FillHoldRelease. — Dr. Ali Pourmohammad
Urologist Tabriz
The bladder repeats this cycle quietly several times a day. Most urinary complaints mean the cycle has gone wrong somewhere, and the first step is finding where.
First, find where the cycle has gone wrong.
Dr. Ali Pourmohammad is a urologist in Tabriz. This specialty deals with the kidneys, ureters, bladder and urethra in women and men, and with the male reproductive system. "I keep waking at night" can come from the prostate, a sensitive bladder, an evening drink or something outside the urinary tract altogether. That is why assessment starts with finding the cause. This site helps you see which part your complaint relates to, when not to wait for an appointment, and what to bring to the first visit.
More about the doctorWhat is worrying you?
Tap what you are facing to reach the right explanation. This list is not a diagnosis; it only takes you to the right page.
- I wake at night to pass urine
- My urine flow has weakened
- I have a PSA result
- I suddenly have to rush
- I leak when I cough
- Burning when passing urine
- An infection that keeps coming back
- Blood in urine
- Pain in my side that comes and goes
- Erection problems
- Trouble having a child
- The urine flow test
- Keeping a bladder diary
If you cannot pass urine at all, have sudden severe pain in a testicle, or have pain in your side with fever and shivering, do not wait for an appointment. Go to the emergency department at once or call 115. When should I act at once?
From the prostate to the kidney, in plain language.
These pages explain what each part does, what can go wrong and how treatment generally goes. Your diagnosis and plan are set by the doctor after an examination.
The prostate
The prostate grows with age and can weaken the urine flow. Benign enlargement does not always need treatment, and a high PSA alone does not mean cancer. This page explains what each one means and what the options are.
Read moreThe bladder and bladder control
Sudden urgency, leaking when you cough, frequency and passing urine at night. These problems are common, affect women and men, and are not an inevitable part of ageing.
Read moreUrinary infections
Burning, frequency and cloudy urine. Why women are affected more often, why infection in men is looked into sooner, and how to follow up an infection that keeps returning.
Read moreKidney and ureteral stones
A pain in the side that comes and goes and sometimes spreads to the groin. Most stones pass with water and medicine, and some need breaking up or removing.
Read moreMen's sexual and reproductive health
Erection problems, fertility checks and changes in the testicles. These are hard things to talk about, but most have a cause that can be looked into.
Read more
From "why do I wake at night?" to a clear decision
One urinary symptom can come from the bladder, the prostate, an infection or even something outside the urinary tract. These five steps find the cause, and then you decide together what to do about it.
- Step 1 of 5.
First, your story
When it started, how often by day and by night, what you drink and which medicines you take. If you can keep a bladder diary for a few days, this conversation becomes far more precise.
- Step 2 of 5.
Examination and a urine test
A urine test shows infection or blood. Depending on the problem, an examination of the abdomen and pelvis is needed, and in men sometimes of the prostate. If you feel uneasy, say so; you can have someone with you.
- Step 3 of 5.
Flow measurement and imaging
Depending on the problem you may need a urine flow test, an ultrasound of the bladder and kidneys, a PSA test or a CT scan. Not every patient needs all of these.
- Step 4 of 5.
A shared decision
Sometimes changed habits and monitoring are enough, sometimes medicine, and sometimes a surgical procedure. You hear the benefits and risks of each and you decide together.
- Step 5 of 5.
Treatment and follow-up
The next visit and tests are set. Before you leave, go over together the signs you should not wait on.
With you at every stage of diagnosis, treatment and follow-up.
The patient support form has six sections: imaging, laboratory, pharmacy, referral to doctors, rehabilitation and wellbeing, and services at home.
Imaging and ultrasound
Quick appointments and results, second reads of images, and reports and images sent directly to the treating doctor.
Medical diagnostic laboratory
Quick appointments and results. The support team arranges the sampling and the follow-up of test results.
Pharmacy and specialty medicines
Help getting specialty medicines, with quick delivery for Tabriz residents.
Fast referral to specialists and sub-specialists
If you need another doctor, the support team books the appointment and refers you.
Rehabilitation and wellbeing
Quick appointments and referrals to rehabilitation and health specialists, arranged by the support team.
Specialist treatment and rehabilitation at home
When getting out is hard, part of treatment and rehabilitation comes to you.
Wherever the form says "free", that service is free.
Plain answers to the first questions.
Does a high PSA mean I have cancer?
No. A high PSA has other causes too, such as benign enlargement or inflammation and infection of the prostate. The test is usually repeated, and if it is still high the doctor decides on next steps such as an MRI and, if needed, a biopsy.
Does an enlarged prostate always need treatment?
No. If the symptoms are not disturbing your life much, changes to daily habits usually come first. If they get worse, medicine and then surgery are considered. The decision depends on how severe the symptoms are and on what you want.
How many times a night is normal to wake to pass urine?
Waking once is no problem for many people. If you wake two or more times and it takes away your sleep and energy, it is worth looking into. The cause is not always the prostate; it can also be evening drinks, medicines, diabetes or a sleep disorder.
Is leaking urine a normal part of getting older?
It is common, but it is not an inevitable part of ageing. The type matters, and measures such as pelvic floor exercises and bladder training usually come first. There is no need to feel embarrassed; doctors hear this every day.
I saw blood in my urine once and it went away. Should I follow it up?
Yes. Even if it was a small amount or happened once, it needs checking. Most of the time the cause is not serious, but it is sometimes a sign of cancer, and cancer found early is easier to treat.
Do men get urinary infections too?
Yes, though less often than women. In men, a urinary infection is usually looked into sooner and more closely. If you have burning, fever or pain in your side, contact a doctor rather than taking antibiotics on your own.
Will my kidney stone pass by itself?
Many stones pass within a few weeks with water and medicine, but it depends on the size and position of the stone. A larger stone may need breaking up or removing. Severe pain or fever should not be endured at home.
Are erection problems a sign of illness?
When it happens occasionally, it is usually due to tiredness, stress or alcohol. If it keeps happening, it can be linked with high blood pressure, high cholesterol, diabetes, depression and anxiety, or side effects of medicine, so having it checked helps your general health too.
When should we seek help for trouble having a child?
After a year of regular sex without contraception. If the woman is 36 or older, or you have a reason to be concerned, come sooner. It is best for both partners to be assessed together, because the problem can lie with either of them.
Which operations does the doctor perform personally?
The list of procedures and where they are done will be announced after the doctor confirms it.
Do you accept insurance?
The list of contracted insurers will be announced soon.
These answers are general and do not replace your doctor's advice for your situation.
To begin: a clear conversation.
Go to the booking page or talk to the support team. Have your test results, scans and list of medicines ready.
Support number