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The department

The Urology department is located on the Port Royal site of the Cochin hospital in a building whose entrance is located 123 boulevard de Port-Royal (Paris 14th). Almost all the rooms are individual. All our rooms have a shower, toilets, telephone and TV. The operating rooms are new and equipped with modern surgical tools.

Vue d'ensemble du bâtiment Port-Royal, où se trouvent l'hospitalisation et la chirurgie conventionnelle

Overview of Port Royal building where are located the conventional surgery and hospitalization

 

Vue de l'avenue de l'Observatoire. L'hôpital est visible sur la gauche

View of the Avenue de l'Observatoire. The hospital is visible on the left

 

Vue de l'entrée du service d'urologie

View of the entrance of the Urology department

 

Vue d'une unité d'hospitalisation

 

View of a hospital unit

 

Hospitalization and conventional operating theaters are located on the Port Royal site, in a new building whose entrance is located 123 boulevard de Port-Royal (Paris 14th).

Hospitalization main telephone number is +33 (0) 1 58 41 27 53.

Consultations main telephone number is +33 (0) 1 58 41 27 56.

 

 

To better understand, visualize 5 videos below:

Our service supports all the pathologies of the urinary tract.

Here is a summary of our main areas of activity:

- Cancer: oncology is one of the strong poles of the service. All urological cancers are treated, whether the prostate cancer, kidney, bladder, testis or the rarer tumors. Our service center is expert center certified in urologic oncology. More than half of our business is dedicated to the treatment of urological tumors. We cooperate with several oncology and radiotherapy for tumors which is part of a multidisciplinary approach. Every week are discussed in the presence of the entire team of medical oncologists, radiation therapists, radiologists and pathologists patient records supported for cancer. These multidisciplinary consultation meetings have the objective to define a personalized care program, with the aim to offer the least invasive treatment as possible by avoiding over-treatment of low-aggressive tumors.

For each tumor type, we have conventional techniques and moreover innovative techniques, particularly for prostate cancer brachytherapy, or focal laser treatment.

- Prostate adenoma: our service is also very invested in the management of this disease, which is extremely common in the general population. As for cancer, we have for the benign prostatic hyperplasia many treatments available: vector or bipolar resection, laser vaporization, or retractable intraprostatic implants (Urolift).

- Urolithiasis: kidney stones and ureter. We use all current minimally invasive techniques (lithotripsy, ureterosocopy with laser, or percutaneous surgery).

- Pelvic Static: urinary incontinence and genitourinary prolapse. We have many methods for treating incontinence, either for men (strips under urethral, peri-urethral balloons or artificial urinary sphincter) or for women. To treat prolapse, we realize conventional interventions, laparoscopic or sometimes vaginally. We handle difficult cases of overactive bladder, and offer botulinum toxin injections, and sacral neuromodulation.

- Andrology: erectile dysfunction, genital pathologies.

- Abnormalities of the urinary tract

- Urologic emergencies, infections ...

 

Our service comes with new technologies using modern equipment. Examples:

Laparoscopic surgery for kidney disease, cancer of the prostate or urogenital prolapse

Brachytherapy of prostate cancer

Focal treatment of prostate cancer

Laser surgery of the prostate adenoma

Laser urinary kidney stones ablation

Resection under fluorescence of bladder tumors

New treatments of urinary incontinence

 

Laparoscopic surgery for kidney disease, cancer of the prostate or urogenital prolapse

Some interventions for kidney (renal ablation or kidney tumor, treatment of a malformation, removal of kidney stone), removal of the prostate cancer (radical prostatectomy), and treating a prolapse (promontofixation) can be done by laparoscopy. Laparoscopy is a video-surgery technique, which consists in introducing a camera and instruments through small orifices and to perform surgery by using a screen. Laparoscopy avoids making a classic opening, thus reducing postoperative pain due to scar and facilitate recovery.

Laparoscopic radical prostatectomy

 

Brachytherapy for prostate cancer

Brachytherapy is an alternative to radical prostatectomy to treat certain prostate cancers which have a good prognosis. This consists of implanting radioactive seeds into the prostate under ultrasound guidance. This is the radioactivity delivered by these grains that will treat the tumor. This minimally invasive technique reduces the risk of urinary and sexual complications of radical prostatectomy.

X-ray of the radioactive seeds implanted in the prostate during a brachytherapy

Focal treatment of prostate cancer

Laser phototherapy to treat specific cancers. This technique is being evaluated to treat cancers of the few aggressive prostate, with reduced morbidity.

Laser surgery or by vaporization of the prostate adenoma

The prostate adenoma mainly occurs in older men, who often have cardiovascular pathologies associated. Laser treatment or vaporization of the prostate adenoma are alternatives to conventional endoscopic resection. These techniques reduce the risk of postoperative bleeding, and reduce the hospital length of stay.

Laser urinary kidney stones ablation

Depending on the size, location and nature of urinary calculi, several treatments are available: lithotripsy, ureteroscopy, percutaneous or surgery of the urinary tract. Ureteroscopy is to introduce a camera into the ureter to remove directly the kidney stone, after optionally fragmented. The use of a flexible ureteroscopy can explore the ureter any and all renal cavities. A laser coupled to the ureteroscopy allows kidney stones fragmentation or destroy certain tumors of the urinary tract.

Lithotripsy apparatus for fragmenting the kidney stones without the intervention

Flexible fiberscope for accessing the kidney stones or upper urinary tract tumors

Laser Fiber to fragment the stones and destroy tumors

 

Resection in fluorescence for bladder tumors

There is a new method to improve the detection of certain endoscopic bladder tumors. This process applies mainly to recurrent tumors and flat tumors difficult to visualize. It is instilled before cystoscopy a product that makes the fluorescent tumors. Some studies have shown that this technique improves the detection of tumors and allowed for more complete removal.

Fibroscopy fluorescent light, improving the detection of bladder tumors

 

New treatments for urinary incontinence

Many devices exist for treating female or male urinary incontinence. Our service is equipped with the most of them: sub-urethral tapes, peri-urethral balloons, artificial sphincter. Each process has specific indications, and our team has a widely recognized expertise in this area.

Urethral Sling for the treatment of urinary incontinence in women's efforts

Adjustable peri-urethral balloons for the minimally invasive treatment of urinary incontinence

(Warning: some images may offend the sensibilities)

Fragmentation of intra-bladder stones

Operative view neurovascular strips (preserving erections after prostatectomy)

 

Endoscopic surgery of the prostate adenoma (1- classic transurethral resection of the prostate adenoma 2- bipolar vaporization of prostate adenoma)

Laser ablation of urinary stones