The Urology Center has many sub-branches such as andrology, functional urology, endurology, uro-oncology and pediatric urology.

The methods of diagnosis and treatment of all urological sub-branches are applied within the framework of the latest current approaches to the world standards of medicine. Almost all surgical interventions in the field of urology are now performed with closed surgery (laparoscopy, endoscopy) and robotic surgery. The most common branch of robotic surgery is again urology.

About Urology

Our center works tirelessly for the well-being of our patients with its experienced staff offering comprehensive services in specialized areas of urology.

  • General Urology

  • Pediatric Urology

  • Reconstructive urology

  • Urological Oncology

  • Urogynecology

  • Neuro-urology

  • Endurology

  • Robotic Urology

  • Andrology/Sexual Disorders

Benign prostate enlargement (BPH) is a common health issue in older men, significantly affecting their quality of life if left untreated. HoLEP (Holmium Laser Enucleation of the Prostate) represents a technologically advanced method for the management of BPH.

Surgical treatment becomes necessary for patients with persistent symptoms despite medical therapy. Historically, small prostates (<90 g) were treated endoscopically, while larger prostates (>90 g) required open surgery. However, advances in laser technology have enabled the effective treatment of large prostates with HoLEP, offering numerous benefits.

HoLEP boasts fewer complications, shorter recovery time and improved quality of life after surgery compared to traditional methods. The precise energy of the Holmium laser minimizes nerve damage, preserving erectile function and urinary continence. Hospital stays are short, catheters can be removed immediately, and bleeding risks are reduced. Patients can quickly return to normal activities, including sexual health, making HoLEP a versatile and safe option for prostates of any size.

During HoLEP surgery, the entire urethra is carefully assessed and prostate tissue is meticulously enucleated using the Holmium laser. This method ensures the complete removal of the prostate tissue, reducing the possibility of the disease returning and facilitating the detection of other pathologies.

HoLEP can be performed under general or spinal anesthesia and involves the precise removal of prostate tissue using specialized instruments. Overall, HoLEP is a very effective and safe technique for the management of BPH.

Why is MRI-TRUS Fusion Biopsy necessary?

According to 2020 data, prostate cancer is the second most common cancer after lung cancer. However, it ranks 5th in the list of deadliest cancers. Early diagnosis is very important in prostate cancer, which is one of the types of cancer that can be completely cured today. For this reason, it is recommended that patients over 45 years of age be checked for prostate cancer at the outpatient urology clinic once a year.

If prostate cancer is suspected during the examination, the diagnosis is made with prostate biopsy guided by transrectal ultrasound (TRUS).In this method, 6-12 pieces are systematically taken from the prostate gland. Prostate cancer is found in approximately one in three patients on TRUS-guided prostate biopsy. If clinical suspicion persists in patients without cancer, a repeat biopsy may be required. In this type of biopsy, in addition to the risk of missing an aggressive cancer, there is also the possibility of detecting clinically insignificant cancer that will not cause the patient a problem throughout his life.

multiparametric MRI (MpMRI) have been widely used in the diagnosis and staging of prostate cancer in recent years. With MpMRI, suspicious areas for prostate cancer are shown with high accuracy. Cancerous areas within the prostate can cause clots, infections, etc. more clearly distinguished from pathologies. With MRI, the indication for biopsy is determined more precisely and unnecessary biopsies are avoided.

MRI-TRUS Fusion Biopsy is a biopsy method that uses an intelligent biopsy robot and advanced computer software. In this method, a 3-dimensional image of the prostate is created by superimposing MRI and ultrasound images in the computer environment. Sampling is performed with minimal deviations from cancer foci displayed in three dimensions.

Prostate Surgery with the HoLEP Method

Benign prostate enlargement (BPH) is common among older men, severely affecting quality of life if left untreated. Holmium Laser Enucleation of the Prostate (HOLEP) represents a recent surgical method for the management of BPH.

Patients with symptomatic BPH often require surgical intervention if medical treatments fail. Traditionally, smaller prostates (<90 g) were treated endoscopically, while larger ones (>90 g) required open surgery. However, advances in laser technology have enabled the application of HoLEP to larger prostates, offering numerous benefits. HoLEP reduces postoperative complications, shortens recovery time, and minimizes early impairment of quality of life compared to open surgery.

HoLEP's precision energy deposition minimizes nerve damage, preserving erectile function and urinary continence. Unlike other techniques, HoLEP protects the sphincter responsible for controlling urine, reducing the risk of postoperative incontinence. Hospital stays are short, catheters can be removed immediately, and the risks of bleeding are lower than with other surgeries.

Performed under general or spinal anesthesia, HoLEP involves the precise removal of prostate tissue using a Holmium laser, ensuring complete extraction from the prostate capsule. This complete removal of tissue reduces the likelihood of recurrence of the disease and facilitates the diagnosis of other pathologies.

Overall, HoLEP is an effective and safe technique suitable for prostates of any size, offering improved results and rapid return to normal life for BPH patients.