Urology
Urology is a branch of science which focuses on the diseases of urinary tract, urinary bladder, prostate, penis and testicles, the infertility and impotence in the males and the urinary incontinence in the females.
In the Department of Urology, the diagnosis and treatment of urogenital disorders are performed by our expert physicians and experienced nurses with modern medical equipment. The urogenital disorders which are diagnosed through the methods such as ultrasonography, voiding cystography, computed tomography, PSA and uroflowmetry are treated with medicines, open surgical and endoscopic procedures.
Specialties in our Urology Clinic:
Male Urology
Pediatric Urology
Female Urology
Urooncology (cancer treatment)
Main disorders treated in our Urology Polyclinic:
Kidney and urinary tract disorders; calculus disorder, infections
Urinary bladder disorders; bladder tumor and infections
Prostate disorders; close prostate surgeries, cancer surgery
Penis and testicle-related disorders
Sexually-transmitted diseases in males
Pediatric urology; hypospadias, night-wetting, undescended testicle
Gynaecological urology; complaint of urinary incontinence and its treatment in females
Endoscopic urology
Impotence, medical and surgical treatment (prosthesis)
Male infertility
ESWL
What is ESWL?
ESWL (Extracorporeal Shock Wave Lithotripsie) treatment was first used in the world in 1980 by Chaussy (in Munich). The first used eswl devices were very large and the treatments were painful. Over the years, more effective and more reliable devices have been produced and a significant reduction in open kidney stone operations has been recorded. and 3m3% of this total stone therapy.
The principle of ESWL treatment is ultrasound, in other words, sound waves. These shock waves, based on the rules of physics, will be more violent in the liquid environment will hit the stone is based on the fact that it smashes. Thus, these sound waves move towards a single target and do not deviate.
What is ESWL?
ESWL (Extracorporeal Shock Wave Lithotripsie) treatment was first used in the world in 1980 by Chaussy (in Munich). The first used eswl devices were very large and the treatments were painful. Over the years, more effective and more reliable devices have been produced and a significant reduction in open kidney stone operations has been recorded. and 3m3% of this total stone therapy.
The principle of ESWL treatment is ultrasound, in other words, sound waves. These shock waves, based on the rules of physics, will be more violent in the liquid environment will hit the stone is based on the fact that it smashes. Thus, these sound waves move towards a single target and do not deviate.
ESWL machines are available in three types: x-ray, ultrasound, and both x-ray and ultrasound. Matt stone of an ultrasound imaging machine running, such as patients receiving the rasyasyo x - rule by rail running machines are available. Use requires skill. Ultrasound-oriented case ESWL advantage of our device in the mid-urethra ureter-bowel gas located between the concealment of the stones is no focus and break easily. Because the focus is small, the side effects of the surrounding organs are small and they cause the least pain when breaking.
HOW IS ESWL APPLICATION
Patients with stone complaints can apply directly or through a doctor who wants their treatment. First of all, patients who are evaluated by X-ray, ultrasonography and laboratory tests are taken to ESWL program if their stones are suitable for treatment with ESWL.
The success rate of breaking stones varies according to the location, structure and size of the stone. If there is a significant obstruction in the urinary tract and the urine flow is not very comfortable, or if the stone to be broken is too large (usually over 1.5 cm), it can usually be inserted into the urinary tract under general anesthesia to guarantee a thin tube urine flow called a DJ catheter.
This also applies to patients with single kidneys, regardless of the size of the stone. After the blood and urine tests have been done and the patient's situation in the structure of the German made WOLF 3000 Pi ezolith ultrasound-oriented device with pain-free and non-anesthetic stones are started to break. This machine is the device that causes the least pain during stone breakage in the world.
In addition, in children with general anesthesia stones can be easily broken. Thanks to this small focusing device, the whole stone is almost as if it is shredded with grater and it is excreted in the form of small sand grains. Our patients should collect these sands and bring them to us for analysis (for this purpose, our patients are given STONE COLLECTION KIT). The number of sessions varies according to the size and location of the stone. At approximately 5-7 days, patients are called to follow up in our center.
In the meantime, necessary x-rays, ultrasound controls and blood and urine tests are performed. At the end of the sessions, after the stone is completely cleaned, a final control film or ultrasonography is taken and treatment is terminated. After that, our patients are told how to pay attention to prevent the formation of new stones.
We recommend a 6-month follow-up period for our patients who have stone therapy. Because a small portion of the kidney stones can fall into the channel insidiously and no symptoms (such as pain, bleeding) without causing kidney atrophies (rotten) can cause.