Urology Solutions
Advanced endoscopic visualization, laser-compatible systems and specialized instruments supported locally by Zidan.
Experience creates innovation
Minimally invasive techniques continue to reshape urological diagnosis and treatment. Zidan supports healthcare professionals in Palestine with a focused portfolio for prostate treatment, stone management, cystoscopy and ureterorenoscopy.
Our approach connects internationally established Richard Wolf technology with local consultation, clinical application support, installation coordination and dependable after-sales service.
Richard Wolf provides a broad urology portfolio spanning visualization, endoscopes, laser applications, resection systems and supporting instruments.
Selected technologies
A coordinated technology portfolio designed to support clear visualization, precise intervention and efficient operating-room workflows.
High-resolution endoscopic imaging designed for detailed visualization and flexible system integration.
LED-based photodynamic diagnostic support for enhanced visualization during bladder examinations.
Laser platforms supporting urological stone treatment and selected procedures for benign prostatic hyperplasia.
Specialized systems and instruments supporting cystoscopy, ureterorenoscopy, resection and tissue management.
Clinical applications
Select a technique to review its clinical purpose and the technology commonly associated with the procedure.
Transurethral resection of the prostate (TUR-P) is the gold standard method for treating benign prostatic hyperplasia. This method aims to remove surplus prostate tissue that stops urine from discharging. The outer layer of prostatic tissue, the prostatic capsule, the seminal hillock and the urethral sphincter remain unaffected.
Transurethral resection of the prostate is one of the oldest methods of minimal invasive surgery. This is an endoscopic method which is performed without an external cut through the urethra if diseased tissue has to be removed from the prostate. A rectoscope, consisting of an outer sheath and an inner sheath, is required. The sheath has two channels, one for supplying and one for evacuating fluid. The inner sheath of the rectoscope comprises a transporter, which allows the resection loop to move, and an optical system to which the light source and video camera are connected. An electrical current, which allows the tissue to be removed in stages and stops bleeding, flows over the resection loop.
In addition to established methods for the treatment of benign prostatic hyerplasia (BPH), new methods are becoming increasingly important in endourology and a trend towards endoscopic enucleation of the prostate (EEP) can be observed in recent years. This is also reflected in the current EAU Guidelines (2018). In the current guidelines EEP is cited as the first choice for treatment of BPH for prostate glands > 80 ml.
Bipolar enucleation of the prostate significantly improves symptoms and the quality of life in patients suffering from benign prostatic hyperplasia. This technique achieves similar results to monopolar TUR-P, although bipolar enucleation poses a lower risk of bleeding-related complications.
The Holmium Laser Enucleation of the prostate gland (HoLEP) is strongly recommended by both the American and European guidelines. It is regarded as a minimally invasive treatment for benign prostatic hyperplasia (BPH). Studies show that the effectiveness of HoLEP is equal or superior to other methods – whereby fewer side effects occur with HoLEP.
HoLEP is suitable for most BPH-patients, regardless of the size of the prostate gland. The blood loss, urinary incontinence and erectile dysfunction rates are lower than with other methods. The procedure per se lasts longer, but in return involves shorter catheter indwelling times and hospitalization periods. Even the repetition rates are lower.
To sum up, HoLEP is a gentle and effective procedure for minimally invasive treatment of the BPH.
Trailer Laser MegaPulse 70+
Cystoscopy is the examination of the bladder using a cystoscope. The examination of the bladder is combined with that of the urethra. The cystoscope is pushed through the urethra into the bladder, and the integrated optical system shows the hollow space inside the organ on a screen. Flexible cystoscopy causes less discomfort and pain for the patient than the rigid method.
The rigid cystoscopy is one of the most important diagnostic procedures in urology. It allows direct visualization of the urethra, the urethra sphincter, the prostate, the bladder and the ostia. The procedure is relatively simple and can be performed on an outpatient basis in most cases. For indications such as macro or micro-hematuria, hemospermia or azoospermia, incontinence, urination disorders, chronic pain of the pelvic floor, trauma or suspected foreign bodies, flexible cystoscopy is usually the preferred method. Rigid cystoscopy is suitable for more complex cases that may require additional therapeutic interventions, such as transurethral resection of bladder or prostate tumors, urethrotomy or Botox injections for treating incontinence.
Ureterorenoscopy (URS) is the endoscopic examination of ureter and kidneys. During the examination stones can be fragmented by lasers and removed using a basket. Flexible ureterorenoscopy is an effective procedure for kidney stones of up to approx. 10 mm. Larger stones are removed by other methods.
In the last two decades, flexible ureterorenoscopy has been advanced by instruments having digital imaging, smaller outer diameters, wider working channel and active deflection. The complementary instruments such as forceps, baskets and laser technology that allow more complex procedures to be performed have also been improved.
Rigid ureterorenoscopy is used not only to remove urinary stones, but also for the treatment of ureter constrictions, as well as the exclusion diagnosis of ureter and renal pelvis tumors. Under anaesthetic or with a spinal anaesthetic, the endoscope is pushed through the urethra up to the ureter or rather till in the kidney. Ureteral stones in the ureter and renal pelvis can be treated.
Mini-PCNL uses a small percutaneous tract to access the renal collecting system for fragmentation and removal of larger kidney stones while limiting tissue trauma.
Stone fragmentation may be performed endoscopically using laser or ultrasound energy, or externally through focused shockwaves, depending on the clinical indication and stone characteristics.
Fluorescence-supported photodynamic diagnostics can enhance the visualization of selected bladder lesions during endoscopic examination.
Associated technology: System blue, ENDOCAM Logic 4K, SHARK and compatible camera heads.
Miniaturized telescopes and instruments support specialized diagnostic and therapeutic procedures for pediatric patients from infancy through adolescence.
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For more information, please contact us at info@zidanms.com.
Contact Zidan to discuss your requirements.
info@zidanms.com