UROLOGY SURGERY
Penıle Prosthesis Surgery
Penıle Prosthesis Surgery

The conditions like nerve deficiency in the vessels that provide erection in the penis or the conditions like curvature in the penis and conditions that cause constant pain, or psychogenic issues cause erection in the penis. Following the installation of urethral sonda under spinal anaesthesia, with a 3-4 cm made incision under the penis, the tissues in the skin and subcutaneous cut, then it reaches the cavernous structures that provide erection in the penis. The cavernous structures that provide erection in the penis are expanded with metal rods of increasing diameter and length until they reach the length and width of the prosthesis to enter. After that, those prepared prostheses are placed in this expanded region. If it's going to be inflatable prostheses are going to be placed, this is placed in the zone that is prepared under reservoir abdomen muscles and in the front zone of testes where its block valve is prepared in the scrotum. The cut layers are closed by stitching with surgical threads properly by anatomy. The estimated time of the surgery takes between 60-90 minutes.

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Prostate Surgery With Laser (Holep)
Prostate Surgery With Laser (Holep)

The malign or benign growth in the prostate gland causes difficulty in urine. For this reason, the complaints like frequently urinate at day and night time, a decrease in urinating duress, a split urine system, the feeling of the bladder is not emptied, and burning in urination can be seen. These conditions cause urinary tract infections, urinary incontinence in overflow type ( being related to unable to empty urine in the bladder), unable to urine, forming of stone in the bladder, bleeding in the urine, swelling in the kidneys and loss of kidney functions. The type of anaesthesia in the surgery is general or spinal. It gives a chance to use a device called RESECTOSCOPE which has a light source and helps burn blood vessels, cut with electricity flow, seeing the tissues clearly with an optic system. The obstructive prostate piece that causes blockage around the urethra, with the help of HOLEP laser technology, prostate lobes are separated from the prostate and put in the bladder. After that, it throws out with a morcellator device. When the operation is terminated, a catheter (The soft rubber tube) is placed in the bladder and stays for a few days. The operation is estimated to take between 60-120 minutes.

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Varicocelectomy Surgery With Microsurgery
Varicocelectomy Surgery With Microsurgery

In the vessels that collect the venous, either for hereditary or acquired reasons, the valve system prevents the backflow of blood was disrupted. As a consequence, the venous blood in this vena is backflow and varicocele ( the enlargement in testes) is seen. Although it is necessary to increase the heat of the backflow of venous blood,( normally, the heat of the testes is lower than 1-2 degrees than body heat.) due to harmful metabolites, it causes smalling in the testes, disorders in the structure and functions of the sperm and infertility. Under general, spinal or local anaesthesia, skin, subcutaneous and muscles are cut with a 2-3 cm incision made in the groin, and the veins are reached from the testis. The veins are ligated and cut by examining them under special microscopes. The cut layers and skin are closed by suturing with special sutures used in surgery by the anatomy. The duration of the operation takes approximately 45-90 minutes.

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Percutaneous Nephrolithotomy Surgery
Percutaneous Nephrolithotomy Surgery

In this treatment, which is applied for the treatment of kidney stones larger than 2 cm, the patient is placed in the supine or prone position and the kidney is entered with a Shiba needle. The stones seen by entering the kidney with an optical device called a nephroscope can be broken by using laser, pneumatic and ultrasound power sources. After the operation, a catheter (nephrostomy) is placed in the kidney and coming out of the same wound or a double-j catheter with one end in the kidney and one end in the bladder is inserted. The surgery may take approximately 2-3 hours.

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Flexible Ureterorenoscopy
Flexible Ureterorenoscopy

In this method, which is used in the treatment of kidney stones of 2 cm and smaller, a thin instrument (flexible ureterorenoscopy) with a length of 70 cm, with a light source, and imaged with a fibre optic system is used. The stones are broken by using laser power sources by entering the kidney through the access sheath called 'Access sheat'. The broken stone pieces are expected to be divided into small millimetric fragments and fall on their own. If there is a suspicious mass or appearance causing obstruction, a biopsy is taken or endoscopic scraping (resection) can be performed. At the end of the operation, a ureteral catheter or a double-J catheter (a soft plastic thin tube with one end in the kidney and the other in the bladder) is inserted into the ureter. The surgery may take approximately 1 hour.

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