At Gazi Hospital Urology Departments, urological examination, test and treatment services are provided to adult and child patients at high quality with the health personnel staff who are dynamic and follow developments. Doctors working in the urology department aim to present their urology services competently using their clinical experience, their knowledge based on scientific studies and research.
To discuss with our doctors in these departments calling 0212 650 18 19 Gazi Hospital will be sufficient.
Apart from routine operations such as prostate and bladder TUR operations, open and closed stone operations (ureteroscopy), stone fragmentation (ESWL) treatment, it is a leading center in terms of urology providing intensive medical services in urologic cancer surgeries, pediatric urology surgeries, urodynamics and male sexual dysfunction.

Current drug and surgical treatment methods (TUR-Plasma Kinetic) are applied in the treatment of urinary disturbances related to prostate growth (BPH). There are also intensive studies in prostate health related areas such as prostate cancer screening and treatment of prostate infections.

Gazi Hospital Urology departments use all contemporary surgical and medical methods in the treatment of urological cancer diseases. Other urological oncology surgeries such as kidney and testicular cancer are performed by an experienced urologist. Some urological cancer cases are referred to related divisions for medical oncology and radiotherapy departments.

In Gazi Hospital, endoscopic (closed system) surgeries, where high technology opportunities can be used, are frequently performed in urinary system stone disease treatment.

In addition to surgical treatment, stones can be treated with stone fragmentation (ESWL) method without anesthesia and as an outpatient. The urology department is one of the leading centers for experience in endourologic treatment (ureterorenoscopy) of stone disease.

Urodynamics unit provides detailed diagnostic examination of urinary incontinence in men and women of all ages. Urodynamic studies and modern uro-radiological methods are used in the diagnosis and follow-up of both adult and child patients with all types of urinary incontinence problems, such as nighttime wetting in children or urinary incontinence in women, and myelodysplasia (spina bifida).

Examination, test and treatment possibilities for erection and ejaculation problems in men which are referred to as erectile dysfunction, and male infertility, are planned together with other branches of specialization.

Pediatric urology deals with congenital or acquired diseases of urinary and genital system and their treatments that can be seen in the newborn and later periods, beginning from the mother’s womb. Examples of these diseases are Hydrocele and cord cyst, Undescended testis, Circumcision, Emergency situations of the testis and scrotum (Acute scrotum and testicular torsion) and hypospadias. Surgical repair of hypospadias (congenital condition which the opening of the urethra is lower than its normal place) is one of the special areas of interest of the urology department. Both primary repair of hypospadias and surgical treatment of previously operated cases can be performed.

Kidney Stone Break Up (ESWL Method)

How is Kidney Stone Treated?

Most kidney stones tend to be passed out spontaneously. Approximately 80 of all urinary tract stones passed out with drug therapy. The most important factor affecting the passing out of the stone is the size of the stone. While stones smaller than 4 mm are expected to be passed out, it is necessary to intervene the stones that are bigger than 6 mm. Shape and location of stones are also important factors affecting the passage in the urinary tract.

• Spontaneous or drug induced passage of stone
• ESWL (breaking up the stones with shock waves)
• Minimally invasive interventions (Percutaneous Nephrolithotomy, ureterolithotripsy)
• The classical open surgical method

Choosing the approach depends on the location, size of stone, the damage it caused or will cause to the urinary tract and the type of the stone. Today, the development of minimally invasive techniques has resulted in that the classical open surgery, being the least favored and least preferred method.

ESWL (Break up of stones with shock waves from outside the body)

• The shock waves coming from a single focus are directed onto the stone and the stone is broken. ESWL devices focusing with X-ray and ultrasound are available. The broken stone fragments are removed from the body by urination. ESWL can not be successful in all stones. Success depends on the type of stone, its hardness, its size, and its location in the urinary tract. Stones may be broken with a single session or repeated sessions may be needed.
• Discomfort and pain may be felt during the ESWL session. For this reason painkillers are used before treatment. There is usually no need to stay in the hospital after the procedure.
• Minimally invasive interventions: The purpose of these interventions is to provide relief from the stone that threatens the urinary system and to enable the patient to return to daily life as soon as possible. Percutaneous nephrolithotomy and ureterolithotripsy are the interventions in this group.
• If the stone is not passed out despite the treatment, if it is too big to be passed, creates a complete block of urine flow, causes recurrent urinary tract infection, has caused damage to the kidneys, intervention is necessary.
• A preliminary approach is now minimally invasive procedures while open surgeries were chosen previously. The aim of these interventions is to get rid of the disease as soon as possible and to allow the patient to return to his daily life as soon as possible. In minimally invasive procedures, the patient returns to normal life in the early period.

Yücel Altay, MD
Urology Specialist