Urology covers the urinary tract and urogenital organs of men and women and the reproductive organs of men specifically; It is a surgical branch that deals with the diagnosis, medical and surgical treatment of diseases of these mentioned systems.
All procedures performed in our urology clinic are performed by specialist physicians, experienced assistant health personnel and the most up-to-date medical equipment. In our clinic, uro-genital diseases diagnosed with current and latest technological methods are treated with medical pharmacological treatment, endoscopic surgery, open and laparoscopic surgical methods.
Diagnostic Methods in Urology
Blood and urine tests are frequently performed for the diagnosis of urological diseases. As a result of these tests, changes in the blood and urine values are revealed, evaluated and the nature of the disease is understood. Accordingly, it is determined how the treatment process should proceed. The most frequently requested analyses in our urology department are; sperm analysis, tumor marker detection, bacteria and virus detection, evaluation of various proteins and enzymes. In addition, samples from other parts of the body can be taken and examined 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 organs inside the body, especially in the abdomen. The ultrasound device has no harm to the body. The most common usage area is pregnancy follow-up and detection of gynecological diseases. Apart from this, urology is also one of the departments where ultrasound is employed frequently. Transrectal USG (TRUS) is used to detect diseases such as cancer and benign prostate enlargement related disorders. Urinary USG is used to investigate all kinds of diseases related to the urinary system, and Doppler USG is used to examine vessels in tumors and similar structures detected in these mentioned regions.
Uroflowmetry (Urine Flow Test)
It is a diagnostic method that measures urine flow rate and duration, which is generally applied to patients who have difficulty in voiding. For this application, it is necessary to have a full bladder. Afterwards, the bladder is completely emptied and at this time, urine measurements are made with the help of a device.
Computed Tomography (CT) / Magnetic Resonance Imaging (MR)
Computed tomography (CT) is the process of combining X-ray images taken from multiple angles of soft tissues, vessels and bones. During the CT procedure, the patient lies and stays still on the table, while the tomography device constantly moves around the patient and takes images from different angles. In order to not interfere with the image quality, patient should only be wearing a gown which is provided by the technician. Pregnant women and those with suspected pregnancy cannot undergo CT due to high radiation exposure.
Uses of computed tomography in urology; imaging of stones in kidney, ureter and bladder, investigation of tumors related to urinary system and male reproductive organs and traumas of the urogenital system.
Magnetic resonance imaging (MR) is a device that allows imaging of any part of the body using electromagnetic and radio waves. Since x-rays are not used in MRI, it does not emit harmful radiation. For this reason; It can be used in most patients, even pregnant women with the recommendation of a doctor. However, there should not be any metal objects on the patient during the procedure due to the high magnetic field force. It can be preferred by urologists in the diagnosis and follow-up of all cancers related to the urinary system and male reproductive organs, especially prostate cancer and benign prostate enlargement.
Voiding cystourethrography (VCUG)
Voiding cystourethrography is a procedure performed by injecting contrast material into the bladder with the help of a catheter in order to visualize the bladder and the urinary system during voiding in real time. It is commonly used if there is a suspicion of urine leakage (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. There should be no metal objects on the patient's clothing during the procedure so that it does not adversely affect the image quality.
Urodynamics is a method generally used to determine the causes of urinary incontinence. In this method, the bladder is filled with liquid with the help of a catheter and the contractions during voiding are examined by computer. Other then for urinary incontinence diseases; Urodynamics can also be applied to diagnose complications that may occur after treatments of prostate diseases. The urodynamic test is also frequently used in patients with problems such as frequent urination and difficulty in urination.
The enzyme that regulates the consistency and fluidity of the semen in the prostate is called PSA (Prostate Specific Antigen). In healthy people, the PSA level is very low in the blood. However, any disease in the prostate can change the levels of PSA in the blood. For this reason, the PSA test in the blood is very important in the diagnosis of prostate diseases. PSA testing can be done at any time of the day; Does not require hunger or satiety.
Prostate biopsy is the process of taking a piece of the prostate to detect prostate cancer. Since the prostate biopsy is performed with local anesthesia, there is no pain during the procedure. The piece taken after the procedure is sent to pathology lab for microscopical examination. The treatment method is determined according to the results. Even if the findings related to prostate cancer are understood with the PSA test, it is necessary to wait for the biopsy result for a definitive diagnosis.
What diseases does the urology department treat?
- Kidney cyst, kidney cancer, kidney stone, outlet strictures and kidney infections in adults and children.
- Ureteral stones, ureteral cancers / strictures and ureteral infections in adults and children.
- Prostate cancers, benign prostatic enlargement (Benign prostatic hyperplasia) and infections in men.
- Urinary bladder sagging, urinary incontinence in women.
- Testicular cancer, undescended testis, hydrocele, varicocele, cysts and infections in adults and children.
- Hypospadias in children
Urological Tests and Surgical Interventions
In urological problems, the general health status of the patient is examined and some tests may be requested for a more detailed examination of the disease. Common tests are:
- MRI scan or CT scan to pinpoint the disease,
- Ultrasound (Doppler USG, transrectal USG, urinary USG),
- Urine test against infection,
- Cystogram of the bladder with the help of X-rays,
- The use of a cystoscope necessary for visualization of the urinary tract,
- Urodynamic tests required for intra-bladder pressure and volume measurements,
- Voiding cystourethography (VCUG),
- Biopsy for cancer detection,
- Necessary blood tests for the examination of the urinary system,
- Prostate specific antigen (PSA) test,
- Semen analysis,
- Urine flow test,
- Rectal touch examination
After the necessary tests are done, surgical intervention may be required during the treatment process. The operating techniques that are generally used in patient treatment are as follows:
- Classical operations (kidney, bladder, urinary tract, prostate, testicular diseases),
- Percutaneous stone treatment (kidney stones)
- Radical prostate surgeries,
- Laparoscopic surgeries,
- Endoscopic surgeries,
- Microscopic surgeries (in infertility treatment),
What Does Urology Department Treat in Men?
- Kidney, penis, testis, bladder, adrenal and prostate gland cancers,
- Kidney stone,
- Kidney diseases,
- Prostatitis (prostate gland inflammation),
- Enlargement of the prostate gland,
- Urinary tract infections (UTIs),
- Enlarged veins or varicose veins in the scrotum,
- Premature ejaculation,
- Pain in testicles
What Does Urology Department Treat in Women?
- Bladder, kidney and adrenal gland cancers,
- Overactive bladder,
- Sagging of bladder into the vagina or bladder prolapse,
- Kidney stone,
- Interstitial cystitis,
- Urinary incontinence
What Does Urology Department Treat in Children?
- Urinary incontinence,
- Structural deformities and obstructions related to the urinary tract,
- Presence of undescended testicles,
- Swelling and/or redness of the foreskin,
- Penile diseases