The EMC urology department deals with diagnosis, treatment and prevention male and female urogenital diseases, as well as of male reproductive system disorders.

• Andrology
• Laparoscopy
• Varicocele operations
• Renal cycts
• Nephroptosis (prolapse of the kidney, wandering kidney)
• Stricture (narrowing) of ureteropelvic segment
• Renal and ureteral stones
• Prostatectomy
• Impotence treatment

Our urologists are leading specialists with many years’ working experience in the best urology clinics of Europe and Russia.

The Department is equipped with the most modern laparascopic and endoscopic facilities by leading world manufacturers (Olympus and Storz).

Our specialists are providing the complete care for the most complex cases both in general urology and in andrology (male reproductive system disorders) with the focus on laparoscopy interventions.

This is the latest high-tech technique which is used in clinics of Europe and USA during most of urologic surgical interventions.

Today, the EMC clinic is the only one in Russia that carries out the most complex urologic operations by laparoscopic technique, such as:

The benefits of laparoscopic operations are obvious:

• Minimal trauma to surrounding tissues;
• Minimal invasiveness;
• Minimal bleeding;
• Minimal risk of infection;
• Short post-operative rehabilitation time.

Besides, at the EMC Urology Department we perform the complete range of endoscopic and abdominal operations.

The treatments that we provide in the field of andrology include:

• Surgical correction of abnormal development and deformations of penis;
• All kinds of operations on scrotum;
• Endoprosthetic repair of penis and testicles;
• Treatment of cryptorchidism (undescended testicles);
• Other cosmetic surgical interventions.

Andrology

Andrology, (andros – male, and logos – science, studies), studies the male health. As a medical discipline, andrology deals with diagnosis and treatment of male sexual sphere disorders.

There are diseases associated with pathologic function of male sex organs, such as, for instance, inadequate erection. Most often, we are talking about weak erection or its complete absence. Also, andrology studies the problem of testicle dysfunction. During certain organism conditions, these hormonal glands are incapable for production of required amounts of corresponding hormone. This dysfunction can bring about incorrect intrauterine fetus development. A harmless at the first glance testicle dysfunction is the cause of development of such pathologic conditions like hermaphroditism, or can bring about mastopathy and sterility in “healthy men”. Finally, an integral part of andrology examines the cosmetic issues, such as congenital defects, small (or excessively large) penis, absence of testicles, etc.

We should note the important social role that andrology plays in nowadays world. In the era of technical progress, all sciences are actively developed, inclusive of medical sciences. In its turn, during last decade andrology made an incredible leap forward. First of all, this is associated with high level of development of humanity, with all that it implies actual needs to comply with the highest andrologic standards. Secondly, using new technologies, such as prostheses and their components, newest medicinal drugs or cell and genetic engineering, allows considering andrology as one of the front line and high-tech medical sciences.

Laparoscopy

In the present days medicine laparoscopy is used widely. In urology, this method steadily occupies an increasingly significant share of other surgical operations. Laparoscopic surgery is carried out not only for varicocele and renal cysts, but also during nephroptosis (descendent kidney), stricture (narrowing) of ureteropelvic segment, kidney and ureter stones, and during prostate and kidneys neoplasms.

The benefits of laparoscopic approach are as follows:

• Minimal traumatic injury: small skin punctures are made (maximum size up to 1 cm) in order to set special single-use ports (conducting tubes) through which the working instruments and videoscope (or laparoscope) are introduced. Our clinic is equipped with digital high-definition video camera by Storz, allowing us to achieve maximally sharp image on the screen (monitor) during operation.
• Minimal invasiveness: during laparoscopic operations there is no need to do large skin cuts and excessively traumatic separation of underlying tissue layers (sub-cutaneous tissue, fascia, muscles). This very feature of laparoscopic technique brings about fast healing of post-operation wounds and recovery. Besides, this manipulation is carried out under high magnification making it possible to maximally precisely separate the operation field and avoid additional injury of surrounding tissues and organs.
• · Minimal bleeding: the delicate and pin-point isolation of operation field is attained thanks to using of high-tech equipment and instruments and minimization of traumatization, and, accordingly, risk of bleeding.
• Minimal risk of infection: Small punctures and use of disposable instruments reduce to minimum the risk of infection. We strictly adhere to all aseptic and antiseptic rules making sure that this is the guarantee of success of our operations. In contrast to many medical facilities we use a lot of disposable instruments that reduces to absolute minimum the risk of infection of wounds and organism.
• Cosmetic effect: skin scars after its puncture (up to 1 cm) remain hardly visible, and practically disappear in 3-6 months.
• Short rehabilitation and recovery time in the post-operation period as compared to abdominal surgery.

The benefits of laparoscopic operations are beyond doubt. However, it should be noted that in exceptional cases the open abdominal surgery can not be avoided. We are compelled to take such decision due to some particular features, inclusive of individual body anatomy.

The complications during laparoscopic operations are the same as during abdominal surgery. However, their degree is minimized.

Varicocele operation

• The Ivanicevic operation is an abdominal surgery that is carried out in the majority of clinics. Unfortunately, the classical “old-style” operation can be complicated by recurrence (up to 25%) and hydrocele;
• In the ЕМС, we give plink to laporascopic surgery due to a number of objective reasons. Using high-definition digital camera allows the preservation of testicle artery and lymphatic vessels at that. It is even possible to reveal small silent veins which in most cases are the cause of recurrent varicocele. The recovery period is significantly shorter as compared to abdominal surgery. The patients are discharged from hospital on the next day after operation and can immediately resume their customary way of life.

Renal cycts

With the exception of very rare cases, and due to absolute contraindications, the operations for kidney cyst removal are carried out at EMC using laparoscopic technique. The post-operation period is rather short, and in 2-3 days the patient can resume customary way of life.

Nephroptosis (prolapse of the kidney, wandering kidney)

After careful examination and setting the indications for operation, we carry out laparoscopic nephropexy (or suspension of movable kidney) using special polypropylene mesh. The first laparoscopic nephropexy in Russia was carried out by Dr F.V. Shakir in collaboration with French colleagues, Drs P. Monaud and C. Defey. After laparoscopic operation, it is not necessary to stay in bed for a long time (which, in case of open abdominal surgery, can be as long as 10 days), and in a few days the patient is discharged from the clinic.

Stricture (narrowing) of ureteropelvic segment

The laparoscopic plastic surgery of ureteropelvic segment is carried out with purpose of reconstitution of urine outflow at the kidney level. The rehabilitation time with these operations is much shorter as compared to abdominal surgery.

Kidney and renal duct stones

The removal of kidney and renal duct stones at the EMC is carried out using laparoscopic technique.

Laparoscopic prostatectomy

This is the most complex laparoscopic operation. In Moscow, this operation is carried out only by EMC.

During laparoscopic prostatectomy, like during abdominal surgery, the prostate along with semen vesicles is removed. After resection, the prostate along with semen vesicles is placed in a special polyethylene bag, which allows their removal without extended skin cuts. The drainage of post-operation wound and bladder is much less lengthy as compared to abdominal surgery, and the recovery period also passes much faster. To carry out this operation, we invite the French urologist team, professors P. Monaud and C. Defey, who have an immense experience in performing this operation. Urethral catheter is placed for approximately up to 7 days. After abdominal surgery the bladder catheter placement duration is 21 days.