|Dr. Claudio Orlich Castelán|
An Associate Professor of Urology at twoUniversities: the University of Costa Rica, and the University Automoma de Centro America, Dr. Orlich has written 27 papers in this field with special interest in the surgical treatment of male impotence with implantation of penile prosthesis, vasectomy reversals, prostate cancer, urolithiasis and renal transplant. He also trained at the University of Arkansas in Fort Smith, Arkansas on the implantation of penile prosthesis for impotence.
Dr. Orlich is in charge of a renal transplant program in one of the main hospitals in San Jose, Costa Rica. He has also written two textbooks for medical students in the field of Urology and more recently has been trained on applications of laser surgery in Urology, especially for modern treatment of benign prostatic hypertrophy.
Office management of urologic conditions including benign prostatic hypertrophy, prostatitis, blood in urine, legions on genitals, testicular pain, testicular masses, sexually transmitted diseases and voluntary sterilization by bilateral vasectomy. Procedures include: flexible cystoscopy, urinary flow rate, prostate specific antigen (PSA) testing, prostate ultrasound and prostate biopsy.
Minimally invasive procedures for diagnosis and treatment of urologic conditions, especially stone disease, involving the kidney, urethra and bladder. We use extracorporeal shock wave lithotripsy for kidney stones.
Surgical procedures and the management of urologic disorders involving the female patient, in particular: urinary incontinence, urinary tract infections, and female sexual dysfunction.
Investigation and treatment of male factors contributing to the infertile couple. Procedures include: microscopic vasectomy reversal, semen analysis, testicular biopsy, sperm aspiration, assessment for genetic conditions and in collaboration with female infertility specialists.
Male Sexual Dysfunction
Impotence, libido disorders, ejaculation and orgasm disorders, evaluated by state of the art diagnostic treatment procedures. Diagnostic studies include: neurologic and hormonal assessments, duplex Doppler ultrasonography, dynamic infusion cavernosometry and selective arteriography. Therapies include: psychological counseling, intracavernosal injections, vacuum devices, microvascular bypass surgery, and... the insertion of inflatable penile prostheses, one of our specialties... and, most prevalent treatment.
Neurologic disorders including multiple sclerosis, spinal cord injury, stroke and diabetes which lead to urologic dysfunction. Examples include: urinary incontinence, stone disease, urinary tract infections and urinary retention.
Treatment for urologic tumors involving: kidney, urethra, bladder, prostate, testicle and penis. Procedures include: radical surgery with continent diversion, laser surgery radical prostatectomy for prostate cancer, cryosurgery, cystoscopic surgery.
Patients accepted for transplant benefit from the intervention of a highly experienced team of transplant specialists. This team includes transplant surgeons, nephrologists, anesthesiologists, nurse coordinators, and dedicated administrative staff. The referring physician, patient and family members are considered integral members of the treatment team. Timely communication with the referring physician is a priority among the entire transplant team... throughout the care of patients.
Professor of Urology, University of Costa Rica, San Jose, CR
Member of American Urologic Association
We offer special attention to the many foreign patients who come to Costa Rica, every year... for the finest medical treatments; and, our very affordable medical services.