Flexible ureterorenoscopy (URS) in Assoc. Prof. Dr. Haluk Söylemez

Assoc. Prof. Dr. Haluk Söylemez is a specialized urology and andrology clinic in Istanbul's Fulya district. The practice focuses on diagnosing and treating urinary system conditions and male reproductive health. Dr. Haluk Söylemez leads a team of eight doctors who provide both surgical and non-surgical care. The clinic operates from a single dedicated building with a workflow designed for international patients.### Expertise and Clinical StandardsThe clinic follows evidence-based protocols aligned with European Association of Urology (EAU) guidelines. Before starting therapies, specialists conduct thorough evaluations for underlying vascular disease, diabetes, or hypertension. For surgical interventions, the clinic uses specialized devices designed to reduce infection risks. After penile implant procedures, patient and partner satisfaction rates exceed 90%.### Urology and Andrology SpecializationsThe clinic manages conditions across adult and pediatric urology. Specialists use a stepwise approach for male sexual health. Treatment begins with lifestyle changes before progressing to advanced medical or surgical options.

Male Sexual Health and Andrology

Dr. Haluk Söylemez offers multiple pathways for treating erectile dysfunction and other male health concerns:

• ESWT – A non-invasive treatment using low-intensity sound waves to improve blood flow.
• Regenerative Therapies – Options including SVF (stromal vascular fraction) and exosome therapy.
• Penile Implants – Surgical placement of malleable one-piece or three-piece inflatable prostheses.
• Cosmetic Procedures – Non-surgical thickening using hyaluronic acid fillers and glans filler techniques.
• Andrological Surgery – Correction of penile curvature (Peyronie's disease), vasectomy, or reversal procedures.

ESWT sessions involve 1,500 pulses and last 10–20 minutes. Patients can resume daily activities immediately.

Kidney and Bladder Care

The medical team treats urinary tract conditions and stone diseases using modern fragmentation techniques:

• PNL (Percutaneous Nephrolithotomy) – A closed, minimally invasive surgery for clearing large kidney stones.
• URS and Laser Lithotripsy – Endoscopic removal of stones using specialized laser devices.
• ESWL – Shockwave therapy to break stones without surgical incisions.
• Cyst surgery – Laparoscopic or open removal of symptomatic kidney cysts or tumors.

Laparoscopic cyst surgery usually requires a 1–3 day hospital stay. Most patients return to normal activity within two weeks.

Prostate and Pediatric Urology

Specialists manage prostate health through PSA monitoring, biopsies, and surgical treatments for enlargement or cancer. The clinic performs laser prostate surgeries like HoLEP and Greenlight for benign prostatic hyperplasia (BPH). The pediatric urology program treats undescended testis, hypospadias, and performs circumcision. For urinary incontinence, options include Botox, bladder pacemakers, and sling surgeries for stress-related leakage.

### Diagnostic Technologies

Correct treatment starts with detailed physical examinations and modern imaging. The clinic uses several diagnostic tools:

• Penile Doppler Ultrasound – Provides detailed imaging of penile blood vessels.
• Advanced Imaging – Access to CT, MRI, and transrectal ultrasonography (TRUS).
• Endoscopy – Diagnostic cystoscopy and urethroscopy for direct visualization of the urinary tract.
• Laboratory Testing – Complete urinalysis, urine culture, and Multiplex STD testing.

These tools help specialists distinguish between simple and complex conditions before recommending surgery.

### Services for International Patients

The clinic prioritizes English-speaking communication for foreign patients traveling to Istanbul. Patient coordinators are also available in German, Russian, Arabic, and Turkish. The facility manages the entire care process – from initial consultation and diagnostic testing to long-term monitoring. For urolithiasis patients, follow-up includes dietary assessment and regular imaging to prevent kidney stone recurrence.