Dr. Ion Madina Albisua

Dr. Ion Madina Albisua
Urology
Donostia-San Sebastian


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Topdoctors Awards Top Doctor
2018

Dr. Ion Madina Albisua

Urologist in
Donostia-San Sebastian

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Dr. Ion Madina Albisua areas of expertise:

 Videos of doctor

Láser CO2 - Después de la intervenci...

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 Doctor's articles

Ventajas y resultados del láser verde para la hiperplasia benigna de próstata.
Four key prostate laser

Read all articles by Dr. Ion Madina Albisua

 Credentials

GMC: ‍202005919

 Professional experience

• More than 20 years of experience
• Urological care in Madina & Azparren SLP (2004 - currently)
• Optional Area Specialist in Urology of the University Hospital of Nuestra Sra. De Aránzazu de San Sebastián (2001 - 2003)
• Head of Urology Service of the Regional Hospital of Zumárraga - Gipuzkoa (2003 - 2008)
• Head of the Urology Department of the Policlínica Gipuzkoa (2004 - 2014)
• Head of Urology Service of Onkologikoa San Sebastián (2014 - 2015)

 ...

 Education

• Bachelor of Medicine and General Surgery from the Faculty of Medicine of the University of the Basque Country
• Specialist in Urology via MIR in the General University Hospital Nuestra Señora de Aránzazu de San Sebastián
• PhD program and research proficiency at the Basque Country University (1996 - 1998)
• Rotation at the General University Hospital Gregorio Marañón of Madrid
• Training in functional urology and urogynecology at Nijmegen Hospital, Holland
• Training in laparoscopic urological surgery at Maimonides Medical Center in New York
• Training in prostatic cryotherapy at Krankenhaus Nordwest Hospital in Frankfurt
• Training in renal cryotherapy at the Department of Urology AMC, University of Amsterdam
• Training in Laparoscopic Nephrectomy assisted hand in Arrixaca Hospital Murcia
• Da Vinci robotic surgery specialist: 400 robotic radical prostatectomies
• Specialist in prostatic laser surgery: 2000 surgeries of benign prostatic hyperplasia with laser

 ...

 Publications and conferences

• Speaker in 10 courses and national and international scientific meetings
• Publications in scientific journals, book chapters and communications to national and international conferences

Languages spoken

  • Spanish
  • Euskera
  • English

*Translated with Google translator. We apologize for any imperfection

Patient reviews for Dr. Ion Madina Albisua

Would you recommend this doctor?

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All reviews are from verified patients booked through Top Doctors.

Patient reviews

Verified Patient
29/07/2018

Would you recommend this doctor?

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Patients comments

Me atendió el dr. azparren.

Verified Patient
14/05/2018

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Patients comments

La atención y las explicaciones fueron totalmente aclaratorias. decidí no seguir adelante porque la diferencia no justificaba el desembolso.

Verified Patient
15/08/2017

Would you recommend this doctor?

  • Bedside manner
  • Friendliness of the staff
  • Wait time
  • Facilities conditions

Verified Patient
15/05/2017

Would you recommend this doctor?

  • Bedside manner
  • Friendliness of the staff
  • Wait time
  • Facilities conditions
Read all reviews

Diseases, Medical Tests and Treatments

Cryosurgery

Cryosurgery is a type of surgery that involves the application of nitrogen on broken skin in order to remove it. The duration of the procedure is shor ...

Kidney cancer

Kidney cancer is a malignant tumor that involves the uncontrolled spread of cancer cells in the renal tubules. It is a disorder that affects mainly to ...

Prostatic benign hypertrophy

  The prostate is a male sex gland located below the bladder and above the rectum, and is responsible for producing the seminal fluid. The BPH occu ...

Robotic surgery in urology

  Robotics and robotic surgery is that surgery done using robots. It is a very technologically advanced technique that allows the surgeon to perfor ...

Urologic Laparoscopy

Laparoscopy is a surgical technique inspection of the abdominal cavity that does not require large incisions. During the procedure, the abdomen is introduced into a laparoscope, which is a tube containing an optical system coupled to a light source. The camera allows the doctor to inspect, from a monitor, the pelvic organs and, if necessary, introduce other instruments through the same laparoscope to correct any problems. The advantages of laparoscopy in urology are many, such that shorter hospital and recovery is required, there is less chance of infectious complications, decreases postoperative pain and no visible scarring. Laparoscopy is mainly used in processes such as prostate cancer or some renal diseases. ...

Balanoposthitis

Balanitis is an inflammatory disease that occurs on the surface of the glans and foreskin. The causes can be bacterial infection or irritation. The most common symptoms are: swelling; itch; erythema; pain; irritation; presence of vesicles; narrowing of the foreskin (phimosis); difficulty urinating; bleeding. Treatment is usually based topical antimicrobials or creams containing cortisone. In particularly severe cases, the patient will have to undergo circumcision surgery. ...

Bladder Cancer

The bladder is a hollow organ in the lower abdomen whose main function is to store urine before it is expelled from the body. Bladder cancer occurs when cells cancersosas in the inner membrane of this body are formed, and its symptoms are painful urination or lower back, frequent urination and blood in the urine. The main risk factors are smoking and exposure to certain chemicals, along with a family history of the disease. This type of cancer can be limited to the lining of the bladder, and then called surface or spread through the lining of the bladder and even to nearby organs, which are called invasive in this case. Treatment depends on the severity and type of cancer, but may generally include radiation therapy, chemotherapy and / or surgery. ...

Circumcision

  Circumcision is the total or partial excision of the foreskin, which is the skin that covers the tip of the penis by a surgical procedure. It is effective to correct disorders such as phimosis (which prevents the foreskin can be retracted and thus discover the glans) and paraphimosis (most often due to an inflammation of the foreskin) treatment. Circumcision is widespread universally, and many parents prefer to practice in their newborns, not a prescription, but for cultural reasons. This is a very simple operation, which lasts only a few minutes, and does not require general anesthesia. The recovery of the patient is also very fast, within a few days and can lead a normal life. ...

Cystitis

Cystitis is inflammation of the urinary bladder. You can be infected or not. Its main symptoms are burning sensation during urination, a strong urge to urinate, blood in urine and discomfort in the pelvic area. Cystitis caused by a bacterial infection is usually treated with antibiotics. Cystitis is more prevalent in women because they have shorter urethra and is closer to the anus. ...

Cystocele

  Cystocele hernia is a protrusion or bladder into the vaginal canal. It occurs when the muscle that supports the bladder wall is so weak that it is unable to maintain its normal position, so the bladder tends to move down. This weakness can cause urine leakage from the bladder when abdominal pressure increases, which is what happens when you cough or sneeze, for example. Cystocele is relatively common in women after age 40 disorder, and the likelihood increases with age at menopause, after a particularly difficult birth and when obesity, among other reasons. In mild cases, treatment consists in performing Kegel exercises, which strengthen the pelvic floor muscles. Surgery is needed in severe cases or when they fail those years. ...

Endoscopic Surgery

Under the term endoscopic surgery, various techniques of direct observation of the inside of a body cavity or grouped using an optical instrument (lighted tube connected to a video camera and a television monitor) that is inserted through natural orifices human body or abdominal wall, such as hysteroscopy and laparoscopy. Gynecological endoscopic surgery allows diagnosis and treatment of diseases peculiar to this field. It is a minimally invasive surgery that has meant an advance over traditional open surgery, because it is a much more reliable and accurate technique, have fewer subsequent traumas and also the aesthetic results are better. ...

Endoscopy

¿Qué es una endoscopia digestiva? Una endoscopia digestiva, conocida también como gastroscopia, es una prueba que se utiliza para diagnosticar e iniciar el tratamiento de enfermedades del aparato digestivo superior: esófago, estómago y el duodeno. La endoscopia se lleva a cabo a través de un endoscopio que se introduce por la boca hasta que llega al intestino y permite a los especialistas observar por la cámara que se encuentra en su extremo. A su vez, el propio endoscopio cuenta con diversos canales en su interior por el cual se pueden introducir instrumentos que dan la posibilidad de realizar a la vez otras pruebas, como por ejemplo una biopsia o llegar a hacer tratamientos, como serían la extirpación de pólipos o nódulos y la cauterización de vasos sanguíneos sangrantes.   ¿En qué consiste una endoscopia? Una endoscopia digestiva consiste principalmente en una exploración del tubo digestivo superior, es decir, estómago, esófago y duodeno a través de la introducción de un endoscopio a través de la boca. El endoscopio es un instrumento flexible con una lente y una cámara en su parte final. Las imágenes que capta en tiempo real se muestran en monitor conforme avanza el endoscopio. Su duración gira en torno al cuarto o a la media hora, aunque en el caso de que se encuentren aspectos inesperados o se ha de tomar algún tipo de tratamiento terapéutico o biopsia.   ¿Por qué se realiza una endoscopia digestiva? Existen diversos motivos por los cuales se puede llevar a cabo una endoscopia digestiva. Son los siguientes: Analizar problemas del esófago, tales como esofagitis, estrechamientos o tumores Analizar problemas del estómago: gastritis, tumores y úlceras gástricas Diagnóstico de hernia de hiato y/o de reflujo gastroesofágico Cirrosis hepática: en estos casos pueden darse engrosamiento en las venas del estómago y del esófago, las llamadas varices esofágicas Hematemesis: para encontrar la causa de los vómitos con sangre Se utiliza en casos de anemias por falta de hierro y existe sospecha de que hay pérdida de sangre en el tubo digestivo Muestras para diagnosticar celiaquías o infecciones bacterianas Para llegar a la salida de la vía biliar del duodeno y diagnosticar enfermedades.   A su vez, la endoscopia digestiva posee otras particularidades al margen de diagnosticar problemas en el aparato digestivo, ya que se puede utilizar para fines terapéuticos en algunos casos: Retirar cuerpos extraños que se pueden haber quedado en el intestino superior Dilatar el esófago en el caso de que exista un estrechamiento Extirpar pólipos del intestino Cauterizar vasos sangrantes o ligando varices esofágicas que puedan sangrar     Preparación para una endoscopia digestiva La endoscopia digestiva o gastroscopia no es un procedimiento que requiera una gran preparación para llevarla a cabo. El paciente debe evitar ingerir comida o bebida durante las ocho horas anteriores al examen, así como dejar su medicación habitual salvo que el especialista indique lo contrario. Por otro lado, salvo norma general, al paciente no se le administrará ninguna medicación antes de la prueba, aunque en ocasiones se puede aplicar un anestésico local en la garganta para reducir las posibles náuseas. Existen también casos en los que se administrará sedación intravenosa para relajar al paciente.   ¿Qué se siente durante el examen? La gastroscopia es una prueba indolora, y apenas dura entre tres y cinco minutos. Pese a tratarse de una prueba que no es dolorosa, el paciente notará molestias mientras se introduce el endoscopio, sintiendo constantes náuseas. Una vez terminada la exploración, el paciente sentirá molestias en su garganta, que estará entumecida. El paciente puede tener gases debido al aire ingerido, pero estos desaparecerán rápidamente.   Significado de resultados anormales La de la endoscopia digestiva es una prueba bastante segura en la que apenas aparecen complicaciones. De hecho, las posibles complicaciones aumentan en el momento en el que el endoscopio se utiliza para aplicar algún tipo de tratamiento. Las posibles complicaciones serían la perforación, reacciones medicamentosas, hemorragias, alteraciones cardiopulmonares…   Avances en endoscopia Los avances tecnológicos permiten explorar vías que antaño eran imposibles, como la vía biliar o la vía pancreática. Así, gracias a esto se pueden diagnosticar y tratar problemas que antes requerían una intervención quirúrgica. En las zonas en las que el endoscopio no llega, existe la llamada cápsula endoscópica, que se ingiere como si fuese una pastilla y trasmite imágenes del interior del aparato digestivo a un monitor sin que el paciente sienta molestia alguna. ...

Endourology

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Erectile Dysfunction

  Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection resulting in a successful sexual intercourse. It is also known as impotence, but now it has stopped using the term in the medical field. It affects many men and increases with age, but to consider an alteration is necessary to manifest persistently. The most common causes of erectile dysfunction can be both physical and psychological, or a combination of both. They can be of vascular type: men with an index of high cholesterol, smoking, diabetes or who have been treated with radiotherapy. Neurological disorders (Alzheimer's, for example) and hormonal (by utilizing medication) are given a lesser extent. There may also be a cause of affective: patients with severe forms of depression or anxiety often have erectile dysfunction. The treatments besides medication, usually include changes in lifestyle, such as quitting smoking and exercising regularly. ...

green laser prostate

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Interstitial Cystitis

Cystitis is inflammation of the urinary bladder. The term interstitial cystitis (also called interstitial cystic) is used to designate cases in which the condition is chronic. It is far more common in women than in men, and the cause is unknown, although it is known that it is not caused by bacterial or viral infections. People affected by this type of cystitis wall have completely swollen and painful bladder, which causes scarring of the bladder or causes stiffness, resulting in the inability to expand as it fills with urine. Symptoms vary widely, but typically include pulse urgency to urinate, urinary frequency, and even pain during intercourse. There is no definitive cure for interstitial cystitis, so treatments are usually focused on improving symptoms, and may include diet, exercise bladder control, medication, physical therapy, etc. ...

Kidney Stones

  The kidney stones are solid pieces which are formed by urine wastes. Their size varies from the size of a grain of sand to a stone of considerable proportions. You can scroll through the urinary tract and get stuck, blocking the urinary tract and causing great pain. As for treatment, they are usually given painkillers, but has caused a blockage, it is necessary to resort to surgery. ...

Male Infertility

  Infertility is the inability to father children after a period of 12 months or more keeping unprotected sex. This term should be distinguished from sterility, which is the absolute inability to achieve pregnancy. According to the World Health Organization, infertility affects 15% of couples. In approximately 40% of cases, it is male infertility; in another 40%, the problem comes from the woman, and the remaining 20% either of the two, or unspecified causes. The causes may be varied: genetics, immune, endocrine, toxic, infectious, etc. So both partners must undergo medical tests. Treatment may include techniques such as in vitro fertilization, artificial insemination, transfer of zygotes to the fallopian tubes, intracytoplasmic sperm injection. ...

Peyronie

Peyronie's disease (also known as Peyronie syndrome) occurs when the area of ​​fibrosis (scar) in the corpus cavernosum penis is formed. That area loses elasticity, and not stretch when the corpora cavernosa to fill in the erection, the penis is bent toward the scar. This curvature can become painful and even prevent intercourse. Although the average age of men affected is 50, also it occurs in young people. The exact cause of this disease is unknown, but can result from trauma when the penis is erect, such as during intercourse. Studies have linked the syndrome of Peyronie with an impaired immune system of man. In an initial phase, the treatment consists of drugs, but if the disease progresses and continues bowing of the penis, surgery may be necessary. ...

Phimosis

  Phimosis is a condition in which there is congenital or accidental of the foreskin of the penis ring narrow, which makes it impossible to retract to show the glans. It is common in children and can sometimes be caused by forced retraction of the foreskin at an early age. It can also be caused by an infection or scars that form after injury. Phimosis can be corrected by a simple surgical procedure called circumcision, which involves removing excess skin around the glans (bridle), permanently leaving it exposed. Instead, parafimosis is unable to return the foreskin over the glans. Usually causes pain and some swelling, and usually occurs in children or the elderly who have not been circumcised. ...

Premature ejaculation

Early or premature ejaculation is a dysfunction that is premature expulsion of semen during intercourse. It occurs when there has been minimal sexual stimulation or when not controlled enough to maintain vaginal penetration for the desired time. It is relatively common and the causes are usually psychological, rather than physical: such as stress, depression, lack of confidence with a sexual partner, nervousness, excessive excitement, etc. Physical causes may originate in a low amount of serotonin. In this case, drugs that regulate the production of this substance in the brain are used. But usually the treatment involves psychological therapy. ...

Prostatitis

  Prostatitis is inflammation of the prostate, a gland below the bladder of man, and that helps make semen. It is one of the most common disorders of the male genitourinary system, caused, in most cases, by bacterial infection, either chronic or acute. Other inflammatory conditions of the prostate may be chronic nonbacterial prostatitis (producing perineal or pelvic pain) and asymptomatic inflammatory prostatitis (the symptoms are not obvious). The most common symptoms that can lead us to think that there is an inflammation of the prostate are associated with urinary disorders. When the cause is an infection, it is treated with antibiotics for several weeks to remove bacteria from the prostate. ...

Pyelonephritis

Pyelonephritis kidney inflammation that affects the renal parenchyma, renal pelvis and calyces. Its symptoms are back pain, fever and chills, if only 60% of the people who have just checking after suffering from pyelonephritis. In addition, cystitis and kidney stones pose a risk to their appearance. The main cause of pyelonephritis is the rise of microorganisms through the ureters from the fecal flora. ...

Shock waves

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Short Frenulum

Penile frenulum is the skin fold task of binding the underside of the glans with the inner surface of the foreskin. Its function is to help contract the prepuce over the glans. We speak short or short bridle when the frenulum is so short that restricts movement to do the foreskin, leading to discomfort during sexual activity. One consequence is that you can get to tearing, causing pain and some bleeding, which is not a medical emergency if complicated but requires medical treatment. There are different methods for this: from the use of corticosteroid creams and conducting exercises bridle manual extension until restorative plastic surgery (fenuloplastía), elimination (frenectomy) or circumcision. ...

Testicular cancers

  Testicular cancer occurs when cancer cells in the testes, which are oval glands that produce sperm and the hormone testosterone in men between 15 and 35 are formed. It can occur in one or both testicles, and is more common in young men and those who had an abnormal testicular development and undescended testicle at birth, or if there are genetic background. Symptoms of testicular tumors are: a lump in the testicles or groin, pain and tenderness in the breast area. The main causes of the appearance of testicular cancer are genetic, because the testicle has not moved properly from the abdomen into the scrotum during their training. Furthermore, it also occurs in patients who have been subject to aggressive or toxic for long periods because of their work substances. This type of cancer has a cure statistics more than 90% if it is found early and treated by chemotherapy, radiotherapy and surgery. ...

Testicular Ectopia

A ectopia is an anomaly of the situation of an organ or a part thereof. When we talk about testicular ectopia, we refer to the anomalous position of a testicle caused by the lack of decline. That is, the testis has taken a different approach and have fallen through the abdominal cavity to settle in the area prepubiana in perineal position, etc., rather than in the scrotum. The difference between the testicular ectopia and cryptorchidism (or hidden testicle) is that in the latter case the testicle has not descended completely, so not in its normal position within the scrotum either. In the one case as in the other, you can perform early surgical treatment, from two years old to correct this anomaly. ...

Urethra surgery

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urethral stricture

Urethral stricture is a narrowing of the tube that carries urine out of the body. It is common in men had to make your line is longer. It can be produced by inflammation, disease or injury. ...

Urethritis

Urethritis is inflammation of the urethra, the tube through which urine is eliminated. Usually it causes an infection by germs that are spread through sexual contact. Some of its symptoms are burning, painful urination and purulent discharge emission. It can last a few weeks or even months, and is also called urethral syndrome. ...

Urinary Incontinence

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Urodynamics

Urodynamics or urodynamics study is a test to know the functioning of the lower urinary tract, that is, how it is stored and eliminates urine. It is used to diagnose diseases such as urinary incontinence, neurological diseases affecting the urinary tract, urinary infections, etc. The test consists of several parts. First, the patient must urinate into a container called a flow meter, which measures the amount and speed of urine. After a probe is placed through the urethra using a numbing gel that reaches the bladder, and is used to measure pressure and filled with sterile saline. Finally, urinate around the tube, which is then removed. This is a total which lasts about 30 minutes simple procedure. ...

Urogenital injuries

Trauma is an injury to an organ or tissue due to actions or external causes. Urogenital trauma refers to injuries in the genital and / or urinary. In this case, the organ is damaged more often is the kidney, followed by the bladder, urethra, testicles and ureters. In addition, there are two types of urogenital trauma. On the one hand, they are called closed, which are the most common, and include injuries from falls from heights, traffic accidents, sports injuries and direct hits on the external genitalia. Moreover, open trauma, caused mainly by stab wounds and fire or abdominal surgery is contemplated. ...

Varicocele

A varicocele is a varicose vein tumor formed by an (unusually swollen vein) or a group of varices, usually located in the scrotum or in the spermatic cord. Usually develops during the course of puberty, most often on the left side of the scrotum, and although it is usually not harmful, in some people it can damage the testicles or decrease sperm production. If testicular varicocele causes infertility, surgery, called varicocelectomy, which involves cutting the affected veins for blood flow is performed. An alternative to surgery is varicocele embolization, which makes a much smaller incision and involves placing a catheter into the vein. ...

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