Urology

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UROLOGY

Penis Prostheses

Penile prostheses are devices placed inside the penis to help men with erectile dysfunction achieve an erection and are a recommended treatment for men with erectile dysfunction after other treatments have failed. Penile prostheses should be considered if the patient has tried all treatments (tadalafil group drugs or intracavernosal treatments) but still has not regained sufficient erection for sexual activity.

Penis Curvature

Penile curvature is the bending of the penis down, up or to the side during an erection when it should normally be straight.

How is Penile Curvature Treated?

In the presence of a curvature angle of more than 30 degrees, which makes it difficult to have sexual intercourse, or in patients who apply for personal aesthetic concerns, surgical treatments (surgery) are applied as the only option.

Penis Extension

The suspensory ligament is the name given to the ligament that suspends the penis from the pelvis. These ligaments allow the penis to point upward during an erection. With the cutting of these ligaments, the inner part of the penis protrudes and an elongation of approximately 2-4 cm is achieved. Since the penis will be more horizontal while erect, the penis appears a little longer when erect. During the operation, 90-95% of the ligament should be cut and the penis should be completely released. It is very important not to damage the veins in the back of the penis. It is a risk-free surgery when performed by experienced hands.

P – Shot

By providing cell and tissue regeneration and rejuvenation in the penis, the amount of blood filled into the penis increases and it is observed that the penis is fed more, nerve tissues work more effectively, its sensitivity increases, the quality of erection increases and there are positive changes in its size.

Varikocelectomy – Micro Varikoselectomy

Surgery should not be considered primarily in patients with pain, whose spermogram parameters are not impaired, in whom varicocele is detected, due to the risk that pain may persist in the postoperative period. Patients recommended to have surgery; Patients with abnormal spermogram examination can be listed as patients who cannot have children despite having a child in the previous period, and patients with high-grade varicocele due to the possibility of worsening over time. Varicocelectomy surgery can also be performed in patients whose pain in the testicles and inguinal region is not relieved by other methods.

Hydrocells – Spermatocells

Hydrocele is a condition where there is more fluid than normal between the sheaths surrounding the testicles. It is also expressed as swelling of the bags, water collection, water hernia among the people. It is usually made with an incision to be made over the bag containing the testicles. With this incision, the fluid inside is drained and the space created by this fluid is removed by different methods in order to prevent recurrence.

Orchiopexy (Undescended Testicle Surgery)

Undescended testis is called “cryptorchidism, hidden or undescended testicles”. The operation should be performed around the age of 1 or within the first 18 months at the latest. With this operation, close to 100% success is achieved.

Treatment of Kidney Stones

Since large-sized and shaped stones that block the urinary canal cannot pass spontaneously, surgery is required. The stones are broken and collected with the help of laser by entering the urinary canal completely endoscopically without incision. It is for the benefit of the patient to have an operation in a center where flexible devices that can reach the stones in the kidney, which have the ability to bend, with the possibility of the urinary canal stone to escape back to the kidney with the effect of water. Larger stones in the kidney can be cleaned with endoscopic devices sent through a 1-2 cm incision from the side of the patient. The duration of hospitalization for urinary tract stones is 1 day, and the patient can return to social and business life the next day.

Tur Prostatectomy (Surgical Treatment in Benign Prostate Enlargement)

Complaints such as intermittent urination, frequent urination, burning during urination, weakness in urine pressure, waking up with urge to urinate, feeling of not being able to urinate completely after urinating, and a sudden feeling of urination are signs of benign prostate enlargement, and patients who do not benefit from drugs undergo prostate surgery. must. This operation is completely endoscopic without incision and the hospital stay is 1-3 days. Contrary to the general belief, the risk of urinary incontinence after surgery is almost non-existent and the operation does not affect the erection condition.

Tur Bladder (Endoscopic Treatment in Bladder Cancer)

A transurethral resection of the bladder tumor (TUR-MT) is the first and most important step in the treatment of bladder cancer. The aim of TUR-MT is to remove cancer cells and surrounding tissues up to the muscle layer of the bladder wall. It is a closed endoscopic surgery performed by entering the urinary canal under general or local anesthesia.

Urinary Incontinence Surgeries Urethral Sling Surgeries

Incontinence is the involuntary leakage of urine and disturbs the patient socially and hygienically. Stress incontinence is a form of involuntary urinary incontinence, which is seen in situations such as coughing, sneezing, straining, standing up and moving, and is frequently encountered in women. Stress incontinence is more common in women who have had a difficult vaginal delivery, those who have had multiple deliveries, and those who are obese (overweight). The incidence of urinary incontinence increases in postmenopausal women. The severity of the disease can vary from person to person. There are 2 very high surgical methods in "stress type" urinary incontinence. These are TOT and TVT (transvaginal tape application and transobturator tape application) surgeries. Both surgeries usually require a one-night hospital stay and the duration of the operation is 1 hour. The basic principle in TOT and TVT surgeries, It is to lift the bladder neck, which is in a position that droops down from the normal, with special suspension materials and hang it to the pelvis bone with a vaginal intervention. In the post-TOT/TVT period, the patients should pay attention to, avoiding sexual intercourse for 6 weeks, avoiding heavy lifting for at least 2 weeks, avoiding anything that will increase intra-abdominal pressure such as constipation, Consuming vegetables, fruits, whole grain foods, Drinking sufficient amount of fluid (your urine). should be clear or slightly yellow)GENITAL

Wart (Condyloma) Surgical Treatment   

The most precise and correct treatment of genital warts caused by HPV microorganism is to excise (remove) the warts and burn them. Since the probability of relapse is very high even after this treatment, a special treatment for 3 weeks should be planned after the operation. With this treatment, the risk of recurrence is reduced by 95%.Botox Application into the Bladder (For Drug-Resistant Urinary Incontinence) It is the treatment that we have achieved very successful results, applied to patients who do not benefit from the drugs in urinary incontinence before they can reach the toilet with a sudden sense of urination. The procedure is daily and does not require hospitalization.