Reviews about urologists in Almetyevsk
Attitude towards the patient, towards one’s responsibilities. I don't recommend it. Terrible. I did a superficial ultrasound. Why didn’t I see the prostate enlarged by 1.5 times! Marvelous! Prescribed antibiotics and Prostanol. No electrol.
I contacted him about a delicate issue (circumcision), Shamil Yusufovich explained everything, laid out everything, set the day for the operation, did everything according to standards, don’t be shy, the doctor is competent and a decent person. I'm done.
In general, it is not clear why he went to work as a doctor, since he does not like patients so much; from his manner of communication one can say [. ]. I didn’t even want to delve into the problem, I didn’t want to do an ultrasound of the prostate, although I was on voluntary medical insurance.
Good afternoon I would like to leave only positive feedback. Volkov Yuri Vasilievich is a very competent urologist who operates. I entered the urology department with tears in my eyes, because I was very afraid.
I had an operation with Bildanov Sh. Yu. I had an intimate problem, I was embarrassed to come for circumcision, since I am 37 years old. The doctor reassured me and said that there was nothing wrong with it. The operation was performed with an injection.
Didn't help at all. I came to see him with a kidney stone, but he didn’t see anything on the ultrasound. Although other doctors discovered this problem and advised him.
At the regional hospital. M.I. Kalinina used a new method for removing kidney stones
Innovative method Yuri Olefir, colonel of the medical service (now in reserve), came to work in Samara from the capital. His place of service for many years was the 7th Central Military Clinical Aviation Hospital in Moscow. It was there that Yuri Vitalievich began work on his method for removing large kidney stones, with little trauma to the patient. He has a patent for this invention. “In the Samara Regional Hospital named after. M.I. Kalinin uses fairly modern methods of treating urolithiasis. “I brought my technology here,” says Yuri Olefir. — This is a low-traumatic, quick method of treatment. The patient who had the operation was already walking that same day in the evening, and on the second day, one might say, she no longer looked like a sick person. In a couple of days she can be discharged home.”
The Samara region does not yet differ for the better in terms of urolithiasis incidence rates.
The relevance of introducing this method cannot be overestimated. Urolithiasis, unfortunately, is not uncommon. Especially in our area. According to Yuri Olefir, in the urology department of the hospital named after. M.I. Kalinin, this diagnosis was given to more than half of all patients. And most often for people of working age. A matter of technology In modern medicine, there are several options for ridding patients of large kidney stones. The first is the traditional, open method of surgical treatment. The stone is removed through an incision in the kidney. The seam is 15-18 cm long. This is an injury, followed by a long postoperative period, and there may be complications. The patient experiences serious physical and psychological stress. And after surgery, stones may form again. Then the next operation. But subjecting a kidney to surgery is risky - after some time it may lose its functions. Another treatment method is to remove the stone through a special puncture in the lumbar region (percutaneous surgery). During such an operation there is also a possibility of serious complications, the most dangerous of which is severe bleeding. And the kidney is injured. Remote destruction of stones also has its limitations (the size of the stone should not exceed 2 centimeters, large fragmentation or lack of crushing effect due to the strong structure of the stone). And then percutaneous or open surgical intervention cannot be avoided. Dr. Olefir’s method, developed together with fellow urologists, is unique: it does not injure the kidney tissue. The instrument is guided through the natural urinary tract to the kidney stone. The operation is carried out under visual control on a monitor. Using a tool whose operating principle is similar to that of a jackhammer, the stone is broken into small fragments and washed in the form of small fragments and sand with a washing liquid through the same tool. The operation takes from one to two hours. In one go, the kidney is freed from the stone, and the person is cured. The remaining sand comes out naturally. For the first time in practice, a urologist at the hospital named after. M.I. Kalinina Anna Ivanycheva, who was present at the operation, says: “In our practice, we use traditional open surgical and percutaneous removal of large kidney stones, in which the patient stays in the hospital longer. Dr. Olefir’s patient did not have any incisions, and by evening she was already walking independently. The stone is removed using an instrument passed through the natural urinary tract through the opening of the urethra. This happened for the first time in our practice. It should be noted that in August of this year, the patient underwent open surgery to remove a stone from the pelvis of the opposite kidney under general anesthesia within the walls of our hospital. The severity of the injury, psychological stress and the course of the postoperative period are not comparable to those that our patient experienced after the operation she had just undergone.” A resident of the village of Bezenchuk, Lyudmila Shtanko, had a removed stone measuring almost 2 cm. The patient is grateful to the doctor: “I am very pleased with his work. I doubted for a long time whether to undergo this operation. And three hours later she was already up. There were worries, of course, but they were more than justified. The girls in the ward were surprised: “She’s already running!” According to Yuri Olefir, this technique has now begun to be used more often in some clinics. In particular, it is used in Moscow, at the Institute of Urology. Urologists of the old school did not immediately want to recognize the method - everything new often causes caution, and some even perceive it with hostility. “Giving life” to this method was not easy. After the patent was issued, the technology acquired scientific confirmation. The doctor says that during the period of using this method, no serious complications were observed in the operated patients - neither bleeding nor removal of kidneys. The method has been used since 1996. Preventive measures “The Samara region does not yet differ for the better in terms of the incidence of urolithiasis,” notes Yuri Olefir.
The percentage of patients with this diagnosis here is much higher than in a number of areas. Patients with rather advanced forms of the disease are sometimes received from regions of the province. In the Samara region, a program for modernizing provincial healthcare has been developed. Within the framework of the program, the issue of improving the provision of urological care to the population will be considered.” Yuri Olefir shared his own recommendations on how to reduce the risk of urolithiasis. Firstly, you need to fight physical inactivity, i.e. move more. Maintain a drinking regime - drink at least 1.5 - 2 liters of fluid per day. For prevention, it is not recommended to consume large quantities of foods such as pork, lamb, rich jellies, and legumes. All this can affect the formation of stones. And for those who have already encountered urolithiasis, who have a predisposition, Yuri Olefir advises not to forget about the so-called metaphylaxis, which includes the above measures, periodic intake of decoctions of diuretic herbs - bearberry, birch buds, corn silk, etc. - with mandatory monitoring urologist in the clinic. Source: newspaper “Volzhskaya Communa”, November 24.
Choosing a method for crushing formations in the kidneys
It was first possible to destroy a stone using the contact method in 1822. Since then, lithotripsy has been improved through the use of innovative equipment. Crushing of kidney stones is still carried out today at the Almetyevsky spring in Truskavets. Removal of formations takes place under the influence of methods:
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Kidney stones: symptoms and causes of formation
Why are stones formed?
: metabolic disorders lead to the formation of insoluble salts. Oxalates, phosphates, urates and other stones are formed from them. Urolithiasis develops under the influence of:
- hot climate - salt concentration increases due to increased sweating;
- geography - hard water with calcium salts; spicy, sour foods increase the acidity of urine - this is a favorable environment for the formation of stones;
- lack of vitamins and UV rays;
- injuries and bone diseases - osteoporosis, osteomyelitis;
- chronic gastrointestinal diseases - ulcers, colitis, gastritis;
- dehydration;
- diseases of the kidneys and genitourinary system - hydronephrosis, nephroptosis, prostate adenoma, cystitis, pyelonephritis, prostatitis and others.
How does urolithiasis manifest itself?
:
- kidneys - sharp or aching pain in the lower back during movement and after exercise, blood in the urine, stones passing during urination;
- ureter - pain in the groin, genitals, thighs, lower abdomen, blood in the urine, renal colic, frequent unreasonable urge to go to the toilet, cramping attacks of pain in the lower back;
- bladder - pain in the perineum, genitals, lower abdomen when moving and urinating; frequent urge to urinate caused by walking, shaking, physical activity; intermittent urination when the bladder is not emptied.
Indications for the removal of stones from the kidneys, ureter and bladder
A direct indication for extracorporeal lithotripsy is urolithiasis, in which the neoplasms do not exceed 2 cm in diameter and have a relatively smooth surface without sharp peaks or growths. This method also removes very small stones that are visible on x-rays. With the help of deeply penetrating waves, it is possible to crush stones in the calyces and pelvis of the kidneys, as well as stones migrating through the ureter into the bladder and located in it.
Despite its speed and non-traumatic nature, extracorporeal shock wave lithotripsy is ineffective in the following cases:
- location of stones in the lower part of the renal pelvis;
- increased density of stones;
- high degree of obesity in the patient.
In these situations, other, less gentle, but more effective methods of removing kidney stones are used.
Transurethral lithotripsy
An alternative to percutaneous nephrolitholapaxy for ureteral stones is transurethral lithotripsy - crushing the stone using a device passed through the urethra. The transurethral crushing technique is characterized by a low number of postoperative complications and rapid recovery after the intervention.
In any case, the optimal method of crushing the stone is chosen by the operating urologist based on the results of a computed tomography scan of the kidneys. That is why it is optimal to contact those clinics that are fluent in all three lithotripsy techniques. So that the urologist chooses the crushing method not based on the technical capabilities of the operating room, but based on the benefit for the patient.
To learn more about stone removal, make an appointment with our operating urologist, Ph.D. Gadzhiev Nariman Kazikhanovich. The doctor will guide you on all issues of surgical treatment of urolithiasis and determine individual tactics for treating the disease.
Progress of the operation
The process of ultrasonic extracorporeal lithotripsy itself consists of determining the exact location of the stone and destroying it with ultrasonic pulses.
Using special innovative equipment, the stone is broken into fragments by exposing the stone to a shock wave of a very short duration. The effect exerted by a wide front enters the patient’s body through high-frequency vibrational frequencies and accumulates on the calculus with a narrow focus. As a result, high shock pressure is created in the area of the stone, which produces the desired effect.
Fragments of destroyed stone are removed from the body through the urinary canals on their own. The entire operation takes place under the full control of medical workers - a urological surgeon and assistants.
If the density of the identified stones is too high, then several sessions may be required, especially since about 80% of the stone is destroyed in one session. Therefore, it is so important to follow the recommendations of a specialist in order to help the kidney after crushing the stones. The patient needs to increase the drinking regime in order to wash away the remains of crushed stones and residual sand.
Take medications as prescribed, mainly antibiotics and drugs whose effects are aimed not only at the kidneys, but also at the genitourinary system, cleaning blood vessels from lime deposits. An example would be a standard doctor’s prescription: Ofloxacin, No-spa, Canephron. If necessary, you can resort to diuretics and painkillers.
After the procedure
The effectiveness of the procedure is 83%. This suggests that sand may remain due to the destruction of the stone. The patient needs to help the kidney after crushing the stones: drink an increased amount of water per day. The optimal volume is about 2-3 liters, depending on weight and age. It is the water you drink that helps remove fine particles from the body in the postoperative period. Its entry into the genitourinary system is faster than juice or milk: the stomach mistakes them for food and spends time digesting them.
