Department of Urology

In this center, we treat patients who have calculi, solid masses made of crystals, along the urinary tract, kidney, or ureter. Patient referrals come in from all over Israel. The primary treatments and technologies we offer include:

Shock-Wave Lithotripsy (SWL)
For this treatment, we use the Dornier Lithotripter – DL 50, one of the most powerful and effective lithotripters available. Performed on an outpatient basis, this therapy requires only mild sedation.

Endoscopic Stone Removal
When patients do not qualify for SWL, an endo-urological procedure is used. With the aid of modern fiber optics, we are able to access the urinary tract and treat the stone without surgery. The two main methods that we use are ureteroscopy and percutaneous renal surgery (PCNL). Approximately 300 endoscopic operations are performed every year.

Included in this division are the Male Fertility Laboratory and the Semen Cryobank. Our laboratory services include semen analysis (according to WHO guidelines), semen improvement treatments, histological analysis of testis tissue, and various types of testicular sperm retrieval (TESE, TESA, MESA). The Semen Cryobank provides services to various populations that require sperm donations or seek to preserve their fertility potential throughout certain medical therapies or occupational conditions.

We focus on treating urogenital malformations that have been present since birth, as well as on acquired pediatric urologic diseases. Our medical specialists also run a specialized Spina Bifida Clinic. In particular, we offer consultations and treatment for prenatal ultrasound results involving the embryonic urogenital tract, birth defects of the urogenital tract, reconstructive surgery, urodynamic investigations of the urinary tract, and evaluations and therapies for wetting problems. Multidisciplinary specialists from a variety of pediatric departments work together to design treatment programs for children.

This center is committed to offering female patients exceptional care for a wide range of ailments related to the genitourinary system. We treat conditions such as urinary incontinence, emptying problems and voiding dysfunction, painful bladder syndrome, pelvic organ prolapse, recurrent urinary tract infections, urethral diverticula, and genitourinary fistula. For women with neuro-urological lesions, such as spinal cord injury and multiple sclerosis, we run a specialized clinic in collaboration with Sheba’s Rehabilitation Center.

Our clinic is equipped with advanced diagnostics, such as the Video-Urodynamic Evaluation to perform comprehensive examinations. Surgical technologies that we employ include the Burch colposuspension and pubovaginal sling, as well as TVT and periurethral injections of bulking agents. To treat neurogenic urinary incontinence surgically, our clinic provides bladder augmentation cystoplasty. When surgery is not a good option, we also offer several other treatment methods, such as medication, pelvic floor physiotherapy, bladder drill, and electrical stimulation.

Both men and women with sexual dysfunction are treated in this clinic. Our staff includes a senior urologist, a sexologist, and a nurse with specialized training. Most patients deal with sexual disturbances caused by risk factors such as ischemic heart disease, diabetes mellitus, hypercholesterolemia, and endocrine disorders. To design the most effective therapy programs, we perform detailed diagnostic testing and work together with the hospital’s rehabilitation staff. When necessary, patients are referred to specialists in gynecology, endocrinology, psychiatry, or sex therapy.

Treatments can include:

• Lifestyle changes, such as reducing alcohol intake
• Quitting smoking
• Discontinuing drug abuse
• Losing weight and exercising
• Medication, including natural drugs, oral medicines, and topical gels and ointments
• Self-injection therapy
• Vacuum erection therapy
• Intraurethral therapy (MUSE)
• Penile implants, when all other treatments fail