The Urology Department at the Caucasus Medical Centre offers comprehensive, technologically advanced diagnostic services and a range of treatment options for female and male patients of all ages, including both planned and emergency care for pathologies affecting the urinary system and the male reproductive system.

The Department is equipped with the most modern material and technical base, such as:

VISERA ELITE III - 3D and 4K resolution video endoscopic platform;
THUNDERBEAT - Integrated system for the manipulation of tissue: ultrasound and bipolar energy are combined in a single instrument;
Flexible Video Cystoscope;
Flexible and rigid Ureterorenoscope;
NBI (Narrow band imaging) - Endoscopic mode using optical technology;
Bipolar mode of transurethral resection, plasma vaporisation, bipolar enucleation;
Interventional ultrasound device with 3D rectal and intraoperative endoscopic transmitter;
Swiss LithoClast® Trilogy Lithotripter - for the dissolution of urinary tract stones using combined (ultrasonic and mechanical) energy;
Hospital is an exclusive owner of Quanta System's surgical holmium laser - Cyber Ho 150 Ultra High Power Holmium Laser System;

At the Department, uroflowmetry is used to assess urine flow.

In accordance with international guidelines and protocols, and utilization of the aforementioned high-quality equipment, the following pathologies are successfully diagnosed and managed in the Department by a team of highly qualified and skilled professionals:

Urinary tract infections;
Benign prostatic hyperplasia;
Prostate cancer;
Bladder cancer;
Benign and malignant kidney tumours;
Benign and malignant adrenal gland tumours;
Testicular tumour;
Tumours of the retroperitoneal space;
Penile cancer;
Urinary stone disease;
Urinary incontinence;
Erectile dysfunction;
Varicocele (varicose dilatation of the testicles and scrotal veins);
Deformities of the penis;
Urethral stricture (narrowing);

Treatment includes open surgery, reconstructive and functional urology, laparoscopic surgery and endourology. Priority is given to minimally invasive surgery, which has the advantage of a short hospital stay and rapid rehabilitation.

Open operations include:

Radical prostatectomy;
Radical cystectomy;
Total and partial nephrectomy;
Ureteronephrectomy;
Ureterocystoplasty;
Bladder Diverticulectomy;
Ureterolithotomy;
Pyelolithotomy/Nephrolithotomy;
Adrenalectomy;
Orchiectomy;
Epididymectomy;
Hydrocelectomy;
Spermatocelectomy;
Vasectomy;
Microsurgical varicocelectomy;
Detorsion of the spermatic cord and testicular fixation;
Surgery for phimosis (Surgical circumcision);
Surgery for priapism (involuntary erection);

Reconstructive and Functional Urology includes:

Surgical treatment of vesicoureteral reflux in adults;
Hypospadias repair;
Reconstructive surgery of urethral strictures;
Surgical treatment of penile deformity;
Other reconstructive operations on the urinary tract;
Orchiopexy.

Laparoscopic urology includes:

Laparoscopic radical prostatectomy;
Laparoscopic radical cystectomy;
Laparoscopic total and partial nephrectomy;
Laparoscopic radical ureteronephrectomy;
Laparoscopic extended pelvic lymph node dissection;
Laparoscopic retroperitoneal lymph node dissection;
Laparoscopic ureteropyeloplasty;
Laparoscopic ureterocystoplasty;
Laparoscopic urinary bladder diverticulectomy;
Laparoscopic ureterolithotomy;
Laparoscopic pyelolithotomy;
Laparoscopic adrenalectomy;
Laparoscopic surgery for undescended or ectopic testicles.

Endourology includes:

Transurethral resection of the prostate;
Transurethral plasma vaporization of the prostate;
Laser enucleation of the prostate;
Transurethral resection of bladder;
Optical urethrotomy;
Transurethral cystolitholapaxy (mechanical and laser disintegration);
Flexible cystoscopy;
Flexible and rigid ureteroscopy with biopsy;
Ureteroscopy with laser lithotripsy;
Percutaneous nephrolitholapaxy;
Retrograde Ureteronephroscopy with biopsy;
Percutaneous endoscopic nephrostomy;
Ureteric stent insertion.

In order to detect any pathology in time and for further effective treatment, it is necessary to know the symptoms that should prompt you to consult a doctor, namely:

painful, frequent urination;
Blood in urine;
Episodes of involuntary urination;
Difficulty urinating;
Difficulty controlling the urge to urinate;
Erectile dysfunction;
Symptoms associated with kidney stones - renal colic;
Male infertility.

In addition, screening is recommended as an important link in preventing the development of the disease:

Prostate cancer screening - blood PSA measurement from age 45-50 (every 1-5 years, depending on risk category);
For high-risk patients - screening for sexually transmitted infections (every 6-12 months, depending on risk category);

In the event of transferred oncological diseases, follow-up visits are required:

Prostate cancer screening (every 3-6 months, depending on the risk category);
Kidney Cancer Screening (every 6-12 months, depending on the risk category);
Bladder cancer screening (every 3-12 months, depending on risk category);
Testicular cancer screening (every 3-12 months, depending on risk category).

In addition to screening, preventive medicine also includes the adoption of healthy lifestyles. It is important to drink enough water during the day and to stop smoking, as it is one of the most important factors in the development of uro-oncological diseases and causes erectile dysfunction. For patients with urolithiasis, it is important to follow dietary recommendations depending on the type of stone and to carry out planned metabolic panel tests depending on the type of stone and frequency of urolithiasis episodes.

Teimuraz Anikashvili

Urologist

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