The Urology Department at the Zhordania Medical Center is distinguished by its wide range of services, state-of-the-art operating rooms, and comprehensive postoperative care. Led by Dr. Giorgi Khvadagiani (MD, FEBU), a member of the Georgian Urologists Association, the European Urology Association (EAU), and the International Urological Association (SIU), our department offers cutting-edge treatments for urological pathologies tailored to patient needs.

Services Offered

1. Treatment of Kidney, Ureter, and Bladder Stones

   • Endoscopic surgeries using high-power holmium lasers, capable of addressing stones of any size.

2. Management of Benign Prostate Enlargement

   • Comprehensive care through medication, endoscopic, laparoscopic, or open surgical treatments.

   • Endoscopic procedures performed with bipolar equipment or lasers.

3. Treatment of Bladder and Upper Urinary Tract Tumors

   • Early-Stage Management: Endoscopic surgeries and medication treatments, including chemotherapy or immunotherapy.

   • Advanced Cases:

     • Radical Cystectomy (bladder removal) and Nephroureterectomy (kidney and ureter removal) performed laparoscopically or openly.

     • Creation of intestinal reservoirs (orthotopic, sigmoid rectal, or thigh intestinal conduits) in consultation with the patient.

4. Prostate Cancer Management

   • Radical Prostatectomy (prostate removal) via laparoscopic or open surgery.

   • Systemic hormone and chemotherapy for advanced and metastatic cases.

5. Kidney Cancer Treatment

   • Surgical resection of early-stage kidney tumors via laparoscopic or open techniques.

   • Laparoscopic Nephrostomy for large tumors, with open nephrectomy and thrombectomy in cases involving the inferior vena cava.

6. Reconstructive and Plastic Surgeries

   • Laparoscopic or open repair of pyeloureteral junction and ureteral stenosis.

   • Treatment of urethral strictures using endoscopic laser incision or open plastic surgeries.

7. Emergency Urological Services

   • Detorsion of Testes: To restore blood flow.

   • Vascular Shunting in Priapism.

   • Ureteral Stenting or Nephrostomy for upper urinary tract obstructions.

   • Ureterorenoscopy and Stone Removal for ureteral stones.

   • Clot Removal and Bleeding Management for severe lower urinary tract bleeding.

Lithotripsy: Non-Invasive Treatment for Urinary Stones

Our clinic employs extracorporeal shock wave lithotripsy (ESWL) for the treatment of urinary stone diseases. This method uses ultrasonic waves generated outside the body to fragment kidney stones, ensuring minimal trauma and discomfort.

Advantages of Lithotripsy:

• Non-Invasive: No surgical incisions required.

• Anesthesia-Free: The procedure does not require sedation.

• No Hospitalization: Patients can return home the same day.

• Quick Procedure: The average duration is approximately 1 hour.

Procedure Overview:

The exact location of the stones is identified using X-rays and ultrasound, maximizing the likelihood of successful stone fragmentation.