Urology

Urology covers the urinary tracts and urinary organs of male and female and the reproductive organs of male; It is a surgical branch that deals with the diagnosis, medical and surgical treatment of diseases of these systems.

Urology departments of our contracted hospitals; Apart from routine operations such as prostate and bladder Transurethral resection  (TUR) surgeries, open and closed stone surgeries (ureteroscopy, percutaneous nephrolithotomy), stone breaking (ESWL) treatment, it provides diagnosis and treatment services in urological cancer surgeries, pediatric urology surgeries, urodynamics and male sexual dysfunctions.

Drug and surgical treatment methods (TUR, Greenlight Laser PVP, Greenlight Laser HPS, Prostate surgery with Holmium Laser -HoLEP-, Feedback Thermotherapy) are used in the treatment of urinary disorders related to prostate enlargement (BPH). In addition, intensive studies are carried out in areas related to prostate health such as prostate cancer screening and treatment of prostate infections.

Diagnostic Methods in Urology

Blood and urine tests are frequently used for the diagnosis of urological diseases. As a result of these tests, changes in blood and urine occur and the disease is determined. Accordingly, it is determined how the treatment process will be. The most frequently requested tests in our urology department; sperm analysis, investigation of tumor markers, bacteria and virus scans, investigation of various proteins and enzymes. In addition, samples are taken from other parts of the body for potential diseases that may arise due to urological diseases.

Ultrasound (Urinary USG, Doopler USG, Transrectal USG)

Ultrasound is one of the most used devices to examine and view the organs inside the body, especially in the abdominal region. The ultrasound device does not cause any harm to the body. The most common usage area is pregnancy monitoring and determination of gynecological diseases. Apart from that, urology is one of the departments where ultrasound is used. Transrectal USG (TRUS) is used to detect diseases such as cancer of the prostate gland and benign prostate enlargement, Urinary USG for the investigation of all kinds of diseases related to the urinary system, and Doppler USG for examining the vessels in tumors and similar structures detected in these regions.

Uroflowmetry (Urination Test)

It is a diagnostic method that measures the rate and duration of urine flow, which is generally applied to patients who have difficulty urinating. For the application, it is necessary to be squeezed with urine as in ultrasound. Afterwards, the bladder is emptied completely and urine is measured with the help of the device.

Computed Tomography (CT) / Magnetic Resonance Imaging (MR)

Computed tomography (CT) is the process of combining x-ray images of soft tissues, vessels and bones taken from multiple angles. In the CT procedure, the patient lies motionless on the table, while the tomography device constantly moves around the patient and takes images from all angles. In order not to affect the clarity of the image, only the patient’s apron should be on the patient. Pregnant women and those with pregnancy suspected cannot undergo CT because of high radiation emission.

Usage areas of computed tomography in urology; imaging of stones in the kidney, ureter and bladder, and investigation of tumors and traumas related to the urinary system and male reproductive organs.

Magnetic resonance imaging (MR) is a device that allows any part of the body to be imaged using electromagnetic and radio waves. Since X rays are not used in MR, it does not emit radiation. For this reason, there is no harm; It can be used in most patients, even pregnant women with doctor’s recommendation. However, due to the high magnetic field, there should not be any metal objects on the patient during the procedure. It can be preferred by urologists in the diagnosis and follow-up of all cancers of the urinary system and male reproductive organs, especially prostate cancer and benign prostate enlargement.

Voiding cystourethrography (VCUG)

Voiding cystourethrography is the procedure performed by injecting contrast material into the bladder with the aid of a catheter in order to visualize the bladder and urinary channels during emptying. It is commonly used if there is a suspicion of urinary backflow (vesicoureteral reflux) If vesicoureteral reflux is not treated and progresses, it can reach the kidneys. This can cause serious illness.

VCUG is an imaging technique that uses x rays. In order not to affect the image negatively, metal objects should not be on the patient’s clothing during the procedure.

Urodynamics

Urodynamics is a method generally used to determine the causes of urinary incontinence. In this method, the bladder is filled with fluid with the help of a catheter, and the contractions during discharge are examined with a computer. Except for urinary incontinence diseases; Urodynamics can be applied to diagnose complications that may occur after treatment in prostate diseases. Urodynamics test is also frequently used in patients who have problems such as frequent urination and difficulty in urinating.

PSA Test

The enzyme that regulates the consistency and fluidity of the semen in the prostate is called PSA (Prostate Specific Antigen). PSA value in the blood is very low in healthy people. However, any disease in the prostate changes the level of PSA in the blood. For this reason, the PSA test to be made in the blood is very important in the diagnosis of prostate diseases. The PSA test can be done at any time of the day; It does not require hunger or satiety.

Prostate biopsy

Prostate biopsy is the process of removing a piece from the prostate to detect prostate cancer. Since the prostate biopsy is performed with local anesthesia, there is no pain or pain during the procedure. The piece taken after the procedure is sent to pathology for examination. The treatment method is determined according to the result. Even if the findings of prostate cancer are understood with the PSA test, it is necessary to wait for the biopsy result for a definitive diagnosis.