Price list

Consultation

In the clinic or online: 10,000 AMD

Low-volume urological interventions

	Service name	Price, Dram

	Extracorporeal shock wave lithotripsy, 1 session (up to 4000 shocks)	204.000
	Extracorporeal shock wave lithotripsy, 1 session (up to 4000 shocks) (spinal, intravenous or mask anesthesia)	240.000
	Repeated shock wave lithotripsy within 3 months	120.000

	Extracorporeal shock wave lithotripsy for children under 18 years of age	120.000
	Extracorporeal shock wave lithotripsy for children under 18 years of age (spinal, intravenous or mask anesthesia)	156.000
	Repeated session extracorporeal shock wave lithotripsy for children under 18 years of age	84.000

	Ureteral stenting procedure (excluding the cost of the stent) Percutaneous nephrostomy (excluding the cost of the nephrostomy tube) Prostate biopsy (excluding the cost of the disposable biopsy device) Circumcision Penile frenuloplasty Urethrocystoscopy Trocar (puncture) cystostomy (excluding the cost of the cystostomy tube) Diagnostic ureterorenoscopy Testicular biopsy Other low-volume urological surgeries
	Local anesthesia	96.000
	Spinal, intravenous or mask anesthesia	120.000
	General anesthesia	132.000

Operations of the first degree of complexity

Ureterorenoscopy Retrograde intrarenal surgery (RIRS) (excluding the cost of disposable instrument) Orchiectomy Epididymectomy Hydrocelectomy Testicular prosthesis (excluding the cost of the prosthesis) Scrotal revision Sclerotherapy of the veins of the spermatic cord (excluding the cost of the sclerosing drug) Open Ivanissevich varicocelectomy Endoscopic cystolithotripsy Endoscopic excision of bladder neck Optical urethrotomy Urethrocystoscopy with biopsy of the mucosa and bladder tumor Formation of perineal hypospadia Excision of the urethral caruncle Plastic surgery of the anterior or posterior vaginal wall All complicated cases of 403 code
Local anesthesia	240.000
Spinal, intravenous or mask anesthesia	252.000
Epidural anesthesia	264.000
General anesthesia	276.000
Combined anesthesia	288.000

Operations of the second degree of complexity

	Midurethral sling procedures: TOT, TVT (excluding the cost of the sling) Open ureteral stone removal Monopolar TUR of prostate adenoma and bladder Open nephrostomy Revision and other manipulations of the retroperitoneal space Microscopic Marmar varicocelectomy Single-stage plastic surgery of the anterior and posterior vaginal walls Ureterorenoscopy in case of more than 1 stone, as well as in case of a stone measuring 2.0 cm or more
	Spinal, intravenous or mask anesthesia	360.000
	Epidural anesthesia	372.000
	General anesthesia	384.000
	Combined anesthesia	396.000

	Transurethral bipolar or laser resection of prostate adenoma or bladder tumor (TUR)
	Spinal, intravenous or mask anesthesia	468.000
	Epidural anesthesia	480.000
	General anesthesia	492.000

Operations of the third degree of complexity

	Renal cystectomy Open anterior urethral plastic surgery Chevassu operation Ureteropelvic junction plastic surgery Ureterocystoneostomy Vaginal plastic surgery of vesicovaginal fistula Open adenomectomy Bilateral ureterocutaneostomy Phalloplasty (excluding the cost of the penile prosthesis) Plastic surgery on the external genitalia Sacrospinous ligament fixation of the cervix or vaginal cuff (excluding the cost of the specific materials used) Retrograde intrarenal surgery (RIRS) (when using a reusable device) Removal of diverticula, cysts, and urethral neoplasms in women.
	Epidural anesthesia	480.000
	General anesthesia	492.000
	Combined anesthesia	504.000

	Simple nephrectomy Adrenalectomy Open posterior urethral plastic surgery Open renal stone removal with correction of the ureteropelvic junction Bladder diverticulectomy
	Epidural anesthesia	540.000
	General anesthesia	552.000
	Combined anesthesia	564.000

Operations of the fourth degree of complexity

	Percutaneous nephrolithotripsy of the first degree of complexity
	Spinal, intravenous or mask anesthesia	540.000
	Epidural anesthesia	552.000
	General anesthesia	564.000
	Combined anesthesia	576.000

	Percutaneous nephrolithotripsy of the second degree of complexity
	Spinal, intravenous or mask anesthesia	660.000
	Epidural anesthesia	672.000
	General anesthesia	684.000
	Combined anesthesia	696.000

	Percutaneous nephrolithotripsy of the third degree of complexity
	Spinal, intravenous or mask anesthesia	780.000
	Epidural anesthesia	792.000
	General anesthesia	804.000
	Combined anesthesia	816.000

	Complex cases of urolithiasis (sandwich therapy) (including extracorporeal shock wave lithotripsy, percutaneous nephrolithotripsy, ureterorenoscopy)
	Spinal, intravenous or mask anesthesia	1․320.000
	Epidural anesthesia	1․332.000
	General anesthesia	1․344.000
	Combined anesthesia	1․356.000

	Radical cystoprostatectomy
	General anesthesia	1.500.000
	Combined anesthesia	1.600.000

	Radical nephrectomy Kidney resection
	General anesthesia	720.000
	Combined anesthesia	732.000

	Reconstructive surgeries Formation of genitourinary organs from other tissues Cystectomy with formation of a small intestinal reservoir
	General anesthesia	2.000.000
	Combined anesthesia	2.100.000

Laparoscopic surgeries

	Laparoscopic varicocelectomy
	General anesthesia	350.000
	Combined anesthesia	370.000

	Laparoscopic cystolithotripsy
	General anesthesia	460.000
	Combined anesthesia	480.000

	Laparoscopic removal of ureteral stone (ureterolithotomy of one ureter) Laparoscopic removal of kidney cysts (cystectomy of one kidney)
	General anesthesia	520.000
	Combined anesthesia	500.000

	Laparoscopic drainage of retroperitoneal abscesses Laparoscopic biopsy of retroperitoneal neoplasms Laparoscopic removal of retroperitoneal tumors Laparoscopic pyelolithotomy Laparoscopic dissection of the bladder Laparoscopic reimplantation of the ureter Simple laparoscopic nephrectomy Laparoscopic plastic surgery of vesicovaginal fistula Laparoscopic adrenalectomy Laparoscopic plastic surgery of the ureteropelvic junction
	General anesthesia	600․000
	Combined anesthesia	620․000

	Laparoscopic radical nephrectomy Laparoscopic partial nephrectomy
	General anesthesia	800․000
	Combined anesthesia	820․000

	Radical laparoscopic nephroureterectomy
	General anesthesia	900․000
	Combined anesthesia	920․000

	laparoscopic radical removal of the bladder and prostate.
	General anesthesia	1․100․000
	Combined anesthesia	1․150․000

Tests and outpatient procedures in the dressing room

Uroflowmetry	5.000
In case of complications: Puncture cystostomy (excluding the cost of cystostomy tube) Urethrocystoscopy Ureteral stenting (excluding the cost of the stent)	10.000
Bladder catheterization	10.000
Cavernous puncture Nephrostomy (excluding the cost of nephrostomy tube)	20.000
Urethrocystoscopy	15.000
Trocar (puncture) cystostomy (excluding the cost of the cystostomy tube) Prostate biopsy (excluding the cost of a disposable biopsy device)	30.000
Shock wave therapy, 1 session (2,000 shocks)	30.000
Fibrourethrocystoscopy	25.000
Conservative treatment of urological diseases in outpatient settings	80.000