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Department of urology with robotic centre

Dr. Jaroslav Tvaruzek
general surgery, robotic surgery

About the department

The urology department with robotic centre at St. Zdislavy Hospital Velke Mezirici treats patients with kidney disorders, urinary tract and genital organs diseases. The department examines patients with the help of ultrasound and endoscopic examinations and decides on the need for urological operations. The department's surgeons widely use the DaVinci robotic procedure. The department's medical team has performed more than 3,000 robotic surgeries over the past ten years. Since 2008, the department has become the largest centre for robotic surgery in the Czech Republic. The department's specialists strive for the most sparing approach to operated tissues, which leads to minimal pain, almost no complications, good aesthetic results and a short hospital stay. Every year, the department treats more and more foreign patients, confirming the high quality of the medical services.

The main focus of doctors is on acute pathologies of the urological system, such as kidney stones, oncological diseases of the kidney and prostate, and pathologies of the pelvic organs. With the help of robotic surgery, operations are also performed on the gallbladder, hernia or appendix. When it is not possible to use robotic surgery, doctors successfully use laparoscopic methods and open surgery.

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Treatment and diagnostic focus of the department

Diagnosis: 

  • Urinary tract infections 
  • Kidney stones 
  • Bladder control problems (incontinence)
  • Cancer of the urinary tract 
  • Benign prostatic hyperplasia 
  • Kidney and ureteral stones 
  • Acute or chronic kidney failure 
  • Hematuria (blood in the urine) 
  • Interstitial cystitis (painful bladder syndrome) 

Diagnostic: 

  • Anamnesis 
  • Physical examination 
  • Pyelography (an X-ray of the urinary tract)
  • Cystography (a fluoroscopic study to image the bladder)
  • CT scan or ultrasound of the kidney 
  • Prostate sonography (black-and-white images of the prostate)
  • MR angiography (looks specifically at the body's blood vessels)
  • Prostate-specific antigen blood test (PSA)
  • Endoscopic examination 

Treatment:

  • Medical therapy
  • Chemotherapy
  • Brachytherapy or internal radiation therapy
  • Open surgery
  • Surgery with the DaVinci robotic system
  • Pyeloplasty
  • Endoscopic treatment
  • Shockwave therapy 
  • Other treatment options
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Doctor profile

Education

  • 1995 Passed the Medical Board Certificate in Surgery I
  • 1999 Passed the Medical Board Certificate in Surgery II 
  • 2002 Passed the Special Examination in Vascular Surgery 
  • 2002 Medical specialisation – Vascular Surgery
  • 2009 Medical specialisation – Robotic Surgery

Experience

  • 1994 Czech Republic, general surgery with a focus on minimally invasive techniques
  • Since 2007 Robotic surgery at Hospital Sv. Zdislava, Vysocina – with DaVinci robot
  • Since 2008 Founder of the Centre of Robotic Surgery in Mostiště with over 350 bariatric surgeries per year and over 400 prostatectomies per year

Awards, memberships, publications

  • Bariatric Surgery Section of CSS
  • American Association of DaVinci Surgery
  • Minimally Invasive Surgery Section of CSS
  • Czech Surgical Society (CSS)
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