Dr. José Miguel Arroyo Maestre

Dr. Arroyo specializes in the treatment of kidney, prostate, and bladder cancer using minimally invasive surgery. He is also renowned for his treatment of urinary incontinence in both men and women, vaginal prolapse, and urinary fistulas. Finally, he addresses and treats erectile dysfunction, particularly with penile implants.

He specialized in Urology and Andrology at the Puerta del Mar University Hospital from Cádiz (1994-1998).

In 1999 he began as an Assistant in Urology at University Hospital of Jerez, where he currently continues his activity.

For more than 18 years he has also developed private medical activity and medical companies in Health Centers in Jerez.

Current specialization

After a few years of focusing on general urology in its medical and surgical development, Dr. Arroyo has oriented his specialty towards minimally invasive surgery (laparoscopic and endoscopic) for prostate, kidney and bladder cancer.

He also directs the Functional Urology and Urodynamics Unit where the pathology of female and male urinary incontinence, vaginal prolapses and urinary fistulas are treated.

He also performs surgery for male erectile dysfunction, a specialty that includes penile prostheses.

Currently, the doctor maintains his ongoing training on pelvic floor pathologies in various hospitals in Spain.

Academic activities and membership in organizations

He has carried out multiple activities as a teacher in laparoscopic training at the University Hospital of Jerez, as well as various continuing education courses in Urology at the College of Physicians of Cadiz and in multiple hospital seminars on urological pathology.

He is a member of the “Clinical Transplant Committee” and the “Antithrombotic Treatment Committee” of University Hospital of Jerez.

He belongs to several professional Urology associations, including the Andalusian Association of Urology (AAU), Spanish Association of Urology (AEU), and is also a member of the Ibero-American Society of Neurology and Urogynecology (SINUG).

He is currently the provincial representative of the Andalusian Association of Urology (AAU).

Diseases it treats

Benign Prostate Hyperplasia

Growth of a benign tumor in the prostate gland as a result of aging. It produces urinary symptoms such as difficulty starting urination, weak stream, frequency, urgency, needing to get up to urinate at night, or incontinence.

Kidney Stones

The crystallization of waste products in urine can produce kidney stones. These stones can vary in composition and their elimination may occur naturally or require surgical treatment.

Phimosis

Narrowing of the foreskin that prevents the glans from being exposed. This can compromise hygiene and cause discomfort during sexual intercourse. It is common in children but sometimes bothers older men as well.

Pelvic Prolapses

Prolapse consists of the descent of the pelvic organs (bladder, uterus or rectum) as a result of the weakening of the pelvic floor muscles.

Urinary Incontinence in Men

Urinary incontinence is the involuntary loss of urine that causes a hygienic or social problem. It has a significant impact on the quality of life of men who suffer from it.

Urinary Incontinence in Women

It consists of the involuntary loss of urine that causes a hygienic or social problem. It can significantly affect the quality of life of those who suffer from it.

Urethral stricture

It is the narrowing of the urethra (the tube that carries urine out of the body) due to the formation of scar tissue, sometimes as a result of trauma. This narrowing makes it difficult to urinate and causes discomfort.

Human Papillomavirus

Human papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Most sexually active people will be infected with HPV at least once in their lifetime.

Techniques in which he specializes

urodynamic study

It allows for an in-depth understanding of the urinary system and any existing pathologies. In general, it allows the specialist to see the condition and function of the entire urinary tract.

Flowmetry

This test measures the amount of urine the patient's bladder is able to urinate per second, the duration of urination, and any possible interruptions during urination.

urological ultrasound

It allows visualization of the body's interior without the use of radiation, thanks to the use of ultrasound. It can be used to view the kidneys, adrenal glands, parts of the ureters, bladder, prostate, testicles, urethra, and penis.

4K Cystoscopy

It is a diagnostic procedure that allows visualization of the urethra and bladder using a high-resolution cystoscope (a thin tube connected to a camera). It allows the urologist to identify suspicious lesions.

Varicocelectomy

This procedure involves ligating testicular varicosities, or varicoceles, through a small incision in the groin. It is usually performed in cases where the patient experiences testicular pain or decreased fertility.

Intravesical injection of botulinum toxin (Botox®)

Injection of small doses of botulinum toxin (Botox) into different points of the urinary bladder. The muscle-paralyzing effect of Botox is very useful in some cases of urinary incontinence or neurogenic bladder.

Hydrocelectomy

Surgical intervention that resolves the excessive accumulation of fluid around the testicle (hydrocele).

Condyloma removal surgery

Genital warts can be removed with an electric scalpel using local anesthesia, by using liquid nitrogen, which destroys them by freezing (cryotherapy), or by using laser light.

Ureteral catheter or stent

It is a tubular catheter, which is inserted into the ureter, connecting the bladder and kidney, to allow urine to flow down to the bladder.

Ureteral stone surgery

Today, painful kidney stones can be treated with a simple procedure. A very thin instrument is inserted through the urethra, allowing the stones to be pulverized with a laser.

Treatment of pelvic organ prolapse

If lifestyle changes and pelvic physiotherapy do not correct the problem, minimally invasive surgeries can be performed to reposition the pelvic organs and correct prolapses.

Laparoscopic and robotic pyeloplasty

Laparoscopic or robotic pyeloplasty is a minimally invasive surgical procedure performed to treat strictures at the junction between the renal pelvis and the ureter. The procedure reconstructs this junction to allow urine to flow…

Penile prosthesis

Penile implantation is indicated in cases of erectile dysfunction that do not respond to other treatments. It allows for a good quality erection and maintains normal sensations during sexual intercourse.

Urethral reconstruction, urethroplasty

A surgical procedure to permanently repair a urethral stricture (narrowing of the urethral canal). Thanks to technological advancements, it now has a high long-term success rate.

Hospitals where he/she works

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