Erebouni Medical Center
Medical Journal Erebouni

Urology Department

General characteristics

Erebouni Medical Center. Surgery Clinic: Urology DepartmentUrology is one of the branches of medicine, where the multidisciplinary approach to diagnosis, treatment and prevention of diseases associated with impaired function of the urogenital tract of men, women and children is paramount important.

 

Due to multidisciplinary character of Erebouni MC it became possible to unite the efforts of urologists, andrologists, endocrinologists, radiologists, oncologists, gynecologists, nephrologists and other specialists of the center with purpose to optimize medical care for such patients.

 

Department of Urology of Erebouni Medical Center is a modern, highly equipped department, providing non-stop reception, diagnosis and treatment of the patients on the routine and emergency bases.

 

Erebouni Medical Center. Surgery Clinic: Urology DepartmentThe Department holds leading position in specialized healthcare services, introduction of innovative strategies of the treatment and basic research on male and female urinary tract and the male reproductive organs' diseases.


The department focuses on the combined therapy, including complex surgical intervention. Careful attention is paid to improving the quality of life of the patient. In case of necessity, a plastic and reconstructive surgery provided. Most surgeons performs minimally invasive surgical intervention using cryosurgical, laser and laparoscopic techniques.


Urology Department provides:

 

 

   

Diagnosis, treatment and prevention of all types of urolithiasis (IBC) (including such severe forms as complex staghorn stones). The department is equipped with the latest techniques for diagnosis and treatment of urolithiasis of any complexity and localization which allows using of  minimally invasive and non-invasive methods of treatment:

 

  • Implementation of a productive remote crushing of the stones of any location, including X-ray negative stones, without general or local anesthesia, through the latest lithotripter Siemens Modularis Variostar;

  • In some cases of the location of the concrements in the ureter or in the kidney, in addition to or instead of lithotripsy the ureterorenoscopy and contact lithotripsy is used. The Department is equipped with the latest flexible ureterorenoscopy of Wolf "Cobra" company, which is allows successfully diagnose and treat the stones located in tight areas of the urinary tract

  • Successful implementation and practical application of endoscopic (percutaneous) treatment of complex and staghorn calculi (nephroscope Storz)

  • The Department has a successful experience of ureterorenoscopic lithoextraction in pregnant,

  • Depending on the indication, as a source for contact lithotripsy, can serve an electrokinetic and pneumatic litotriptors as well as the laser contact lithotripter.

 

Erebouni Medical Center: Urology Department

 

 

   

Diagnosis and treatment of all types of benign and malignant tumors of the genitourinary male and female urinary system:

 

  • Endoscopic treatment of benign prostate tumors. Highly qualified professionals use the latest endoscopes and video monitoring in the above cases, to dramatically reduce the need for open surgery in the region of 1%. It is possible to use laser surgery for diseases of the prostate, in tumors of the renal pelvis and bladder, urethral stricture,

  • Early diagnosis, radical treatment of prostate cancer. More than 5 years at the clinic put into practice and successfully applied the method of transrectal biopsy for the diagnosis of prostate cancer with the use of ultrasonic testing. The only one of its kind in the country transrectal ehozond Siemens produces high quality ehoizobrazhenie both in front and in the sagittal plane. With limited process produces a radical prostatectomy.

  • For locally advanced and metastatic disease is used hormone therapy and chemotherapy,

  • In cases of renal neoplasms radical nephrectomy is performed, and when indicated - ablative surgery (partial nephrectomy with the use of laser)

  • When tumors of the bladder, according to the testimony applies transurethral resection, laser ablation, while invasive tumor-radical cystectomy, which is, basically, using orthotopic intestinal reconstruction,

  • Radical surgery for tumors of the testicles and penis.

 

 Urology Department

 

 

   

Reconstructive surgery for congenital and acquired narrowing and iatrogenic lesions of the upper and lower urinary tract. The clinic implemented and successfully produced plastic surgery to remove a vesicovaginal fistula, including recurrent and difficult cases with vaginal access.

 

 

   

surgical and conservative treatment of female urinary incontinence. The clinic is equipped with modern urodynamic laboratory where vnedreno all the necessary equipment for the complex urodynamic studies: uroflowmetry, tsistotonometriya, pressure, flow, EMG, etc. The clinic has a unique experience in the diagnosis and treatment of neurogenic bladder disorders. The clinic conducted sling operations for urinary incontinence in women.

 

 

   

Conservative and surgical treatment of male infertility, including the method of antegrade sclerotherapy for varicose spermatic duct.

 

 

   

The clinic is considered to be a pioneer in the country in the field of urology hour emergency assistance, including state of the art diagnosis and treatment of injuries of the genitourinary system of any type and complexity.

 

 

   

Laparoscopic and retroperitoneoscopic intervention in pathologies of the upper urinary tract (using the newest equipment of the company "Wolf").

 

    Every day clinic spends a tremendous amount of work to provide outpatient care to patients with urological infektsiionnymi diseases of the urinary system, including diseases, sexually transmitted diseases, erectile dysfunction, ejaculation disorder and so on. D.

 

 

 

Urology Department   Urology Department

 

 

 

 

 

Equipping

Erebouni Medical Center: Urology DepartmentUrology Department has 3 operating rooms designed for lithotripsy, endoscopic, and open and laparoscopic surgery.


The department has created all conditions for the preoperative and postoperative periods, as well as the necessary rehabilitation and patient care.

 

  • transrectal ehozond Siemens
  • lithotripter Siemens Modularis Variostar
  • nephroscope Storz
  • Flexible ureterorenoscopy firm Wolf "Cobra"
  • electrokinetic, pneumatic, laser pin litotriptory
  • endoscope
  • urological laser (Mega Pulse, Richard Wolf) 2013

 

  Urology Department

Main activities
  • diagnosis, treatment and prevention of all types of urolithiasis (IBC)

  • Diagnosis and treatment of all types of benign and malignant tumors of the genitourinary male and female urinary system:

  • Reconstructive surgery for congenital and acquired narrowing and iatrogenic lesions of the upper and lower urinary tract.

  • surgical and conservative treatment of female urinary incontinence.

  • Conservative and surgical treatment of male infertility, including the method of antegrade sclerotherapy for varicose spermatic duct.

  • Providing urological hour emergency assistance, including the state of the art diagnosis and treatment of trauma of the genitourinary system of any type and complexity.

  • Laparoscopic and retroperitoneoscopic intervention in pathologies of the upper urinary tract

 

Staff
Sergey Fanarjyan, MD Sergey Fanarjyan, MD Write a letter Head of Urology Clinic urologist Grand PhD (d.m.s.) Professor
Garegin Sargsyan MD Garegin Sargsyan MD Write a letter urologist MD
Eduard Vardanyan Eduard Vardanyan Write a letter urologist
Tserun Margaryan MD Tserun Margaryan MD Write a letter urologist
Narek Nersesyan MD Narek Nersesyan MD Write a letter urologist
Vardan Melik-Avetisyan MD Vardan Melik-Avetisyan MD Write a letter urologist
Viktor Fanarjyan MD Viktor Fanarjyan MD Write a letter urologist
Tigran Karapetyan MD Tigran Karapetyan MD Write a letter Head of Urology Department urologist
Education

The department is educational and scientific base for the Department of Urology Medical University and Armenian Medical Institute, which trained residents, masters and students.


The Department


Department of Urology YSMU


Employees of the department carrying out teaching activities on the basis of separation


Department of Urology of the Armenian Medical Institute


Employees of the department carrying out teaching activities on the basis of separation

 

Publications
Price list

Outpatient Service and procedures

Price (AMD)

 

 

Primary examination by head of the Department (head of Service)

10,000

 

Primary examination by doctor

5,000

 

Cystoscopy, puncture of cavernous bodies (without medication or examination).

35,000

 

Urinary bladder catheterization, correction of paraffimosis. (without medication or examination)

10,000

 

Urethrography (only the price of manipulation) (no drugs or examinations)

20,000

 

Stent placement, nephrostomy (without medication and research)

65,000

 

Phimosis or short frenulum , neoplasms of the external opening of the urinary tract (without medication or tests)

70,000

 

Transrectal biopsy of the prostate gland (without examination)

45,000

 

 

 

Urodynamic examination room

Code

Service name

Price (AMD)

 

Uroflometry, residual urine determination

10,000

 

Uroflometry andelectromyography

15,000

 

Cystotonometry

27,000

 

Complex Urodynamics investigations

34,000

 

Rapid urine test

2,000

 

Complex-hardware treatment for functional lesion of pelvic organs (1 session)

15,000

 

 

 

Code

Hospital services and surgeries

Price (AMD)

 

Cost for 1-Day treatment (medication and examinations are not included)

20,000

 

Cost for 2-Day treatment (medication and examinations are not included)

40,000

 

Cost for 3-Day treatment (medication and examinations are not included)

60,000

 

Conservative treatment of the patient (medication and examinations are included)

170,000

 

TUR of bladder or prostate, penis fracture

360,000

 

TUR of bladder or prostate, bladder stone,transvesical adenomyomectomy, Bipolar TUR, bladder diverticulectomy

430,000

 

TUR of Bladder neck, optical urethrotomy, TUR biopsy of bladder or prostate, Cystolithotomy, epicystostomy, cystolithotripsy

260,000

 

Stress Urinary Incontinence / the price of the fastening tape is not included/

360,000

 

intestinoplasty after cystectomy /open approach/

1,500,000

 

Laparoscopic prostatectomy

1,200,000

 

radical cystectomy, prostatectomy /open approach/

820,000

 

Uncomplicated surgery of the scrotum, hydrocelectomy, cystectomy, orchectomy, orchipexy, castration, epidemiectomy

260,000

 

Antegrade scrotal sclerotherapy/ ethosclerol and exams not included /

220,000

 

Complicated surgeries of scrotum, phlegmona, Fournier gangrene.

710,000

 

Urinary Tract Plasty /end-to-end/, vesicovaginal fistula, Urethrocystoanastomosis

480,000

 

Urinary tract plasty with a flap.

600,000

 

revision of retroperitoneal space and drainage, traumatic bladder laceration

430,000

 

Laparoscopic nephrectomy, adrenalectomy, AMS-plasty, nephrouterectomy (open approach), kidney resection (open approach) complicated

730,000

 

Nephrectomy, pyelolithotomy(unopened), cystectomy(opened)/

530,000

 

Radical nephrectomy, kidney resection - uncomplicated, adrenalectomy, AMS plastic, "coral" stones, complicated nephrectomy

630,000

 

Puncture of the kidney cyst under local anesthesia

220,000

 

Urethral stent, fine-needle percutaneous nephrostomy, trocar epicystostomy with 1 day of hospital treatment /with local anaesthesia, drug and exams not included/

110,000

 

Urethral stent, fine-needle percutaneous nephrostomy, trocar epicystostomy with 1 day of hospital treatment /with general anaesthesia, drug and exams not included/

130,000

 

Diagnostic URS/exams are not included/

150,000

 

URS /1 stone- 1 cm, without use of laser/

270,000

 

URS /1 stone- more than 1 cm, without use of laser/

320,000

 

Remote lithotripsy/without exam/

160,000

 

Remote lithotripsy repeated /without exams/

70,000

 

percutaneous nephrolithotripsy 1 degree of complex.

470,000

 

percutaneous nephrolithotripsy 2 degree of complex.

600,000

 

percutaneous nephrolithotripsy 3 degree of complex.

670,000

 

percutaneous nephrolithotripsy, coral stones and possible remote lithotripsy

850,000

 

Anesthesia /spinal or IV/ /added to the cost of procedure/

30,000

 

Single-time laser /added to the cost of prosedure/

50,000

 

In concomitant chronic somatic diseases (added to the cost of surgery, treatment)

40,000

 

In concomitant II degree chronic somatic diseases (added to the cost of surgery, treatment)

80,000

 

In concomitant III degree chronic somatic diseases (added to the cost of surgery, treatment)

120,000

 

In concomitant IV degree chronic somatic diseases (added to the cost of surgery, treatment)

160,000

 

Different small surgical procedures in the operating room

15,000

 

 Surgical procedures of medium complexity under local anesthesia performed in operating room

45,000

 

Reimbursement of additional medicine, based on the actual costs incurred

1,000

 

Reimbursement of additional medicine, based on the actual costs incurred 1

5,000

 

Reimbursement of additional medicine, based on the actual costs incurred 2

10,000

 

Additional payment related to the complexity of the surgery

Price (AMD)

 

I degree

50,000

 

II degree

100,000

 

III degree

150,000

 

IV degree

200,000

                       Cost of paid hospital rooms

 

Hospital room

Price (AMD)

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

501

20,000

 

504

10,000

 

505

10,000

 

506

10,000

 

507

10,000

 

510

20,000

 

511

20,000

 

512

20,000

 

513

20,000

 

514

20,000

 

 

 

 

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