Modern surgical urology in one institution

The Department of Surgical Urology of the Vitamin Medical Center is headed by Candidate of Medical Sciences, a urologist of the highest category, Oleksandr Oleksandrovich Buchok, one of the first in Transcarpathia to introduce transurethral surgery and minipercutaneous nephrolithotripsy with a holmium laser for the treatment of patients with kidney stones.

Our specialization is minimally invasive interventions that minimize trauma, shorten hospital stays, and accelerate return to normal life. At the same time, we are ready to perform the full range of classic open surgeries when the clinical situation requires it.

Оперативна урологія - Медичний центр Вітамін
Оперативна урологія - Медичний центр Вітамін

Why patients choose us

Minimally invasive techniques

Endoscopy, laser lithotripsy, laparoscopy. Minimal trauma — quick recovery.

Full cycle on site

CT, MRI, ultrasound, X-ray, laboratory, and consultations with related specialists — without the need to travel between clinics.

Holmium laser

Contact lithotripsy and tumor ablation is the gold standard for treating urolithiasis and urinary tract neoplasms.

Modern hospital

Rooms for 1-2 people, 24-hour supervision, meals, Wi-Fi, staff call button. There are rooms with increased comfort.

Disposable consumables

Combined with modern sterilization techniques, they eliminate the risk of infectious complications.

Experienced surgeon

Over 8,000 operations performed. Expert in the field of minimally invasive endourological interventions.

Diseases with which people contact us

We provide surgical care for a wide range of urological pathologies

Kidneys and upper urinary tract

  • Urolithiasis (kidney and ureteral stones)
  • Kidney cysts
  • Kidney tumors (benign and malignant)
  • Hydronephrosis
  • Nephroptosis (kidney prolapse)
  • Purulent inflammatory processes of the kidneys
  • Ureteral strictures
  • Ureteral tumors
  • Ureterocele

Bladder

  • Bladder stones
  • Tumors (polyps, neoplasms, diverticula) of the bladder
  • Stress urinary incontinence in women
  • Bladder neck stricture

Prostate and urethra

  • Benign prostatic hyperplasia (adenoma)
  • Prostate cancer
  • Acute and chronic inflammatory diseases of the prostate gland
  • Strictures of the urethra

External genitalia

  • Varicocele
  • Hydrocele (dropsy of the testicle membranes)
  • Phimosis, paraphimosis
  • Epididymal cysts
  • Testicular tumors
  • Atheromas, lipomas of the external genitalia

When to see a urologist

Early treatment significantly increases the chances of effective treatment with minimally invasive methods. Pay attention to the following symptoms

Common symptoms (men and women)

  • Pain or burning when urinating
  • Frequent urge to urinate, especially at night
  • Difficult or intermittent urination
  • Blood in the urine
  • Pain in the lower back or side (renal colic)
  • Fever without apparent cause
  • Cloudy urine, unusual odor
  • Enuresis

Separately for men

  • Pain or discomfort in the testicles, scrotum
  • Testicular enlargement
  • Difficulty in urine outflow (thin stream, intermittent)
  • Pain during ejaculation
  • Blood in semen
  • Abnormal urethral discharge
  • Erection problems or premature ejaculation

Surgical techniques we use

Each technique has its own indications. The choice of intervention is determined by the doctor after consultation and diagnosis - according to the principle of minimal trauma and maximum effectiveness.

Transurethral surgery in full

Transurethral surgery is a modern direction in endoscopic urology that allows diagnostic and therapeutic interventions to be performed through the natural urinary tract without external incisions.

Thanks to the use of high-precision endoscopic equipment, the urologist is able to visualize pathological changes and perform surgical treatment with minimal tissue trauma.

The Vitamin Medical Center performs a wide range of transurethral interventions, including:

  • Bi-TURP/TURB (Bipolar Transurethral Resection (TUR) of Prostate/Bladder Tumors, Ureterocele)
  • Optical urethrotomy (for urethral strictures)
  • Endoscopic stenting of the ureters under X-ray guidance (conventional stent and extended stent), percutaneous renal drainage under ultrasound control
  • Laser ablation of ureteral tumor
  • Diagnostic ureterorenoscopy
  • Diagnostic cystoscopy

Modern treatment of urolithiasis

Our operating room is equipped with all modern lithotripsy methods. This allows us to choose the least traumatic approach — transurethral (through the natural urinary tract), percutaneous or laparoscopic — individually for each patient.

We have a full range of endoscopic instruments — rigid and flexible endoscopes. Thanks to this, we can combine accesses and fragmentation methods even in complex clinical situations when the standard approach does not give the expected result — all within the framework of a single operation.

Laparoscopic urology

Laparoscopy is a modern minimally invasive surgical method. Instead of a large incision, the surgeon makes several small punctures through which special instruments are inserted. This allows for a full-fledged operation with minimal trauma.

  • Laparoscopic varicocelectomy
  • Laparoscopic removal of a kidney cyst
  • Laparoscopic resection of a kidney tumor (removal of the tumor while preserving the kidney)
  • Laparoscopic nephroureterectomy (complete removal of the kidney)
  • Laparoscopic radical prostatectomy (prostate cancer)
  • Laparoscopic antevasal plasty of the pyeloureteral segment
  • Laparoscopic ureterolithotomy

Classical and reconstructive urology

  • Circumcision (circumcision)
  • Removal of hydrocele (watery discharge from the testicle)
  • TVT (sling) placement for urinary incontinence in women
  • Removal of atheroma, lipomas, papillomas of the external genitalia

List of operations we perform

Below are the operations performed by our department, the exact cost and optimal technique for your case are determined by the doctor after consultation.

Endourology (transurethral and percutaneous interventions)

  • Contact laser lithotripsy (crushing ureteral and kidney stones)
  • Percutaneous (minipercutaneous) nephrolithotripsy
  • LIRS lithotripsy with flexible scope
  • Contact cystolithotripsy (crushing of bladder stones)
  • Transurethral resection of the prostate (TURP)
  • Transurethral resection of bladder tumor
  • Transurethral biopsy of the bladder wall
  • Optical urethrotomy
  • Laser ablation of ureteral tumor
  • Diagnostic ureterorenoscopy
  • Diagnostic cystoscopy

Laparoscopic surgeries

  • Laparoscopic varicocelectomy
  • Laparoscopic removal of a kidney cyst
  • Laparoscopic resection of a kidney tumor
  • Laparoscopic nephroureterectomy
  • Laparoscopic radical prostatectomy
  • Laparoscopic antevasal plasty of the pyeloureteral segment
  • Laparoscopic ureterolithotomy

Stenting and drainage

  • X-ray-guided renal stenting (conventional stent)
  • X-ray-guided renal stenting (extended stent)
  • Bilateral stenting
  • Stent removal
  • Percutaneous renal drainage under ultrasound control

Classical and reconstructive urology

  • Circumcision (circumcision)
  • Removal of hydrocele (watery discharge from the testicle)
  • TVT placement for urinary incontinence in women
  • Hernioplasty
  • Removal of atheroma, lipoma of the external genitalia

How the treatment goes - from the first visit to discharge

1. Urologist consultation

The doctor listens to complaints, conducts an examination, and studies previous tests. Based on the results, the scope of further diagnostics and a preliminary treatment plan are determined.

2. Diagnostics

Laboratory tests, ultrasound, if necessary - CT, MRI, X-ray, endoscopic examination. All equipment and specialists of related specialties are available at our center.

3. Preoperative preparation

Consultation with an anesthesiologist, and if necessary, a cardiologist, pulmonologist, and other related specialists. The optimal technique and type of anesthesia are selected. The patient receives detailed instructions on preparation.

4. Operation

The intervention is performed according to modern techniques - with maximum use of minimally invasive approaches. The duration depends on the type of operation.

5. Hospitalization and supervision

The patient is in a comfortable ward under the 24-hour supervision of experienced medical staff. (air conditioning, TV, Wi-Fi, three meals a day) The length of stay depends on the type of intervention - from one day.

6. Discharge and control

The doctor gives recommendations on rehabilitation, regimen, and further examinations. If necessary, a repeat visit is scheduled to monitor the condition.

Department specialist

Оперативна урологія - Медичний центр Вітамін

Oleksandr Oleksandrovich Buchok

Candidate of Medical Sciences, urologist of the highest category

Over 8,000 operations performed
Expert in minimally invasive endourological interventions
One of the first in Transcarpathia to introduce transurethral surgery and minipercutaneous nephrolithotripsy with a holmium laser

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    Services of the medical center Vitamin

    Operative urology

    ENT Surgery

    Surgery

    X-ray diagnostics

    Ultrasound diagnostics

    Functional diagnostics

    Magnetic resonance imaging

    Shock wave therapy

    Laser intimate rejuvenation

    Cardiology

    Dermatology

    Gynecology

    Mammology

    Therapy

    Otolaryngology

    Endoscopy

    Aesthetic medicine

    Laser aesthetics

    Urology

    Oncology

    Gastroenterology

    Pulmonology

    Rheumatology