Opava Urology Offers Modern Prostate Treatment and Complex Surgery
Modern laser treatment for prostate conditions, comprehensive care for patients with cancer, treatment of kidney stones, and the diagnosis and treatment of incontinence – these are among the main areas of care provided by the Department of Urology at the Moravian–Silesian Hospital in Opava. Thanks to its specialist expertise and modern equipment, the department provides specialised care for patients from Opava and the wider surrounding area.
Urology Outpatient Clinics
The department provides basic examinations and treatment for urology patients on an outpatient basis, as well as the diagnosis of urological conditions and their pharmacological treatment. The outpatient clinics also prepare patients for surgery in coordination with other departments, including radiology, nuclear medicine, internal medicine, geriatrics, laboratories and the anaesthesiology and intensive care (ARO) clinic. Outpatient care also includes the long–term followup of cancer patients, patients with urolithiasis (urinary stones) and patients with incontinence.
Inpatient Department
The inpatient department provides care for patients requiring hospitalisation for both surgical and conservative treatment. Conservative treatment includes pain management, specialised antibiotic therapy and preparation for surgical procedures. Hospital admissions for surgery cover a broad range of procedures, from plastic surgery of the external genitalia (circumcision, frenuloplasty) to radical procedures such as scrotectomy, penectomy and ureterectomy – resection of the ureter. Kidney surgery includes radical nephrectomy, including laparoscopic procedures, as well as kidney resections (with an increasing proportion of laparoscopic and resection procedures). We also perform open and laparoscopic ureteral reconstruction and radical prostatectomy for prostate cancer. For stress urinary incontinence, we provide comprehensive outpatient diagnostics, including urodynamic testing and urogynecological ultrasound of the pelvis, as well as surgical treatment of incontinence (with experience in pubovaginal slings, TVT and, currently, primarily TOT slings). The Department of Urology has access to central operating theatres with a full range of surgical equipment, including laparoscopic equipment. It also has a dedicated urological endoscopy theatre for performing endoscopic procedures: OUTI, TURBT, TURP, URS and PCNL. The theatre is equipped with a C–arm X–ray system and, most importantly, a high–power holmium laser and the latest type of GreenLight laser for prostate vaporisation. Ultrasound and electrokinetic lithotripters with attachments for ureterorenoscopy and percutaneous nephroscopy are also standard equipment.
The Department of Urology’s core programmes include prostate surgery – HoLEP, uro–oncology, urolithiasis, the diagnosis and treatment of incontinence, and participation in clinical trials focusing on prostate cancer, overactive bladder and incontinence. Within uro–oncology, prostate cancer is one of our key areas of focus. Diagnosis includes fusion–guided prostate biopsy in cooperation with the radiology department, where magnetic resonance imaging (MRI) is performed. Surgical treatment includes radical prostatectomy for prostate cancer, including pelvic lymphadenectomy, as well as complex kidney surgery for cancer. In patients with kidney cancer, we focus primarily on tumours at stages T1–T3, with an increasing proportion of kidney resections and laparoscopic procedures. In the field of urolithiasis, our department performs a significant number of percutaneous kidney stone extractions (PCNL), a procedure indicated for large kidney stones. At present, however, most procedures are performed using a minimally invasive approach through the urethra – flexible ureteroscopy. We primarily use single–use video ureteroscopes, which reduce the risk of septic complications and increase the likelihood of successful stone removal.
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The Department of Urology comprises a 25–bed inpatient ward and five outpatient clinics, including a urodynamics clinic. The inpatient ward is intended for patients who require hospitalisation for surgery or for serious conditions requiring intensive care, such as parenteral nutrition or pain management. For patients from a wider catchment area encompassing the entire Moravian–Silesian Region as well as parts of the Olomouc and Zlín Regions, the department offers endoscopic laser surgery for enlarged prostates using the HoLEP procedure. At our department, this technique has now completely replaced open prostate surgery performed through an incision, significantly reducing both recovery time and the length of hospital stay.