Les Meilleurs doctors pour votre Implantation de sphincter urinaire artificiel - TOP 41 des médecins

Le Dr Ivan Colombo est un urologue expérimenté, fort de 30 ans d'expérience et spécialisé dans la chirurgie robotique, le traitement des maladies urologiques et l'oncologie. Il travaille actuellement à l'hôpital St. Zdislava et est membre de plusieurs organisations réputées, notamment la Société d'urologie de la République tchèque, la Société chirurgicale de la République tchèque, l'Association de chirurgie robotique, l'Association européenne d'urologie, la Société américaine d'urologie et la Société internationale d'urologie. Il a également publié plus de 150 articles dans des revues nationales et internationales.

Prof. Dr. Abdulmuttalip Şimşek

Prof. Dr. Abdulmuttalip Şimşek graduated from Istanbul University Faculty of Medicine in 2005. In 2010, he completed his 'Specialization Training' in the field of Urology at Foundation Gureba Hospital. Prof., who conducts studies at Istanbul Faculty of Medicine, Lütfiye Nuri Burat State Hospital and Haseki Training and Research Hospital. Dr. Abdulmuttalip Şimşek received the title of Associate Professor in 2015.

He carried out studies at the University of Sheffield and Hallamshire Hospital between 2015 and 2016. Returning to Turkey in 2016, Prof. worked as a teaching assistant at Bakırköy Sadi Konuk Training and Research Hospital. Dr. Abdulmuttalip Şimşek has been working as a urologist at Başakşehir Çam and Sakura Hospital since 2020.

Prof. has an innovative perspective in the field of urology. Dr. Abdulmuttalip Şimşek treats his patients by taking advantage of developing technology. Prof. has made significant contributions to the field of urology with many international research and scientific publications. Dr. Abdulmuttalip Şimşek treats his patients as a Robotic and Reconstructive Urology Specialist.

Education status:

Degree

Department/Program

University

Year

Undergraduate Medicine Istanbul University, Istanbul Faculty of Medicine, Istanbul 1999-2005

Specialization in Medicine Urology Bezmi Alem Vakif University Faculty of Medicine, Istanbul 2005-2010

Associate Professorship SBU Haseki Training and Research Hospital 2015

PhD in Reconstructive Urology under the direction of Professor Christopher Chapple, University of Sheffield and Hallamshire Hospital, England 2015-2016

Medical Specialization Thesis Title and Advisor: Comparison of Efficacy and Complication Rates of Transobturator and Retropubic Midurethral Loose Sling Surgery in Stress Urinary Incontinence Patients (2010) Thesis Advisor: Prof.Dr. Sinasi Yavuz Önol Bezmi Alem Vakıf University Faculty of Medicine Urology Clinic

Areas of Interest: Reconstructive urology, Robotic surgery, Urooncology

Tasks:

Job Title

Duty Station

Year

Expert Dr. Lütfiye Nuri Burat State Hospital – Istanbul 2011- 2012

Expert Dr. Haseki Training and Research Hospital Urology Clinic - Istanbul 2012 January - 2015

Assoc. Dr. Haseki Training and Research Hospital Urology Clinic - Istanbul 2015

Associate Professor. University of Sheffield and Hallamshire Hospital, England 2015-2016

Education Officer Bakırköy Dr. Sadi Konuk Training and Research Hospital Urology Clinic - Istanbul 2016 – May 2020

Education Officer Başakşehir Çam and Sakura City Hospital Urology Clinic - Istanbul 2020 June - Present

Administrative Duties:

Bakırköy Dr. Sadi Konuk Training and Research Hospital Urology Clinic Administrative Manager – 2020

Supervised Theses:

expertise in medicine

Yunus ÇOLAKOĞLU (2020). Comparison of oncological and functional results of Robotic and Open Perineal Radical Prostatectomy. University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital Urology Clinic

Ramazan UĞUR (2020). The effect of end-to-end anastomosis urethroplasty and buccal mucosal graft urethroplasty techniques on erectile function in bulbar urethra stenosis. University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital Urology Clinic

Abdullah Hızır YAVUZSAN (2017). Comparison of peroperative parameters according to renal nephrometry score in robotic and laparoscopic partial nephrectomies. University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital Urology Clinic

Memberships to Scientific Organizations:

Turkish Urology Association

Turkish Andrology Association

European Association of Urology

American Urological Association

American Society of Genitourinary Reconstructive Surgery

Awards :

Alpay KELAMI, Men's Sexual Health award, Turkish Andrology Association, 2011

Men's Sexual Health Alpay KELAMI award, Turkish Andrology Association, 2009

Ofer Yossefovitz est un chirurgien urologue laparoscopique israélien très expérimenté, spécialisé dans l'urologie oncologique, la chirurgie urologique et la chirurgie robotique. Il est titulaire d'un doctorat en médecine et a effectué des stages de recherche au Memorial Sloan Kettering Cancer Center. Il a plus de 25 ans d'expérience en pratique clinique, a publié de nombreux articles de recherche et est maître de conférences à la faculté de médecine Sackler de l'université de Tel-Aviv. Il est membre de plusieurs organisations médicales.

Education:

Medical Degree: Çukurova University Faculty of Medicine (1993)

Specialization in Urology: Şişli Etfal Training and Research Hospital (2005)

Professional Experience:

Current Position: Practicing at İstinye University Hospital Medical Park Gaziosmanpaşa, Istanbul

Past Experience: Extensive work in both public and private healthcare sectors, including significant contributions at Istanbul İstinye University Health Practice and Research Center.

Areas of Interest:

Pediatric Urology

Urogynecology

Treatment of pediatric urology disorders

Urological surgeries and procedures

Professional Memberships:

Member of several prestigious medical societies, including the Turkish Medical Association, European Society of Pediatric Urology, and the Turkish Society of Pediatric Urology.

Certifications:

Dr. Güllüoğlu has completed numerous certifications and advanced training programs, reflecting his commitment to continuous professional development and staying at the forefront of urological advancements.

Dr. Sılay is an experienced pediatric urologist practicing in Turkey.

Specialty

Assoc. Prof. Selçuk Sılay specializes in robotic surgery for urology conditions in children.

Dr. Selçuk Sılay has provided over:

• 300 pediatric laparoscopic surgeries
• 100 pediatric robotic surgeries
• 300 closed kidney stone surgeries in children.

Work experience

• Since 2018 – Urologist in Memorial Bahçelievler Hospital and Memorial Ataşehir Hospital
• 2017-2018 – Pediatric urology robotic surgery specialist in Mehmet Akif Ersoy Training and Research Hospital
• 2016-2018 – Head of Pediatric Urology Department in Istanbul Medeniyet University Göztepe Training and Research Hospital
• 2011-2016 – Head of Pediatric Urology Department at the Bezmialem Foundation University
• 2009 – Urology Specialist in Diyarbakir Bismil State Hospital
• 2006-2007 – Urology and Robotic Surgery Specialist.

Education

• 1997-2003 – Ankara University Medical School – Degree in general medicine
• 2003 – Baylor College of Medicine (USA) – Training in urology
• 2004-2009 – Istanbul Şişli Hamidiye Etfal Education And Research Hospital – Training in urology
• 2006-2007 – Baylor College of Medicine (USA) – Internship in urology
• 2014-2015 – Texas Children's Hospital (USA) – Pediatric Urology Robotic Surgery Training (USA).

Awards

• 2016 Young Academician of the Year Award by the 24th National Urology Congress in Cyprus
• 2018 Crystal Matula Award as European Academician of the Year.

Scientific activity

Prof. Selçuk Sılay provides research in robotic surgery in children. Has written over 80 articles.

Membership in organizations

• The Turkish Society of Pediatric Urology
• The European Association of Urology
• The European Society for Paediatric Urology
• The Turkish Association of Urology.

After graduating in Medicine and Surgery, Dr. Saltutti specialized in Urology, gaining advanced expertise in treating disorders of the male and female urinary system, as well as the male reproductive system. Throughout his professional journey, he has focused on innovative and minimally invasive surgical techniques, such as robotic and laparoscopic surgery, especially for the treatment of prostate, kidney, and bladder cancers.

Over the years, Dr. Saltutti has attended numerous national and international conferences, expanding his knowledge and contributing to the advancement of therapeutic and surgical techniques in the urological field. He is known for his clinical expertise and dedication to his patients, adopting a personalized approach to each case to ensure effective, high-quality care.

His work at GVM facilities, which boast cutting-edge technologies and a highly qualified medical team, allows Dr. Saltutti to offer comprehensive services ranging from early diagnosis to treatment and post-operative rehabilitation. His areas of specialization include, in addition to urological cancers, the treatment of prostate conditions, kidney stones, urinary incontinence, and male sexual dysfunction.

Thanks to his experience and passion for the medical profession, Dr. Carlo Saltutti is a reference point for patients seeking excellent urological care at the GVM group

Education:

1997 – 2003    Hacettepe University

2004 – 2009     Ankara Dışkapı Training and Research Hospital

2016 – 2019     Afyon Kocatepe University

Experience:

2022 – Still       Lokman Hekim Akay Hospital

2019 – 2022     Private Meddem Hospital

2018 – 2019      Afyon Kocatepe University

2015 – 2018      Afyon Kocatepe University

2012 – 2015      Bozok University Faculty of Medicine

2010 – 2012     Ankara Dışkapı Training and Research Hospital

2009 – 2010      TSK Rehabilitation and Care Center Presidency

2004 – 2009     Ankara Dışkapı Training and Research Hospital

Specialties

Kidney and urinary tract endoscopic stone crushing treatment

Endoscopic Prostate and Bladder Surgery (TUR Method)

Diagnosis and surgery of testicular diseases

Diagnosis and treatment of infertility in men (Varicocele surgeries)

Diagnosis and treatment of sexual dysfunctions

Treatment of urinary incontinence in women

Treatment of nocturnal incontinence in children

Treatment of undescended testicle in children

Circumcision

Experience

1995-1999 Bilecik State Hospital Urology Clinic

1999-2002 Kocaeli Gölcük State Hospital Urology Clinic

2002-2006 Sakarya Karasu State Hospital Urology Clinic and Chief Physician

2006-2012 Kocaeli State Hospital Urology Clinic and Chief Physician

2012-2015 Kocaeli State Hospital Urology Clinic

2015-2018 Kocaeli Public Hospitals Secretary General

2018-2021 Kocaeli Provincial Health Director

2021-2023 Kocaeli Darıca Farabi Training and Research Hospital Urology Clinic

2023- 2024 Kocaeli Gölcük Necati Çelik State Hospital Urology Clinic

2024 Private Darıca Büyük Anadolu Hospital

Education

Uludag University Faculty of Medicine (graduation) 1988

Selcuk University Faculty of Medicine (specialization) 1994

1982-1988 Uludağ University Faculty of Medicine

1990 -1994 Selcuk University Faculty of Medicine, Department of Urology (Specialization)

Scientific Publications

Acar A., Sert I. Ü., Gürbüz R., Ergüney Ş: Submucosal methotrexate applications in inoperable bladder tumors.  S.Ü.T.F. Journal. 1993; 9(1):39-41

Acar A., Sert İ.Ü., Gürbüz R., Arslan E.M., Ergüney Ş. , : Bladder wall and prostate

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Le Dr Ismael Avila Iniguez est un chirurgien général et un urologue diplômé de la faculté de médecine de l'université autonome de Guadalajara. Il a réalisé plus de 3 000 interventions chirurgicales en urologie et en oncologie. Il est membre de plusieurs associations et a été reconnu pour son travail dans les unités de transplantation d'organes et les soins du cancer. Il participe régulièrement à des séminaires aux États-Unis et au Mexique.

Le Dr Jacob Ben-chaim est urologue pédiatrique au Sourasky Medical Center. Il a de l'expérience en immunologie chimique, en pyéloplastie laparoscopique et est certifié par l'ECFMG. Il est certifié par l'Institut Technion, Haïfa, Israël, l'hôpital et l'université Johns Hopkins, Baltimore MD, États-Unis, et l'université de Tel Aviv, Sackler School of Medicine. Il est membre de l'Association médicale israélienne, de l'Association urologique israélienne, de l'Association urologique américaine et président de l'Union d'urologie pédiatrique. Il a reçu des prix pour la meilleure étude d'urologie pédiatrique et détient un certificat ECFMG valable indéfiniment.

Le professeur Haim Matskin est un spécialiste renommé de l'onco-urologie, de l'urologie et de la chirurgie. Il dirige le service d'urologie du Sourasky Medical Center. Expert en curiethérapie et en cryothérapie, il est membre à part entière de l'Association médicale d'Israël et de l'Association des urologues d'Europe, des États-Unis et d'Israël.

Marital Status : He is married, his wife is an ophthalmologist, and he is the father of two sons, aged 27 (Medical doctor) and 20 (Student).

Educational Status

1988 Uludağ University Faculty of Medicine / Bursa

1982 Kabataş Boys' High School / Istanbul

1979 Göztepe Secondary School / Istanbul

1976 Harun Reşit Primary School / Istanbul

Institutions he works for

2020 Biruni University Hospital, Head of Urology Department / ISTANBUL
2017 Yeni Yüzyıl University Gaziosmanpaşa Hospital, Head of Urology Department / ISTANBUL

2016 Taksim Training and Research Hospital Urology Clinic Education and Administrative Supervisor / Istanbul

2009 Bağcılar Training and Research Hospital Urology Clinic Chief / Istanbul

2007 International Hospital, Yeşilköy / Istanbul

2007 Ankara Training and Research Hospital 2nd Urology Clinic / Ankara

2001 Military Service, Marshal Fevzi Çakmak Military Hospital / Erzurum

1999 Bergama State Hospital / Izmir

1997 Ankara Training and Research Hospital Specialization Program / Ankara

1992 Izmit State Hospital / Izmit

 

diplomas

2011 Professorship

2006 Associate Professorship

1997 Urology Specialist

1988 Doctor of Medicine

Associations and organizations of which he is a member

European Association of Urology

Turkish Urology Association

Northern Marmara Urology Association

Endourology Association

Nuhoğlu Foundation

Scientific Publications

Author of over 100 publications, presentations and book chapters, 58 of which are international.

Experience

2017 - 2022 Haseki Training and Research Hospital, Associate Professor

2017 - 2022 Haseki Training and Research Hospital

2013 - 2017 Haseki Training and Research Hospital

2013 - 2017 Haseki Training and Research Hospital, Chief Resident

2010 - 2013 Silivri State Hospital (Compulsory Service Obligation)

2008 - 2008 University of Michigan Medical School

2005 - 2010 Istanbul Medical Faculty, Department of Urology

Education

2010 Istanbul University, Istanbul Medical Faculty, Department of Urology

2004 Istanbul University, Istanbul Medical Faculty

Publications

International Peer-Reviewed Journals:

Culpan M, Atis G, Sanli O, Bozkurt Y, Atmaca AF, Semerci B, Kutsal C, Canda AE, Akbulut F, Tugcu V, Boylu U, Erturhan S, Koca O, Ateş F, Halis F, Soyupek S, Turna B, Cakmak S, Sahin S, Erdem S, Yildirim A. "Comparison of Tumor Enucleation and Standard Partial Nephrectomy According to Trifecta Outcomes: A Multicenter Study by the Turkish Academy of Urology, Uro-Oncology Working Group." J Invest Surg. 2022 May;35(5):1112-1118.

Sahan M, Sarilar O, Akbulut MF, Demir E, Savun M, Sen O, Ozgor F. "Flexible ureterorenoscopy and laser lithotripsy with regional anesthesia vs general anesthesia: A prospective randomized study." Int Braz J Urol. 2020 Nov-Dec;46(6):1010-1018.

Cubuk A, Yanaral F, Savun M, Ayranci A, Erbin A, Yazici O, Akbulut MF, Sarilar O. "Modified autologous transobturator tape surgery - evaluation of short-term results." Ginekol Pol. 2020;91(2):51-56.

Kandemir E, Savun M, Sezer A, Erbin A, Akbulut MF, Sarilar Ö. "Comparison of Miniaturized Percutaneous Nephrolithotomy and Standard Percutaneous Nephrolithotomy in Secondary Patients: A Randomized Prospective Study." J Endourol. 2020 Jan;34(1):26-32.

Ucpinar B, Erbin A, Ayranci A, Caglar U, Alis D, Basal S, Sarilar O, Akbulut MF. "Prediction of recurrence in non-muscle invasive bladder cancer patients. Do patient characteristics matter?" J BUON. 2019 Jul-Aug;24(4):1659-1665.

Ozdemir H, Erbin A, Sahan M, Savun M, Cubuk A, Yazici O, Akbulut MF, Sarilar O. "Comparison of supine and prone miniaturized percutaneous nephrolithotomy in the treatment of lower pole, middle pole and renal pelvic stones: A matched pair analysis." Int Braz J Urol. 2019 Sep-Oct;45(5):956-964.

Erbin A, Ucpinar B, Cubuk A, Yazici O, Uysal H, Savun M, Basal S, Akbulut MF. "The Impact of Sheath Size in Miniaturized Percutaneous Nephrolithotomy in Adult Patients; A Matched-pair Analysis." Urol J. 2019 Dec 24;16(6):536-540.

Güler A, Erbin A, Ucpinar B, Savun M, Sarilar O, Akbulut MF. "Comparison of miniaturized percutaneous nephrolithotomy and standard percutaneous nephrolithotomy for the treatment of large kidney stones: a randomized prospective study." Urolithiasis. 2019 Jun;47(3):289-295.

Yanaral F, Ozgor F, Savun M, Agbas A, Akbulut F, Sarilar O. "Shock-wave Lithotripsy for Pediatric Patients: Which Nomogram Can Better Predict Postoperative Outcomes?" Urology. 2018 Jul;117:126-130.

Arslan B, Akbulut MF, Onuk O, Küçüktopçu O, Çilesiz NC, Ozkan A, Yazıcı G. "A comparison of Amplatz dilators and metal dilators for tract dilatation in mini-percutaneous nephrolithotomy." Int Urol Nephrol. 2017 Apr;49(4):581-585.

Akbulut F, Kucuktopcu O, Kandemir E, Ucpinar B, Ozgor F, Simsek A, Arslan B, Erbin A, Yanaral F, Binbay M, Gurbuz G. "Efficacy and safety of mini percutaneous nephrolithotomy in obese patients." Springerplus. 2016 Jul 22;5(1):1148.

Sancak EB, Oguz S, Akbulut T, Uludag A, Akbas A, Kurt O, Akbulut MF. "Female sexual dysfunction in androgenetic alopecia: Case-control study." Can Urol Assoc J. 2016, July;10(7-8):E251-256.

Akbulut F, Kucuktopcu O, Kandemir E, Sonmezay E, Simsek A, Ozgor F, Binbay M, Muslumanoglu AY, Gurbuz G. "Comparison of flexible ureterorenoscopy and mini-percutaneous nephrolithotomy in treatment of lower calyceal stones smaller than 2 cm." Ren Fail. 2016;38(1):163-7.

Tok A, Akbulut F, Buldu I, Karatag T, Kucuktopcu O, Gurbuz G, Istanbulluoglu O, Armagan A, Tepeler A, Tasci AI. "Comparison of microperc and mini-percutaneous nephrolithotomy for medium-sized lower calyx stones." Urolithiasis. 2016 Apr;44(2):155-9.

Akbulut F, Tok A, Penbegul N, Daggulli M, Eryildirim B, Adanur S, Gurbuz G, Celik H, Utangac MM, Dede O, Bodakcı MN, Tepeler A, Sarica K. "Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment." Urolithiasis. 2015 Nov;43(6):521-6.

Ozluk Y, Sari S, Guzel NT, Firat P, Akbulut F, Kilicaslan I. "Mixed epithelial and stromal tumor of the kidney with sarcomatous transformation metastatic to the lung: A case report." Anal Quant Cytopathol Histpathol. 2015 Jun;37(3):199-205.

Ozgor F, Kucuktopcu O, Sarilar O, Toptas M, Simsek A, Gurbuz ZG, Akbulut MF, Binbay M. "Does previous open renal surgery or percutaneous nephrolithotomy affect the outcomes and complications of percutaneous nephrolithotomy." Urolithiasis. 2015 Nov;43(6):541-7.

Ugurlu İM, Akman T, Binbay M, Tekinarslan E, Yazıcı Ö, Akbulut MF, Özgör F, Müslümanoğlu AY. "Outcomes of retrograde flexible ureteroscopy and laser lithotripsy for stone disease in patients with anomalous kidneys." Urolithiasis. 2015 Feb;43(1):77-82.

Simsek A, Ozgor F, Kirecci SL, Akbulut MF, Sonmezay E, Yuksel B, Kucuktopcu O, Gurbuz ZG. "Results of tension-free vaginal tape for recurrent stress urinary incontinence after unsuccessful transobturator tape surgery." J Obstet Gynaecol Res. 2014 Jun;40(6):1764-9.

Simsek A, Kirecci SL, Kucuktopcu O, Ozgor F, Akbulut MF, Sarilar O, Ozkuvanci U, Gurbuz ZG. "Comparison of paroxetine and dapoxetine, a novel selective serotonin reuptake inhibitor in the treatment of premature ejaculation." Asian J Androl. 2014 Sep-Oct;16(5):725-7.

Akbulut F, Kucuktopcu O, Sonmezay E, Simsek A, Ozgor F, Gurbuz ZG. "Partial penectomy after debridement of a Fournier's gangrene progressing with an isolated penile necrosis." Ulus Travma Acil Cerrahi Derg. 2014 Sep;20(5):385-8.

Simsek A, Ozgor F, Yuksel B, Kucuktopcu O, Kirecci SL, Toptas M, Sarilar O, Berberoglu AY, Gurbuz ZG, Mimaroglu S, Akbulut F, Baykal M, Arslan B, Savun M, Ucpinar B. "Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence." Springerplus. 2014 Sep 30;3:570.

Akbulut F, Akman T, Salabas E, Dincer M, Ortac M, Kadioglu A. "Neurovascular bundle dissection for Nesbit procedure in congenital penile curvature patients: medial or lateral?" Asian J Androl. 2014 May-Jun;16(3):442-5.

Kadioglu A, Sanli O, Akman T, Canguven O, Aydin M, Akbulut F, Kucukdurmaz F. "Factors Affecting the Degree of Penile Deformity in Peyronie's Disease: An Analysis of 1001 Patients." J Androl. 2011 Sep-Oct;32(5):502-8.

Akman T, Sanli O, Uluocak N, Akbulut F, Nane I, Demir S, Kadioglu A. "The most commonly altered type of Peyronie's disease deformity under oral colchicine treatment is lateral curvature that mostly shifts to the dorsal side." Andrologia. 2011 Feb;43(1):28-33.

Akbulut MF, Sanli O, Kadioglu A. "Editorial Comment on: Are Infertile Men Less Healthy than Fertile Men? Results of a Prospective Case-Control Survey." Eur Urol. 2009 Dec;56(6):1032.

Acar O, Akinci M, Uluocak N, Akbulut F, Kilicaslan I, Gokce O. "Paratesticular metastasis of malignant melanoma: a case report." Kaohsiung J Med Sci. 2008 Jun;24(6):315-8.

Çubuk A, Erbin A, Savun M, Ayranci A, Üçpınar B, Yanaral F, Sarılar Ö, Basal Ş, Akbulut MF. "Autologous transobturator midurethral sling." Turk J Urol. 2018 Dec 21;45(3):230-232.

Sarılar Ö, Özgör F, Küçüktopçu O, Uçpınar B, Akbulut MF, Savun M, Gürbüz ZG, Binbay M. "Is standard percutaneous nephrolithotomy still the standard treatment modality for renal stones less than three centimeters?" Turk J Urol. 2017 Jun;43(2):165-170.

Akbulut F, Savun M, Ucpinar B, Sahan M, Arslan B, Ozgor F, Simsek A, Berberoglu AY, Baykal M, Binbay M. "Duplicated Renal System with H Shaped Ureter: An Extraordinary Anomaly." Case Rep Urol. 2016;2016:4062515.

Akbulut F, Kucuktopcu O, Kandemir E, Sonmezay E, Simsek A, Ucpinar B, Ozgor F, Gurbuz G. "Comparison of efficacy of laser lithotripter with ultrasonic lithotripter in mini percutaneous nephrolithotomy." Arch Ital Urol Androl. 2016 Jan 14;87(4):276-9.

Ozgor F, Simsek A, Aydogdu O, Kucuktopcu O, Sarilar O, Berberoglu AY, Akbulut MF, Binbay M. "Bleeding during laparoscopic partial nephrectomy: Can a hemostatic matrix help to improve hemostasis?"