Prof. Dr. Enikeev

If you’re experiencing lower back pain, frequent or difficult urination, discomfort, burning, or blood in your urine — it’s best not to wait. Send us your question now, and Professor Enikeev will recommend the next steps.

Advanced treatment of bladder tumors, prostate enlargement, and prostate cancer by a world-class expert

We will choose the gentlest and most effective treatment to help you or your loved one recover faster and maintain a high quality of life

Laser surgery for prostate adenoma

• Using holmium (HOLEP) or thulium (ThuFLEP) laser techniques, the surgeon gently removes prostate adenomas of any size through natural urinary pathways — without incisions and with minimal blood loss. Normal urination is typically restored within the first few days after the procedure. This method is effective even for large adenomas and removes the need for further treatment.

• Duration: 60–90 minutes under spinal anesthesia, offering a comfortable and safe experience—even for elderly patients and those with chronic conditions.

• Discharge is usually possible the day after surgery.

Targeted destruction of prostate tumors using electrical pulses

• Under ultrasound or CT guidance, the doctor inserts thin electrodes into the area of the tumor. Short electrical pulses are delivered through these electrodes, precisely targeting the cancer cells. The pulses disrupt the cell membranes, causing the tumor cells to lose viability and die. The body then naturally eliminates them over time.

• Unlike laser or radiofrequency ablation, this method does not heat the tissue and does not damage important structures surrounding the tumor. The electric field affects only the tumor cells, leaving nearby blood vessels, nerves, and the urethra unharmed. That’s why the NanoKnife (IRE) is considered a gentle treatment option that helps preserve organ function — including urination and sexual function.

• This method is often chosen by younger and middle-aged patients who want to preserve erectile function. It is also used when other treatments carry a higher risk of complications.

• Duration: about 60 minutes under general anesthesia.

• Patients are typically discharged the same day.

Highlighting cancerous areas in the bladder during surgery

• A special dye is introduced into the body, which accumulates only in cancer cells. Under a specific type of light, the affected tissues begin to glow, allowing the surgeon to detect even the smallest tumor areas.

• This method increases tumor detection accuracy by 20–30% compared to standard cystoscopy and helps ensure that all cancerous tissue is removed in a single procedure, reducing the risk of recurrence.

• Duration: 15–20 minutes, performed during bladder tumor removal surgery.

Laser removal of bladder cancer in one piece (en bloc)

• The doctor removes the bladder tumor in one piece (en bloc) using a laser through an endoscope — without any skin incisions and without breaking the tumor apart. Unlike conventional methods, where the tumor is removed in fragments, the en bloc technique allows the entire tumor to be removed at once. This helps reduce the risk of cancer cells being left behind in the bladder and lowers the chance of recurrence.

• Duration: 30–90 minutes under spinal anesthesia — a safe and comfortable option for most patients, including older adults and those with chronic conditions.

• Patients are usually discharged the day after surgery.

Destruction of prostate tumors using cold

• Under ultrasound guidance, the doctor inserts thin probes—about 3–4 mm in diameter—into the tumor area. A cold gas is delivered through the probes, rapidly lowering the temperature of the tissue to around −100°C and then allowing it to warm back up. This sudden shift in temperature disrupts the membranes of cancer cells, causing them to break down and die. Healthy tissues are not damaged, as their cells are more resistant to temperature changes.

• Duration: 60–90 minutes under spinal anesthesia, which is especially suitable for older adults and patients with chronic conditions.

• Patients are usually discharged the day after the procedure.

Prostate cancer diagnostics using the Ginsburg protocol

• Fusion biopsy uses real-time image fusion technology that combines MRI and ultrasound. MRI scans identify suspicious areas in advance, and during the procedure, this data is overlaid onto live ultrasound images. This allows the doctor to take precisely targeted tissue samples and avoid missing cancerous zones.

• The Ginsburg protocol improves diagnostic accuracy through strict standards for preparation, biopsy technique, and result interpretation. This approach minimizes the risk of errors and provides near-100% diagnostic efficiency.

• Unlike conventional biopsy methods, the procedure is performed under local anesthesia with minimal intervention — only the necessary area is numbed.

• This makes it a safe and comfortable option, even for elderly patients or those with unstable blood pressure.

• Duration: 20–30 minutes.

• Results: available within 14 days.

When to see a urologist without delay

A common issue in men, especially after the age of 45. It may be caused by prostate enlargement (BPH), urethral stricture, or prostate cancer. If your urine stream has become weak, you feel like your bladder doesn’t fully empty, or you have to strain to urinate — it’s important to see a urologist for diagnosis and treatment.

These symptoms are often linked to cystitis, urethritis, prostatitis, or urinary tract infections. It’s especially important to see a urologist without delay if the pain gets worse, if there is any discharge, or if you feel generally unwell. Treatment is prescribed after the diagnosis is confirmed—based on lab tests and ultrasound findings.

If you’re urinating more often than usual, especially at night, it may be a sign of inflammation, prostate enlargement (BPH), prostatitis, or even diabetes. A urologist can help rule out urinary or reproductive system conditions and recommend further tests if needed.

Even a single episode of blood in the urine is a serious reason to see a doctor. It may be a sign of kidney stones, bladder tumor, inflammation, or injury. Hematuria requires prompt evaluation by a urologist to rule out any malignant conditions.

If the pain is sudden and sharp, it may be a sign of kidney colic caused by stones. Persistent or dull pain may be related to pyelonephritis, hydronephrosis, tumors, or chronic kidney disease. A urologist consultation, kidney ultrasound, and lab tests can help determine the cause.

by Professor Dmitry Enikeev

From the first consultation to full recovery. Appointments available in English, Hebrew, and Russian.

Professor Enikeev has the ability to perform surgeries at any medical center in the country. Depending on the clinical situation and the patient’s preferences, we select the most suitable hospital — with the right equipment, conditions, and convenient location.

We’ll handle communication with the clinic and prepare all necessary documents if a procedure or surgery is required. Translation can also be arranged if needed. Everything is organized so that you can focus on your recovery — not the logistics.

You’ll receive detailed information about the cost of consultations, tests, and procedures. We clarify in advance what is covered by insurance and what may require additional payment. This helps avoid misunderstandings and allows you to plan each stage of treatment with confidence.

We stay in touch with you even after the consultation or procedure. You can always ask follow-up questions, receive recovery recommendations, or adjust your treatment plan. It’s important to us that you feel supported every step of the way.