Urology is a part of healthcare that deals with male and female urinary tract diseases (kidneys, ureters, bladder,
It also deals with male reproductive organs (penis,
testicle, scrotum, prostate, etc.). Health problems in these body parts can
happen to anyone, and diagnosis and treatment are important.
Reyap Hospital Istanbul urology department provides
diagnosis and treatment services in urological cancer surgeries, pediatric
urology surgeries, urodynamics, and male sexual dysfunctions, as well as
routine operations such as prostate and bladder operations, open and closed
stone surgeries (ureteroscopy, percutaneous nephrolithotomy).
Current drug and surgical treatment methods (TUR (Transurethral resection), Greenlight Laser
PVP, Greenlight Laser HPS, Thermotherapy with feedback (PLFT)) are used in the
treatment of urinary disorders related to prostate enlargement (BPH). Besides,
intensive studies are carried out in areas related to prostate health such as
prostate cancer screening and treatment of prostate infections.
Reyap Hospital Istanbul’s urology department uses all
medical and surgical methods in the treatment of urological cancer diseases. In
the department, nerve-sparing radical prostatectomy (a surgical method that
minimizes the possibility of losing sexual functions and for prostate cancer)
and radical cystectomy (for bladder cancer) operations are frequently
performed. These operations are performed with laparoscopic, or closed surgery
technique, which is applied in certain centers around the world. For some
urological cancers, multidisciplinary treatment options are offered to patients
in coordination with medical oncology and radiotherapy departments.
Endourology (stone disease) is a minimally invasive
technique that uses small telescopes and lasers to treat tumors, strictures, or
congenital anomalies of the bladder, ureter, and kidney.
Kidney stone, also called nephrolithiasis, is a small,
hard deposit of mineral and uric acid salt that forms inside your kidneys and
can affect any part of your urinary tract. Kidney stones can cause severe pain.
Most kidney stones can be treated without surgery, but in cases of persistent
pain or infection, the urinary obstruction may need to be removed.
Endoscopic (closed system) surgeries can be performed in
the treatment of urinary system stone disease with current technological
devices. The urology department has served many patients in the endourological
treatment of stone disease (ureteroscopy, percutaneous kidney stone surgery –
Diagnosis and treatment services are provided in many
disease areas such as urinary incontinence (stress and urge incontinence) and
interstitial cystitis. Female urology problems usually occur after pregnancy or
with the use of the public toilet. Its treatment significantly improves the
quality of life.
Urinary incontinence is a condition that should always be
investigated. As a result of these investigations, the type of urinary
incontinence is determined, and medical or surgical treatment is performed.
For this purpose,
the most common and most effective surgical treatment is the placement of mesh
under the urinary tract. This mesh (patch), which resembles a small fishnet,
also prevents urinary incontinence by supporting the urethra. This patch can be
placed in 4 ways: TVT (Tension-free Vaginal Tape), TOT (TransObturator Tape),
mini-print, and prepubic strap.
There is also medical treatment for urinary incontinence. There are various opinions about
the place of medical treatment in stress urinary incontinence. Drug treatment
works especially in urinary incontinence with sudden voiding sensation called
The Urodynamics unit provides detailed diagnostic examination opportunities for problems related to
incontinence and urination. Urodynamic examinations and modern uro-radiological
methods are used in the diagnosis, treatment, and follow-up of all types of
urinary incontinence problems, such as night wetting in children or urinary
incontinence disorders and myelodysplasia (spina bifida) in women.
Examination, diagnosis, and treatment for erectile
dysfunction, and male infertility, which are defined as premature ejaculation
and male infertility, are managed together with other branches of medicine.
Varicocele is thought to impair the production of sperm and the quality of the sperm, thus
leading to infertility. Besides, a varicocele may cause atrophy and a reduction
in the size of testicles. In our hospital laparoscopic (closed-surgery)
varicocelectomy is performed which is a new method in Turkey.
The most common urological problems in children are
hypospadias and undescended testicles.
Surgical repair of hypospadias is one of the special
areas of the urology department. Both the primary repair of hypospadias and the
surgical treatment of previously operated but unsuccessful cases can be
The purpose of the treatment of undescended testis
(testicles not in the scrotum) is to lower the testicles into place. There are
two ways to achieve this goal: hormonal therapy and surgical treatment.
Treatment should be done as early as possible. It is recommended to be done
before 1 year of age or around 1 year old.
Pediatric urology also plays a role in the diagnosis and
treatment of the following problems;
Urination disorders requiring surgery, vesicoureteral
reflux, and urinary tract infections
Urinary tract (kidneys, ureters, and bladder)
abnormalities, including genital abnormalities, hypospadias, and gender
Groin disorders are seen in childhood and adolescence
(undescended testicles, hydrocele/hernia, varicocele)
Kidney, bladder, and testicular tumors
Congenital urinary system problems
Urinary tract problems associated with neurological
conditions such as spina bifida