Urology Solutions

Precision in modern urology

Advanced endoscopic visualization, laser-compatible systems and specialized instruments supported locally by Zidan.

Experience creates innovation

Comprehensive solutions for endourology

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

Urology innovations

A coordinated technology portfolio designed to support clear visualization, precise intervention and efficient operating-room workflows.

Imaging

ENDOCAM Logic 4K

High-resolution endoscopic imaging designed for detailed visualization and flexible system integration.

Diagnostics

System blue

LED-based photodynamic diagnostic support for enhanced visualization during bladder examinations.

Laser & stone therapy

Pulvis 60+ and MegaPulse 70+

Laser platforms supporting urological stone treatment and selected procedures for benign prostatic hyperplasia.

Endoscopy & resection

Flexible endoscopes, SHARK and PIRANHA

Specialized systems and instruments supporting cystoscopy, ureterorenoscopy, resection and tissue management.

Clinical applications

Surgical techniques in urology

Select a technique to review its clinical purpose and the technology commonly associated with the procedure.

Transurethral resection of the prostate (TUR-P)

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.

Endoscopic view during transurethral resection of the prostate

Bipolar enucleation of the prostate

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.

Holmium Laser Enucleation of the Prostate Gland (HoLEP)

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.

The advantages at a glance:

Multifunctional – one laser for lithotripsy and enucleation
PowerfulPower: 70 watts
Energy: 5.0 joules
Frequency: 60 hertz
Unique power laser fiber with a 200 µm diameter
RFID detection of the laser fiber in sterile packaging

Holmium Laser Enucleation of the Prostate Gland video preview

Trailer Laser MegaPulse 70+ video preview

Trailer Laser MegaPulse 70+

Flexible and rigid cystoscopy

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.

Endoscopic view during cystoscopy

Flexible and rigid ureterorenoscopy

Flexible ureterorenoscopy

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

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.

Miniaturized percutaneous nephrolithotomy (Mini-PCNL)

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.

Intracorporeal and extracorporeal lithotripsy

Stone fragmentation may be performed endoscopically using laser or ultrasound energy, or externally through focused shockwaves, depending on the clinical indication and stone characteristics.

Photodynamic diagnostics (PDD)

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.

Pediatric urology

Miniaturized telescopes and instruments support specialized diagnostic and therapeutic procedures for pediatric patients from infancy through adolescence.

Pneumology · Thoracic Surgery · Larynx

Clear access across the respiratory pathway

Rigid and flexible endoscopy plus minimally invasive thoracic systems for diagnosis and therapy.

Thoracic endoscopy

In one breath

Integrated respiratory endoscopy

Richard Wolf combines bronchoscopy, laryngoscopy and thoracic endoscopy in a versatile portfolio. Zidan represents these advanced technologies in Palestine with local planning, training and service.

Selected technologies

From central airways to thoracic access

IMAGING

ENDOCAM Logic 4K

Detailed visualization for interdisciplinary endoscopic applications.

RIGID BRONCHOSCOPY

TEXAS bronchoscope

A modular system for diagnosis and interventional procedures.

FLEXIBLE ENDOSCOPY

Sensor bronchoscope

Flexible access with modern imaging for peripheral areas.

THORACOSCOPY

Single-port instruments

Compact systems for diagnostic thoracoscopy and pleural biopsy.

MEDIASTINOSCOPY

Video mediastinoscope

Visualization and access for selected lymph-node procedures.

VATS

Thoracoscopic instrument set

Specialized instrumentation for video-assisted thoracic surgery.

Clinical applications

Respiratory and thoracic procedures

Rigid bronchoscopy

Rigid systems support diagnosis and interventions including foreign-body removal, tumor treatment and stent management.

Flexible bronchoscopy

Flexible sensor bronchoscopes extend visualization and access toward peripheral areas.

Thoracoscopy and VATS

Single-port thoracoscopy and video-assisted systems support minimally invasive diagnosis and treatment in the chest.

Mediastinoscopy and laryngoscopy

Dedicated endoscopes and instruments support access, visualization and selected biopsy procedures.

Configure a complete respiratory endoscopy solution

Zidan supports hospitals with technology selection, training and service.