Month: June 2025

Quick and simple solution to cryptorchidism or undescended testicle condition

Posted on by Nertila Ivanovski

Cryptorchidism is a condition in which the testicle has not descended into the scrotum and is instead located hidden inside the body. This condition is congenital and is quite common in male children.

The condition itself is not highly risky, but it can be associated with infertility. Due to the higher internal body temperature in that area, there is a possibility that the undescended testicle may atrophy, which can reduce the quality and quantity of sperm. Additionally, there is a higher risk that the undescended testicle may develop a malignant disease.

It is important to know that there is a way to treat and correct this condition. The treatment is surgical and is called orchidopexy. The procedure involves an incision in the inguinal canal through which the testicle is located. Once it is fully mobilized, a pouch is created in the scrotum, and the testicle is brought down through the inguinal canal and fixed in the scrotal sac to prevent it from moving back.

The inguinal canal is reconstructed by closing the layers in their natural order (Ferrari method). The skin is closed with intradermal stitches that do not need to be removed. The scar is small and usually becomes barely visible after a few months. After surgery, a small piece of cotton remains on the fixed testicle, which is typically removed after 3 weeks.

Ideally, this condition should be corrected before puberty. However, the surgery can be performed at any time in life.

This condition is treated in our clinic by our urologist surgeons Goran Jovikj MD, Goran Balevski MD and Viktor Grujevski MD.

For advice and recommendations related to this issue, schedule an appointment at 02/3091-484.

Viktor Grujevski MD
Resident of urology

Acknowledgements awarded by the Doctor’s Chambers

Posted on by Nertila Ivanovski

The Doctor’s Chamber celebrated its 33rd anniversary as an independent professional organization of doctors in our country and awarded letters of acknowledgement to all the doctors who exhibited exceptional professionalism, selflessness and humanity and participated in the rescue and the treatment of the people injured by the fire in the discotheque in Kochani.
The team from our clinic, led by Dr. Zan Mitrev, also received letters of acknowledgment for the exceptional engagement during the treatment of the victims treated in our clinic.
“Doctors are not just doctors, they are also researchers, innovators, educators, they bring hope and support to each and every patient. Their commitment to the life and the health of the individual is cornerstone of public health and social stability. Doctors drive medical progress, constantly seeking new solutions and therapies to improve the quality of life. The promotion of their status through the provision of better working conditions, continuous education and economic strengthening is not only a matter of being fair to them, rather it is also an investment in the future of society as a whole” – said the president of the Doctor’s Chamber Dr. Kalina Grivcheva – Stardelova when she awarded the acknowledgement letters.
This is a small gesture to acknowledge a huge feat, as well as a sincere act of gratitude to their impeccable dedication to the life and health of people.
The Doctor’s Chamber was formed in the 5th of June 1992 on several doctors from the Macedonian Medical Association. The first constituent session was held in the premises of the Army Hospital. Ten years later the Chamber obtained public authorizations to issue licenses, organize and administer the professional examination and accredit continuous medical education events, which established a very important system of regulating the medical profession which directly brings us closer to the European Standards.

A triple of hope: In the Zan Mitrev Clinic, three prematurely born babies – Melis, Mira and Malahat brought into the world in the 31st gestational week

Posted on by Nertila Ivanovski

Three prematurely born babies – Melis, Mira and Malahat, from a naturally conceived pregnancy were brought into the world in the Zan Mitrev Clinic on the 4th of June 2025, a true rarity in contemporary medicine. The babies were delivered with a cesarean section 9 weeks before their expected due date, in the 31st week of gestation. The newborns are currently stable and cared for in the Mother and Baby Center under the supervision of the neonatologists. They receive noninvasive respiratory support (CPAP). Their vital parameters are stable, and the medical teams carefully monitor them hoping for a quick recovery and discharge.
With this delivery, the Neonatal Intensive Care Unit (NICU) in the Zan Mitrev Clinic officially started to work.

The first newborn, Melis weighs 1390 grams and is 42cm long. The second baby, Mira weighs 1270 grams and is 36cm long. The third prematurely born baby, Malahat, weighs 1340 grams and is 40cm long. The pregnancy developed naturally, without medically assisted fertilization, from three fertilized eggs. The entire process of monitoring, managing and delivery was performed by a multidisciplinary team comprising top obstetrician-gynecologists, neonatologists, midwives and neonatology nurses utilizing the state-of-the-art equipment and protocols.

Prenatal care began on the 11th week of gestation and was managed by prim. Dr. Ljupcho Petrovski, Dr. Jelena Golubvikj Simjanovski and Dr. Nenad Lazarov. During hospitalization, the patient was monitored by Dr. Vladimir Kizheski. The cesarian delivery was performed by Dr. Mendu Jegeni in cooperation with Dr. Kizheski, Dr. Sasha Jovchevski. Dr. Golubovikj Simjanovski and the anesthesiologists Dr. Marko Gjorgon and Dr. Sanja Marinkovikj. The babies were immediately taken over by three pediatrics teams under leadership of Dr. Renata Dimitroska – neonatology subspecialist, together with the pediatricians Dr. Vesna Delovska, Dr. Maja Angelevska Viktorijoski, Dr. Katerina Dimovska and Dr. Milena Spirkovska.
“Their coming into the world brought us tremendous joy but it also confirmed to us when knowledge, experience and modern technology come together we can overcome even the greatest challenges. Melis, Mira, and Malahat are our little heroes”, said the team from the Mother and Baby Center.

Within the past three decades, the rate of multiple pregnancies has increased by 70% and naturally conceived triple pregnancies, such as this one, are a true rarity and occur once in 8000 cases internationally. This deliverance represents not only a medical success, but also a symbol of hope, life, and humanity. We wish their mother Mrs. Mubedjel Bekteshova from Skopje, quick recovery and we wish Melis, Mira and Malahat a life filled with love, health and strength.