The Department of Urology of Tel Aviv Medical Center is a modern department where the best Israeli specialists in the field of conservative and operative urology, urology oncology and andrology work. The department has all the necessary latest diagnostic and treatment equipment. We can provide the necessary help to men and women with diseases of excretory system, acquired or congenital, as well as men with reproductive problems, since the department has a modern unit for treatment of male infertility.

TAMC urology department includes not only an adult inpatient facility, but also a unit that treats children and is part of Children’s Hospital Medical Center. In addition to inpatient department, urology department operates several specialized clinics that diagnose and treat specific urological problems, for example, urology oncology (benign and malignant neoplasms of kidneys, bladder, prostate, testicles, etc.) or a clinic for treatment of urolithiasis.

Specialists of Urology Department deal with both conservative treatment of urological pathology and surgery. Doctors perfectly master modern surgical techniques, including minimally invasive ones. The department actively uses modern robotic surgery using the latest generation Da Vinci installation.

Urology and treatment of kidney diseases. Doctor performing a kidney examination on a female patient with kidney disease

Departments

On the basis of Urology Department, there are several highly specialized departments that deal exclusively with diagnostics and treatment of a specific urological problem:

Urology oncology – specialists in this area are engaged in study, diagnostics and treatment of benign and malignant diseases of urinary system and male genital organs (cancer of kidneys, prostate, bladder, etc.).
Endoscopic urology – specialists in this department are engaged in diagnostics and treatment of urological diseases using endoscopic techniques.
Male reproductive health clinic – andrologists study, diagnose and treat male problems associated with infertility and impotence.
Department of Robotic Urological Surgery – specialists in this area perform innovative surgical interventions on urinary system organs using high-tech robotic installations, for example the DaVinci Xi robot.
Clinic for urolithiasis treatment – patients with urolithiasis receive modern care here.
Pediatric urology – specialists in this department treat diseases, injuries and congenital malformations of excretory system in boys and girls.
Urogynecology and pelvic floor disorders – treats women who experience problems such as urinary frequency, urinary incontinence, difficulty urinating, pain during urination, and recurrent inflammation of lower urinary tract.
General urology is a general direction in urology, which deals mainly with conservative treatment of urinary system diseases and male genital organs (cystitis, pyelonephritis, prostatitis, orchitis, etc.).

Thus, our urology department employs a whole multidisciplinary team of specialists: urologists and pediatric urologists, andrologists, specialists in the field of male infertility, rehabilitation specialists, surgeons, radiologists, oncologists, psychologists, physical therapists. All this is necessary so that patient can receive the full range of necessary medical services within the walls of one medical institution. This ensures good compliance for treatment, continuity of medical care, from the initial stages of diagnostics to necessary surgical intervention and recovery program after it.

What diseases does Urology Department treat?

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Diagnostic methods in urology

As a rule, the following examinations are used in combination:

Thorough examination of patient in all organs and systems, anamnesis collection of life and illness.
General clinical examinations of blood and urine, if necessary – other specific examinations of blood and urine, for example, determination of PSA (prostate-specific antigen – a tumor marker for prostate cancer).
X-ray (including with contrast of urinary system), CT, MRI, PET-CT, MSCT with and without contrast – methods of detailed medical imaging in urology.
Scintigraphy for diagnosis of distant metastases in malignant diseases of excretory and reproductive system.
Ultrasound of kidneys, prostate, bladder, ultrasound of blood vessels.
Biopsy and histological examination of collected species to verify the diagnosis.
Cystoscopy, ureteroscopy – examination of organs from inside using endoscopic techniques.

If necessary, a biopsy or treatment procedure is immediately performed, for example, removal of a polyp in bladder or a calculus from the ureter, etc.

Urodynamic studies – allow us to diagnose some bladder problems, for example, voiding cystography allows us to find vesicoureteral reflux, etc. If our patients undergo a biopsy during diagnostic program, we always send tissue samples to the best Israeli pathohistological laboratories, where pathologists with unique practical experience work. Thanks to such detailed “molecular tests”, patient can be sure that diagnosis has been established accurately and treatment regimen has been selected in the most optimal way.

Important!

According to statistics from leading Israeli clinics, about 33% of patients from other countries arrive at Urology Department for treatment with an incorrect or unspecified diagnosis. Accordingly, success of the entire treatment is highly doubtful.

Therefore, at Tel Aviv Medical Center we take the diagnostic program very seriously. To do this, we use only modern expert-class equipment and comprehensive approaches to diagnostics.

The 4KSCORE blood test makes it possible to assess the risk of developing aggressive prostate cancer in patients suspected of developing this disease. Previously, a total PSA (prostate-specific antigen) test was used for this purpose, but this marker is not specific for prostate cancer, so an unnecessary invasive prostate biopsy procedure was often prescribed. The 4KSCORE analysis makes it possible to determine this risk much more accurately and avoid unnecessary biopsies. This is a set of 4 biomarkers that are determined in blood. Interpreting the result, doctor takes into account age and other risk factors for prostate cancer. If the risk is calculated to be low, a biopsy is not prescribed. According to recent data, due to introduction of such screening instead of usual PSA determination, 65% of unnecessary biopsies were avoided.

FUSION prostate biopsy is a modern technique for obtaining histological samples of prostate tissue. The technology combines two examination methods – transrectal ultrasound and MRI. It allows us to take more samples of biological material from hard-to-reach areas of prostate gland, which improves chances of detecting a malignant neoplasm. The accuracy of examination increases from 75% with conventional ultrasound-guided biopsy to 95% with FUSION technique.

Gallium 68 (Ga-68) PSMA PET-CT is a modern method of medical imaging for prostate cancer, the presence of metastases in this disease and monitoring prostate cancer recurrence. The enzyme PSMA (prostate-specific membrane antigen), labeled with gallium 68, actively accumulates in malignant cells in prostate cancer. Thus, PSMA PET-CT with gallium 68 makes it possible to identify even the smallest number of such cells and their location in body.

Modern treatment methods in urology

Urologists of our department have not only great skills, but also unique technologies for performing complex urological surgical interventions. In our practice, we rely on principles and rules of Israeli medicine, known for innovative approaches to treatment throughout the world.

If clinical situation allows, urological surgeons always prefer low-traumatic and organ-preserving operations, and in 45% of cases they succeed. Such gentle surgery is especially important when it comes to children. Pediatric urologists annually perform complex, but highly effective and low-traumatic surgical interventions, for example, treatment of congenital defects such as epispadias or hypospadias, pyeloplasty and other reconstructive surgeries for congenital malformations of kidneys and urinary tract.

Our clinic widely uses the following modern treatment methods and procedures:

Holmium laser removal of prostate (HoLEP).
Transurethral resection (TUR) of prostate adenoma.
Laparoscopic radical prostatectomy.
Laser endoscopic removal of prostate adenoma.
Removal of prostate tumors using new TOOKAD method.
Ultrasound ablation of tumors with focused high-intensity ultrasound.
Cryoablation of prostate gland.
Ureterocystoneostomy – reimplantation of urethra into bladder for ureterocele.

3d rendering hospital surgery room with C-Arm machine and surgery robot

Robotic surgeries using the latest generation Da Vinci installation are used in urology for radical robot-assisted prostatectomy. With this procedure, instruments are not in hands of surgeon, but are fixed in manipulators of robotic installation, while doctor is at control panel. Thanks to this innovative approach, all surgical risks are minimized.

Open removal of prostate is used in the most difficult cases, when it is impossible to remove a prostate gland damaged by a malignant tumor laparoscopically.

Urology Department actively uses modern treatment methods for erectile dysfunction in men. These are procedures such as injection therapy with Trimix and Biomix, shock wave therapy, PDE5i treatment (phosphodiesterase type 5 inhibitors).

If necessary, men can undergo a penile prosthesis procedure – installation of penile implants. This is a surgical method of restoring an erection by implanting a special prosthesis inside phallus.

The clinic uses the most modern drug treatment regimens for prostate cancer when surgery is contraindicated or complex treatment regimens are used. One of these is GnRH agonists or antiandrogens application. This is one of the types of hormone therapy that is used when patient has hormone-dependent tumors. The main aim of hormone therapy is to suppress the action of androgens in a man’s body, slow down the division of cancer cells, change their function so that they die on their own and no longer reproduce.

In complex treatment of malignant neoplasms of prostate, a type of radiation therapy is used, such as prostate brachytherapy. This is when a radioactive isotope in a capsule is placed directly into tissue of a malignant prostate tumor, while the surrounding healthy tissue is not affected by ionizing radiation.

A great advantage for our patients is the opportunity to participate in clinical trials. The medical center constantly hosts programs to study the effectiveness of various experimental procedures and medications. For some patients, this is a real chance for recovery, especially for those for whom all known standard treatment regimens have proven ineffective.

Tel Aviv Medical Center also performs a large number of modern urological interventions and procedures, for example, radical nephrectomy, lithotripsy (remote and contact), laparoscopic surgeries on kidneys, bladder, arterial and venous embolization of renal vessels, bladder reconstruction, adrenalectomy (removal of adrenal gland ), vasectomy and others. That is, every patient in need of modern urological treatment will find the necessary help from us. At the same time, treatment will be comfortable, affordable and highly effective.