The 4th Urology Clinic of Reconstructive Urology, equipped with modern technology, provides comprehensive care using the most advanced methods in both general urology and reconstructive surgery of the urinary and reproductive systems in men, women, and children. Conditions are managed regardless of whether they arise from congenital (birth-related) abnormalities or acquired causes such as trauma (e.g., road traffic accidents, complications of previous surgeries, etc.).
The Clinic has significant experience in the management of urological cancers (prostate, bladder, kidney, etc.), benign prostatic hyperplasia, and urolithiasis (kidney stones). The Director, Dr. Mertziotis, and his team have received additional training in female urology (bladder control disorders, pelvic organ prolapse, incontinence), male sexual function (erectile dysfunction, infertility, male infertility and reproductive procedures, reconstructive urology, as well as laparoscopic and robotic surgery.
The team is highly trained in the most advanced surgical techniques, characterized by minimal invasiveness. A key priority is to establish a relationship of trust with patients and their families, ensuring high-quality care and patient satisfaction throughout the duration of treatment. The Clinic’s medical and nursing staff are available 24/7 to meet patient needs, both within and outside the hospital environment.
Procedures performed
The team of the 4th Urology Clinic of Reconstructive Urology performs the full spectrum of urological surgical procedures. The most common include:
- Transurethral resection of the prostate - plasma vaporization of the prostate
- Robotic radical prostatectomy
- Laparoscopic radical prostatectomy
- Open prostatectomy
- Cystolithotripsy
- Radical cystectomy (Bricker)
- Radical cystectomy with neobladder
- Bladder tumor resection
- Bladder tumor cauterization
- Cystoscopy and prostate biopsy
- Laparoscopic nephroureterectomy
- Open nephroureterectomy
- Percutaneous nephrolithotripsy
- Laser ureterolithotripsy
- Prostate vaporization
- Laparoscopic renal cyst excision
- Laparoscopic nephrectomy
- Testicular prosthesis implantation
- Testicular biopsy
- Orchiopexy (testicular fixation)
- Frenulotomy under anesthesia
- Phimosis - circumcision
- Placement/removal of pig-tail catheter under anesthesia
- Optical urethrotomy
- Open nephrectomy
- Orchiectomy
- Cystoscopy
- Ureteroscopy
- Varicocele – hydrocele
- Laparoscopic varicocele repair
- Endoscopic ureteropyeloscopy with laser lithotripsy
- Phalloplasty
- Suspensory ligament release of the penis
- Epididymal anastomosis
Focal therapy for localized prostate and kidney tumors
Focal therapy is a minimally invasive technique that uses diode laser energy for the ablation (destruction) of small, localized tumors within the prostate and kidney.
Application of the method - Advantages
It is based on advanced fusion technology, combining multiparametric MRI of the prostate with transrectal ultrasound or CT imaging for the kidney. Initially, imaging of the prostate or kidney and the suspicious lesion (tumor) is obtained through MRI or CT. Subsequently, using a guidance probe, three-dimensional navigation allows precise targeting of the lesion for biopsy. Once histological analysis confirms malignancy, the lesion is ablated with high precision using a laser fiber introduced through the skin, without incision, preserving the surrounding healthy tissues.
As a result, common complications associated with conventional surgery—such as urinary incontinence, erectile dysfunction, significant bleeding, and prolonged anesthesia—are avoided, as the procedure is performed under local anesthesia. Patients are usually discharged within a few hours. This technique has been performed at our Clinic since 2016, establishing Metropolitan General as one of the leading centers internationally in this field.
Scientific focus
The scientific focus of the Clinic includes:
- Urethroplasty for urethral injuries associated with pelvic fractures (e.g., due to road traffic accidents), complete urethral rupture, and urethral strictures following endoscopic procedures
- Reconstruction of congenital hypospadias
- Phalloplasty for micropenis or penile deformities
- Management of urinary incontinence in men and women using minimally invasive techniques, such as artificial sphincter implantation and sling procedures
- Repair of urinary fistulas (vesicovaginal, ureterovaginal, rectovesical) resulting from pelvic surgery or radiotherapy
- Treatment and resolution of Peyronie’s disease
- Management of complex erectile dysfunction cases with penile prosthesis implantation
- Application of advanced diagnostic methods for erectile dysfunction and male infertility, along with microsurgical techniques for their correction (e.g., epididymal anastomosis)
Robotic Surgery
Metropolitan General is equipped with the da Vinci robotic surgical system, which enables precise manipulation of microsurgical instruments. The system offers multiple features that allow surgeons to perform certain laparoscopic procedures with greater ease, improved accuracy)The surgical field is more easily visualized, accurately targeted, and safely navigated.
For patients, the main advantages include smaller incisions, reduced scarring, fewer infections, shorter hospital stay, and faster return to daily activities.