Surgeries
GREENLIGHT
INTRARENAL SURGERY
(FLEXIBLE URS)
NANOKNIFE
This is one of the most effective minimally invasive surgical methods used to treat benign prostatic hyperplasia (BPH).
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The laser energy used in this procedure is highly sensitive to hemoglobin in the blood cells, which results in minimal bleeding. This is one of the reasons why this method is often preferred for patients who are on blood thinners.
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The laser beams penetrate only 1-2 mm into the tissue, making their effects highly controlled and safe. This precise action ensures there is no widespread damage beyond the treated area, and it prevents problems such as erectile dysfunction after the procedure.
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Since this procedure can be performed with various anesthesia options, ranging from local to general anesthesia, it is an excellent alternative for high-risk patients or those in poor general health,
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Compared to other surgical options, recovery time is faster. The urinary catheter is typically removed within 24 hours, allowing patients to return to their daily activities sooner.
The procedure involves using a laser to break up kidney stones by accessing the ureter (the tube between the kidney and the bladder) and the chambers inside the kidney through the body’s natural openings. This is done using a very thin, flexible optical instrument with a bendable tip.
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The Holmium laser system is the most powerful, safest, and most advanced technology for breaking stones. Because the fibers are extremely thin, stones in all areas of the kidney and ureter can be reached and broken with a high success rate, regardless of the stone’s composition or hardness.
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Patients can typically be discharged the same day or the next day, allowing for a quick recovery and return to normal activities.
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Since no incision is made, there are no visible scars.
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Compared to ESWL (extracorporeal shock wave lithotripsy), which breaks stones into smaller pieces using external sound waves, the laser method is faster and more effective. ESWL often requires multiple treatment sessions (1-4 sessions), and success rates are lower, especially for stones in certain areas, like the lower part of the kidney (with only a 40-60% success rate). ESWL also may not immediately relieve the obstruction or pain caused by the stone. In contrast, flexible ureteroscopy (f-URS) is more effective and faster.
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This is the most effective treatment for patients with congenital kidney conditions, such as pelvic or horseshoe kidneys.
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Since the procedure does not cause bleeding, it is safe for patients with bleeding disorders or those who are on blood thinners.
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For overweight patients, treatments like ESWL or percutaneous nephrolithotomy often have lower success rates. Research suggests that flexible ureteroscopy should be the first choice for this group of patients.
Prostate cancer treatment depends on whether the cancer is confined to the prostate or has spread beyond it. While surgical treatments for localized prostate cancer (cancer limited to the prostate) are often very successful, patients may hesitate to choose these options due to side effects like erectile dysfunction and urinary incontinence. As a result, focal treatments, which target and destroy only the cancerous tissue in the prostate rather than removing the entire prostate, have become increasingly popular.
One such focal treatment is the Nanoknife method. In this procedure, the area with prostate cancer is identified using special software. Therapeutic needles are then placed through the skin around the marked area, and the cancerous tissue is destroyed in about one hour. What makes the Nanoknife method different from other focal treatments is that it is non-thermal—it destroys the cancer without using heat. This greatly reduces the chances of side effects like erectile dysfunction or urinary incontinence.
Key Benefits of the Nanoknife Method:
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Quick procedure: The process takes about one hour.
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No incision: There are no cuts or surgical wounds.
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Minimal side effects: The non-thermal approach minimizes the risk of common side effects.
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Repeatable: The procedure can be repeated if necessary.
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No organ removal: There is no need to remove any part of the prostate.
Although the Nanoknife method is often preferred, it may not be suitable for every patient. A thorough evaluation of the disease's condition and the patient’s expectations is necessary to determine if this method is appropriate.
For more information:
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Click here to read the first article published in Turkey by our team, which has the largest series and the first Nanoknife application for prostate cancer treatment in Turkey
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Click here to access the article by Blazevski et al., which includes the largest series on the Nanoknife method, published in the European Urology Oncology journal
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Click here for the official Nanoknife Turkey page
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Click here for detailed information about Nanoknife treatment
PROSTATE FUSION BIOPSY
THULIUM LASER
(ThuLEP)
Also known as targeted prostate biopsy, it is a state-of-the-art diagnostic method used in the diagnosis of prostate cancer.
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Before the biopsy, the prostate gland is examined in detail with MRI (magnetic resonance imaging) to identify areas that may be suspicious for cancer.
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Using special software, the MRI images are matched with the 3D ultrasound images we use during the biopsy, and the biopsy is taken from the exact desired area.
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With this method, biopsies are not taken from unnecessary areas.
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While the hospitalization rate due to infection is around 4% in biopsies taken via the rectum, infection is almost never seen after the procedure since the skin route is used in this method.
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Patients discharges 3-4 hours after the procedure and the pain and bleeding complications, encounter in standard biopsies, are very rarely observed.
Please click to get more detailed information about this high-tech diagnostic method,
The ThuLEP technique is a modern endoscopic (minimally invasive) surgery used to treat benign prostatic hyperplasia (BPH). During this procedure, a Thulium laser is used to cut the prostate tissue near its outer capsule, which is then pushed into the bladder. The tissue is broken up and removed using a device called a morcellator.
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This technique can be used for prostates of all sizes.
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Because the Thulium laser operates at a steady temperature, it reduces the risk of damaging surrounding tissues.
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The laser's precision makes it easier to cut the tissue and causes less damage, lowering the risk of injury to the sphincter muscle that helps control urination
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Typically, the catheter remains in place for 1-2 days, and the hospital stay is usually just one day.
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There are different laser techniques available for treating BPH, so it's important to carefully consider which method will be the most suitable, effective, and beneficial for you.
For more detailed information about ThuLEP, please click here.
30 min
30 min