FAQ

You can schedule an appointment online at patient.latido.at, by phone at +43 660 6096342, or by email at maria@starmuehler.at .

The invoice is paid immediately after the examination (in cash or by card). I will then submit it online to your health insurance so that you can receive a partial reimbursement. This process is usually quick (within one to three weeks). Any remaining amount can be submitted to your private insurance, if applicable.

No special preparation is required. Please bring any previous urological reports or lab results, if available, or send them to me in advance for review.

Appointments can be conducted in English or German. For other languages, you are welcome to bring a trusted person as an interpreter or we use common translation tools.

Parking is available on Kettenbrückengasse or at the Naschmarkt parking lot (short-term parking zone!). The practice is located on the ground floor. There is a small step at the entrance and we are happy to assist you if needed.

Yes, I also offer home visits in Vienna and the surrounding areas for long-term catheter changes.

If you are experiencing urinary retention, you should go to a hospital or a urology practice. The first step is usually the placement of a catheter, which provides immediate relief. Afterwards, the underlying cause will be investigated. In men, this is often an enlarged prostate (benign prostatic hyperplasia, BPH).

A single elevated PSA value is usually rechecked. Additionally, a digital rectal examination of the prostate via the anus is performed an I may refer you for an MRI scan. If the findings remain abnormal, a prostate biopsy will be carried out.

If the PSA level is significantly elevated, a biopsy is usually performed promptly.

• What is erectile dysfunction (ED)?

  Erectile dysfunction (ED) means that a man is unable to achieve or maintain an erection sufficient for satisfactory sexual intercourse for a period of at least six months.
  
• How common is ED?

  The prevalence increases with age, but already between the ages of 40 and 50, about 10% of men are affected.

  
• What are the causes of ED?

  • Psychological causes: stress, depression, anxiety…
  • Physical causes: circulatory disorders (e.g., arteriosclerosis), diabetes mellitus, high blood pressure, testosterone deficiency, overweight, neurological disorders.
  • Medication-related causes: as a side effect of certain medications (antidepressants, blood pressure medications, etc.).
    
    
• How is ED treated?

  • Lifestyle changes: weight management, quitting smoking, reducing alcohol, stress management, healthy diet, etc.
  • Medication treatment: with PDE5 inhibitors (e.g., Viagra® containing sildenafil or Cialis® containing tadalafil).
  • Sexual therapy, psychotherapy, or physiotherapy
  • Hormone therapy for testosterone deficiency (e.g., after removal of a testicle)
  • Vacuum pump, SKAT device, or penile prosthesis

Painful urination should be evaluated by a doctor. Your urine will be tested, and an ultrasound examination will be performed. In the case of a urinary tract infection, pain-relieving medication and antibiotics will be administered. In milder cases, herbal remedies may also be used.

In cases of involuntary urine loss, the underlying cause must be identified in both men and women. In some cases, further testing such as urodynamic studies may be necessary. Treatment can then be carried out with medication, physiotherapy, surgery, or stimulation devices.

You should see a urologist for recurring issues such as painful urination, very frequent urination, incontinence, visible blood in the urine, or invisible blood in the urine (microscopic hematuria, e.g., detected by a urine test at your general practitioner), as well as for stones in the urinary tract or kidney, ureter or bladder cancer.

I examine a urine sample and perform an ultrasound of the kidneys and bladder. If a cystoscopy is necessary, it can also be scheduled.

Yes, treatment can include physiotherapy, bladder training, and lifestyle changes, as well as medication and, if necessary, surgical intervention.

In addition to a consultation, this examination includes an ultrasound of the kidneys, bladder and testicles and a digital rectal examination of the prostate. A blood sample is also taken to determine the PSA level.

Once family planning is complete, a vasectomy is one of the most reliable contraceptive methods. In Austria, it is legally permitted from the age of 25. Men without children can also undergo this minor procedure.

A vasectomy takes about 30 minutes and is performed under local anesthesia. A small incision is made in the scrotal skin, the two vas deferens are cut, and everything is carefully sutured. The skin is then closed with fine stitches.

A reversal is theoretically possible but must be performed under general anesthesia (with higher costs), and restoring fertility is not guaranteed. The longer the time since the vasectomy, the lower the chances of successful fertility restoration. Therefore, a vasectomy should only be performed after careful consideration.

More Information

Symptoms may include urinary problems such as very frequent urination, small urine volumes, a weak urine stream or excessive nighttime urination.

Screening is recommended for men from the age of 45. In cases of a family history of prostate cancer already at the age of 40.

You should take your child to a pediatric urologist for issues such as recurrent urinary tract infections, previous severe urinary tract infections with fever, problems with a tight foreskin or undescended testicles, bedwetting after the age of five, inflammation of the foreskin, genital malformations (e.g., hypospadias),…

Phimosis is a narrowing of the foreskin of the penis. It should be treated if recurring inflammation occurs, urination is not possible normally or if the foreskin cannot be easily retracted behind the glans.

Bedwetting before the age of five is normal and usually does not require treatment. After that, significant improvement can often be achieved through changes in daily habits. In some cases, device-based therapy (e.g., alarm systems) or medication may be used.

Urinary tract infections with fever must be properly treated, as the kidneys can otherwise be damaged. Further diagnostic evaluation is also recommended in such cases. Even recurrent urinary tract infections without fever should have their cause identified and treated, as they can still lead to kidney infections.

First, we will calmly discuss your child’s concerns. I will perform an ultrasound of the kidneys and bladder. If necessary, I will also examine the genitals or, for boys, perform an ultrasound of the testicles. Parents are of course welcome to be present throughout the entire examination.

Bladder, prostate, kidney, adrenal, ureter, urethra, penile and testicular cancers.

Prostate cancer screening includes an ultrasound, a blood test, a urine test, and a digital rectal examination of the prostate.

Bladder cancer screening involves an ultrasound, a urine test, and, if necessary, a cystoscopy.

Testicular cancer screening primarily involves an ultrasound and a physical examination. Blood tests for tumor markers are only performed if an abnormality is detected.

A cystoscopy, also called a bladder endoscopy, involves examining the inside of the bladder with a small camera. This procedure is necessary to rule out tumors in the bladder and to assess the prostate, bladder outlet and the mucous membrane.

A cystoscopy is usually not painful. The urethra is numbed with a lubricating gel beforehand. If you wish, you can watch the procedure on the screen and I will explain what I am seeing.

If an abnormal finding is detected, such as a growth in the bladder, surgery at a hospital is required. The growth is removed and sent for histopathological analysis.

Routine prostate screening is recommended annually for men from the age of 45 and from age 40 for those with a family history of prostate cancer.

Ultrasound, urine tests, blood tests, cystoscopy, genital swabs, removal of ureteral stents, urine flow measurement…

An ultrasound examination of the kidneys, bladder and scrotal area is a painless procedure.

At the practice I will need a urine sample from you, which can be analyzed immediately using a testing device. For more detailed results the sample is sent to a laboratory (urine culture and antibiotic sensitivity test). In certain cases a single-use catheter sample may be required.

If available, please bring any previous urological reports or the latest laboratory or imaging results (CT, MRI, etc.) with you.