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Treatment of prostate cancer with da Vinci prostatectomy (389895) | Urology Clinic Dortmund - BookingHealth
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Treatment of prostate cancer with da Vinci prostatectomy

Urology Clinic Dortmund

Dortmund, Germany
Program id # 389895
Doctor photo
Prof. Dr. med. Michael Truss
Department of Adult and Pediatric Urology, Andrology
Specialized in: adult and pediatric urology, andrology

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • general clinical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
    • tumor markers, PSA
  • ultrasound scan of the urogenital system
  • CT scan/MRI
  • preoperative care
  • nerve-sparing da Vinci prostatectomy
  • histological and immunohistochemical
    examination of the removed tissues
  • symptomatic treatment
  • cost of essential medicines
  • control examinations
  • nursing services
  • stay in the hospital with full board
  • accommodation in 2-bedded room
  • elaboration of individual treatment plan

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs. Based on the results of the examination, the physician will choose the surgical technique and the type of anesthesia.

Surgery with the da Vinci robot starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which the manipulators of the da Vinci robot and a video camera are inserted into the pelvic cavity. With the help of manipulators, the surgeon ligates the large vessels of the small pelvis, isolates the nerve endings, excises and removes the prostate gland. The video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.

As the surgeon sees the operating field in multiple magnification, he preserves the nerve endings responsible for erection and urination. Also, normal blood supply of the pelvic organs is maintained after operations with the da Vinci robot. This is the most sparing type of surgical prostatectomy.

After the completion of the operation, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time. Your urinary catheter will be removed one day after the surgery.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Adult and Pediatric Urology, Andrology at the Urology Clinic Dortmund provides the full range of diagnostic and therapeutic services for men with diseases of the reproductive system, erectile dysfunction, and infertility, as well as for men and women with urinary pathologies. The department first opened its doors for patients in 1907, and today it holds the status of one of the largest urology clinics with long experience. The priority clinical focuses include drug therapy and surgery for prostate, testicular, penile, kidney, and bladder malignancies. The department's doctors also treat benign prostatic hyperplasia, kidney stone disease, urinary incontinence, and urinary tract infections. The department has a team of pediatric urologists who specialize in the treatment of congenital and acquired urogenital diseases in boys, as well as urinary incontinence and urinary tract infections in boys and girls. Operations are performed in state-of-the-art operating rooms. The specialists have unique professional skills in minimally invasive and endoscopic surgical techniques. In addition, the innovative da Vinci surgical system is available here. The department treats about 15,000 patients every year, which is the best evidence of its excellent medical service.

The Head Physician of the department is Prof. Dr. med. Michael Truss. He has more than 35 years of experience in the treatment of benign and malignant urologic diseases. Dr. med. Michael Truss excels in minimally invasive and robot-assisted surgical techniques, which allow him to perform minimally invasive interventions on the male reproductive system, kidneys, and bladder. The professor actively participates in professional urologic societies, acts as a reviewer in numerous urology scientific journals, and has received prestigious awards for productive research activities.

The department has state-of-the-art equipment that meets modern medical standards. The department is equipped with advanced digital X-ray systems with reduced radiation exposure, advanced ESWL devices, high-resolution ultrasound machines, fluorescence cystoscopy devices, bladder pressure measurement systems, laser equipment, operating microscopes, the very latest video laparoscopes, and the innovative daVinci Xi surgical system. Technical resources, combined with the professionalism of doctors, make it possible to provide effective medical care to patients with common and especially complex urologic pathologies.

The primary focus of the department's doctors is the treatment of prostate, testicular, penile, kidney, and bladder cancer. Prostate cancer is the most common type of oncology among men. Fortunately, this type of cancer responds well to treatment. Even in advanced stages, the disease can be brought under control, and the patient's life can be significantly prolonged. Prostate cancer patients are treated in the specialized PRO DO Center, which began its work in 2008. Urology, radiation therapy, oncology, radiology, physiotherapy, and psycho-oncology specialists work hand in hand here. A treatment regimen is developed for each patient on an individual basis.

In cases of localized cancer, the first-line treatment is radical prostatectomy. The specialists at the medical facility perform this operation with the help of the da Vinci Xi surgical system. During the intervention, an experienced surgeon controls the robotic system, which registers the movements of the doctor's hands and, with precision, converts them into micro-movements of surgical instruments that are in the patient's body. The surgeon makes the decision on the appropriateness of each manipulation. With highly sensitive manipulators, the surgeon gives commands to the robot. The progress of the operation is controlled visually with the help of a screen, which transmits 3D images of the operating field. The da Vinci surgical system has many advantages, including a minimal trauma rate, the highest precision of surgical manipulations, a high chance of preserving normal erectile function, and the possibility of preserving the integrity of the bladder sphincter, which eliminates urinary disorders. After robot-assisted surgical interventions, patients recover quickly and experience minimal postoperative pain.

The department also excels in minimally invasive and endoscopic surgery. In 2005, the department was certified as a Center for Minimally Invasive Surgery (MIC Zentrum). The department's urologists are proud of their rich experience and success in performing minimally invasive procedures. This technique is used in the department to treat both malignant and benign genitourinary diseases. For example, minimally invasive interventions are often performed for prostate, kidney, and bladder cancer and for urinary incontinence. Compared to classical surgery, minimally invasive interventions have a number of benefits, including minimal blood loss, a low risk of postoperative complications, less severe pain, and a better aesthetic effect.

The department's operating rooms are also adapted for minimally invasive endoscopic interventions for benign prostatic hyperplasia (transurethral resection of the prostate), bladder tumors (transurethral resection of the bladder), urethral tumors and strictures (transurethral resection of the urethra), tumors of the ureter, renal pelvis, etc. In some cases, the department's surgeons also perform resection of malignant prostate tumors using endoscopic extraperitoneal radical prostatectomy (EERPE).

The department houses the KONTINENZ DO Center, which specializes in the treatment of urinary incontinence in both men and women. The center is certified by the German Continence Society. All modern diagnostic examinations are performed here to determine the type of urinary incontinence and select the optimal treatment strategy. The department's diagnostic options include bladder pressure measurement (combined with an X-ray, if necessary), contrast-enhanced X-ray diagnostics of the bladder and urethra, sonography of the upper and lower urinary tracts, etc. It should be noted that the department is one of the leading medical facilities in the development of surgical techniques for urinary incontinence treatment, particularly in sling interventions and the implantation of artificial bladder sphincters.

The department's key clinical focuses include:

  • Adult urology
    • da Vinci robot-assisted surgery
      • Radical prostatectomy for prostate cancer
    • Minimally invasive surgery
      • Minimally invasive surgery for malignant diseases of the male reproductive system
        • Prostate cancer
        • Testicular cancer
        • Penile cancer
      • Minimally invasive surgery for malignant diseases of the urinary system and retroperitoneal space
        • Bladder cancer
        • Kidney cancer
        • Adrenal cancer
        • Ureteral cancer
        • Renal pelvis cancer
      • Minimally invasive surgery for benign tumors of the kidneys, bladder, adrenal glands, ureter, and renal pelvis
      • Minimally invasive surgery for kidney stone disease
        • Extracorporeal shock wave lithotripsy
        • Ureterorenoscopy
        • Percutaneous nephrolithotomy
    • Endoscopic surgery
      • Transurethral resection of a prostate adenoma
      • Transurethral resection of a bladder tumor
      • Transurethral resection of urethral tumors and strictures
      • Transurethral resection of ureteral tumors and strictures
      • Percutaneous resection of renal pelvic tumors
      • Transurethral and percutaneous ureteral splinting
    • Reconstructive surgery
      • Surgery for urinary diversion after bladder removal
        • Formation of a new bladder from the segments of the small intestine
        • Formation of a new bladder from the segments of the small and large intestine (urine diversion through the stoma using the MAINZ Pouch I system)
        • Formation of a new bladder from ileal segments (urine diversion through the stoma using the MAINZ Pouch II system)
      • Renal pelvic plastic surgery
  • Pediatric urology
    • Surgical repair of congenital and acquired malformations of the genitalia in boys and the urinary system in boys and girls
  • Andrology
    • Conservative and surgical treatment of erectile dysfunction
    • Surgical repair of penile curvature
    • Drug therapy for male infertility
    • Surgical treatment of male infertility
      • Vasovasostomy
      • Tubulovasostomy
      • Microsurgical epididymal sperm aspiration (MESA)
      • Testicular sperm extraction (TESE)
      • Artificial insemination methods: insemination and ICSI
    • Sperm cryopreservation
    • Vasectomy (male sterilization)
  • Other medical services

Curriculum vitae

Higher Education and Professional Career

  • 1981 - 1988 Medical studies, Hannover Medical School; scholarship from the German Academic Exchange Service (DAAD), Tufts University and Harvard Medical School in Boston, USA.
  • 1988 State examination, admission to medical practice, and Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS).
  • 1988 - 1993 Assistant Physician, Department of Urology at the Hannover Medical School; James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, USA; Department of Surgery at the Henriettenstiftung Hospital in Hanover.
  • 1992 Doctorate.
  • 1993 Board certification in Urology.
  • 1993 - 1995 Junior Research Fellow, Lower Saxony Institute for Peptide Research (IPF), Medical Park Hannover, scholarship of the German Research Foundation.
  • Since 1995 Senior Physician, Department of Urology, Hannover Medical School.
  • 1996 Habilitation and Venia legendi in Urology, Hannover Medical School.
  • 2000 Additional qualification in Urology – Special Urologic Surgery.
  • 2001 - 2005 Board Member of the Surgery Center and Section II of the Academic Council of the Hannover Medical School.
  • Since 2001 Managing Senior Physician, Department of Urology, Hannover Medical School.
  • 2001 Extraordinary Professorship.
  • 2002 - 2003 Additional education in Medical Management, Hannover University of Applied Sciences and Arts.
  • 2003 Expert of the European Foundation for Quality Management (EFQM).
  • Since 01.03.2005 Head of the Urology Clinic Dortmund.
  • 11.2006 Additional qualification in Andrology, Medical Association of Westphalia-Lippe.
  • 12.2007 Additional qualification in Tumor Therapy, Medical Association of Westphalia-Lippe.

Memberships in Professional Societies

  • German Society of Urology (DGU).
  • Professional Association of German Urologists (BDU).
  • Working Group on Infectology of the German Society of Urology (DGU).
  • Working Group on Kidney Transplantation of the German Society of Urology (DGU).
  • Association of Urologists in Northern Germany (VNU).
  • European Association of Urology (EAU).
  • American Urological Association (AUA).
  • Urological Research Society (URS).
  • International Continence Society (ICS).
  • European School of Urology (ESU).
  • North Rhine-Westphalian Society for Urology (NRW-GU).
  • Association for the Promotion of Biomedical and Clinical Research, Dortmund.
  • Expert Committee Member on Medical Liability at the Medical Association of Westphalia-Lippe.
  • Steering Committee of the European Association of Urology (EAU).
  • North Rhine-Westphalian Cancer Society.
  • Ethics Committee, Leipzig Institute for Labor Studies, Technical University of Dortmund.
  • Working Group on Laparoscopy and Robot-Assisted Surgery of the German Society of Urology (DGU).

Review Activities

  • Andrologia.
  • Journal of Urology.
  • Urology.
  • British Journal of Urology International.
  • European Urology.
  • Drugs.
  • Andrology.
  • World Journal of Urology.
  • Expert Opinion on Investigational Drugs.
  • Clinical Nephrology.
  • Pharmacology and Toxicology.
  • Urologia Internationalis.
  • International Urology and Nephrology.
  • European Urology Focus.

Awards, Prizes, and Honors

  • 1990 1st Award, "Experimental Urology" Working Group of the German Society of Urology (DGU).
  • 1994 Kabi Pharmacia Award, Urodynamicum Forum.
  • 1995 6th Award for Innovations in Urology; Erectile Dysfunction Treatment Award (1st Award) from the European Society for Impotence Research; 2nd Poster Award, 47th Congress of the German Society of Urology.
  • 1996 3rd Award, 48th Congress of the German Society of Urology (DGU).
  • 1997 AUA-EAU International Scholarship, American Tour Academic Exchange.
  • 1998 Jack Lapides Essay Contest for Research Papers in Urodynamics and Neurology, Grand Prix.
  • 1999 Jack Lapides Essay Contest for Research Papers in Urodynamics and Neurology, 2nd Award.
  • 2000 Peter Bischoff Award from the Association of Urologists of Northern Germany.
  • 2000 Wolfgang Mauermayer Award, Working Group on BPH of the German Society of Urology (DGU).
  • 2004 Research Award in Surgery (video work), 19th Congress of the European Association of Urology (EAU).
  • 2006 Wolfgang Mauermayer Award, Working Group on BPH of the German Society of Urology (DGU).
  • 2007 Poster Award from North Rhine-Westphalian Society of Urology, Annual Congress in Cologne.
  • 2011 Poster Award from North Rhine-Westphalian Society of Urology, Annual Congress in Aachen.
  • 2012 3rd Poster Award from North Rhine-Westphalian Society of Urology, Annual Congress in Essen.
  • 2014 Poster Award from North Rhine-Westphalian Society of Urology, Annual Congress in Duesseldorf.

Photo of the doctor: (c) Klinikum Dortmund gGmbH


About hospital

The Urology Clinic Dortmund is a modern medical complex where patients can receive high-quality, personalized care. It is an academic clinic of Witten/Herdecke University that enables the active introduction of innovative diagnostic and treatment methods developed by leading professors from Germany and other countries into clinical practice. The Urology Clinic boasts a history of over 110 years, which gives it the status of one of the oldest and best in Germany. The team of doctors in the medical facility uses the most effective and sparing methods. Doctors treat particularly complex urologic diseases and achieve excellent results. Along with top-class medical care, the clinic has a comfortable infrastructure. The healthcare professionals surround patients with care and show understanding about their life situation.

The key areas of specialization in the clinic are the treatment of urologic cancers, benign prostatic hyperplasia, urinary incontinence, and kidney stone disease. The team of the department's doctors has a perfect command of the advanced methods of surgical treatment of urologic diseases, including endoscopic, laparoscopic, and robot-assisted surgical techniques.

The clinic's specialists admit more than 4,500 inpatients and more than 10,000 outpatients annually. It is noteworthy that more and more patients come to the clinic every year, including those from abroad, which is undoubtedly an indicator of the high reputability of the medical complex in the international medical arena. The clinic has 90 beds for inpatient accommodations.

The clinic consists of highly specialized centers focusing on the treatment of a particular pathology or group of diseases. Prostate cancer treatment is carried out in the ProDo Prostate Cancer Center, which is part of the ONKO DO Cancer Center, and the treatment of urinary incontinence is carried out in the specialized KONTINENZ DO Center.

The successful clinical practice of the medical facility is acknowledged with many prestigious certificates, including the MIC/Robotik Zentrum certificate, DKG certificate, ISO 9001:2008 certificate, and others. According to the Focus magazine, the Urology Clinic Dortmund also ranks among the best health facilities of this kind.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Urology Clinic Dortmund live in comfortable single, double, and triple rooms. Each patient room has an ensuite bathroom with a shower and a toilet. The standard room furnishings include an automatically adjustable bed, a bedside table, a locker for storing personal belongings, a TV, a radio, and a telephone. Each patient room also has a nurse call system and Wi-Fi.

Meals and Menus

The patients of the clinic are offered a varied and healthy menu. It includes Mediterranean cuisine with plenty of vegetables, fresh herbs, healthy fats, and a minimum amount of meat. It also regularly includes vegetarian and dietetic dishes.

There is a cozy cafeteria on the premises of the clinic, which serves delicious salads, appetizers, and main courses. Patients can also enjoy delicious desserts and fresh pastries with a cup of aromatic coffee or tea here.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV

Accompanying person

Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.

Hotel

You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.