For Patients

MEDICAL CONDITIONS

Health is our main asset. We try to maintain it by maintaining a healthy lifestyle, avoiding any abuse, exercising and spending time in nature. Unfortunately, sometimes we have to deal with various medical conditions; and to that, we hope we can benefit from the best medical care and from the most advanced medical technologies available. And this is what we, at SofMedica, are working at: Making Innovative Life-saving Technologies of high quality, safe, effective, efficient, timely available to the most remote Patients in Southeast Europe.

On this page you can find some of the medical conditions that can be treated using these technologies.

An abdominal aortic aneurysm is an enlarged area in the lower part of the aorta, the major blood vessel that supplies blood to the body.

Most aortic aneurysms occur in the part of your aorta that’s in your abdomen. Although the exact cause of abdominal aortic aneurysms is unknown, a number of factors may play a role, including: Tobacco use, Atherosclerosis, High blood pressure , Blood vessel diseases in the aorta , Infection in the aorta, Trauma, Heredity, Age, Being male, etc.

Abdominal aortic aneurysms are often found during an examination for another reason. To diagnose an abdominal aortic aneurysm, doctors will review your medical and family history and conduct a physical examination. If your doctor suspects that you have an aortic aneurysm, specialized tests can confirm it.These tests might include: Abdominal ultrasound, Computerized tomography (CT) scan, Magnetic resonance imaging (MRI).

The goal of treatment is to prevent your aneurysm from rupturing. Generally, your treatment options are medical monitoring or surgery. Your doctor’s decision depends on the size of the aortic aneurysm and how fast it’s growing.

Our solution for you is Nellix, EndoVascular Aneurysm Sealing. This is a new endovascular system, next generation AAA therapy designed for the treatment of a broad range of patients with abdominal aortic aneurysms (AAA). Nellix is the only device technology whose operating principle is centered around sealing the entire aneurysmal sac.

Ask your doctor about Nellix!


For more information about our solution click here.

Acute Kidney Injury (AKI) results from the sudden loss of kidney function. When this occurs, waste products start to accumulate in the blood. AKI may be accompanied by metabolic, acid-base & electrolyte disturbances and fluid overload. AKI may affect other organ systems and may require immediate treatment.

AKI management has as purposes: ensuring the fluid balance, removal of waste products, hemodynamic stabilization, correction of electrolyte abnormalities, restoration of acid-base balance, and nutritional support.

Treatment options for AKI include the Aquarius system with total fluid loss management.

Bladder cancer develops when cells in the bladder begin to grow abnormally. Rather than grow and divide in an orderly way, these cells develop mutations that cause them to grow out of control and not die. These anormal cells form a tumor.

It’s not always clear what causes bladder cancer. Bladder cancer has been linked to smoking, a parasitic infection, radiation and chemical exposure.

To help stop bladder tumours from regrowing (recurring) your Urologist mays recommend further treatment. Commonly this involves chemotherapy drugs that are given directly into the bladder (Intravesically).

If this is your case, our solution for you is HIVEC™.

HIVEC™ stands for Hyperthermic Intra-VEsical Chemotherapy (thermo-chemotherapy for short) this means that a warm drug is placed inside your bladder. Recent evidence has shown that heating the chemotherapy drug when it is inside your bladder can help to increase its ability to kill cancer cells.

This is because the heat allows the chemotherapy drug to be more easily absorbed into the bladder lining, allowing for deeper penetration into the bladder wall.

The heat generated inside the bladder can also help to directly kill any remaining cancer cells, as well as increasing your own body’s natural immune response – which will also target the cancer cells and kill them.


For more information about our solution click here.

The colon and rectum are part of your large intestine. Their main purpose is to process and pass waste from your body. Common benign (non cancerous) conditions that may affect your colon and cause symptoms include: diverticulitis, ulcerative colitis, Crohn’s disease and rectal prolapse.

If medicine and lifestyle changes do not ease your symptoms,your doctor may suggest surgery.

Common surgery approaches are open surgery and minimally invasive surgery (laparoscopy), which includes robotic-assisted da Vinci Surgery.

Using the da Vinci Surgical System, surgeons operate through a few small incisions. The da Vinci System has a 3D HD vision system that gives doctors a magnified view inside the body. It also has tiny instruments that bend and rotate far greater than the human hand. These features enable surgeons to operate with enhanced vision, precision and control.

da Vinci surgery also offers potential benefits compared to traditional laparoscopy:

  • Lower blood loss
  • Quicker return of bowel function
  • Lower rate of complications
  • Shorter hospital stay
  • Small incisions for minimal scarring

If you’re facing surgery for benign conditions click here
For information about colorectal resection click here

GI tract

The digestive tube is an organ system which takes in food, digests it to extract and absorb energy and nutrients, and expels the remaining waste as feces. The  digestive tube consists of the esophagus, stomach, and intestines.

During a lifetime, the digestive system can be affected by a number of diseases such as infections, inflammation and cancer. The most common causes include an unbalanced diet, stress, certain medication or drugs, age, pregnancy, excess body weight, smoking and viral or bacterial infections.

Several symptoms are used to indicate problems of the digestive tract:

  • Vomiting, which may include food or blood
  • Diarrhoea, liquid or more frequent feces
  • Gastruc reflux
  • Constipation, which refers to fewer and hardened feces
  • Blood in feces

If you exhibit one or more of these symptoms, your doctor may recommend an endoscopy in order to establish your diagnosis.

In such situations, our solutions for you include: Fuji Endoscopy Systems and the Endoscopy Capsule.

Fuji Endoscopy Systems

An endoscope is a device that has a lighted camera positioned in the tip of a long tube that allows viewing of potential problems without the need of a large surgery. A screen in the operating room lets the doctor see exactly what the inside of the organ looks like. For upper digestive tube examination (gastroscopy), a long, small diameter device is inserted through the open mouth, while for lower digestive tube examination (colonoscopy), it is inserted through the anus. In some cases, anesthesia may be recommended.

Using the Fuji Endoscopy Systems, your doctor can get optimal diagnostic. Moreover, the structural properties of the Fuji Colonoscopes lower the discomfort while being easy to use for the specialist.

Endoscopy Capsule

Capsule endoscopy is a type of endoscopy where a capsule containing a camera is swallowed in order to examine the tube. The capsule usually passes through feces within 24–48 hours.

The main use of capsule endoscopy is to examine areas of the small intestine that cannot be seen by other types of endoscopy. Capsule endoscopy transfers the captured images wireless to an external device worn by the patient. The collected images are then transferred to a computer for diagnosis, review and display.

PillCam SB is the most used, patient-friendly tool for directly visualizing the small bowel to detect and monitor irregularities. With this device, physicians can examine the entire small bowel without putting their patients through a lengthy, uncomfortable procedure or having them undergo sedation. By simply swallowing a vitamin-sized capsule, physicians are able to detect and monitor lesions, ulcers, tumors, and bleeding.

Additionally, PillCam offers exceptional images of the mucosa and improved video processing for better visualization and optimal diagnosis results. Ask your doctor about PillCam!

Erectile Dysfunction (ED) is defined as the persistent inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. ED can limit your intimacy, affect your self-esteem, and impact your most important relationships. Beyond the physical manifestations, ED causes emotional damage and there is a strong link found between erectile dysfunction and depression.

You may have to start the conversation with your doctor to get an answer to the question, “Do I have erectile dysfunction?” A personal history and physical exam set the groundwork for most conditions. Lab tests and other tests may identify a source such as diabetes, coronary artery disease or other conditions that affect the nerves and blood flow to the penis.

ED treatment is available to all men with this condition. Oral medications are a common first step, but they don’t work for everyone. If men don’t respond to oral medications, they may try other options.

An AMS penile implant is our solution and a permanent option for a man suffering with ED and offers concealed support for an erection whenever and wherever desired. Patients report 97% satisfaction rates with an AMS penile implant. The penile implant allows direct control of both the timing and duration of an erection. The 3-piece system includes a reservoir placed in the abdomen and two fluid filled cylinders completely concealed within the penis. Squeezing the pump in the scrotum can achieve an erection.

Always talk to your doctor about your ED symptoms and concerns. Make sure you understand the options available to you and be open and upfront about how the options fit your lifestyle.

The term “gallbladder disease” is used for several types of conditions that can affect your gallbladder. The gallbladder is a small pear-shaped sac located underneath your liver. Your gallbladder’s main function is to store the bile produced by your liver and pass it along to the small intestine. Bile helps you digest fats in your small intestine.

The majority of gallbladder diseases are caused by inflammation due to irritation of the gallbladder wall, which is known as cholecystitis. This inflammation is often due to gallstones blocking the ducts leading to the small intestine and causing bile to build up. It may eventually lead to necrosis (tissue destruction) or gangrene. Other diseases of the gallbladder include gallbladder polyps and gallbladder cancer.

If you have gallbladder disease and your symptoms get worse, your doctor may suggest surgery. Surgery to take out your gallbladder is called a cholecystectomy. It can be done with open surgery or minimally invasive surgery.

Common surgery approaches are open surgery and minimally invasive surgery (laparoscopy), which includes da Vinci Surgery.

Using the da Vinci Surgical System, surgeons operate through a few small incisions. The da Vinci System has a 3D HD vision system that gives doctors a magnified view inside the body. It also has tiny instruments that bend and rotate far greater than the human hand. These features enable surgeons to operate with enhanced vision, precision and control.

da Vinci surgery offers the following potential benefits compared to traditional laparoscopy:

  • Lower blood loss
  • Quicker return of bowel function
  • Lower rate of complications
  • Shorter hospital stay
  • Small incisions for minimal scarring

If you’re facing surgery for your gallbladder condition you can find useful information here.

Stomach cancer, also called gastric cancer, occurs when normal cells grow out of control and form a tumor in the stomach.

In general, cancer begins when an error (mutation) occurs in a cell’s DNA. The mutation causes the cell to grow and divide at a rapid rate and to continue living when a normal cell would die.

The accumulating cancerous cells form a tumor that can invade nearby structures. And cancer cells can break off from the tumor to spread throughout the body.

If you’ve been diagnosed with stomach cancer, your doctor may recommend surgery, chemotherapy, and/or radiation therapy.

Common surgery approaches are open surgery and minimally invasive surgery (laparoscopy), which includes da Vinci Surgery.

Using the da Vinci Surgical System, surgeons operate through a few small incisions. The da Vinci System has a 3D HD vision system that gives doctors a magnified view inside the body. It also has tiny instruments that bend and rotate far greater than the human hand. These features enable surgeons to operate with enhanced vision, precision and control.

da Vinci surgery offers the following potential benefits compared to traditional laparoscopy:

  • Lower blood loss
  • Quicker return of bowel function
  • Lower rate of complications
  • Shorter hospital stay
  • Small incisions for minimal scarring

If you’re facing surgery for your condition you can find more here.

gi-motility

Gastro-intestinal (GI) and GI motility disorders can have a serious impact on a patient’s daily life.

The symptoms of gastric reflux, chronic constipation and gastroparesis (slow stomach emptying) can be easily confused with the symptoms of functional dyspepsia (indigestion) and irritable bowel syndrome.

Due to this symptom overlap, a thorough diagnostic evaluation is important. This evaluation may include motility monitoring tests such as manometry or transit time measurement.

This measurement canb be done using innovative technologies for both manometry testing and motility evaluation produced by Given Imaging, thus providing the most comprehensive range of convenient and effective tools to assess the function of the GI tract.

Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus).

Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

Because GERD and other esophageal conditions can be hard to diagnose from symptoms alone, reflux monitoring may be a good way to evaluate these symptoms. By identifying the frequency and duration of reflux, doctors can decide on a treatment option for a patient’s symptoms.

Capsule-based Bravo pH monitoring or catheter-based Digitrapper pH-Z monitoring can be used to collect data which can determine the frequency and duration of reflux. Each device offers specific benefits for collecting valuable information for correlating symptoms to reflux.

Aortic valve stenosis — or aortic stenosis — occurs when the heart’s aortic valve narrows. This narrowing prevents the valve from opening fully, which obstructs blood flow from your heart into your aorta and onward to the rest of your body.

Causes of aortic valve stenosis include: Congenital heart defect, Calcium buildup on the valve, Rheumatic fever, Age, A deformed aortic valve, Chronic kidney disease, revious rheumatic fever.

If your doctor suspects that you or your child may have a deformed or narrowed aortic valve, you may need to undergo several tests to confirm the diagnosis and gauge the severity of the problem. You may be referred to a doctor trained in heart conditions (cardiologist) for tests such as: Echocardiogram, Electrocardiogram (ECG), Chest X-ray, Cardiac catheterization, Computerized tomography (CT) scan, Magnetic resonance imaging (MRI).

You may need valve repair or replacement to treat aortic valve stenosis. In this case our solution is: On-X Prosthetic Heart Valve.

If your physician recommends a prosthetic heart valve, there are two possibilities. They are mechanical prostheses (valves) and tissue prostheses (valves). There are many good options for heart valve replacement. Each patient will need to review the options with their surgeon and cardiologist to decide which is best for them. Your heart condition, general health, size, age, sex and activity level will all contribute to your decision. These factors are discussed following a review of all replacement options.

Ask Your Doctor about On-X Prosthetic Heart Valve!

Mitral valve stenosis — or mitral stenosis — is a narrowing of the heart’s mitral valve. This abnormal valve doesn’t open properly, blocking blood flow into the main pumping chamber of your heart (left ventricle). Mitral valve stenosis can make you tired and short of breath, among other problems.

Causes of mitral valve stenosis include: Rheumatic fever, Calcium deposits, Untreated strep infections and other causes.

Your doctor will ask about your medical history and give you a physical examination that includes listening to your heart through a stethoscope. Mitral valve stenosis causes an abnormal heart sound, called a heart murmur. You may be referred to a doctor trained in heart conditions (cardiologist) for tests such as: Electrocardiogram (ECG), Chest X-ray, Transesophageal echocardiogram, Cardiac catheterization, Transthoracic echocardiogram.

You may need valve repair or replacement to treat mitral valve stenosis. Surgical options available include On-X Prosthetic Heart Valve.

Your surgeon removes the narrowed valve and replaces it with a mechanical or tissue valve. In many cases, diseased mitral valves can be repaired rather than replaced. In mitral valve repair, most of the original valve tissue is spared. The structure surrounding the valve is surgically supported and repaired in a way the fixes the shape and function of the valve. Only a heart surgeon can determine if a mitral valve is in good enough condition that it can be repaired rather than replaced.

Ask Your Doctor about On-X Prosthetic Heart Valve!

obesity-medical-illustration-consequences-31542084

Overweight and obesity are defined as abnormal or excessive accumulations of fat that pose a health risk. An obesity mass parameter is the body mass index (BMI), the weight of a person (in kilograms) divided by the square of his height (in meters). A person with a BMI of 30 or more is generally considered obese. A person with a BMI equal to or greater than 25 is considered overweight.

Overweight and obesity are major risk factors for a range of chronic diseases, including diabetes, cardiovascular disease and cancer.

There are many non-surgical methods to treat obesity, such as diet, exercise and medication. For patients with a high body mass index (BMI) and other diseases caused by obesity, bariatric surgery may be recommended. The most common procedures of this type are gastric and gastric bypass (stomach reduction); Otherwise the gastric ring is used.

A minimally invasive, cutting-edge option for people in need of bariatric surgery is da Vinci Surgery. Among the advantages of da Vinci System are:

  • 3D HD viewing system
  • Minuscule instruments that can bend and rotate much better than the human hand
  • Improved viewing, precision and control

The surgeon controls the da Vinci system, which turns the movements of his hands into smaller and precise movements of the tiny instruments introduced into the body.

If you are going to be undergoing bariatric surgery, ask your doctor about the potential benefits of intervening with the da Vinci system.

If you want to find out why daVinci surgery is the gold standard for Bariatric Surgery click here.

Prostate cancer is a disease which only affects men. Cancer begins to grow in the prostate – a gland in the male reproductive system.

Nobody is really sure of what the specific causes are. There are so many possible factors, including age, race, lifestyle, medications, Enzyme PRSS3 linked to aggressive prostate cancer, genetics, sexually transmitted diseases, diet, obesity.

If you’ve been diagnosed with prostate cancer, your doctor may recommend surgery.

Common surgery approaches are open surgery and minimally invasive surgery (laparoscopy), which includes da Vinci Surgery.

Using the da Vinci Surgical System, surgeons operate through a few small incisions. The da Vinci System has a 3D HD vision system that gives doctors a magnified view inside the body. It also has tiny instruments that bend and rotate far greater than the human hand. These features enable surgeons to operate with enhanced vision, precision and control.

da Vinci Prostatectomy offers the following potential benefits compared to open surgery:

  • Lower positive surgical margin rates
  • Faster return of erectile (sexual) function
  • Better chance for return of urinary continence within 6 months
  • Less blood loss or need for a transfusion
  • Fewer complications
  • Lower risk of wound infection
  • Shorter hospital stay
  • Less chance of hospital readmission
  • Fewer days with catheter
  • Less risk of deep vein thrombosis

da Vinci Prostatectomy also offers potential benefits compared to traditional laparoscopy:

  • More patients return to pre-surgery erectile function at 12-month checkup
  • Faster return of urinary continence
  • Fewer complications
  • Better nerve sparing rate
  • Shorter hospital stay

If you want to find out why daVinci surgery is the golden standard for prostatectomy click here.

Varicose veins are enlarged, bulging veins that appear on the surface of the skin on your legs.

The underlying cause of varicose veins is venous reflux disease, which occurs when the tiny valves inside your leg veins that control blood flow from your legs to your heart become damaged.

In addition to causing unsightly and sometimes painful varicose veins, left untreated, venous reflux disease can progress to create other more serious circulatory and skin problems in your legs.

Causes of varicose veins can include: Age, Pregnancy, Sex(Women are more likely to develop the condition.), Standing or sitting for long periods of time, Obesity, Family history.

To diagnose varicose veins, your doctor will do a physical exam, including looking at your legs while you’re standing to check for swelling. Your doctor may also ask you to describe any pain and aching in your legs.

You also may need an ultrasound test to see if the valves in your veins are functioning normally or if there’s any evidence of a blood clot. In this noninvasive test, a technician runs a small hand-held device (transducer), about the size of a bar of soap, against your skin over the area of your body being examined. The transducer transmits images of the veins in your legs to a monitor, so a technician and your doctor can see them.

All procedures have the same goal: By removing or closing the varicose vein, blood will naturally take an alternative path to non-affected veins in your legs, which take over returning blood from your legs to your heart.

Our solution: The ClariVein device is a slim, thin catheter (tube) that your doctor temporarily inserts into the peripheral vasculature through a pin-sized entrance point. ClariVein®OC is several times smaller than other devices used in peripheral vascular treatments allowing the entrance point to be smaller.

Ask Your Doctor if ClariVein®OC is right for you!

Find more about ClariVein®OC here.

stress-incontinence

Stress urinary incontinence is the involuntary loss of urine during physical activity, which may include but is not limited to: coughing, laughing, sneezing, or lifting.

Incontinence occurs when the muscles that support the urethra (the tube that carries urine out of the body) are weakened or damaged. This can happen as a result of childbirth, trauma, hormone changes and many other reasons. Stress Urinary Incontinence can be treated both surgically or nonsurgically.

Stress urinary incontinence can be treated in several ways, depending on the exact nature of the incontinence and its severity. As disease state and anatomy differs for each patient, outcomes may vary.

Our solutions for you:

The AdVance Male Sling is placed in the body and acts as a hammock, repositioning and supporting the urethra to help restore bladder control. Most patients (77%) have long-term success with the AdVance Male Sling and are classified as cured or improved.

Another solution is AMS 800 Urinary Control System, also called an artificial urinary sphincter (AUS), which is considered the gold standard treatment for male stress urinary incontinence. This system provides proven, discreet bladder control. Advantages:

  • Mimics a healthy sphincter, allowing you to urinate when desired
  • Offers most men with a weakened sphincter muscle the ability to achieve continence
  • Placed entirely inside the body, it is undetectable to others

Consult your physician for all available treatment options!

Stones (calculi) are hard masses that form in the urinary tract and may cause pain, bleeding, or an infection or block of the flow of urine. Urinary tract stones begin to form in a kidney and may enlarge in a ureter or the bladder. Depending on where a stone is located, it may be called a kidney stone, ureteral stone, or bladder stone.

A urinary tract infection may result when bacteria become trapped in urine that pools above a blockage. When stones block the urinary tract for a long time, urine backs up in the tubes inside the kidney, causing excessive pressure that can cause the kidney to swell (hydronephrosis) and eventually damage it.

A kidney stone forms when substances in your urine become highly concentrated – which makes fluid intake one of the biggest contributing factors. If you do not drink enough water, you may put yourself at a higher risk for developing a stone.

Many kidney stones pass through the urinary system naturally, while others respond well to medical therapy. Yet some stones require a surgical procedure to break up and remove them.

Treatment depends on the type and size of your stone, its location in your body, and how your symptoms have progressed over time.

Your doctor may recommend the removal of the stone using the laser technology.
Using cutting edge technology, the Laserlith® i-dust System offers a complete range of minimally invasive solutions covering the full scope of Urinary Tract Stone Indications. Typical applications for this device include: hard stone lithotripsy, dusting effect lithotripsy, coagulation and ablation.

Uterus medical conditions include:

  • Uterine fibroids that cause pain, bleeding, or other problems
  • Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
  • Cancerof the uterus, cervix, or ovariesте
  • Endometriosis
  • Abnormal vaginal bleeding
  • Chronic pelvic pain
  • Adenomyosis, or a thickening of the uterus

If you have one of these conditions, the doctor may recommend a hysterectomy, which is an  operation to remove the uterus. The hysterectomy can be done with open surgery or minimally invasive surgery.

Minimally Invasive Surgery can be done using traditional laparoscopy or robotic assisted da Vinci Surgery. This means your surgeon operates using long instruments inserted through a few small incisions in the abdomen. One of the instruments is a tiny camera that sends images to a video screen in the operating room to guide doctors as they operate.

Minimal invasive approaches offer the following potential benefits compared to open surgery:

  • Lower blood loss
  • Quicker return of bowel function
  • Lower rate of complications
  • Shorter hospital stay
  • Small incisions for minimal scarring

If you’re facing surgery for your condition find more about this option here.