Urology is defined as the branch of medicine that focuses on the surgical and medical diseases of the male and female urinary tract system.

The treatments that can be carried out at the San Rossore Medical Center are the following

Outpatient services

  • Urological examination
  • Urinary system ultrasound
  • Transrectal ultrasound (TRUS)
  • Scrotum colour doppler ultrasound
  • Penile and penile dynamic color doppler echography
  • Rigiscan evaluation
  • Day hospital for urological check-up

Andrological surgery

  • Laser vaporization for benign prostatic hyperplasia
  • Radical prostatectomy
  • Tumorectomy and  nephrectomy
  • Ureterorenoscopy and ureterolithotripsy (URS ULT)
  • Radical cystoscopy
  • Bladder reconstruction
  • TURB
  • Hypospadias and Epispadias treatment
  • Penile prosthesis implant
  • Reconstructive penile surgery
  • Testicular prosthesis implant
  • Testicular cancer surgery
  • Penile cancer surgery
  • Varicocele with microsuregry techniques or embolization
  • Circumcisium and frenuloplasty

Urological Surgery

Urological Surgery refers to traditional and endoscopic surgery and partially to genital surgery. Beside traditional urological surgery and endoscopy, the San Rossore Medical Center is specialized in urogenital reconstructive surgery. Urogenital reconstructive surgery is actually a very specialized branch that is becoming increasingly important in the international surgical framework.

Many pathologies require urogenital surgical intervention, such as:

  • Neoplastic pathology of genitals, usually treated with demolitive surgery.
  • Penile cancer, that was most frequently managed by penile amputation, with severe psychological and functional consequences, especially in young patients. Thanks to modern urogenital reconstructive and plastic surgery techniques it is now possible to reconstruct portions amputated with great aesthetic and functional results. Thanks to the surgical treatment of erectile dysfunction it is also possible to adopt tri-components hydraulic penile prosthesis implant that allows for normal sexual activity.
  • Peyronie’s disease (also known as induratio penis plastica, IPP).
  • Genital traumatology.
  • Congenital male pathologies, such as penile curvature and hypospadias.
  • Male incontinence; after being treated for a prostate cancer with a prostatectomy, some patients can be affected by urinary incontinence: thanks to some modern perineal surgical techniques the implantation of urethral suspensions is possible, thus allowing the re-establishment of continence.
  • Female urinary incontinence: some transvaginal minimally invasive techniques allow the re-establishment of continence.
  • Female vesical prolapse: thanks to surgical vaginal techniques it is possible to place prolene mesh that helps restore female aesthetic and functional integrity.
  • Pathologic pelvis trauma or urethral infections, that may often account for stenosis of anterior and posterior urethra. Using buccal mucosa or skin grafts, urethral reconstructive surgery allows the reconstruction of urethral stenosis.

Bladder cancer

For the diagnostic stage of bladder cancer, the San Rossore Healthcare Facility is equipped with a state of the art urethrocytoscope with special NBI light filters, which can detect the presence of flat, microscopic bladder tumours and in situ carcinomas. These would not otherwise be visible in the white light of standard cystoscopes. In the therapeutic phase of endoscopic resection of bladder neoformations, bipolar electroresectors are used. These reduce perioperative bleeding by 80%. If the bladder has to be removed, ie radical cystectomy with regional and extended loco lymphadenectomy, this presents the problem of how to divert the urine outside the human body. Our primary goal is to avoid altering the body structure of patients. We therefore always try to avoid the placement of external bags for urinary diversion.

In essence, the removed bladder is reconstructed using intestinal segments, resulting in a so-called orthotopic or heterotopic neobladder. Patients cannot have external urinary pouches without the disadvantages involved, such as detachment at inconvenient times, lifelong management, the need for repeated changes and the feeling of not recovering from the original illness. Bladder reconstruction is feasible in both sexes.

With regard to prostate cancer, the healthcare facility performs all useful investigations in a single day, providing a diagnosis that will confirm or rule out a tumour. Blood tests such as PSA are carried out along with a urological examination, trans-rectal ultrasound, multiparametric prostatic magnetic resonance and, if necessary, prostate biopsy sampling. The multiparametric prostate magnetic resonance equipment is the top of the existing range. It does not use an endorectal coil but rather an external antenna which, according to the literature, is more reliable and precise.

The prostate biopsy is performed using the new method of targeted biopsy with the fusion technique, and not merely with the so-called random technique, now outdated.

With regard to the treatment for prostate cancer, all existing procedures are available at the Healthcare Facility: laparoscopy, radiotherapy and oncology.

Both the surgical and laparoscopic solutions are available for renal tumours. There are more and more cases of interventions limited to saving the kidney by removing only the part containing the tumour. Considering the early diagnosis of moderately sized tumours or urinary stones afflicting young people in full-time work and employment, patients do not have time to waste.

The San Rossore Healthcare Facility can deal with urinary stones in 48 hours using therapeutic devices such as shock waves, endoscopic lithotripsy, in the bladder, ureter and kidneys (RIRS). For the treatment of complex urinary stones only, so-called molds, hospitalisation for 3-5 days may be necessary. Other common pathologies are pelvic static disease in women and urinary incontinence in women and men.

We have the best diagnostic and treatment procedures. The andrology sector is concerned with the diagnostic and therapeutic procedures relating to the correction of penile curvature and implantation of penile prostheses, also described by other specialists.

Our Specialists