Academic Hospital Brothers of Mercy Munich

location_on Munich, Germany
10/10 from 23 Votes

Department of Urology (580020)

Alexander Karl

Prof. Dr. med.

Alexander Karl

Specialized in: urology

About the department

The Department of Urology at the Academic Hospital Brothers of Mercy Munich offers the widest range of accurate diagnostics and effective treatment of diseases of the genitourinary system in men. The doctors have in their arsenal many modern therapeutic methods to combat diseases of the prostate gland, testicles and external genital organs, kidneys, bladder, and urinary incontinence in men and women. Of particular interest is the treatment of cancer of the genitourinary system in men. The Chief Physician of the department is Prof. Dr. med. Alexander Karl.

The key to the department’s successful clinical practice is a combination of high professionalism of doctors and the availability of innovative equipment, in particular, systems for conducting a combined fusion transrectal biopsy and MRI, equipment for focal therapy of prostate cancer with high-intensity focused ultrasound (HIFU), etc. Today, focal therapy with high-intensity focused ultrasound is a breakthrough in the treatment of prostate cancer, because it affects only the pathological parts of the organ, but does not cause harm to healthy tissues. In addition, such therapy significantly reduces the likelihood of side effects, such as impotence and urinary incontinence. HIFU therapy has been practiced in the clinic since 1993, so the doctors have excellent competencies in this area.

The service range of the department includes:

  • Diagnostics and treatment of prostate diseases
    • Prostate cancer
      • Retropubic radical prostatectomy
      • Brachytherapy
      • Radiation therapy (CT-guided 3D conformal radiation)
      • Active monitoring (monitoring concept, in which the start of therapy is postponed due to invasive diagnostics, for example, a repeated prostate biopsy, until the moment when it is necessary to apply the therapy; this method can only be used in patients with low-risk prostate cancer)
      • Focal therapy using high intensity focused ultrasound (HIFU)
      • Watchful waiting technique in elderly patients (therapy begins only in case of pathology progression)
    • Benign prostatic hyperplasia
      • Drug therapy
      • Transurethral resection of the prostate
      • Open enucleation of prostate adenoma (Millin procedure)
    • Prostatitis, chronic pelvic pain
  • Diagnostics and treatment of bladder diseases
    • Bladder cancer
      • Transurethral resection of the bladder
      • En-block resection of the bladder
      • Total bladder removal  (radical cystectomy)
      • Neoadjuvant chemotherapy before cystectomy
      • Adjuvant chemotherapy
      • Treatment of progressive tumors without clear separation from surrounding tissues
  • Diagnostics and treatment of kidney diseases
    • Kidney and bladder stones
      • Drug therapy
      • Ureterorenoscopy
    • Kidney tumors
      • Partial kidney removal
      • Laparoscopic nephrectomy of the kidney, in which the tumor is localized
      • Drug treatment of kidney tumors with metastasis (for example, targeted therapy)
  • Diagnostics and treatment of diseases of the testicles and external genital organs
    • Testicular cancer
      • Orchiectomy
      • Chemotherapy
      • Lymphadenectomy (in case of lymph node lesions)
      • Radiation therapy
    • Testicular torsion
      • Symptomatic therapy
      • Orchipexia
    • Epididymis inflammation (epididymitis)
      • Drug therapy
    • Hydrocele
    • Varicocele
      • Microsurgical interventions
      • Sclerotherapy
    • Spermatocele
    • Phimosis
    • Penile curvature
      • Drug therapy
      • Local shockwave therapy
      • Surgical correction
    • Penile cancer
      • Tumor removal
      • Radiation therapy
      • Penile amputation (in the advanced stages of the pathology)
      • Penile prosthetics
  • Diagnostics and treatment of urinary incontinence in men and women
    • Urge incontinence
    • Stress incontinence
    • Mixed urinary incontinence
      • Artificial sphincter implantation in stress incontinence in men
      • Transvaginal sling urethropexy (TVT) in stress incontinence in women
      • Botulinum Toxin A (Botox) injection therapy
  • Other medical services

Curriculum vitae

Education and Professional Career

  • Study of Human Medicine at Ludwig Maximilian University of Munich, as well as at Universities in Italy and Australia.
  • Professional training in Urology, Department of Urology, University Hospital of Ludwig Maximilian University of Munich.
  • 2008 Research Fellow, Department of Urology, University of California, San Francisco, USA.
  • 2009 Fellow of the European Board of Urology (FEBU).
  • 2009 Senior Physician of the Department of Urology at the University Hospital of Ludwig Maximilian University of Munich.
  • Since 2009 Head of the Center for Bladder Tumors, University Hospital of Ludwig Maximilian University of Munich.
  • Since 2009 Head of the Center for Second Opinion for Testicular Tumors, University Hospital of Ludwig Maximilian University of Munich.
  • 2010 Habilitation in Urology. Subject: "Innovative diagnostic procedures for bladder cancer".
  • 2011 Deputy Head of the Department of Adult and Pediatric Urology at the University Hospital of Ludwig Maximilian University of Munich.
  • 2014 Professor in Urology.
  • Numerous scientific publications and book chapters in the field of bladder cancer, as well as review activities of national and international scientific journals.
  • Member of the German, European and American Society of Urology.

Photo of the doctor: (c) Barmherzige Brüder Krankenhaus München 

Department of Urology.
Academic Hospital Brothers of Mercy Munich:

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