Clinic for Urology

Medical Highlights of the Clinic

Diseases of the prostate

Should you be diagnosed with prostate-related urination disorders, they will usually at first be treated by means of medication. If symptoms continue to increase during drug treatment or no improvements occur, surgical treatment will be recommended to you.

The method of choice provided in our clinic is holmium laser enucleation of the prostate (HoLEP). A procedure which is carried out via the urethra (transurethral).

The benefits of this laser procedure, in comparison to all the other available alternatives are:

  • the prostate tissue is “peeled away” and can be histologically examined (during other laser procedures tissue is vaporised).
  • minimal blood loss in contrast to conventional transurethral resection.
  • merely a short hospital stay is required (usually 3-4 days).
  • there are no “size limits” compared to the other procedures
    (surgery with abdominal incisions is carried out in other clinics in cases of greatly enlarged prostate glands).
Kidney diseases / tumours in renal tissue (renal cell carcinoma or hypernephroma)

If such a tumour has been detected, it should be removed as soon as possible in order to prevent the disease from progressing. Since this grade of tumours can neither be curatively treated through radiotherapy nor through chemotherapy, surgical removal is the method of choice.

Depending on the size and site of the tumour, it is in some cases possible to remove it but nevertheless preserve the kidney. If tumours are situated in an inconvenient site or exceed a particular size, it is necessary to remove the entire kidney and the surrounding fatty coating.

Both procedures are provided in our clinic and are carried out by surgeons with many years of experience. 

Male reproductive system disorders / testicular cancer

Should there be only the slightest suspicion of testicular cancer the affected testicle has to be surgically removed. If tumour-specific changes are detected, the testicle is removed together with the spermatic cord and a tissue sample is taken from the other testicle in order to preclude the existence of precancerous or dysplastic cells.

Depending on the type of tumour that is identified, the further course of action can range from a “wait-and-see” approach with tightly scheduled aftercare examinations through basic chemotherapy or radiotherapy right up to implementation of complex chemotherapy or further surgery.

Our clinic has many years of experience in chemotherapy as well as surgical treatment. In particular the nerve-sparing removal of lymph nodes in the area of the large abdominal vessels (retroperitoneal lymphadenectomy) for preserving the ejaculation capabilities of our mostly younger patients can be guaranteed, due to the long-term experience of our surgeons. 

Kidney stones (urolithiasis)

During the removal of a kidney stone via the urinary tract, the stone is withdrawn from the ureter with an instrument by means of a basket which is threaded around the stone with the help of the instrument. (ureteroscopy).

If the stone is too big it can be crushed by means of a laser and then removed piece by piece (internal laser lithotripsy). Kidney stones that do not exceed a certain size can be destroyed through shock waves that are focused on to the stones from outside the patient’s body (extracorporeal shock wave lithotripsy). Larger stones in the kidney can be removed via a puncture canal which is guided from the skin right up to the kidney (percutaneous nephrolitholapaxy or PCNL/PNL).

Surgical procedures involving incisions, which used to be carried out in almost all cases of kidney stones, are almost entirely a thing of the past. They are only carried out for the removal of extremely large stones (nephrolithotomy or calicolithotomy).

All the procedures mentioned here are available in our clinic and have been successfully carried out for many years. 

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