Department of Urology and Andrology - Memorial Sisli Hospital Istanbul

About the Department of Urology and Andrology at Memorial Sisli Hospital Istanbul

The Department of Urology and Andrology at the Memorial Sisli Hospital Istanbul offers comprehensive diagnostics and effective treatment of the full spectrum of diseases of the genital organs in men, as well as the urinary system in men and women. Andrology specialists deal with the treatment of male infertility, erectile dysfunction, ejaculation disorders, age-related changes in men, etc. One of the key focuses of the department's work is the treatment of oncological diseases of the genitourinary system in men. The department is headed by Prof. Dr. med. Murat Binbay.

The department's medical team is distinguished by exceptional professionalism in their area of ​​expertise and regularly demonstrates excellent treatment success rates. The doctors work on advanced medical equipment that allows them to detect the slightest pathological changes and effectively carry out surgical treatment using endoscopic, laparoscopic and robotic techniques, which guarantee quick postoperative recovery and minimal risks of complications after the intervention.

The specialists of the department consider the accurate diagnostics as the key to successful treatment. This is especially true of oncological diseases, in which the attending physician needs to have reliable information about the type of tumor, its location and size, stage of the process, etc. It is these factors that determine exactly what the upcoming treatment will be. The most common cancer in urology is prostate cancer. The patients with suspicion of this diagnosis undergo a PSA test, which, if necessary, can be supplemented with fusion biopsy with simultaneous reproduction of MRI and ultrasound scans. It is these studies that are optimal for accurate confirmation or exclusion of a malignant process in the prostate gland. The prostate cancer treatment is based on prostatectomy – an operation to totally or partially remove the prostate gland. In addition to surgery, the department's doctors often include chemotherapy or radiation therapy in the treatment protocol. The department also provides innovative therapy using HIFU (high-intensity focused ultrasound) technology. This type of treatment is available only in modern medical facilities in developed countries. The essence of the method is that ultrasound waves are precisely focused on the tumor. Under the influence of ultrasound waves, the tumor is heated to high temperatures and as a result it is destroyed. It is noteworthy that the technology eliminates damage to the adjacent healthy tissues. The exceptional accuracy (up to 1 mm) when affecting the tumor is achieved through the use of an MR tomograph. It should be noted that the HIFU method is also effectively practiced as a palliative therapy in patients with bone metastases.

The specialists of the department often admit men with andrological problems for treatment. One of the most common among them is male infertility. The main method for diagnosing infertility in men is a spermogram – a qualitative and quantitative assessment of sperm. When confirming the diagnosis of infertility, the attending physician begins to search for the cause of the development of this pathological condition. It is the exact definition of the infertility factor or factors that will allow a man to undergo an effective course of treatment and have children in the future. Infertility in men can develop due to hormonal disorders, varicocele, undescended testes, infectious processes, etc. The doctors of the department successfully treat infertility even in the most difficult clinical cases and give their patients the joy of fatherhood. In addition, the andrologists often provide medical care to men with erectile dysfunction and ejaculation disorders.

The department's main clinical focuses include:

• Diagnostics and treatment of oncological diseases of the urological spectrum
  • Prostate cancer
  • Testicular cancer
  • Penile cancer
  • Kidney cancer
  • Bladder cancer
• Diagnostics and treatment of benign prostatic hyperplasia
• Diagnostics and treatment of inflammatory diseases of the urinary system
• Diagnostics and treatment of kidney stone disease
• Diagnostics and treatment of prostatitis
• Diagnostics and treatment of urinary incontinence
• Diagnostics and treatment of andrologic disorders in men
  • Male infertility
  • Erectile dysfunction
  • Ejaculation disorders
  • Structural deformities of the penis
  • Decreased libido
  • Venereal diseases
  • Age-related changes affecting men's health
• Diagnostics and treatment of other urologic pathologies

The therapeutic options of the department include:

• Conservative treatment
  • Drug therapy
  • Chemotherapy, radiation therapy and HIFU therapy for cancer of the genitourinary system in men
  • Extracorporeal shock wave lithotripsy for kidney stone disease
• Surgical treatment
  • Endoscopic interventions
  • Laparoscopic interventions
  • Robot-assisted surgery
  • Reconstructive plastic surgery for urethral trauma
• Other treatments