Treatment of Bladder Diseases in Israel

Professor Yakov Ramon

Urologist

Israeli urologists primarily aim to alleviate the patient's suffering and restore them to normal life. To achieve this goal, the Top Ichilov clinic has everything necessary: advanced surgical equipment, including the robotic system Da Vinci and the latest laser and ultrasound systems, excellent diagnostic equipment, and finally, a carefully selected team of world-class specialists, professors, and heads of departments from the largest hospitals.

98%

of patients received the necessary treatment

94%

of patients underwent a modern diagnostic program

1443

patients successfully completed treatment

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At the Top Ichilov Medical Center, the following bladder diseases are effectively and quickly treated:

• Chronic cystitis or inflammation of the bladder mucosa, primarily arising from colds, hypothermia, infections, or constipation.
• Urethritis or inflammation of the urethra, usually caused by hygiene issues or infections.
• Bladder stones, resulting from impaired urine flow or inflammation.
• Bladder cancer
• Overactive bladder as a result of neurological or muscular disorders leading to involuntary urination. This condition is typical for individuals over 50 years old, primarily women.
• Urinary incontinence in women due to trauma or childbirth.
• Stricture or narrowing of the urethra, either congenital or resulting from trauma or inflammation, leading to difficulty urinating and atrophy of the bladder muscles, resulting in urine accumulation.
• Exstrophy of the bladder in children – deformation or absence of the anterior wall of the bladder

Treatment Methods for Major Bladder Pathologies in Israel

Almost any health problem causes discomfort; however, issues related to the bladder are among the pathologies that most significantly reduce the patient's quality of life: sharp pain and frequent involuntary urination are just some of the main symptoms of this category of diseases.

• Cystitis is treated by the urologists at Top Ichilov using comprehensive methods, applying an individual approach to each patient, developing a special diet that excludes spicy food and alcohol, and recommending high fluid intake. Physiotherapy, antibacterial, and anti-inflammatory medications are also used.
• Urethritis in the urology department of Top Ichilov is treated with antibacterial medications administered into the urinary tract and immunotherapy.
• The issue of overactive bladder is addressed at Top Ichilov using a neurostimulator that is implanted in the body and stimulates nerves and muscles with electrical impulses. This device operates similarly to a pacemaker.
• Oncological surgeons at Top Ichilov Medical Center successfully treat bladder cancer at any stage of the disease. A widely used modern method is micro-surgical tumor removal or bladder resection through the urethra, often using a laser (TURB). Surgery is always combined with chemotherapy. In cases of complete bladder removal, reconstruction is performed, and the ureter is restored using silicone prostheses. The occurrence of recurrences is prevented with the use of the anti-cancer vaccine BCG.
• One of the most modern and effective methods for treating bladder cancer performed at Top Ichilov is stem cell transplantation combined with gene therapy.
• Exstrophy of the bladder is treated with surgical methods depending on the size of the defect. If it does not exceed 3 cm and there are no complications, reconstructive plastic surgery is performed to restore the bladder wall. In cases of extensive defects, the ureters are brought out to the sigmoid colon or an artificial reservoir for urine is created from the rectum.
• In the treatment of urolithiasis, specialists at Top Ichilov primarily use medical or minimally invasive gentle methods: laparoscopic surgeries through small incisions, stenting to restore urine flow from the kidney, ultrasound stone fragmentation, and others.

Reliable Diagnosis of Bladder Diseases in Israel

The complex of diagnostic measures depends on the nature of the disease, its stage of development, the patient's condition, and many other factors; however, the main procedures that are mandatory in any protocol related to bladder examination can be highlighted:

• comprehensive blood and urine tests
• Ultrasound of the urinary system and liver
• X-ray of the ureters and kidneys
• cystography and cystoscopy
• retrograde pyelography
• computed tomography (CT)
• excretory urogram to determine the condition of the kidneys and urinary tract

In cases of suspected tumors, a biopsy is also performed.

This entire complex of procedures allows for the rapid and accurate detection of stones, tumors, and inflammation, determining their localization and stage of development.