Urology treatments informative brochure (ENGLISH)

2019
UROLOGICAL TREATMENTS IN TURKEY
Choose the best solution for your health. Live the life you deserve. Full of passion and pleasure

Erectile Dysfunction treatments in Turkey
Erectile dysfunction is a condition when a person is not able to achieve and/or maintain
the hardness of penis until the end of the sexual activity, or to achieve a continuous and
sustained erection.
Today, medicine offers more than one way to solve this problem. All of them designed in
order to achieve the best possible improvement in safe way. Following modalities of ED
therapy are administered individually while maximal effect is provided by their
combination. In order to learn the best combination of treatment for yourself please read
and answer the questionaire given in the end of this brochure and feel free to get free
consultation with our esteemed doctors.
Istanbul, Turkey, is a place where these treatments are conducted, and are available in
affordable prices. We are here to organise treatment for you in order to reach the quality of
life you deserve.
Welcome to Istanbul!

PENILE SHOCK WAVE THERAPY
A good blood flow is necessary for erection.
Unfortunately, as you get older, the blood vessels
that supply blood to the penis begin to clog and
decrease. Just like the heart vessels can get
blocked in heart disease., the penile vessels
become blocked or diminished in time.
Shock Wave Therapy improves blood flow to the
penis by improving existing blood vessels function
and creating new ones by applying low current
shock waves. Increased penile blood flow gives
stronger, harder and more sustainable erection.
80% of the men who received Shock Wave Therapy were able to enter the drug-free
relationship if appropriate treatment was done. Also, about 90% of all men who took
treatment reported that their sexual performance improved in the positive direction.
PENILE PRP TREATMENT (P-Shot)
PRP (Platelet Rich Plasma) treatment is the injection,
containing blood cells called platelets and growth factors
from liquid part of blood called plasma, into the penis. The
commercial name of penile PRP treatment is P-Shot.
The main purpose of PRP penile therapy is to prolong the
stamina of erection and its duration by the formation of
new vascular structures. In short, it is used for erectile
dysfunction treatment. When used along with shock wave
therapy and some medical instruments, contributes to
increasing penis length and thickness.
The whole procedure is very comfortable and it doesn`t last long. It starts with application
of local anesthetic cream, venous blood draw, centrifuge of drawn blood, disinfection of
penis, and end with application of prepared PRP injection and cleaning of the application
area, all done within average of 30-45 minute. There are no side effects that can affect your
social life after the procedure or cause problems with your daily life. Procedure needs to be
repeated 3-6 times in regular period of several weeks in order to give longterm results.
Longterm results are established in desired level after 1-2 months after the growth factors
and platelets injections.

STEM CELLS TREATMENT
The latest medical solution for erectile dysfunction disorder, highly efficient and giving
permanent improvement in 6 months due to power of STEM cells able to renew structure
and regenerate tissue responsible for blood flow and function of erectile bodies in penis.
What are STEM cells?
STEM cells are known in medicine as extremely
powerful cells which are able to differentiate and
regenerate tissues and provide new blood
vessels, new structure and support in both
functional and supportive tissue where it is
applicable. STEM cells are present in bone
marrow, blood and fat tissue. For this treatment
adipose origin STEM cells are used.
How the treatment is done?
For erectile dysfunction treatment cells are taken from homologous fat tissue (from the
patient himself) by liposuction of small amount of abdominal wall fat and after processing
of collected tissue an injection of liquid is extracted from it, containing: pre-adipocytes,
endothelial precursor cells, erythrocytes, M2 macrophages, growth factors, smooth muscle
cells and adipose-derived stem cells (5-6 cc volume) is injected into cavernous bodies of
penis. This procedure is done under local anesthesia, it takes around 3h, after which one
treatment of shock wave and PRP treatment is applied in order to provide best possible
environment for future results of total treatment. Whole treatment duration is around 5
hours in total, made in one day. STEM cells need time to create new tissue and make it
functional, therefore first results are shown after 6 months and permanent improvement is
present after 9 months.
Patients after prostate cancer surgery show significant
recovery of erectile function after STEM cells
treatment.
STEM cell treatment of erectile dysfunction is done
only one time, and improvement takes time of 6-9
months, it is long lasting due to regenerated tissue.

PENIS ENLARGEMENT (prolongation and thickening)
Methods used for size enchancement of penis are inlcuding both non-surgical and surgical
procedures. Each of them very safe and with quick recovery.
Scrotal web operation and Penile suspensory ligament operation for penis prolongation
These are completely safe and light surgical procedures in which extra scrotal skin is
removed in order to provide bigger availability of the penis body itself and therefore giving
bigger lenght especially during penetration, without disrupting sensitivity and also
operative correction of the penile suspensory ligament is done. This ligament is located in
the basis of the penis, attached to pubic joint. Once the limitation of this ligament is
removed, penis has bigger availability of the structure, providing bigger length and
penetration. Procedure is done quickly, under temporary general analgesia and anestesia,
after which recovery is very short as well. Stiches are removed after 7 days and patients go
back to regular life. Procedure has no complications, only incision site should be regularly
dressed until healing.
Penile fat tissue injection for penis thickening
The procedure of fat tissue transfer is widely used in many medical branches, mostly in
body scuplting practice for creating the desired shape of body, face and at last penis.
Injection of authologous fat tissue is currently the only method which can provide you with
extra centimeter(s) in penis thickness and give you overall bigger volume of penis.

PEYRONIE TREATMENTS AND OPERATION
Peyronie's disease is the development of fibrous scar tissue inside the penis that causes
curved, painful erections. Penises vary in shape and size, and having a curved erection isn't
necessarily a cause for concern. But Peyronie's disease causes a significant bend or pain in
some men.
Peyronie's disease signs and symptoms might appear suddenly or develop gradually. The
most common signs and symptoms include:
Scar tissue. The scar tissue (plaques) associated with Peyronie's disease can be felt
under the skin of the penis as flat lumps or a band of hard tissue.
A significant bend to the penis. Your penis might be curved upward, downward or
bent to one side. In some cases, the erect penis might have narrowing, indentations
or an hourglass appearance, with a tight, narrow band around the shaft.
Erection problems. Peyronie's disease might cause problems getting or maintaining
an erection (erectile dysfunction).
Shortening of the penis. Your penis might become shorter as a result of Peyronie's
disease.
Pain. You might have penile pain, with or without an erection.
We provide treatment packages combining several methods like shock wave, PRP,
STEM cells and devices, successfully dealing with this disorder, with excellent results.
The most successful method for treating Peyronie plaques is surgical procedure which
ensures normal shape and eradication of all scar tissue.
Recovery is very short, under supervision of our team of doctors. When done well, by
experts, degree of recidivism is reduced to a minimum.

PENILE PROSTHESIS AS A DEFINITE WAY OF TREATING ERECTILE DYSFUNCTION
Prescription pills are often the first course of action for treating erectile dysfunction, but
often they are just an instant fix. When pills aren’t a reliable option, a penile implant can
offer real hope.
A penile implant (or penile prosthesis) is a medical device that is custom-fit and surgically
placed into a penis to produce a natural-looking and natural-feeling erection.
A penile implant is a discrete device that is placed into a man’s penis and is designed to
help him get an erection. Once implanted, it helps put the man back in control of his body
and can be used at any time, unlike other treatment options where there may be a short
waiting period for them to be effective. A penile implant can be an effective solution for
men who are suffering from ED that has not been resolved by other available treatment
options.
There are two different penile implants that are available today. The 3-piece inflatable
penile implant is the most popular implant and a malleable penile implant is also available.
Both implant types are custom fitted to your body to allow you to have a satisfactory
erection for sexual intercourse. Your sensitivity and ability to ejaculate should not be
affected.
The primary difference between the two penile implant types is that the 3-piece inflatable
implant produces a more natural erection while the malleable implant (flexible rods)
produces a permanently firm penis.
Inflatable Penile Implants
There are three parts to an inflatable penile implant:
1. A reservoir placed in the abdomen
2. Two cylinders placed in the penis
3. A pump placed in the scrotum

Malleable Penile Implants
It consists of two firm but flexible rods that are placed
into the shaft of the penis. There are no other parts to
this implant. To have an erection, you simply hold the
penis and move it into the desired position. When you
are finished, you bend it back down to conceal it. The
malleable penile implant can be a good option for men
with limited dexterity.
REASONS TO CONSIDER A PENILE IMPLANT
Patient Satisfaction Rates: Patients report a 98% satisfaction rate for inflatable
penile implants.
Additional Patient Satisfaction Rates: Patients treated with a penile implant appear
to be significantly more satisfied with their treatment option than those treated with
ED medication or other treatment options.
A Discrete Treatment for ED: A penile prosthesis is not noticeable when your penis is
flaccid. Your partner won’t be able to tell you’ve had an implant to treat your ED
unless you tell them.
Minimal Recovery Time: Every man is different, but a typical recovery time after a
prosthesis implant procedure is four to six weeks. After you’ve fully recovered, you
can begin enjoying sex once more.
Cost-effective: Penile implants have been shown to be the most cost effective ED
treatment over a 10-year period.

Sexual Health
Questionnaire
1. Age
2. Sexual intercourse duration and quality?
3. Frequency of symptoms in the last 6 months?
4. Frequency of masturbation in the last 6 months?
5. Duration of symptoms?
6. Is there a premature ejaculation? (before sexual contact or less than 2 minutes during intercourse)
7. Foreplay erection quality score? (Without any device/drug usage)
8. Erection quality score during intercourse? (Without any device/drug usage)
9. Erection quality score during masturbation? (Without any device/drug usage)
10. If using drug/injections erection quality scores?
11. Is there curvature during erection? If there is when does it occurs?
12. Is there penile pain during erection? If there is when does it occurs?
13. Are you diabetic? For how long if you are? Which drugs are you taking?
14. Do you have high blood pressure? If you do which drugs are you taking?
15. Do you have any heart disorder?
16. Past surgeries? If yes, which one(s)?
17. Are you smoker? For how long and how many cigarettes daily?
18. Do you use alcohol? For how long and how much daily?
19. Did you involve similar treatments to this one before? Which one was it and when?
Schedule your appointment and contact our doctors for free consultation:
Email: pigeonvest.patients@gmail.com
WhatsApp/Viber: +905523456502
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