Be careful against your urinary problems In our clinic; It deals with the urinary tract and organs of men and women and male reproductive organs and deals with diseases of these systems. In addition, surgical treatment of the adrenal glands falls within the sphere of urology. Urology deals with both adult and pediatric patients. Diseases encountered in urology practice are: urinary obstruction, prostate enlargement, impotence, infertility, urinary incontinence, kidney and urinary tract stones; kidney, bladder, prostate and (testicle) egg cancers have an important place. Some other common diseases that urologists treat are urinary tract infections, sexually transmitted diseases, and injuries of the urological organs. In addition, some congenital diseases of boys, in particular, are of interest to urology. These include undescended testicle (egg not landing in the bag), inguinal hernia, hydrocele (water sac in the bag), urine hole in the wrong place (hypospadias and epispadias). Night wetting, bladder urine back to kidney, all diseases of the foreskin and circumcision operation are also in the field of urology. In addition to open surgical surgeries, urology performs closed surgeries based on modern technological methods such as endoscopy and laparoscopy. 

URINARY SYSTEM DISEASES

Be careful with your urinary problems… don't let it take your life…

Be careful with your urinary problems… don't let it take your life Urinary system diseases cause important health problems. Therefore, early diagnosis and correct treatment of these diseases is of great importance. Get to know some of the urinary system diseases more closely so that your health and future plans are not negatively affected.... 

Prostate

The prostate is a gland in men, located under the bladder and enveloping it. Prostate enlargement is one of the most common diseases of the prostate gland. It is one of the most current health problems of men over 50 years old. The disease begins to manifest with urinary complaints. There are frequent complaints such as going to urinate, frequent urination at night, urinating intermittently and dropwise, inability to drain urine completely. If left untreated, it can lead to 'obstructive uropoti' (obstruction of the urinary tract) and kidney failure over time. There may also be malignant prostate enlargements (prostate cancers). In order to diagnose such growths in the early period, men over the age of 40 should examine the urologist once a year and undergo a PSA examination in the blood.

There is no uniform treatment for benign prostatic enlargement, it can be treated with medication or surgical intervention. Currently, surgeries performed by closed method (TUR) are widely preferred in the surgical treatment of prostate enlargements. However, all methods should be mentioned to the patient, and the treatment method should be chosen considering the patient's wishes. 

Kidney and Urinary Tract Stones

Urinary system stone disease is a pathological condition affecting the urinary system, and this disease has been known since 4800 BC. Kidney stones occur under normal conditions when substances dissolved in urine settle to form hard debris particles. The reason for the formation of the stone is the increase in the density of urine or the excess amount of dissolved substances in the urine. 

Under the light of the studies carried out to date, quite enough information has been provided about the chemical and physical structure of the stone, but despite all the advances in technology, the reason has not been fully clarified even today. Stone disease is not caused by a single reason, but as a result of events caused by many, complex and interrelated factors. Kidney stones are classified according to their number, location and chemical structure. 

Kidney stones are at least three times more common in men than in women. The risk of life-long stone formation in adult males is around 20 percent. This rate is between 5 and 10 percent in women. Recurrence rate in stone patients has been reported to be higher than 50 percent over a 5-year period from the first stone formation. Urinary system stone disease is common in countries such as Scandinavia, Mediterranean countries, Pakistan, Malaysia. Nutrition, climate and genetic factors also play a role in stone formation. Although it is difficult to establish a direct relationship between climate and stone formation, it is detected more in places with high temperatures and in summer.

Pain, bloody urination, fever, nausea and vomiting are among the symptoms of stone disease. Complications related to stone diseases, i.e. additional disorders related to stone, are common. The expansion of the kidney pool and bowls (hydronephrosis) and kidney inflammation (pyelonephritis) are the main ones.

In recent years, great advances have been made in the medical treatment of urinary tract stone disease.

varicocele

Varicoceles can be defined as an enlargement of the vein network around the ovaries and back flow of blood. Its incidence in males is reported to be 15 percent. This rate is around 40 percent among infertile men (without children). Most of the cases are on the left side alone. 

Varicoceles usually present with pain in the testicle and groin after movement. However, in some patients, no findings may be encountered. Patients with advanced varicocele apply to the physician due to the swelling formed by the vessels that have enlarged around the testicle. 

It is believed that varicocele impairs the production of sperm and the quality of the sperm, so it can lead to infertility. In addition, varicocele may lead to atrophy and shrinkage in size. It is known that sperm count is lower than normal in semen analysis of these patients and 90 percent of them can develop abnormal sperm motility and deformities. It has been reported that varicocele also impairs sperm function in 75 percent of patients. Improvement in sperm parameters following varicocele treatment appears to be around 60-70 percent on average.

Undescended Testicle

Undescended testicle (cryptorchidism) is a state where the testicle pauses anywhere on the normal descent path between the kidney and the scrotal (pouch) bag. The testicles not descending into the scrotum can remain in the groin or abdomen. Undescended testicles are detected in 3-4 per thousand of babies who are 1 year old. This rate is around 2 per thousand in adults.

The most obvious finding is that one or both testicles are not in place. In these patients, the risk of cancer is more than 20 to 40 percent more than normal ones. In 5 to 10 percent of patients with undescended testicles, testicular tumors develop before age 45. 

The goal of treatment is to lower the testicles in place. There are two ways to achieve this goal: hormonal therapy and surgical treatment. Treatment should be done as early as possible. It is recommended to be done before or around the age of 1.

Hipospadias

The anomaly that the outer urinary hole is opened somewhere on the lower surface of the penis is called "hypospadias" in medical language.

The frequency of hypospadias is reported as 3 or every 300 boys per 1000 live births. The incidence of hypospadias in the brothers of children with hypospadias has been reported as 14 percent. The cause of hypospadias is not fully known. The severity of the disease depends on where the hole is located. The farther away the urinary hole is from where it should be, that is, the tip of the penis, the heavier the abnormality. The method of treatment is only surgery.