Urology clinics. Urology clinics and medical centers (162). State specialized urological clinics

21.03.19 17:15:55

+2.0 Excellent

Dear readers of the site, this year I turned 79 years old. Until 2017, I did not suffer from any serious illnesses, except for seasonal acute respiratory infections (occasionally) and minor injuries. Therefore, I also visited clinics only occasionally on an “outpatient basis” (in connection with industrial medical examinations, dressing injuries or dental treatment). But in the winter of 2017, I began to experience shortness of breath, and in May 2018, a general analysis showed a hemoglobin level in the blood of 54 g/l (with the norm being 130-160 g/l), which could be a manifestation of dangerous (3rd) degree iron deficiency anemia. By taking iron supplements and following an appropriate diet, I managed to increase my hemoglobin level to 102 g/l by August 10, 2018; the shortness of breath disappeared, but then its level began to fall again, dropping to 77 g/l by December 13, 2018. Attacks of constipation, vomiting, diarrhea and dizziness began. During the next attack on the evening of 01/07/2019, in a semi-fainting state, an ambulance took me to the Naberezhnye Chelny emergency hospital (at my place of residence), which works around the clock. After X-rays and MRI, surgeons at the diagnostic department suggested that I had cancer in the right-sided ascending and transverse branches of the large intestine (colon) and in the sigmoid part of its left-sided descending branch. I was offered immediate (the very next day) extensive surgery to remove these sections of the colon. Having contacted my son in Moscow via cell phone, I decided to undergo this operation in the capital. In the morning he flew to Naberezhnye Chelny. I was discharged from the emergency hospital, and in the evening we were already at his house (in Moscow). 01/09/2019 we contacted the University Clinical Hospital No. 2 of the First Moscow State Medical University named after. Sechenov I.M. in KKMH, in which I (with a clinical picture of intestinal obstruction) was hospitalized in the coloproctology department for examination and treatment. My attending physician was an oncologist surgeon of the highest category in minimally invasive surgery (with 21 years of experience) Valery Mikhailovich Nekoval. He, primarily to relieve pain and temporarily improve intestinal patency, after the necessary examinations, proposed a bloodless operation to stent a tumor in the sigmoid colon. Starting from this operation under general anesthesia on January 11, 2019, my suffering stopped and all further treatment at Clinical Hospital No. 2 was quite comfortable (according to my feelings). Taking into account my advanced age, a council of doctors decided on the need to hospitalize me on January 16, 2019 “to the cardiology department for examination of a cardiac disease in order to assess the probable risks from the cardiovascular system.” After thorough laboratory and high-tech examinations, according to the conclusion of January 23, 2019, by cardiologists (attending physician A. A. Timofeeva and M. R. Skhirtladze, head of the department) “... there are no absolute contraindications for the operation from the cardiological condition...”; “...a repeated oncological consultation was held and a decision was made to perform radical surgical treatment.” As stated in the discharge summary: “Operation was performed: 02/08/2019 combined laparoscopic-assisted intervention: anterior rectal resection with LAE D 3, right hemicolectomy with LAE D 3...” That is, the colon affected by cancer (2/3 of the total length) was removed (including its right ascending and sigmoid left descending parts); the remaining healthy parts are connected in series to the end of the small intestine, to each other and to the rectum. (This scheme allows you to maintain the normal functioning of the entire human gastrointestinal tract without installing any artificial channels or openings for feces removal). This treatment regimen for colon cancer has been known in the world for decades. But only the use of the most modern high-tech medical equipment, the golden hands and scientific knowledge of the most experienced surgeons of the department of coloproctology and minimally invasive surgery of the Moscow State Medical University clinic named after. Sechenov allows her team of operating personnel to carry out such a complex (more than three-hour) operation through just a five-centimeter vertical incision above the belly button and four small punctures that completely disappear after healing. This method, compared to traditional opening of the abdominal cavity, allows (by orders of magnitude) to reduce blood loss, the risk of fatal inflammation of the abdominal organs (peritonitis), eliminate pain during the patient’s recovery period and the aesthetics of the skin of his abdomen after treatment. As stated above, such a minimally invasive operation was performed on me on 02/08/2019. And already on 03/08/2019 I celebrated with my family (at my son’s house) with subsequent discharge after the holiday in order to “... further treatment... continue on an outpatient basis under the supervision of an oncologist, a cardiologist at a local clinic...” (in Naberezhnye Chelny). It goes without saying that what is described (in my amateurish understanding) in this review is the highest modern level of medical care and treatment of patients in the clinic of coloproctology and minimally invasive surgery of Clinical Hospital No. 2 of the First Moscow State Medical University named after. Sechenov I.M. was achieved and is constantly increasing thanks to the true devotion to the Hippocratic Oath of the Founding Fathers of the University and all generations of their followers. Therefore, I have a feeling of admiration, deepest respect and love for all the scientists, doctors and medical staff who saved me and are saving other patients of KKMH from deadly diseases with their dedicated work, talent, professional skill and highly scientific knowledge. I am eternally grateful to those who performed a unique high-tech three-hour complex minimally invasive operation on me: my attending oncologist of the highest category, Valery Mikhailovich Nekoval; K. M. N, Associate Professor of the Department of Surgery of the MPF, Head. Department of Minimally Invasive Oncology Surgery Sergei Konstantinovich Efetov; K. M. N., associate professor of the department of anesthesiology and resuscitation, head. department of anesthesiology and resuscitation to Vitaly Ivanovich Stamov; to all medical staff of the teams of surgical and anesthesia and intensive care departments.

A doctor who diagnoses, treats and prevents diseases of the urinary system of men and women, as well as the male reproductive system.

Gynecologist-urologist

A specialist combining two medical profiles. She treats the genitourinary and reproductive systems in men.

Urologist-surgeon

A urologist surgeon performs surgical operations on boys and men, such as circumcision of the foreskin, frenuloplasty for congenital malformations, penis enlargement, removal of foreign bodies, removal of benign tumors and foreign bodies of the external genitalia, genital warts, etc.

On our portal you can choose a urologist, urologist-andrologist from the best clinics in Moscow and make an appointment with him via the Internet or by phone. Doctors' profiles with information about their work experience, education, as well as patient reviews will help you find a good doctor.