Ambulance
We have several urological outpatient clinics, which can be found in AKESO POLIKLINICE in Prague, in the Rehabilitation Hospital Beroun and three outpatient clinics in the Hořovice Hospital. All of them have a wide range of modern diagnostic and therapeutic equipment.
The outpatient clinics provide a comprehensive spectrum of urological care from basic physical examination methodologies to complete instrumental and functional examinations.
They have high quality sonographic equipment which is used for non-invasive examination of the urinary tract, at the same time used for prostate biopsy including fusion biopsy using magnetic resonance imaging and also for functional examination of the urinary tract.
We also offer the possibility of a comprehensive urodynamic examination to evaluate functional disorders of the lower urinary tract.
The outpatient clinics have the latest type of videocystoscope. This device can be used to diagnose diseases of the urethra and bladder (collectively, the lower urinary tract) in great detail and, above all, gently.
In cooperation with the laboratory, a wide range of laboratory values can be collected, including the most advanced cancer markers (PSA, fPSA, PHI, etc..) and hormones.
We collaborate with the radiology department (CT, MRI, X-ray) in making diagnoses.
Urology outpatient services are provided every weekday by doctors of the urology department of the Hořovice Hospital and also in the Rehabilitation Hospital Beroun and in AKESO POLIKLINIVKA in Prague, where there is also a paediatric urology outpatient clinic.
The most common outpatient procedures:
- Prostate biopsy, including MRI Prostate fusion biopsy
- Urodynamic examination and uroflowmetry
- Flexible cystoscopy
- Ultrasonographic examination
Inpatient care
The urology operating theatre performs a comprehensive range of endourological procedures (surgery via the urinary tract without the need for an incision - so-called endoscopy) with a super-specialisation in the management of lithiasis (stones in the urinary tract). We have a holmium laser and a Shockpulse device which we use to crush urinary concrements (stones) to address this issue. We also use the latest imaging technology for endourological procedures as well as 3D laparoscopic procedures. Bipolar technique is used for bladder tumor removal and prostate surgery, which is more patient-friendly and improves the postoperative course. At the same time, the HoLEP laser enucleation technique for benign prostatic hyperplasia (for non-cancerous prostate enlargement) is being prepared for use. Here, patients who require conventional open procedures on the genitalia, prostate or kidneys are treated. Last but not least, we deal with the problem of incontinence in the form of sling operations (operations using so-called tapes). The surgery is therefore directed towards minimally invasive, endourological operations and also maximally lifesaving operations on the kidneys. On the side of major oncological procedures on the prostate and bladder, we cooperate with urological centres that have the Da Vinci robotic system. Most of all with the Urology Clinic of Motol University Hospital.
Spectrum of procedures:
- endourology - cystoscopy, uretero and renoscopy including flexible, transurethral resection of the prostate (TURP), transurethral resection of urinary tumour. bladder (TURT), ureteral stent insertion, botox injection into the wall of the urinary tract, ureteral stent insertion, botox injection into the wall of the urinary tract (TURT). bladder,
- procedures on the external genitalia - circumscision, hydrocele and spermatocele surgery, orchiectomy, frenuloplasty
- procedures on the urethra - optical urethrotomy, meatoplasty, urethroplasty,
- nephrectomy including laparoscopic, renal resection, puncture epicystostomy, puncture nephrostomy, percutaneous extraction of concrement (PEK),
- condylomata abrasion, caruncle excision, cystolithotripsy, laparoscopic kidney cyst ablation, transvesical prostatectomy (TVPE)
- Paid urological procedures - Vasectomy: 16 000 CZK
