Urology
Tbilisi
Urology care in Tbilisi is available at 2 hospitals in the Voumed network, with 2 related treatments.
Urology is the surgical and medical specialty that cares for the urinary system in both men and women and for the male reproductive system. Despite a common impression that it is only men's health, it treats everyone, from a child with a congenital problem to an older adult with prostate disease, and a great deal of its work, such as kidney stones, urinary infections and incontinence, applies equally to women. It spans the kidneys, ureters, bladder and urethra, and in men the prostate, testes and penis, and although urologists operate, they also treat with medication and lifestyle change. Patients often travel abroad for urology because so much of it is now done with minimally invasive, endoscopic and robotic techniques that offer precise treatment, smaller incisions and faster recovery, delivered by experienced teams with advanced technology.
At a glance
- Sub-specialties
- endourology and stone disease, uro-oncology, andrology and male fertility, female and functional urology, robotic and laparoscopic urology, paediatric urology
- Common procedures
- kidney stone removal by endoscopy or shock waves, prostate surgery, bladder and kidney cancer surgery, robotic prostatectomy, treatment of incontinence, varicocele repair
- Common reasons to travel
- experienced surgical teams, advanced endoscopic and robotic technology, shorter waiting times for planned treatment
- Typical hospital stay
- day case or one night for many stone and endoscopic procedures, a few nights after major cancer or reconstructive surgery
- Anaesthesia
- local, spinal or general, chosen according to the procedure and the patient
- Typical first step
- a consultation with urine and blood tests and an ultrasound, with further imaging or endoscopy if needed
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Procedures
Technologies and equipment
Prostate Fusion Biopsy (3D Imaging and Navigation)
Prostate fusion biopsy is an advanced way of taking tissue samples from the prostate to diagnose prostate cancer accurately. It blends two types of imaging, a detailed MRI scan taken in advance and live ultrasound during the procedure, into a single three-dimensional picture. This "fusion" lets the doctor see exactly where any suspicious areas lie and guide the biopsy needle straight to them, rather than sampling the gland at random. The result is a more precise, targeted biopsy that improves the detection of cancers that genuinely need treatment, while helping to avoid unnecessary findings.
ESWL (Shock Wave Lithotripsy)
ESWL (Extracorporeal Shock Wave Lithotripsy) is a non-surgical way to break up stones in the urinary system, such as kidney and ureter stones, without any incision. High-energy shock waves are generated outside the body and focused precisely onto the stone, shattering it into small fragments that can then pass naturally with the urine. Because nothing is inserted into the body and no cut is made, ESWL is one of the gentlest stone treatments available. It is typically a same-day procedure, after which most people return home and pass the broken fragments over the following days.
Da Vinci Robotic Surgery
The da Vinci robotic surgical system lets a surgeon perform complex operations through a few small keyhole incisions instead of one large cut. Sitting at a nearby console, the surgeon controls tiny wristed instruments and a magnified high-definition three-dimensional camera, while the robotic arms translate every hand movement into precise, steady motion inside the body. The system never acts on its own: the surgeon is in full control at all times. For patients, this minimally invasive approach often means less pain, smaller scars, less blood loss and a quicker return to normal life.
HoLEP (Holmium Laser Enucleation of the Prostate)
HoLEP (Holmium Laser Enucleation of the Prostate) is a minimally invasive laser treatment for an enlarged prostate, a very common condition in older men that can make passing urine difficult. Benign prostatic enlargement narrows the channel through which urine flows, causing symptoms such as a weak stream, frequent urination and getting up at night. HoLEP uses a holmium laser passed through the urethra, with no external cut, to separate the overgrown inner prostate tissue from its outer shell and remove it completely. By taking out the whole obstructing tissue, it offers durable relief and works well even for very large prostates.
Rezum (Water Vapor Therapy)
Rezum is a minimally invasive treatment for an enlarged prostate that uses the natural energy stored in water vapour, or steam, to gently shrink the overgrown tissue. Benign prostatic enlargement is a common condition in older men, where the prostate grows and presses on the urinary channel, causing symptoms such as a weak stream, frequent urination and getting up at night. Rezum delivers small, precise bursts of steam directly into the enlarged tissue through the urethra, with no cutting. Over the following weeks the treated tissue is naturally reabsorbed, the channel opens up, and urinary symptoms improve.
Optilume (Drug-Coated Balloon)
Optilume is a minimally invasive treatment for urethral stricture, a narrowing of the urethra, the tube that carries urine out of the body. A stricture, usually caused by scar tissue, can make passing urine difficult and tends to come back after simple stretching procedures. Optilume combines two actions in one device: a balloon that gently widens the narrowed segment, and a medicine coating that is released into the wall of the urethra to discourage new scar tissue from forming. By tackling both the narrowing and the cause of recurrence, it aims to give longer-lasting relief than older methods, all through a single, no-incision procedure.
Thulium Laser (ThuLEP)
Thulium laser is a modern surgical laser used mainly to treat an enlarged prostate, a common cause of urinary difficulty in older men. Its best-known use is the ThuLEP technique (Thulium Laser Enucleation of the Prostate), in which the overgrown inner prostate tissue is removed through the urethra with no external cut. A defining feature of the thulium laser is that it penetrates tissue only very shallowly, which allows extremely precise cutting and excellent sealing of small blood vessels as it works. The result is a minimally invasive treatment with little bleeding, a short recovery and durable relief of urinary symptoms.
HIFU for Prostate Cancer
HIFU (High Intensity Focused Ultrasound) is a non-surgical, targeted treatment for prostate cancer that destroys diseased tissue using precisely focused sound waves, without any cut to the body. A probe placed in the back passage delivers focused ultrasound energy that heats and destroys only the cancerous part of the prostate, while sparing the healthy tissue and nearby structures as much as possible. Because it is so targeted, HIFU aims to treat the cancer while protecting urinary control and sexual function. It is mainly used for early, localised prostate cancer and for men who want a minimally invasive option.
Dual-Energy CT
Dual-energy CT is an advanced form of computed tomography that scans the body at two different X-ray energy levels at the same time. A standard CT uses a single energy and shows mainly the shape and density of tissues, but by comparing how structures behave at two energies, dual-energy CT can tell different materials apart far more precisely. This added information helps doctors characterise what they see, such as distinguishing one type of tissue or deposit from another, and it can often be achieved with less contrast agent and a lower radiation dose. It uses X-rays, as all CT does, but with techniques designed to keep exposure low.
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