a parent present – for phimosis, an undescended testicle, hydrocele, bedwetting, urinary tract infections and testicular pain.
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Prostate check – ultrasound, PSA and rectal examination
How a prostate check with Dr Penev is done – rectal examination, transabdominal ultrasound with residual urine measurement and PSA, when it is needed and how to prepare.
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Urology examination and consultation in Plovdiv and Karlovo
What a urology examination with Dr Penev includes, how to prepare and how much it costs. Consultations for men, women and children in Plovdiv and Karlovo, in Bulgarian, English and German.
What it involves
Tests and diagnostics
Diagnostics in the practice – painless and, where possible, on the day of your visit.
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Cystoscopy – examination of the bladder and urethra
An endoscopic examination of the urethra and bladder with a thin, flexible instrument under local anaesthetic. The most accurate method for blood in the urine, a suspected tumour, a stricture or bladder stones.
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Dermatoscopy of the genital area
A painless magnified examination of skin growths on the penis, scrotum and groin. It helps to tell genital warts, pearly papules, molluscum and spots apart during the consultation itself.
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Ultrasound of the kidneys, bladder, prostate and testicles
Urological ultrasound at the practice – a painless test without radiation that shows stones, cysts, urine backing up, residual urine, prostate volume and changes in the testicles, with the result given during the consultation.
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Uroflowmetry – measuring the flow of urine
A painless test that measures the speed and volume of urination and shows whether the stream is weak. It helps with difficult urination, an enlarged prostate and urethral stricture.
What it involves
Outpatient and laser procedures
Short procedures under local anaesthetic, after which you go home the same day.
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Circumcision for phimosis – laser and classic technique
When circumcision is needed for phimosis, balanitis or lichen sclerosus, how the operation is done with a laser or with the classic technique, and what recovery involves. For adults and children in Plovdiv.
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High-intensity laser therapy for chronic prostatitis
A non-invasive procedure using a high-intensity laser to relieve pain, inflammation and muscle spasm in chronic prostatitis. It is given as a course, combined with medication and lifestyle changes.
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Magnetic stimulation therapy for urinary incontinence
Stimulation of the pelvic floor muscles with a pulsed magnetic field for stress, urge and mixed incontinence, including in men after prostate surgery. The sessions are painless and you stay fully clothed.
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Short frenulum – frenulotomy
What a short frenulum is, when frenulotomy is needed and how the short procedure under local anaesthetic is done at Dr Penev's practice in Plovdiv.
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Treatment of genital warts (condylomas)
How genital warts are recognised and treated – from creams you apply at home to freezing, electrocautery and laser removal at Dr Penev's practice in Plovdiv.
What it involves
Hospital treatment at Kaspela University Hospital
Operations and endoscopic procedures in the Department of Urology at Kaspela University Hospital, Plovdiv.
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Endoscopic and laser treatment of kidney and ureteric stones
Minimally invasive removal of kidney and ureteric stones through the natural passages (ureteroscopy with laser) or through a small opening in the lower back (percutaneous nephrolithotomy). It is done under anaesthetic at Kaspela University Hospital with a hospital stay of 1–3 days.
What it involves -
JJ (double-J) stent insertion and removal
A JJ stent is a thin, soft tube between the kidney and the bladder that keeps urine draining when the ureter is blocked and after stone treatment. It is inserted and removed with a short cystoscopic procedure, and the date for taking it out must not be missed.
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Laparoscopic and uro-oncological surgery
Minimally invasive and conventional operations for tumours of the kidney, prostate, bladder and testis. Dr Penev has trained in laparoscopic uro-oncology and operates as part of the team at the Department of Urology at Kaspela University Hospital, Plovdiv.
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Shock wave lithotripsy (ESWL)
Shock waves aimed from outside the body break the stone into fragments that are passed with the urine – with no incisions and usually no hospital stay. Suitable for smaller stones in the kidney and the upper ureter, depending on the assessment after a consultation.
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Surgery for an enlarged prostate
When medication no longer helps, or an enlarged prostate leads to urinary retention, infections or bladder stones, the solution is endoscopic surgery through the urethra – TURP or a laser technique. Dr Penev operates at Kaspela University Hospital (UMBAL Kaspela), Plovdiv.
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Surgery for hydrocele, varicocele and epididymal cysts
Hydrocelectomy, microsurgical or laparoscopic varicocele ligation and removal of epididymal cysts – most often as day surgery. Consultation and ultrasound in Plovdiv and Karlovo, operations at Kaspela University Hospital.
What it involves
Prices
Initial consultation €50, follow-up consultation €30. Prices for tests and procedures are confirmed when you book. See the prices page.