YOSHITOMO
CHIHARAPHYSICIAN & PHD

UROLOGY

Urology

A straightforward place to discuss urinary symptoms and men’s health.

Urology covers the kidneys, ureters, bladder and urethra, as well as the prostate and testes. Frequency, blood in the urine, pain or difficulty urinating can have different causes.

A stethoscope resting on paperwork; illustrative medical photograph.
Illustrative stock photograph · Pixabay / Pexels

01 / FIND YOUR CONCERN

Start with your concern

Choose a topic to explore the approach, course and considerations. Suitability is assessed in consultation.

02 / IN DETAIL

Symptoms & conditions

Painful urination, frequency & fever

Cystitis & kidney infection

Infection may involve the bladder or kidneys. Fever and flank/back pain can indicate a more serious infection needing prompt assessment.

Risks & considerationsDo not wait for a routine appointment with fever, chills, severe back pain or inability to drink. Do not reuse leftover antibiotics.

Weak stream, residual sensation & nocturia

Enlarged prostate & assessment

Prostate changes may affect urine flow. Enlargement, inflammation and cancer are distinct and cannot be separated by symptoms alone. The official page describes acute prostatitis with fever and painful urination, and chronic prostatitis causing months of varied discomfort—prolonged sitting being one factor.

Risks & considerationsA full, painful bladder with inability to urinate needs urgent medical assessment.

Flank pain & visible or detected blood

Urinary stones & blood in urine

Stones may obstruct urine flow and cause severe pain. Blood can also have other causes, including infection or tumours, even without pain.

Risks & considerationsPain with fever, persistent vomiting or inability to urinate needs prompt care. Visible blood merits assessment even if it stops.

Discharge, discomfort or exposure concerns

Sexually transmitted infections

The clinic discusses chlamydia, gonorrhoea and syphilis. Some infections cause few or no symptoms: chlamydia incubates about one to three weeks, while gonorrhoea brings stronger pain and discharge after about two to seven days, with about 30% involving chlamydia co-infection.

Risks & considerationsSymptom resolution alone does not prove cure. Confirm sexual-contact advice, test coverage and costs.

Sexual function, fatigue & motivation

Erectile function & hormonal concerns

Vascular, hormonal, lifestyle and psychological factors can contribute. Age or testosterone alone may not explain symptoms.

Risks & considerationsSome medicines cannot be combined with ED drugs. Avoid self-medication and confirm costs and coverage.

03 / YOUR VISIT

Tests & next steps

Urine tests

Check for blood and signs of infection; culture may be added.

Blood tests & PSA

Assess kidney function and inflammation. PSA informs prostate evaluation, not a diagnosis by itself.

Ultrasound

Images help assess the kidneys, bladder and prostate.

Further tests & referral

If CT, cystoscopy or surgery is needed, confirm the provider and arrange referral as appropriate.

  1. Discuss symptoms, timing and medicines

  2. Use appropriate tests to explore causes

  3. Explain findings and options

  4. Review progress and coordinate care if needed

04 / FEES

Fees at a glance

Costs depend on symptoms, tests, treatment and insurance eligibility. Confirm coverage, self-pay services such as ED care, and testing-only charges. Bring insurance eligibility documents, medication records and screening results.

05 / QUESTIONS

Common questions

Can women consult a urologist?

Yes. Cystitis, frequency and leakage affect women too. Pregnancy, childbirth, gynaecological care and medicines are relevant history.

Should painless blood in urine be assessed?

Yes. Pain does not determine the cause. Discuss visible blood or screening findings even if they resolve, and bring records.

What should I record before the visit?

Record onset, daytime/nighttime frequency, pain, fever, urine colour and medicines. Ask about urine-sample preparation when booking.

06 / BEFORE YOU VISIT

Before your visit

  • Note onset, changes and previous treatments
  • Bring medicine/supplement details, allergies and medical history
  • Mention pregnancy, breastfeeding, procedures and tests elsewhere
  • Share goals, budget, visits and schedule

Contact the clinic

Appointments and medical inquiries go to Norris Beauty Clinic. Online booking and the contact form are in Japanese.

Call the clinic: 06-6772-3456

Further reading & sources

Clinic information checked:

Other menus on the official site

The official site also lists a men’s menu and full price details not covered on this page (in Japanese).

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