First Class Urology Care in Cuenca
By Henry Noel Photographs by Nathalie Duffau, Luis Nieto
Urology is a specialty in western medicine focusing on the male and female urinary system and male reproductive system. The organs and tissues involved are kidneys, adrenal glands, ureters, urinary bladder, and urethra. And the male reproductive organs are testes, epididymis, vas deferens, seminal vesicles, prostate, and penis. When issues arise involving the urinary and reproductive systems, the importance in having a top-notch doctor to treat these issues is so very important.
Uroclinic (Clínica de Urología), owned and operated by Dr. José Alejandro Medina Machuca, is located at Inés Salcedo 1-103 y Agustín Cueva (on the corner across from the Clínica Santa Inés Emergency Room). Uroclinic is a “day clinic” as most surgeries are now laparoscopic with minimal recovery times. If over-night recovery is required, Uroclinic has beds in its facility (most for 24- to 48-hour stays). The clinic’s major benefit versus a hospital is urological expertise. Uroclinic specializes in urology, nothing else. The staff can diagnose and treat all urology conditions at the clinic. The services provided are ambulatory surgery, urological diagnostic studies, and urological diseases. Conditions treated include kidney/bladder/ureteral stones, kidney disease, prostate/kidney/bladder/genital cancer, erectile dysfunction, congenital abnormalities and reconstruction, and feminine incontinence.
Dr. Medina has been in practice since 1980, has performed over 10,000 surgeries, and has operated on over 100 expats. He is a member of the American Urological Association of the United States (AUA), member of International Society of Urology (SIU), and has been awarded many certificates for state-of-the-art diagnostic techniques and advancements in treatments and patient care. He has also held the position of president of the Ecuadorian Urological Association and is a member of various associations. He also represented Ecuador in the international arena for urology and has been internationally recognized for developing his own technique for treating a condition called “priapism.” Priapism is a very painful permanent erectile dysfunction without sexual excitement. The treatment involved the development of a tiny needle containing holes that transferred the blood from one penial chamber to another easily eliminating the condition. Dr. Medina served as chief of the urological department at the José Carrasco Arteaga Hospital (IESS hospital) where his team performed the first kidney transplant and 50 subsequent transplants.
Dr. Medina is proud of his staff and proud of the university and hospital training received abroad. Uroclinic’s staff is comprised of a total of 15 people including medical associates and nurses. Because the urology specialization training was studied abroad, Uroclinic boasts the most modern urological equipment and technology and highest qualified specialists. From the psychological welfare of his patients to the most delicate of surgeries, Dr. Medina and his staff emphasize the importance of the doctor-patient relationship in providing successful treatments and attaining desired results.
Dr. Medina realized early on that being able to perform these delicate surgeries was only a small part of the overall care a patient required. The physical sensitivity of the area involved and the emotional distress associated with the conditions his patients suffer required a different approach. Dr. Medina realized the importance of a “total patient approach.” He recognized being an excellent surgeon wasn’t enough as there is a psychological element that played a very important role in his patients’ successful recovery. He realized that these patients’ conditions weren’t only physical. Emotional comfort played a major role in a patient’s recovery. “Caring for the psychological state of our patients who are suffering from their disease is critical. For this, we maintain our psychology department, sub-specialized abroad, to provide support and pre- and post-operative counseling to our patients, as well as support to their relatives and loved ones when necessary.”
Dr. Medina has two sons who followed him into the medical profession. “In today’s world, medicine needs teamwork. That is why I work with another doctor. My son Dr. José Medina Coello is also a urologist with a specialization in urological cancer. My other son Dr. Esteban Xavier Medina Coello is a psychologist. He focuses on the emotional well-being and recovery of cancer patients and their relatives.
When asked of what accomplishments he is most proud, Dr. Medina replied, “Completing my cycle as a medical professional after having done so much and leaving my kids as the future generation to keep working on urology after me (legacy). The satisfaction of having saved many lives and helped many people. Receiving the recognition I have earned in my career since 1980--38 years now.” About Uroclinic Dr. Medina says, “We offer excellent service; we have a lot of experience; we are updated and have excellent equipment, and we can solve all types of urological problems. The treatment is modern and we use state-of-the-art equipment.”
In reply to the question “What other conditions do you treat?” Dr. Medina emphatically answered, “We treat malignant and benign urological diseases in men and women, congenital diseases, urinary problems, prostate problems, kidney problems, and kidney stones. We have every technology in the world for the clearing bladder, kidney and ureteral stones. For clearing stones, we utilize extracorporeal piezoelectric lithotripsy (EPL), intracorporeal ureteroscopy lithotripsy, flexible ureteroscopy with Holmium laser endoscopic lithotripsy, and percutaneous lithotripsy.
We correct erectile dysfunction according to its etiology, hormone replacement, or use of intracavernous vasoactive substances, or surgical treatment with placement of inflatable or malleable prostheses according to each case. We also treat premature ejaculation and other male sexual disorders.
Uroclinic is a state-of-the-art urological clinic dedicated to the diagnosis and treatment of urological diseases and conditions. Its dedicated, internationally trained, and highly qualified staff interact with their patients on a holistic level—understanding the condition is only a part of the patient. How the patient relate to the condition is just as important as the treatment.
Call today for an appointment.
Uroclinic: Monday to Friday 10:30am to 1:00pm y 5:00pm-7:00pm
Dirección: Inés Salcedo 1-103 y Agustín Cueva (esquina), Cuenca – Ecuador
Teléfono: +593 07.285.0140
Emergency 24/7: 099.976.1576 or 099.597.5742