The Clinic of Urology at the University Hospital St. Marina – Pleven is one of the leading urological structures in the country. It was established as a center for the application of good medical practices in urology, providing quality and effective hospital care through modern diagnostics, highly effective and safe methods of treatment. It is a national leader in undergraduate, postgraduate, and continuing education in urology.
The urology team at University Hospital St. Marina – Pleven performs robot-assisted surgeries to treat all benign and malignant diseases of the urinary and male reproductive systems, including prostate removal, resection of renal tumors, radical kidney removal, radical bladder removal and dissection of metastatic retroperitoneal lymph nodes.
The clinic's experts collaborate with other specialty fields such as internal medicine, pediatrics, gynecology, geriatrics, and oncology, confirming the delivery of comprehensive care for the patient's needs.
The clinic is equipped with optimal innovative equipment and qualified staff for diagnostic clarification of urological diseases and their treatment on time.
The Urology Department at the University Hospital St. Marina – Pleven offers a wide range of services:
I. Diagnostic methods:
- Transabdominal ultrasonography of the urinary system;
- Transrectal ultrasonography of the prostate, bladder, and seminal vesicles;
- Ultrasonographic examination of the testis and epididymis;
- Percutaneous nephrostomy;
- Transperineal biopsy of the prostate under combined ultrasound and multiparametric MRI control (fusion prostate biopsy) for more precise diagnosis;
- Overview radiography of the urinary system;
- Retrograde urethro-cystography;
- Retrograde ureteropyelography;
- Computed tomography of the urinary system;
- Multiparametric magnetic resonance imaging of the pelvis for precise diagnosis of prostate cancer.
II. Andrology:
- Resection of testicular veins in varicocele;
- Excision of hydrocele;
- Exploration of the testis;
- Orchiectomy;
- Orchiopexy;
- Circumcision;
- Frenulotomy.
III. Endourological methods:
- Ureterorenoscopy with holmium laser lithotripsy for stones in all parts of the urinary tract and the collecting system of the kidney;
- Ureterorenoscopy for biopsy of formations originating from the ureter or renal pelvis;
- Percutaneous nephrolithotripsy and mini percutaneous nephrolithotripsy for larger volume stones located in the kidney calyces;
- Endopyelotomy for strictures of the pyeloureteral segment;
- Ureteral intubation with DJ stent;
- Holmium laser enucleation of the prostate for benign prostatic hyperplasi
- Optical internal urethrotomy for strictures of the urethra;
- Electroresection for sclerosis or high elevation of the bladder neck;
- Transurethral resection for tumors of the bladder.
IV. Laparoscopic methods:
- Laparoscopic nephrectomy;
- Laparoscopic nephroureterectomy;
- Laparoscopic pyeloplasty;
- Laparoscopic resection of a renal cyst;
- Laparoscopic partial ureterectomy;
- Laparoscopic ureteroneocystostomy;
- Laparoscopic radical prostatectomy;
- Laparoscopic adenomectomy;
- Laparoscopic orchiopexy for abdominal cryptorchidism.
V. Robot-assisted surgical interventions:
- Robot-assisted radical prostatectomy;
- Robot-assisted nephrectomy;
- Robot-assisted partial nephrectomy;
- Robot-assisted nephroureterectomy;
- Robot-assisted pyeloplasty;
- Robot-assisted resection of a renal cyst;
- Robot-assisted partial ureterectomy;
- Robot-assisted ureteroneocystostomy;
- Robot-assisted resection of diverticula of the bladder;
- Robot-assisted radical cystectomy with urinary diversion through ureterocutaneostomy or intracorporeal urinary diversion, or through orthotopic neobladder construction.
