Clinics in Germany offer the full range of diagnostic and treatment services for urological and andrological diseases. The area of urology in Germany offers treatment for a lot of urological diseases, including various tumors, prostate diseases, abnormal urethra development, incontinence (involuntary urination), disorders of urination, potency, infertility. The doctors in Germany apply maximally caring surgical technologies and offer surgical treatment and reconstruction of urogenital tract in carcinoma, drug therapy for tumors, kidney stone disease in kids and adults.
Diagnostics and treatment for diseases of male organs
Early diagnostics of prostate cancer is one of the key areas of urology clinic in Germany.
New methods of early cancer diagnostics include:
- PCA3 urine test (PCA3 is a prostate cancer gene 3) in addition to the test for the prostate specific antigen (PSA).
- MRI-guided prostate biopsy
Urology in Germany: methods of prostate cancer treatment
- Pain therapy
- Hormone therapy
- Focal therapy
- Definitive beam-therapy
The area of oncologic urology in Germany actively develops new approaches alongside with traditional surgical treatment and chemotherapy. For example, the doctors of urology department practise prostateсtomy using Green Light Laser technology that is applicable even for high risk patients. A targeted laser burns off the tumor without any damage of the surrounding tissues. Compared to other types of beam therapy Green Light Laser provides full tumor removal preventing the disease recurrence. It also prevents bleeding and reduces the postoperative period.
Laparoscopy is the best-known minimally invasive treatment technique. Through tiny incisions in the skin (keyhole surgery), laparoscopes, featuring optical equipment and surgical instruments, are inserted into the abdominal cavity. New generation lasers (for example, green lasers) enable doctors to perform minimally invasive surgeries causing minimal blood loss.
In Germany, they are also applied when surgeries are combined with the use of blood clot dissolving medicines. Holmium laser is used for fragmenting kidney stones prior to their removal. Besides, urology in Germany uses it to remove scarry strictures in renal ducts or the urethra.
Robot-assisted surgery, such as, for example, da Vinci treatment, is an effective high precision non-invasive type of treatment.
Oncological urology or uro-oncology is one of the key branches in Germany. Uro-genital cancer types comprise over 40% of all malignant diseases. The most common ones include prostatic, bladder, testicular, kidney cancer, etc. Treatment of such diseases requires the branch to bind with other spheres of medicine, such as radiology and oncology. Urology in Germany diagnoses and treats all types of urogenital tumors. Prostate cancer - the most common one – is diagnosed in nearly 50,000 patients every year. Prostate cancer diagnosis involves PSA analysis, ultrasonography, rectal palpation and biopsy. Timely detection of prostate cancer is vital, since tumors discovered at early stages can be and are usually cured successfully through surgery and/or radiotherapy. Also, urology in Germany offers fairly effective methods of treatment of late-stage cancer, such as hormonal therapy. Bladder cancer is the second most widely spread type of uro-genital tumor. Methods of diagnosis include urine test, particularly cytological analysis for the detection of traces of cancer cells, and visualization. Endoscopic examination provides all but one-hundred-percent certainty of the presence/absence of a tumor.
Andrology in Germany
Andrology is a branch of urology focusing on treatment of diseases affecting reproductive organs in men. Andrology in Germany treats erectile and reproductive dysfunction, hormonal disorders, premature ejaculation, etc. Andrology provides complex diagnosis of erectile problems (including penile duplex pharmaco-ultrasonography, prostaglandin testing of cavernous bodies, functional examinations), duplex sonography, check-ups, hormonal studies, transrectal ultrasound prostate screening, fertility tests. Andrological surgery includes penile rectification, sterilization, microsurgical treatment of varicocele, treatment of phimosis, penile prosthesis implantation, etc.
Conception problems resulting from the obstruction of the deferent canal or sterilization are solved in Germany through the restoration of the genital tract (vasovasostomy) with the help of a surgical microscope or robot.
Pediatric urology in Germany is a highly specialized branch of urology. Pediatric urology cooperates with general pediatrics and focuses on urological diseases in children and teenagers of both sexes. Apart from common diseases affecting external sex organs, such as phimosos or cryptorchidism (undescended testes), the branch embraces complex plastic and reconstructive surgeries, such as hypospadias repair with the use of the oral mucosa.
Other separate urology branches known in Germany include urological infectology, which focuses on treatment of kidney and renal infections, kidney stone disease; gynaecological, reconstructive urology and urological implantology.
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A particularly important area of urology in Germany is minimally invasive surgical approaches for oncologic diseases treatment and surgeries for radical cystectomy and prostatectomy in case of tumor diseases. With the help of special surgical techniques it became possible to preserve continence and potency after such treatment.
An artificial enteric bladder is applied in case of cystectomy. As a rule, it is connected to ureter and urethra providing the ability of almost “normal” urination.
NanoKnife, also called irreversible electroporation or short IRE, is a new and very low-side-effect treatment of prostate cancer. The patients treated with it are generally very satisfied with their treatment. Some urologists against refer to missing long-term studies on this therapy and advise against as long as these study results are not yet available. They especially recommend the for years used treatment methods surgical removal of the prostate or radiation Read More
Reconstructive urology is an applied area of operative surgery. Specialists in urology in Germany use various surgical methods for gaining the highest possible results. These methods include using muscle flaps for fistulas, fibrin glue application, different injection methods, as well as nerves transplantation for preserving the male potency in case of complex oncologic surgeries.
Diagnostics and treatment of urination disorders is the major priority of conservative therapy in urology. It covers both incontinence during the day and the night for children and adults. Urology specialists apply various combined surgical methods and so called “artificial bladder squeezing muscle” for incontinence treatment in the setting of oncologic diseases.
The experts of urology in Germany successfully practice all existing methods of urological laparoscopy and endoscopy including telerobotics with the latest DaVinci® operating system. Our surgeons have extensive experience in performing such complex laparoscopic procedures as tumor nephrectomy, partial kidney-preserving resection, kidney pelvis plastic surgery, lymphadenectomy, etc.
Diagnostics and treatment of urethra development defects, kidney stone disease therapy, vesicourethral reflux diagnostics and treatment, urination disorders treatment are the major areas of pediatric urology in Germany.
In case you have some urologic diseases, don’t hesitate to consult experts in Germany! Alongside with the full understanding of your problem and psychological support, you will undergo treatment with the best specialists in area of urology. High quality of doctor’s professionalism in Germany, as well as the newest medical technologies applied in our center of urology in Germany will provide you with the best therapy results.
Professor Dr. med. Alexander Lampel , Director of the Urology Department (Clinic of Schwarzwald-Baar)
The prostate carcinoma/bladder cancer treatment and bladder prosthesis expert. The clinic specializes in laparoscopic reconstructive urology, endoscopic treatment of benign prostatic hyperplasia, treatment of bladder tumors, kidney stone disease, etc. The Schwarzwald Baar Center ranks as “the best prostate cancer treatment center of 2012” and “the best urology clinic in Germany of 2013,” in the FOCUS magazine.
Professor Dr. med. Michael Truss, head of the urology department at the Klinikum Dortmund, ranking as the best prostate cancer treatment center of 2014 in the FOCUS list.
Prof. Dr. med. Michael C. Truß, Head of the Urology clinic in Dortmund
Founded in 1907, the clinic in Dortmund boasts a century of experience. It specializes in conservative treatment of urogenital tumors, minimally invasive surgery, robot-assisted surgery, treatment of incontinence and pelvic floor surgery, laparoscopic urology, endoscopic treatment of benign prostatic hyperplasia, treatment of bladder tumors, kidney stone disease, etc.