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Urology

Therapeutic methods specific to each age range are available for urological diseases at Department of Urology, where multidisciplinary approach is adopted, in Istanbul Cerrahi Hospital, and physicians of the department create diagnostic and therapeutic solutions for all urological diseases, including but not limited to calculus of kidney and urinary tract, prostate diseases, urological cancers and urinary incontinence.

Stone Diseases:

Kidney stone implies of a solid formation with mineral content in renal tracts. Underlying mechanism of kidney stones – a prevalent condition in community- is unknown. However, genetic predisposition is an important factor in kidney stones. Endoscopic surgery is preferred for treatment of kidney stones, which is three times more prevalent in men than women, at Urology Clinic of İstanbul Cerrahi Hospital.

Diagnosis and Treatment of Obstructed Ureter – Ureterolithotripsy (URS):

URS is known as a treatment method, which is used to remove stenosis located in urinary tract between kidney and urinary bladder. Surgery is carried out at operating theater under general or spinal anesthesia, and “ureterorenoscope” is inserted to ureter through urinary bladder and stone is removed with no need to make incision. Patient can resume routine daily life within one day in postoperative period.

Endoscopic Diagnosis and Treatment of Kidney – Percutaneous Nephrolithotomy (PCNL) :

PCNL is usually used in treatment of kidney stones measuring ≥2 cm. A small (approximately 1-cm) incision is made at level of kidney and thin tube is inserted into kidneys through skin by using some specific devices. The stone in kidney can be seen on monitor with an optic device. Laser energy is used to break stones, which are removed from the body with forceps. Recovery period is far shorter in comparison with open renal surgery, and patients can resume routine daily activities within a short time (mostly in 2 days).

Flexible Ureterorenoscopic Lithotripsy:

This modality is used for stones which cannot be reached with conventional ureterorenoscope. Treatment is performed at operating theater under general anesthesia, special flexible devices are inserted to kidney through urinary bladder and stone is removed with no need to incision or puncture. Patient can resume routine daily life one day after surgery.

Urinary Incotinence:

Day surgery is preferred to treat urinary incontinence in men and women. Uroflowmetry (measurement of both amount of speed of urination), urodynamia and post-voiding residue measurements are done to diagnose urinary incontinence. Surgical procedures, such as TENS, botox and injection of material to bladder’s neck, are performed along with medical treatment and behavioral therapy. TOT, TVT, pubovaginal sling, repair of cystocele and rectocele and implantation of artificial sphincter are performed to treat urinary incontinence at the clinic.

MEN’S REPRODUCTIVE HEALTH (INFERTILITY):

Anatomy and function of male genital organs are evaluated, along with ultrasound, sperm analysis and hormone analyses. Chromosomal and genetic analyses are done in selected patients at the clinic. All infertility surgeries are carried out, such as microscopic varicocelectomy, TUR-ED, micro-TESE, epididymovasostomy and vasectomy.

PROSTATE DISEASES:

Prostate diseases are among most common diseases of men. Enlarged prostate gland is usually regarded as a “benign tumor”. Symptoms include difficulty urinating and urinary frequency. PSA should be regularly analyzed in men aged >50, especially if family history is positive for prostate disease. After diagnosis is made, treatment is planned depending on stage of the disease. Patients are usually followed up with medication therapy. If surgical intervention is required, surgeries are carried out with “TUR-P method” by Urologists of Istanbul Cerrahi Hospital.

UROLOGICAL CANCERS:

Familial predisposition plays a significant role in kidney, prostate and bladder cancers. Regular check-up is strongly recommended for individuals, who has positive family history for these cancers. After diagnosis is made, laparoscopic or open surgery is carried out at Urology Clinic of Istanbul Cerrahi Hospital depending on type of cancer.

VARICOCELE (ENLARGED VESSEL):

Varicocele implies enlargement of veins, which drain venous blood from testes to the heart. Varicocele is diagnosed in 25 to 30% of men, who are diagnosed with infertility. Diagnosis is based on physical examination and varicocele is treated with surgical methods. At the clinic, patients are treated by ablating enlarged veins of testes with open or microscopic surgery.

CIRCUMCISION:

Circumcision can be performed at all age ranges, including neonate, and individuals are circumcised at Department of Urology in Istanbul Cerrahi Hospital by qualified surgeons at operating theater in strict concordance with surgical principles.

Urology (Pediatric):

In the clinic, where problems of respiratory, digestive and urinary systems are treated for a period of time, starting from neonatal phase to adulthood (from age of 0 to 17), children’s development, physiology and psychology are followed by specialist physicians.

In the clinic, where modern treatment methods are adopted,

  • Surgical Diseases of Newborn,
  • Surgical Diseases of Genitourinary System
  • Surgical Diseases of Digestive System
  • Surgical Diseases of Respiratory System are treated with multi-disciplinary approach.
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