Kidney and Upper Urinary System

Prof. Dr. Abdulmuttalip Şimşek

Kidney and Upper Urinary System

Kidney and Upper Urinary System

The kidneys and upper urinary system perform vital functions such as maintaining the body’s fluid and electrolyte balance, removing waste products, and regulating blood pressure. Diseases that develop in this system can affect not only the urinary tract but overall body health.

Kidney and upper urinary system diseases may show no symptoms in the early stages, or they may appear with complaints such as lower back or flank pain, blood in the urine, and frequent infections. For this reason, accurate diagnosis, timely intervention, and an appropriate treatment approach are of great importance.

Which Organs Does the Kidney and Upper Urinary System Cover?

The structures evaluated under this heading are as follows:

  • The kidneys

  • The renal pelvis (pelvis renalis)

  • The ureters (the channels that carry urine from the kidney to the bladder)

  • The adrenal glands

Diseases that develop in these structures should be evaluated correctly before they lead to loss of function.


Kidney and Upper Urinary System Diseases

The most common diseases in this area are as follows:

  • Kidney stones and upper urinary system stone diseases

  • Kidney cysts

  • Kidney tumors and kidney cancer

  • Adrenal gland tumors

  • UPJ obstruction (ureteropelvic junction obstruction)

  • Ureteropelvic junction obstruction

  • Kidney-related urine flow disorders

  • Upper urinary system infections

The diagnosis and treatment approach differs for each disease and requires patient-specific planning.


How Is the Diagnostic Process Planned?

In kidney and upper urinary system diseases, the diagnostic process is evaluated together with the patient’s complaints, physical examination, and advanced imaging methods.

The main diagnostic methods used:

  • Blood and urine tests

  • Ultrasonography

  • Computed Tomography (CT)

  • Magnetic Resonance (MR)

  • Biopsy when necessary

The aim is to clearly determine the type and extent of the disease and its effect on kidney function.


Treatment Approach

The following factors are taken into account when creating a treatment plan:

  • The type and stage of the disease

  • The condition of kidney function

  • The patient’s age and general health status

  • Whether the disease affects one or both kidneys

Treatment options may include:

  • Medical (drug) treatments

  • Follow-up and active surveillance

  • Endoscopic procedures

  • Laparoscopic surgery

  • Robotic surgery

Today, especially in suitable patients, minimally invasive and robotic surgical methods offer the advantages of faster recovery and fewer complications.


The Role of Robotic Surgery

In kidney and upper urinary system diseases, robotic surgery is safely used in many areas such as:

  • Kidney cancer

  • Partial and radical nephrectomy

  • UPJ obstruction

  • Adrenal gland operations

Robotic surgery contributes to the preservation of kidney function thanks to high-resolution imaging and the ability to perform precise surgical maneuvers.


A Personalized and Scientific Approach

In kidney and upper urinary system diseases, the aim is not only to treat the disease but also to preserve kidney function and safeguard the patient’s quality of life over the long term.

For each patient:

  • In light of scientific data

  • Using current technologies

  • A personalized treatment plan should be created.

Working Hours