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UROLOGY AND URO-ONCOLOGY IN GERMANY

Effective treatment of diseases of the urogenital system in Germany: organ-sparing and nerve-sparing operations, laparoscopic, endoscopic and robotic surgery, holmium laser enucleation of the prostate (HoLEP), paediatric urology, treatment of urinary incontinence.

The company msp group germany works only with certified centres in the fields of uro-oncology, nephrology, paediatric urology and incontinence; many of these centres are recognised expert centres in their field.

The urology clinics recommended by msp group germany are among the largest urological centres in Germany and are able to offer their patients treatment of the most complex cases on an interdisciplinary level. Patients of these clinics have access to the full spectrum of modern urology — including paediatric urology. They offer diagnostics as well as drug-based and surgical treatment of the entire range of diseases of the kidneys (together with nephrologists), the urinary tract and the male genital organs (functional disorders, mechanical injuries, inflammation, complex malformations, and carcinomas of the urogenital tract).

CORE AREAS OF WORK OF THE UROLOGY CLINICS:

Emergency urology

(renal colic, macroscopic haematuria, injuries to the internal and external organs of the urogenital system, acute urinary retention, urosepsis). Emergency operations of every level of complexity.

Andrology

  • erectile dysfunction and erection disorders;
  • male infertility;
  • infections of the urogenital system,
  • congenital anomalies of the urogenital system).

German urology treats sexual disorders as a separate subspecialty.

Paediatric urology

  • undescended testicle / cryptorchidism;
  • hydrocele;
  • hypospadias;
  • epispadias;
  • acute traumatic injuries of the kidneys and bladder;
  • congenital defects of the urogenital system;
  • disorders of sexual development;
  • hydronephrosis;
  • megaureter;
  • vesicoureteral reflux;
  • bladder exstrophy;
  • cystic renal dysplasia (multicystic, polycystic);
  • solitary renal cysts;
  • inflammatory kidney disease (pyelonephritis);
  • cystitis, urethritis;
  • voiding dysfunction (enuresis);
  • nephroptosis;
  • urolithiasis;
  • non-functioning kidney;
  • adrenal tumours;
  • kidney tumours;
  • duplex kidney;
  • horseshoe kidney;
  • overactive bladder;
  • renal aplasia, renal agenesis;
  • posterior urethral valve.

In cases of congenital defects or injuries, the urology clinics in Munich perform microsurgical operations.

Reconstructive surgery

  • implantation of prostheses;
  • correction of hypospadias;
  • reconstruction of the bladder and ureters;
  • urethral repair.

Plastic urology in Germany performs a series of highly complex restorative operations to correct and restore the function of the organs of the urogenital system. This includes both aesthetic operations to restore the external genitalia and reconstructive operations for the partial restoration or replacement of organs of the urogenital system.

Urological oncology

  • malignant kidney tumours;
  • prostate cancer;
  • bladder carcinoma,
  • penile carcinoma, testicular cancer.

For the treatment of cancer, German urology clinics use not only conventional methods such as surgery, hormone therapy, chemotherapy and radiotherapy, but also a number of effective and unique techniques developed by German specialists. The key to success in cancer treatment is accurate diagnosis and a comprehensive approach to fighting the tumour.

More about prostate cancer treatment

The urology clinics constantly perform major operations, for example removal of the prostate gland, kidney surgery, removal of the bladder with urinary diversion, as well as reconstructive procedures such as operations to correct urinary incontinence.

The clinics are equipped with the very latest medical technology, such as the Da Vinci system (a robotic assistant during surgery) and a kidney stone lithotripter (ESWL), a latest, third-generation extracorporeal shock wave lithotripter, and they also offer their patients innovative organ-sparing surgical techniques for the treatment of kidney tumours.

The clinics recommended by msp group germany perform all types of open, laparoscopic and endoscopic video-assisted operations using the DaVinci robot. The surgical repertoire of the urology department includes every type of urinary diversion after radical cystectomy: formation of an ileal conduit, a continent urinary reservoir, an orthotopic neobladder, and a sigmoid colon reservoir with ureterosigmoidostomy. German urology clinics provide inpatient and outpatient treatment for all types of urological conditions. For consultations in complex cases requiring an interdisciplinary approach, dedicated consultation hours are set aside to obtain a second opinion from a uro-oncologist, and special weekly meetings of the expert working group in uro-oncology are held.

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  • drug-based and surgical treatment of malignant tumours of the urogenital system (adrenal glands, kidneys, bladder and ureter, prostate, testicles, and penile carcinoma);
  • minimally invasive treatment of ureteral disease and kidney stone disease;
  • treatment of urinary and faecal incontinence;
  • restorative surgery of the urogenital tract;
  • reconstructive urology ;
  • brachytherapy for prostate cancer;
  • pelvic floor dysfunction;
  • pelvic organ prolapse;
  • bladder prolapse;
  • neurogenic bladder;
  • erectile dysfunction;
  • treatment of urological conditions in children (cryptorchidism, vesicoureteral reflux, hypospadias, epispadias, bladder exstrophy).

As part of surgical treatment, the urology clinics and centres perform all types of open, laparoscopic and endoscopic video-assisted operations using the surgical robot DaVinci.

  • transrectal histoscanning and prostate biopsy when prostate cancer is suspected;
  • endoscopic examinations (NBI technology);
  • blood and urine tests;
  • ultrasound of the kidneys and of the upper and lower urinary tract;
  • uroflowmetry;
  • multiparametric MRI for the diagnosis of prostate carcinoma;
  • MRI-guided prostate biopsy;
  •  fusion biopsy;
  • fluorescence cystoscopy with resection of bladder tumours;
  • 18CCholin-PET/CT for the diagnosis of prostate cancer;
  • FDG-PET/CT for the diagnosis of testicular and bladder carcinoma;
  • photodynamic diagnostics;
  • laparoscopic diagnosis and orchidopexy (bringing the testis down) in children with intra-abdominal cryptorchidism.
  • nerve-sparing radical prostatectomy (both open surgery and using the Da-Vinci robotic surgical system);
  • radical prostatectomy after radiotherapy;
  • brachytherapy for prostate carcinoma;
  • high-intensity focused ultrasound (HIFU) and focal photodynamic therapy for prostate cancer (with the photosensitiser TOOKAD Soluble ®);
  • radical nerve-sparing cystectomy in men and women;
  • nerve-sparing radical cystectomy in men with preservation of the prostate and of the ability to ejaculate;
  • reconstructive bladder surgery (Ileum Conduit, Pouch, Neoblase);
  • radical nephrectomy for kidney cancer (both open surgery and using the Da-Vinci robotic surgical system);
  • organ-sparing resection (enucleation) of kidney tumours (both open surgery and using the Da-Vinci system);
  • surgical treatment of kidney cancer with tumour thrombus in the inferior vena cava;
  • retroperitoneal lymphadenectomy after chemotherapy for testicular cancer;
  • organ-sparing enucleation (resection) of testicular tumours;
  • various types of laparoscopic and retroperitoneoscopic procedures (performed through punctures in the retroperitoneal space);
  •  formation of an ileal conduit;
  •  formation of a continent urinary reservoir;
  •  formation of an orthotopic neobladder;
  •  formation of a sigmoid colon reservoir with ureterosigmoidostomy.
  • systemic chemotherapy and targeted therapy for metastatic urological tumours.

  • reconstructive and restorative operations on the external genitalia;
  • operations to correct urinary incontinence;
  • urological operations in children (for hypospadias, epispadias, myelomeningocele, vesicoureteral reflux);
  • restorative and reconstructive urethral surgery, including techniques using tissue from the oral mucosa;
  • ureteroenteric reconstruction for long ureteral strictures or ureteral injuries;
  • nephrovesical bypass shunting;
  • ureteral prosthetics;
  • corpus cavernosum implants for erectile dysfunction, creation of an artificial sphincter for urinary incontinence;
  • microsurgical operations;
  • kidney transplantation, including from donors;
  • kidney transplantation in ABO-incompatible patients;
  • surgical shunting and implantation of CAPD catheters.
  • transurethral bipolar plasma vaporisation of the prostate;
  • transurethral laser ablation of the prostate;
  • endoscopic removal of stones with a laser (ureterorenoscopy, percutaneous nephrolithotomy / nephrolitholapaxy);
  • extracorporeal shock wave lithotripsy (ESWL).

drug treatment
non-surgical treatment:

— drug-induced litholysis;
— extracorporeal shock wave lithotripsy (ESWL);

surgical treatment:

— contact (intracorporeal) lithotripsy;
— percutaneous nephrolithotomy / lithotripsy / litholapaxy;

— laparoscopic and robot-assisted operations for urolithiasis;
— transurethral resection.

RECOMMENDED SPECIALISTS

Urology and uro-oncology Honorary Professor Axel Heidenreich, MD, Dr. h.c.

Urology and uro-oncology Honorary Professor Axel Heidenreich, MD, Dr. h.c.

Cologne

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Urology, uro-oncology and kidney diseases Professor Dr. med. Matthias Saar

Urology, uro-oncology and kidney diseases Professor Dr. med. Matthias Saar

Aachen

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Urology, uro-oncology and kidney diseases  Prof. Dr. med. Joachim A. Steffens

Urology, uro-oncology and kidney diseases Prof. Dr. med. Joachim A. Steffens

Eschweiler

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Nephrology, rheumatology, hypertension   Professor Dr. med. Jürgen Flöge

Nephrology, rheumatology, hypertension Professor Dr. med. Jürgen Flöge

Aachen

Book an appointment

For a consultation or to order medicines, message our operator.

If the messenger did not open, add us via the phone number:
+4915208811019