Urological operations
Urological operations are aimed at the surgical treatment of diseases and injuries of the urinary tract (kidneys, ureters, bladder, urethra) and male reproductive organs (prostate, testicles, penis). These procedures help remove stones, tumors, correct anomalies, and alleviate functional problems, improving the patient’s health and quality of life.
When to see a specialist
- Diseases of the testicles and scrotum: hydrocele, epididymal cysts, removal of skin changes from the scrotal skin
- Vasectomy
- Surgery for phimosis (narrowing of the foreskin): circumcision
- Frenuloplasty
Common symptoms
-
Enlargement of the testicle and skin changes
This can be accompanied by discomfort during movement, stretching, and pain, but also a bothersome cosmetic problem. -
If you have noticed pain and discomfort during erection or intercourse
This could be due to a tight foreskin or a short frenulum. -
Unwillingness to have more children
If you are 35 years old or have at least 3 children, a vasectomy can be performed on men to prevent further pregnancies.
How to prepare for your appointment
- Bring your ID card or another identification document.
- Inform the doctor in advance about the use of blood-thinning medications (e.g., aspirin, Marevan, fish oil capsules), as well as allergies and other regularly taken medications, so that the doctor can advise you on taking medications – blood-thinning medications should not be used for at least 5 days before coming to the surgery. Bring regularly taken medications with you or take them as advised by the doctor.
- Before surgery performed under local anesthesia, you can eat and drink normally.
- Before surgery performed under general anesthesia, you must not eat for 6 hours and drink for 4 hours before the planned surgery. If you have not followed these rules, the surgery may be canceled for your safety.
- Before surgery, the surgical area will be shaved at the clinic if necessary. Do not shave the area yourself at home to reduce the risk of infection.
- Visit the dentist – oral diseases can cause complications.
- Before surgery, you may need to change into surgical clothing provided by the clinic.
- Come to the surgery only when completely healthy. Inform the clinic if you have fallen ill.
What to expect during your appointment
Pre-operative assessment
A urologist will assess your condition and confirm the surgical plan.
Anesthesia
Depending on the type and extent of the surgery, general anesthesia, regional anesthesia (e.g., spinal anesthesia), or local anesthesia will be used.
Surgical procedure
The urologist will perform the necessary operation.
Wound closure
The wound will be closed with sutures and covered with a sterile dressing.
Post-operative monitoring
After the surgery, you will be monitored in the recovery room to ensure a stable condition and pain control.
Rehabilitation
Post-operatively, instructions for recovery will be given, which may include physiotherapy or specific exercises.
Specialists providing this service
-
-
-
-
dr Märt Mikkal
Urologist
Ülemiste Health Centre, Jalgpalli kliinik, Rävala Clinic – Specialist Medical Care and Occupational Health
Payment & Appointment Info
Prices
Tallinn
| Service | Price |
|---|---|
| Reduction of the foreskin in the case of paraphimosis under general anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1250 € |
| Bilateral vasectomy, or closure of the vas deferens – under local anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 690 € |
| Bilateral vasectomy, or closure of the vas deferens – under general anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1250 € |
| Minor operation on the external genitalia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 430 € |
| Varicocele, hydrocele operation under general anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1250 € |
Everywhere else in Estonia
| Service | Price |
|---|---|
| Reduction of the foreskin in the case of paraphimosis under general anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1250 € |
| Bilateral vasectomy, or closure of the vas deferens – under local anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 690 € |
| Bilateral vasectomy, or closure of the vas deferens – under general anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1250 € |
| Minor operation on the external genitalia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 430 € |
| Varicocele, hydrocele operation under general anaesthesia The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1250 € |
Payment methods
This service is not covered by Meliva Health Insurance. Check your personal coverage limits in the ERGO app.
Referral
An appointment with a specialist is required first to assess whether the service is suitable or necessary.
Clinics offering this service
-
-
Open
-
Open
-
Frequently Asked Questions
What type of anesthesia is used for urological operations?
Depending on the extent and location of the surgery, general anesthesia, regional anesthesia (e.g., spinal anesthesia), or local anesthesia will be used. The doctor will explain the most suitable option for you.
Will post-operative scars be visible?
For minimally invasive procedures (e.g., endoscopic, laparoscopic surgeries), scars are small and inconspicuous. In the case of open surgery, scars are larger, but surgeons try to place them as discreetly as possible.
Will I need a catheter after surgery?
After many urological operations, a bladder catheter is temporarily necessary to ensure urine drainage and help the bladder heal.
Are operations performed at Meliva?
Yes, if necessary and indicated, we can perform a wide variety of operations at Meliva, both under local anesthesia and general anesthesia. We perform day surgery at Meliva Rävala clinic.