Urology surgery in Iran – types & Procedures 2023

Urology surgery in Iran

Urology is a field of medicine that focuses on diseases of the urinary tract and the male reproductive system. There are many types of urologic surgery in Iran . Here are a few:

1. Cystectomy: This is a surgical procedure that involves the removal of all or part of the urinary bladder. It is typically performed to treat bladder cancer.

2. Prostatectomy: This is the surgical removal of all or part of the prostate gland, typically to treat prostate cancer or benign prostatic hyperplasia (BPH).

3. Ureteroscopy: A type of minimally invasive procedure in which a small scope is inserted through the urethra and bladder to the ureter to diagnose and treat issues such as kidney stones or tumors.

4. Nephrectomy: This involves the removal of a kidney, which can be done for various reasons, such as to treat kidney disease or cancer, or to donate a kidney for transplantation.

5. Vasectomy: A surgical procedure for male sterilization or permanent contraception. During the procedure, the vasa deferentia are cut, tied or otherwise sealed.

6. Transurethral Resection of the Prostate (TURP): This procedure is often used to treat urinary problems due to an enlarged prostate. A special instrument is inserted into the urethra to remove portions of the prostate gland.

7. Pyeloplasty: This is a surgical reconstruction or revision of the renal pelvis to drain and decompress the kidney, often used to correct a blockage or narrowing.

8. Ureteral Reimplantation: A surgery to fix the tubes that connect the kidneys to the bladder when they’re not working correctly, often due to vesicoureteral reflux.

9. Penile Implant Surgery: This is a treatment for erectile dysfunction. A device is implanted in the penis and can be controlled to create an erection.

10. Lithotripsy: A non-invasive treatment for kidney stones and other types of stones. It uses sound waves to break up the stones so they can be passed more easily.

11. Sling Procedures: These are surgeries to help control stress urinary incontinence. A sling is made from a synthetic material or the patient’s own tissue and is used to support the urethra.

It’s important to remember that any surgical procedure carries potential risks and benefits. The choice of surgical procedure will depend on many factors including the nature of the problem, the overall health of the patient, and the judgment of the treating physician. Always consult with a The best urology surgeon in Iran for appropriate diagnosis and treatment.

What are the common 5 Urology surgery in Iran?

• Vasectomy
• Prostatectomy
• Nephrectomy
• Ureteroscopy
• Circumcision

Vasectomy procedure in Iran

A vasectomy is a surgical procedure performed on males as a form of permanent contraception. The purpose of a vasectomy is to block or cut the vas deferens, which are the tubes that carry sperm from the testicles to the urethra.

Here is a general overview of the vasectomy procedure:

1. Preparing for the procedure: Before undergoing a vasectomy, you will have a consultation with a urologist or a healthcare provider who specializes in the procedure. They will discuss the procedure with you, explain the risks and benefits, and answer any questions you may have. You may be asked to stop taking certain medications, such as blood thinners, prior to the procedure.

2. Anesthesia: On the day of the procedure, local anesthesia will be administered to numb the area. In some cases, a mild sedative may also be given to help you relax.

3. Accessing the vas deferens: The urologist will make one or two small incisions in the scrotum to access the vas deferens. These incisions are typically less than half an inch long.

4. Cutting or blocking the vas deferens: The urologist will locate the vas deferens on each side of the scrotum and either cut a small section out of it or block it using different methods. There are various techniques used for this, including cutting and sealing the ends, using clips or clamps, or cauterization.

5. Closing the incisions: Once the vas deferens has been cut or blocked on both sides, the urologist will close the incisions with stitches or small surgical adhesive strips.

6. Recovery: After the procedure, you will be monitored for a short period to ensure there are no immediate complications. You may experience some discomfort, swelling, or bruising in the scrotal area, which can usually be managed with over-the-counter pain relievers and ice packs. It is important to follow your healthcare provider’s instructions regarding post-operative care, including any restrictions on physical activity, sexual activity, or bathing.

7. Follow-up: You will typically have a follow-up appointment with your healthcare provider a few weeks after the procedure to ensure that the vasectomy was successful. During this appointment, a semen sample will be analyzed to confirm the absence of sperm.

It’s important to note that a vasectomy is considered a permanent form of contraception, and while it is possible to reverse the procedure through a vasectomy reversal, the success of reversal varies and is not guaranteed.

As with any surgical procedure, there are risks involved, including infection, bleeding, and chronic testicular pain. It’s essential to discuss the potential risks and benefits with your healthcare provider before deciding on a vasectomy.

Prostatectomy procedure in Iran

A prostatectomy is a surgical procedure performed to remove all or part of the prostate gland. This procedure is most commonly done to treat prostate cancer, but it can also be performed for other conditions such as benign prostatic hyperplasia (BPH) or in cases where the prostate is causing urinary problems.

There are different types of prostatectomy procedures, and the specific approach used depends on various factors, including the size of the prostate, the presence of cancer, and the surgeon’s preference. Here are some common approaches to prostatectomy:

1. Open Prostatectomy: In an open prostatectomy, a large incision is made in the lower abdomen or in the perineum (the area between the scrotum and the anus). The surgeon accesses the prostate gland through this incision and removes all or part of it. Open prostatectomy is typically performed under general anesthesia.

2. Laparoscopic Prostatectomy: Laparoscopic prostatectomy is a minimally invasive procedure that is performed using several small incisions in the abdomen. A laparoscope (a thin, lighted tube with a camera) and surgical instruments are inserted through these incisions. The surgeon views the surgical area on a monitor and removes the prostate gland using specialized instruments. Laparoscopic prostatectomy can be performed either with or without the assistance of a robotic system.

3. Robotic-Assisted Laparoscopic Prostatectomy: This is a variation of laparoscopic prostatectomy where a surgeon uses a robotic system to control the surgical instruments. The robotic system provides enhanced precision and dexterity, allowing for more precise removal of the prostate gland. The surgeon sits at a console and operates the robotic arms, which mimic their hand movements. The procedure is performed using several small incisions in the abdomen.

4. Transurethral Resection of the Prostate (TURP): TURP is a procedure used primarily for the treatment of benign prostatic hyperplasia (BPH). It is a minimally invasive procedure where a resectoscope (a thin tube with a light and cutting instrument) is inserted through the urethra to remove excess prostate tissue. This procedure does not involve making incisions in the abdomen.

After the prostatectomy procedure, a patient will typically stay in the hospital for a few days for monitoring and recovery. The specific recovery period will depend on the individual and the type of procedure performed. Some common aspects of recovery may include managing pain or discomfort, using a urinary catheter temporarily, and gradually resuming normal activities under the guidance of the healthcare team.

It’s important to note that each case is unique, and the specific details of a prostatectomy procedure can vary depending on the patient’s condition, the surgeon’s approach, and other factors. It is recommended to consult with a healthcare professional or urologist for personalized information and guidance regarding prostatectomy.

Nephrectomy procedure in Iran

A nephrectomy is a surgical procedure performed to remove either a part of or the entire kidney. This procedure is usually done to treat kidney disease or conditions such as kidney cancer, severe kidney infections, kidney stones, or to donate a kidney for transplantation. There are different types of nephrectomy procedures, and the specific approach used depends on the reason for the surgery and the patient’s condition. Here are the main types:

1. Radical Nephrectomy: This procedure involves the complete removal of the affected kidney, including the surrounding fatty tissue, lymph nodes, and sometimes the adrenal gland. It is the standard treatment for kidney cancer. Radical nephrectomy can be performed using an open approach or a minimally invasive approach.

– Open Radical Nephrectomy: In an open radical nephrectomy, a large incision is made in the abdomen or the flank area to access the kidney. The surgeon then removes the kidney and associated structures.

– Laparoscopic or Robotic-Assisted Radical Nephrectomy: These minimally invasive approaches involve making several small incisions in the abdomen. A laparoscope or robotic system is used to visualize the surgical area and remove the kidney. The surgeon controls the instruments from a console, and the procedure is performed with the assistance of specialized robotic equipment.

2. Partial Nephrectomy: Also known as a nephron-sparing or kidney-sparing surgery, a partial nephrectomy involves removing only the diseased or affected part of the kidney while preserving the healthy portion. This procedure is typically performed when the patient has a small kidney tumor or when preserving kidney function is a priority.

– Open Partial Nephrectomy: In an open partial nephrectomy, a larger incision is made in the abdomen or the flank to access the kidney. The surgeon removes the tumor or affected portion of the kidney while sparing the healthy tissue.

– Laparoscopic or Robotic-Assisted Partial Nephrectomy: These minimally invasive approaches involve making several small incisions in the abdomen. The surgeon uses specialized instruments and a laparoscope or robotic system to remove the tumor while preserving the healthy kidney tissue.

3. Donor Nephrectomy: This procedure is performed when a person chooses to donate a kidney for transplantation. The surgeon removes one kidney from the donor, leaving the remaining healthy kidney to perform normal kidney function. Donor nephrectomies can be performed using either an open or minimally invasive approach.

The specific details and techniques used during a nephrectomy procedure can vary depending on the patient’s condition, the surgeon’s expertise, and the chosen approach. Recovery after a nephrectomy typically involves a hospital stay and careful monitoring of kidney function. The healthcare team will provide post-operative instructions, including pain management, wound care, and guidance on resuming normal activities.

It’s important to consult with a healthcare professional or urologist to discuss the specific details of a nephrectomy procedure, as well as the potential risks, benefits, and post-operative care.

Ureteroscopy procedure in Iran

Ureteroscopy is a minimally invasive surgical procedure used to diagnose and treat conditions affecting the ureter and the kidneys. It involves the use of a thin, flexible tube called a ureteroscope, which is inserted through the urethra and guided up into the ureter and sometimes the kidneys. Ureteroscopy is commonly performed to remove kidney stones, but it can also be used to diagnose and treat other conditions such as ureteral strictures, tumors, or to place a stent to improve urinary flow.

Here is a general overview of the ureteroscopy procedure:

1. Preparation: Before the procedure, you may be asked to provide a urine sample for testing and to fast for a few hours. You may also be given antibiotics to prevent infection.

2. Anesthesia: Ureteroscopy can be performed under general anesthesia, where you will be asleep, or under local or regional anesthesia, where you will be awake but numbed in the surgical area. The choice of anesthesia depends on the specific circumstances and your preferences.

3. Insertion of the ureteroscope: The surgeon will insert a lubricated ureteroscope through the urethra and into the bladder. The ureteroscope is then gently advanced up through the ureter and into the kidney, if necessary. The ureteroscope is equipped with a light source and a camera that allows the surgeon to visualize the urinary tract on a monitor.

4. Diagnosis or treatment: Once the ureteroscope is in place, the surgeon can perform various procedures depending on the reason for the ureteroscopy:

– Stone removal: If the purpose of the ureteroscopy is to remove kidney stones, the surgeon may use specialized instruments to break up the stones or extract them using a basket-like device.

– Biopsy or tissue sampling: If there are suspicious areas or tumors, the surgeon may take small tissue samples (biopsy) for further examination.

– Stent placement: In cases of ureteral obstruction or strictures, a stent may be placed to help maintain or restore the flow of urine.

5. Completion of the procedure: Once the necessary procedures are performed, the ureteroscope is slowly withdrawn, and the procedure is complete. If a stent was placed, it may be left in temporarily or removed during the same procedure.

6. Recovery: After the ureteroscopy, you will be monitored for a short period to ensure there are no immediate complications. You may experience some mild discomfort or pain, and your healthcare provider may prescribe pain medication or recommend over-the-counter pain relievers. It is important to follow any post-operative instructions provided, including drinking plenty of fluids to help flush out any remaining stone fragments.

The specifics of the ureteroscopy procedure may vary depending on factors such as the location and size of the stones or other conditions being treated, as well as the surgeon’s approach and preference. It’s important to discuss the procedure with your healthcare provider or urologist in order to get personalized information and guidance based on your specific situation.

Circumcision procedure in Iran

Circumcision is a surgical procedure in which the foreskin, the fold of skin covering the tip of the penis, is removed. It is a common procedure performed for cultural, religious, or medical reasons. Here is a general overview of the circumcision procedure:

1. Preparation: Before the procedure, the patient may be given local anesthesia to numb the area or, in some cases, general anesthesia to induce sleep. The patient is typically positioned on an examination table or surgical bed.

2. Cleaning and sterilization: The surgical area, including the penis and surrounding skin, is cleaned and sterilized to reduce the risk of infection.

3. Prepping the penis: The foreskin is gently retracted to expose the glans (head) of the penis. The surgeon may use a clamp or specialized instrument to hold the foreskin in place during the procedure.

4. Removal of the foreskin: The surgeon carefully removes the foreskin using a scalpel or surgical scissors. The method used may vary depending on the surgeon’s preference and the age of the patient. The incision is typically made just below the glans, and the foreskin is removed from the base of the penis.

5. Hemostasis and wound closure: After the foreskin is removed, the surgeon may use gentle pressure or a cautery device to control any bleeding. Depending on the technique used, the surgeon may also use dissolvable stitches or medical adhesive to close the incision. In some cases, the incision may be left open to allow for natural healing.

6. Post-operative care: Once the procedure is complete, the penis is dressed with a sterile gauze dressing or an ointment to promote healing. The patient may be given instructions on how to care for the wound, including keeping the area clean and dry and avoiding strenuous activities for a certain period.

The recovery time for circumcision varies depending on individual factors such as age, overall health, and the extent of the procedure. In infants, healing typically takes about one to two weeks. In older children and adults, it may take a few weeks for complete healing.

It’s important to note that circumcision is an elective procedure and should be discussed with a healthcare professional or a urologist. They will provide personalized information and guidance based on the individual’s circumstances and preferences.