Urological – Andrological Clinic

Anastasios K. Sylakos, MD, Urologist - Andrologist

EDUCATION

1999             License to practice Medicine (Health Directorate of Ioannina Prefecture).

1999             Training in the pathological, surgical, and cardiological departments of Hatzikosta General Hospital in Ioannina (three-month surgical specialisation).

1999-2000   Rural Service at K.I. Pogoniannis Health Center in Delvinaki.

2000-2001    Surgical specialisation training at the Department of General Surgery of Filiates Hospital.

2002-2006    Specialisation in Urology, Department of Clinical Urology, University Hospital of Ioannina.

1st Educational Laparoscopic Urology Workshop in Patras.

2005-2006    Paediatric Urology specialisation training, Department of Urology, Tottori University Hospital, Japan.

2006               Board certification in Urology (Health Directorate of Ioannina Prefecture).

Practical course in prostate ultrasound and biopsy, Lisbon. (12th Practical Course Prostate Ultrasound and Biopsy/3rd International Workshop on Prostate Biopsy, Lisbon).

2014              Training in the da Vinci surgical system in the programme “Robotics Assistance in Urology”of the 1st University Urology Clinic of "Laiko" General Hospital in Athens.

PhD candidate, Medical School, University of Ioannina

TEACHING - EDUCATIONAL WORK

1997-1999     Medical courses during military service for conscripts and permanent army officers.

2000               Instructor in individual and public health course for vocational nursing school students at the P.N.I. Hatzikosta.

2000-2001     Participation in the training of rural doctors at Filiates Hospital.

2001                Doctor Responsible for the surgical team during the conduct of the international Super Rally, 2001 (Federation of Harley-Davidson Clubs Europe (FH-DCE)).

2003-2005     Teaching in the practical training of fourth-year medical students at the University of Ioannina.

2007               Trainer at the National Emergency Aid Centre School in Ioannina.

2008-2010     Clinical Urologist at the Social Insurance Institute (IKA) of Ioannina.

From 2006     Clinical Urologist in private practice.

INVITED SPEAKER AT INTERNATIONAL CONFERENCES

21th European Association of Urology (EAU) Annual Congress, Paris, France, 5-8 April 2006. A. Sylakos. Experimental models of left varicocele in animals: What have we learned(EAU Section Meetings)

HONORS

14th Panhellenic Radiology Congress, Crete, 11-14 November 2004. The multidetector computed tomography in the investigation of hematuria. A. Tsili, K. Tsampoulas, F. Katzioti, D. Baltogiannis, A. Sylakos, N. Sofikitis, S. Efthymidis. This presentation was honoured with commendation

MEMBER OF SCIENTIFIC SOCIETIES

European Urological Society

Endourological Society

Hellenic Urological Society

Hellenic Andrological Society

PUBLICATIONS IN INTERNATIONAL SCIENTIFIC JOURNALS (12)

PUBLICATIONS IN PROCEEDINGS OF CONFERENCES AND SEMINARS (INTERNATIONAL CONFERENCES AND SEMINARS) (16)

PRESENTATIONS AT INTERNATIONAL CONFERENCES (26)

PUBLICATIONS IN GREEK JOURNALS (3)

PRESENTATIONS AT GREEK CONFERENCES (24)

FOREIGN LANGUAGE PUBLICATIONS IN PEER-REVIEWED JOURNALS (6)

PARTICIPATION IN GREEK POSTGRADUATE SEMINARS (CONFERENCES) (23)

PARTICIPATION IN INTERNATIONAL POSTGRADUATE SEMINARS (CONFERENCES) (15)

Urology is a surgical specialty that deals with the study, diagnosis, and treatment of diseases of the urinary tract in both men and women, as well as diseases of the male reproductive system.

The urinary system consists of the kidneys, ureters, urinary bladder, and urethra. Its purpose is the production and excretion of urine and the maintenance of water/electrolyte balance.

Urological diseases are classified as follows:

1. Diseases of the prostate gland
   1. Benign Prostatic Hyperplasia (BPH)
   2. Prostatitis
   3. Prostate Cancer

2. Tumours of the Genitourinary System
   1. Kidney and ureteral cancer
   2. Bladder cancer

3. Testicular cancer
4. Penile cancer
5. Infections of the urinary system
   1. Urinary tract infections in men
   2. Urinary tract infections in women

6. Urinary incontinence
7. Ακράτεια ούρων
   1. Male incontinence
   2. Female incontinence

8. Phimosis
9. Hydrocele
10. Varicocele

Andrology is the medical specialty that specifically deals with diseases related to the male reproductive system.

The male reproductive system consists of the penis, the testes, and the ejaculatory duct.

Main categories of andrology include

• Male infertility
• Erectile dysfunction
• Premature ejaculation
• Peyronie's disease
• Penile fractures

The urological-andrological symptoms that cause disorders and require investigation and appropriate management by an Urologist-Andrologist are as follows:

a. Renal-ureter colic (pain in the kidney region with or without radiation towards the genital organs).

b. Orchialgia (pain in the testicles).

c. Prostatalgia (pain or discomfort in the genital organs, rectum, perineum, suprapubic region, bladder, or rectal area).

d. Urinary Frequency (when the micturition rate is more than 8 times per day and urine output is less than 200 ml per time.).

e. Nocturia (urination more than once during the nocturnal sleep period).

f. Dysuria (difficulty urinating usually accompanied by burning or pain).

g. Haematuria (presence of blood in the urine).

h. Pyuria (presence of white blood cells/pyospheres in the urine).

i. Oliguria-Anuria (decreased urine production).

j. Polyuria (excessive urine output exceeding 2.5 litters per day).

k. Enuresis (involuntary loss of urine by a child during the day and especially at night in bed, occurring at least twice weekly for at least three consecutive months, in children over 5 years of age).

l. Urinary incontinence (involuntary loss of urine without the patient's intention).

m. Urethral discharge (whitish, viscous, malodorous or odourless fluid at the external urethral meatus, usually accompanied by a burning sensation during urination).

n. Haematospermia (presence of blood in semen during ejaculation).