Urology Department

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Head of the department - Vyacheslav Viktorovich Simonov, urologist of the highest qualification category, chief freelance specialist - expert in urology of the Ministry of Health of the Republic of Moldova.

The urological department was founded in 1954 on the basis of the Mordovian Republican Clinical Hospital.

Currently, the urology department is located on the sixth floor of the nine-storey surgical building of the GBUZ RM «MRCCB » and is deployed for 60 beds.

Staff of the department:

• Doctors - 5 people;
• Nurses - 13 people;
• Junior medical staff - 11 people.

Urology department staff

The main directions in the provision of medical care:

• Treatment of urolithiasis (conservative and operative)
• Treatment of benign prostatic hyperplasia (conservative and operative)
• Diagnosis and surgical treatment of oncourological diseases
• Diagnosis and surgical treatment of adrenal tumors
• Treatment of urethral strictures

In the department, the following types of studies are assigned and conducted on the basis of diagnostic departments of the GBUZ RM "MRCB":

• clinical analysis of blood and urine;
• immunological studies;
• biochemical research;
• markers of oncological diseases
• chest X-ray examinations, overview and excretory urography, antegrade and retrograde pyelography, polypositional cystography, urethrography, fistulography.
• computed tomography;
• magnetic resonance imaging;
• endoscopic examinations;
• Ultrasonography of the genitourinary system

All operations to citizens of the Republic of Mordovia and citizens of Russia are carried out at the expense of the republican budget and the compulsory medical insurance.

The department performs high–tech medical interventions for patients with bladder cancer - cystectomy with the formation of an artificial bladder, and for patients with progressively growing kidney cysts -laparoscopic excision of cysts.

Kidney diseases:

Plastic surgeries are performed to correct congenital and acquired kidney defects, renal pelvis (horseshoe kidney, hydronephrosis, presence of additional kidney vessels).

• Surgical treatment for secondary-shrunken kidney, nephroptosis.
• Kidney resection (organ-preserving surgery)
• Treatment of simple kidney cysts by endoscopic method.

Diseases of the ureter:

• Endoscopic methods of diagnosis (ureteroscopy) and treatment of ureteral pathology.
• Plastic surgery to replace the ureters, with stricture or other lesions.
• Ureteral stenting.

Urolithiasis:

Both open and endoscopic operations are performed for urolithiasis (laser and pneumatic ureterolithotripsy with ureterolithoextraction). Remote (non-contact) crushing of kidney and ureter stones (DUVLT).

The hospital has a department of remote shock wave lithotripsy equipped with a lithotripter. The procedure does not require anesthesia and allows crushing of stones of any level.

These methods of treatment make it possible to avoid open traumatic interventions and significantly reduce the time of hospitalization

Treatment of bladder diseases:

• Transurethral biopsy of the bladder.
• Transurethral resection (TUR) of the neck of the bladder for its sclerosis.
• Endoscopic treatment of ureterocele.
• Laser and mechanical cystolithotripsy - for bladder stones.

Prostate diseases:

• In diseases of the prostate gland (prostate) - with benign hyperplasia (adenoma) or prostate sclerosis - transurethral resection of the prostate (TUR, biTUR) is performed.
• Transubesical adenomectomy is performed in benign prostatic hyperplasia (BPH).
• A multifocal biopsy of the gland is performed if a malignant tumor is suspected.

DISEASES OF THE URETHRA:

• Operations for strictures (constrictions, obliteration): endoscopic and open.

LAPAROSCOPIC OPERATIONS:

• Laparoscopic surgery for varicocele
• Laparoscopic surgery for kidney cysts

DISEASES OF THE MALE GENITAL ORGANS:

• Testicular biopsy.
• Surgical treatment of varicocele (including endoscopic method).
• Endocavernous falloprosthetics for erectile dysfunction (impotence).
• All operations on the organs of the scrotum: with non-omission of the testicles, dropsy, cysts, inflammation, etc.

ONCOUROLOGY. KIDNEY TUMORS:

Advanced combined operations for kidney cancer.

Organ-preserving operations of malignant and benign kidney tumors (resection).

Operations for tumors of the single kidney and bilateral localization of the tumor.

Operations for adrenal tumors (the only department in the RM)

ONCOUROLOGY. BLADDER TUMORS:

With small tumors of the bladder, transurethral resection (TUR) of the bladder is performed. This operation is endoscopic, with it the bladder is preserved.

If the stage of cancer of the bladder requires its removal, radical operations are performed, with the formation of an artificial bladder, in all variants known in modern medicine, with the possible preservation of independent urination.

ONCOUROLOGY. PROSTATE TUMORS:

Radical prostatectomy (urethro-nerve-sparing) for prostate cancer.

ONCOUROLOGY. TUMORS OF THE GENITALS:

Operations for tumors of the testicles, penis with expanded lymphadenectomy.

Hospitalization of patients is carried out:

• In an emergency:

Every Monday and Thursday of the month around the clock through the hospital's reception department

• As planned:

On other days of the week, except Saturdays and Sundays, from 8:00 to 15:00 through the consultative polyclinic of the State Medical Institution of the Republic of Moldova « MRCCB» office 207.