Urology

Private Antalya Yaşam Hospital Urology Polyclinic has all the medical and technical infrastructure related to urological diseases.

All your urinary and genital problems in men and women are treated by our specialist physicians with medication or surgery in line with the diagnosis made after the examination.

Kidney and Urinary Tract Diseases:

There may be stones in your urinary tract in complaints of side pain in the form of writhing in and out, blood in the urine. Many options are used in the diagnosis, especially x-ray, ultrasound, urinalysis and tomography. After diagnosis by your doctor, the most appropriate treatment options will be offered to you according to many factors affecting treatment.

In addition to the extracorporeal (non-surgical) breaking of kidney and ureteral stones with sound wave (ESWL), which is one of the most common ailments, closed kidney stone surgery (PNL), which must be done by experienced hands, for large and difficult stones, and the obstruction of kidney and urinary canal. Incisionless closed kidney stone surgery (Flexbl URS and laser lithotripsy), which is the most popular treatment for stones in recent years, is frequently performed. Kidney cancer, which is also progressing as an insidious disease, is treated and followed up. Both surgery (removal of only a part of the kidney or removal of the entire kidney) and radiofrequency ablation (burning the tumor with a needle) are offered for the right approach in the appropriate patient. Repair surgery of congenital or later urinary canal strictures, kidney cysts with side effects such as pain and blood pressure, and treatment of non-functioning kidneys can also be done in closed ways. Stones in the bladder can be resolved surgically, either cystoscopically percutaneously or openly (for very large stones).

Metabolic stone analysis is performed to prevent recurrence after stone surgery.

Bladder (Urine Bladder) Diseases:

Bladder-related problems may come to the fore in complaints such as painful or painless blood in the urine, frequent urination but little urine, and pain in the front of the waist. Blood in the urine, which can be seen without pain, can be a sign of serious disorders in the bladder.

Diagnosis, treatment and follow-up of acute and chronic conditions of common urinary tract infections are performed by our clinic. In addition, we are with our patients in persistent painful bladder syndrome (Interstitial cystitis). With the cystometry urodynamic test applied for dysfunctions of the bladder, necessary diagnostic tests can be performed in cases of structural and neurological dysfunctions of the bladder and frequent urination and/or inability to urinate (voiding cystography, urodynamics, uroflowmetry, etc.). Our experienced staff is ready to assist you in the diagnosis, treatment and management of Bladder Cancer, whose pain is manifested by bleeding in the urine and/or other urinary problems. Intra-bladder drug administrations are performed if necessary after and after closed bladder cancer surgery.

Prostate Diseases:

It is a gland located under the bladder (urinary bladder). Its main tasks are to support urinary retention, reflux of semen and to make some chemical arrangements.

There are certain diseases such as benign enlargement of the prostate, cancer and painful syndromes. The problem caused by prostate enlargement varies according to the patient. It can manifest itself as a silent and ambiguous disorder that causes intermittent complaints in some, while it goes up to kidney failure. In the context, the complaints of the patients can be mentioned as difficulty in urination, intermittent urination, frequent urination and an increase in nighttime urine.

There are tests and treatment options required for cancer or benign prostate enlargement in this organ-comprehensive disease, which is the fearful dream of men.

Benign prostatic enlargement (BPH) increases with advancing age and treatment options can be managed with the right decisions taken at the right time. Our experienced staff is in our unit equipped with the knowledge and skills to offer you all the options that need to be done behaviorally, medicated or surgically. Closed and open prostate surgery (TUR-P and open prostatectomy) are performed.

In addition, prostate cancer, which is an insidious disease and a disease that is very suitable for the saying "Early diagnosis saves lives", has a very important place in general. There is no specific finding. It is mostly silent. If the prostate enlarges into the urethra or into the bladder, it causes the classic signs of prostatic hyperplasia. Another rare finding is bleeding from the semen (Hematospermia). Impotence (impotence) is observed in nervous system involvement. In bone metastases, there are findings such as bone pain, anemia and fatigue. Paraneopalstic syndromes with systemic findings may be observed. Obstructive findings and metastases indicate poor prognosis. As it can be understood, if there are signs, the disease is somewhat advanced. Therefore, in addition to the necessary standard tests and biopsy, "Diffusion prostate MRI" for suitable patients and "Fusion prostate biopsy", which is the rising trend of recent years, can be used for suitable patients, and then the appropriate treatment options for the appropriate patient are discussed and the necessary surgery (radical prostatectomy) can be performed. ) is done. Continuation of follow-up and treatment can be provided.

Prostatitis can occur with many different complaints in the person. Penile pain, pelvic pain, groin pain, pain that starts when urinating, passes after urination, pain when urinating ends, etc. complaints are common. Blood in the semen, premature ejaculation, "pain as if sitting on a ball" can be seen again. There are acute and chronic conditions and treatment modalities. In addition to medical treatment, pain and discomfort can be suppressed with alternative therapies.

Diseases of the Testes:

In particular, the treatment of Testicular Cancer, which manifests itself as a painless growing testicle, is surgery in the first place. Afterwards, additional treatments are planned in the presence of pathology, hormone values ​​and imaging.

Treatment of chronic testicular pain varies depending on whether there is an additional underlying pathology or not. In addition to classical medical surgical treatments, alternative treatments and control are provided by our clinic.

Varicocele for infertility is described in the "Male infertility" section.

Venereal Diseases in Men:

The discharge that starts after intercourse is the most common form of application. Especially in sexually transmitted diseases, gonorrhea treatment is done medically. There is a development of resistance due to other bacteria it carries with it, but it can also manifest itself with findings such as persistent discharge, recurrent discharge, penile or urethral itching. Evaluation can be made with advanced PCR tests. In addition, genital warts are treated both with medicine and surgery (often by burning with local anesthesia). Necessary screenings are carried out in terms of viral diseases (AIDS, Hepatitis C, etc.).

Pediatric Urology:

Our expert team also has a team of experts in childhood urinary incontinence, nocturnal urination-night urinary incontinence (Nocturna without enuresis), bowel dysfunction, hypospadias (lower urethra), childhood kidney urinary tract and bladder stones. Especially in urinary incontinence problems, success rates are high with uroflow EMG and then biofeedback-based pelvic floor muscle training. In addition, hypnotherapy can be used for the appropriate age group, as well as behavioral therapy and alarm application, which is conditioned reflex development.

In childhood stone diseases, important problems such as chronic flank pain, burning during urination, recurrent urinary tract infections are observed in the child. The most important factor is rapid progression, and there may be an underlying anatomical or biochemical factor. Therefore, metabolic and anatomical evaluation is important after a surgery if necessary.

Again in childhood, urinary tract infections should be considered in cases of burning, crying and urinary incontinence while peeing. In this case, factors such as pelvic floor dysfunction, vesicourethral reflux (backflow of urine into the kidney), additional metabolic and anatomical problems should be investigated and resolved.

The most commonly performed circumcision is performed comfortably on a daily basis with sedation anesthesia (calming).

Gynecological Urology:

Urinary incontinence, which has a very social aspect and brings with it many problems such as introversion and alienation from life, should be examined in a wide range. In addition to dysfunction of the bladder, urinary incontinence with activity can also be found. After the necessary diagnostic tests are performed for the cause of incontinence (urine analysis, ultrasound, bladder diary, urodynamics, etc.), necessary treatments can be started. A wide range of services are provided, from behavioral measures to necessary sling surgeries (TOT TVT sling, etc...) for female urinary incontinence. Necessary interventions are made for the sagging of the genital organs due to the deterioration of the supporting tissue.

Endoscopic Urology:

Internal urethratomy, TUR-P and TUR-M, Flexbl URS and laser lithotripsy PNL, laparoscopic pyeloplasty, laparoscopic total nephrectomy can be performed in our clinic.

Impotence and Premature Ejaculation, Vaginismus. Men's and Women's Sexual Health:

Men's and women's sexual health occupies an important place in the life of the individual. The only situation in which men and women can momentarily disconnect from the world and time is uncontrollably and the pleasure of this event is lost is a wasted treasure. In fact, when appropriate, a problem that can be solved in a fun way with professional touches can turn into a nightmare. The biggest mistake here is actually reducing sexuality to gender. The problems that started due to the fact that everyone is aware of their own responsibility and have not received training on how to benefit from sexuality will increase gradually. In addition, health problems that will start in one of the spouses can magnify the psychogenic event before or cause new problems that did not exist before. We offer support and solutions with our team of urology, obstetrics, psychiatry and psychological consultants for the evaluation and solution of whether the problem is organic or psychological. In addition to drug treatment in organic (vascular problems or metabolic problems such as sugar), prosthesis surgery (Happiness stick) can be performed in cases where necessary after Doppler ultrasound. In the most common psychogenic sexual problems (premature ejaculation, anorgasmia, reluctance and erection problems, vaginismus disgust disorders, emotion and impulse control disorders), supportive and resolving treatment options such as sexual therapy, medication, hypnotherapy and acupuncture are offered. It is always in question that women's sexual health affects men's. We also have treatment options for our female clients in terms of sexual therapy.

Male Infertility:

Having children is the right of every individual. Especially when pregnancy does not start despite unprotected regular intercourse exceeding 1 (One) year, both men and women should be evaluated. Our experienced team will assist you in detecting and solving the problems that occur according to the sperm analysis to be performed. In addition to the diagnosis of infertility due to genetic reasons, we have treatment options for male infertility with microscopic varicocelectomy for correctable surgical causes such as varicocele (vasodilation around the testicles. In addition, pain and sagging of the ovaries).

Urethra Surgery:

Constrictions in the urinary canal tend to recur. It is a discomfort that can occur on its own or after closed urinary canal interventions such as prostate surgery and catheterization. It may manifest itself with complaints such as thinning of the urine, squeaky urination like a string, and urination problems that cannot be relieved by medication. Despite numerous internal urethratomies (opening of closed stenosis), patients may then have to self-expand with a probe and experience problems due to re-constriction. Of course, internal urethratomy is the first option in a patient with stenosis for the first time, but more solution-oriented treatments are required in narrowings exceeding 2-3 and long segment stenosis. Reconstructive surgery (oral buccal mucosal graft or onlay flap excision and anastomosis, etc.) is applied depending on the stenosis, providing more permanent results.

In cases such as congenital hypospadias (the urinary hole is lower), the canal is surgically corrected.

Incontinence (Urinary incontinence):

Urinary incontinence, which is a situation that completely darkens the person's life beyond a social problem, is examined in a wide range. Complaints such as sudden urge to urinate and incontinence, frequent urination and the feeling of incomplete urination, and little or no urination can occur in overactive bladder. In addition, urinary incontinence with coughing and laughing (Stress incontinence) is another condition, and in fact, both can be seen. Interpretation of tests required for diagnosis requires experience as well as testing. The urodynamic test available in our clinic is preferred in suitable patients to reveal the main problem for incontinence or inability to urinate, or to see its connection with other systems. In addition, the biofeedback system used for pelvic floor muscle training offers a supportive option for male and female urinary incontinence. Biofeedback, which is started in the early period after prostate surgery in men, can shorten the time to reach urinary retention. It allows the application of biofeedback for urinary problems due to insufficient contraction and relaxation in women. In addition, it is important to provide pelvic floor training in childhood urinary incontinence and constipation problems. Biofeedback treatment after uroflow EMG accelerates the recovery in urinary incontinence accompanied by constipation in children, in small and frequent irregular voiding problems.

In addition to behavioral-biofeedback therapy and drug therapy for overactive bladder, treatment is applied with percutaneous (with a small needle) or transcutaneous (on the skin) posterior tibial nerve stimulation application, which is used in appropriate patients, and we try to help our patients in this social problem. Botox application and ileal cystoplasty in more advanced cases can be performed in patients whose bladder volume and expandability are very deteriorated.

Urodynamics:

It is an advanced evaluation device that provides biofeedback support for diagnosis and pelvic floor training in urinary incontinence. It is an auxiliary unit that shows us what the underlying cause may be and enables us to be guided in the treatment. It requires experience in its evaluation as well as its construction.

Holmium Laser /Ureteroneoscope:

It is a breakthrough technology for urinary tract and kidney stone surgery in recent years. It is a technique that allows surgery to be performed from the inside, by entering through the normal urinary canal, and shortens the recovery time. It can be successfully applied in appropriate stone size and localization.