The questions patients ask most often.

There is no single age. For men without symptoms, a first urology check-up around the age of 50 is a good starting point, or earlier if there is a family history of prostate cancer. For boys, an andrology check-up during adolescence is useful. For women and children, a consultation is recommended when urinary or intimate symptoms appear.

Yes. Urology covers the urinary tract of both men and women: cystitis, incontinence, stones and voiding problems. Urogynecology focuses specifically on women's urinary and pelvic floor health.

Any previous test results you have (reports, ultrasound scans, blood and urine tests), a list of the medicines you take and your health insurance card.

For kidney, bladder and prostate ultrasound and for uroflowmetry, it is best to arrive with a full bladder. Ask for specific instructions for your test when you book.

It is completely normal, and many people feel the same. The consultation is confidential and takes place in a listening, non-judgemental atmosphere: being open about what is happening helps find the right solution.

Dr. Greco speaks English, French and German as well as Italian. Just mention your preferred language when you book.

Online through MioDottore, choosing location, day and time; by phone or WhatsApp on +39 333 804 6962; through the clinic's front desk; or by sending a request from this website.

Services are private and are also available through agreements with insurers and health funds. Agreements can vary from one clinic to another, so please check your cover with the clinic's front desk when you book.

PSA is a protein produced by the prostate and measured with a blood test. A raised level does not automatically mean cancer: it can also go up with prostate enlargement, inflammation or infection. It should always be interpreted by a specialist, together with an examination and, if needed, further tests.

Prostatitis is inflammation of the prostate and can also affect young men. The acute form, usually caused by bacteria, brings fever and pain and needs prompt treatment. The chronic form causes pelvic discomfort or pain and urinary symptoms that persist over time. Treatment depends on the type and the cause.

They are two different conditions: benign enlargement does not turn into cancer. They can, however, occur at the same time and cause similar symptoms, which is why regular urology check-ups remain important.

There can be several reasons: bacteria from the bowel, sexual intercourse, hormonal changes, incomplete bladder emptying or habits that make it easier for bacteria to travel upwards. Identifying the main factor is the first step to reducing recurrences.

It is very useful for recurrent infections, for infections that do not respond to treatment, in men and in pregnancy: it identifies the bacterium and helps choose the right antibiotic.

Yes, although it is less common. In men a urinary infection should always be investigated, as it may be linked to the prostate or to an obstruction of urine flow.

This is common and nothing to be embarrassed about. There are practical measures and, when needed, targeted prevention strategies, which can be discussed during your visit.

It is common, but it is not something you have to accept. The pelvic floor can be retrained and several treatments are available: an assessment shows which type of incontinence is present and where to start.

It studies how the bladder fills and empties by measuring pressure and flow through a thin catheter. It is done in the clinic and is generally well tolerated; it is mainly used before deciding on certain treatments or procedures.

It is a possible consequence of prostate surgery. Pelvic floor rehabilitation is often the first step, and the plan is adapted to the type of operation and the time since surgery.

In young boys the foreskin often does not retract: this is normal and tends to resolve with growth. Treatment is considered if phimosis persists or causes infections, pain or difficulty passing urine. Topical treatment is often tried first; circumcision is performed only when medically indicated.

There is no set age: a consultation is useful when there are doubts or symptoms, such as a testicle that cannot be felt in the scrotum, swelling, pain, urinary infections or bedwetting beyond the age of 5 or 6. An andrology check-up during adolescence is useful in any case.

It sometimes descends naturally in the first months of life. If it does not, a specialist should assess it: surgery is usually carried out by around 18 months of age, to protect the function of the testicle.

No. It becomes more common with age, but it can also affect young men, often for different reasons. Either way it deserves an assessment, partly because it can signal conditions such as diabetes, high blood pressure or vascular problems.

A treatment in which a medicine is injected into the penis with a very fine needle to help achieve an erection. The dose is set with Dr. Greco, who also teaches you how to do the injections yourself. They are an option when oral treatments do not work or are not suitable.

Yes, if you wish. Sometimes facing the process together helps; the choice is always yours.

The andrologist assesses the male partner, identifies treatable causes and, if needed, retrieves sperm directly from the testicle. Working with the fertility clinic helps choose the best path for the couple.

No. A single semen analysis is not enough for a diagnosis, because results can vary over time. It should be repeated and interpreted together with an examination and other tests.

Azoospermia is the absence of sperm in the semen. It may be due to a blockage of the seminal ducts or to a production problem; in a number of cases sperm can still be retrieved from the testicle.

The frenulum is the small fold of skin that connects the foreskin to the glans. If it is too short it can cause pain, tension or small tears during erection and sex. It is corrected with a short outpatient procedure (frenulotomy or frenuloplasty) under local anaesthesia.

No. A varicocele is a swelling of the veins around the testicle, common in teenagers and young men. It is treated when it causes discomfort, affects fertility or, in teenagers, testicular growth. The decision is made after a consultation and ultrasound.

Yes, because the HPV virus that causes them can remain in the body. Besides removing them, it is important to attend follow-up visits and follow advice to reduce the risk of recurrence and of passing the virus to a partner. The HPV vaccine is also available for men.

Pain during sex often has several overlapping causes: dryness, inflammation, cystitis or tension in the pelvic floor muscles. Talking to a specialist is the first step: a careful assessment helps identify the causes and the right approach, often together with a gynecologist.

It is common during menopause, but it can also appear after childbirth, while breastfeeding, with certain treatments or during stressful periods. Besides the discomfort, it can make cystitis and pain during sex more likely. Several treatments are available and can be chosen with your specialist.