The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical blood test (creatinine, urea)
- inflammation markers (CRP, ESR)
- blood coagulation analysis (aPTT, PT, INR)
- tumor markers (PSA)
- iron content (ferritin, iron)
- hormone test (testosterone)
- prostate ultrasound
- kidney and bladder ultrasound
- transrectal ultrasound
- semen analysis
- nursing services
- services of all leading experts
- elaboration of individual treatment plan
Required documents
- Medical records
Service
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About the department
The Department of Andrology at the Maria-Hilf Hospital Krefeld provides the full range of medical services in its area of competence. The department provides consultation, diagnosis, and treatment of diseases of the male reproductive system. The department's team of doctors focuses on men with erectile dysfunction, infertility, varicocele, penile curvature, and testosterone deficiency syndrome. The healthcare facility provides medical care to patients with andropause (male menopause), which is a complex of age-related changes in the functioning of the male reproductive system. The department's team of andrologists successfully performs vasectomy for men who do not plan to have children in the future and microsurgical vasovasostomy when a man wishes to restore his reproductive function after undergoing sterilization. The department's specialists have exceptional experience in the field of non-invasive correction of penile curvature. They perform local injections of enzyme medications over a certain period of time, which enables the restoration of the normal position of the penis. Patients receive medical care in accordance with current clinical protocols and recommendations of the European Association of Urology (EAU). The Head Physician of the department is Dr. med. Christian Leiber-Caspers.
One of the most common diagnoses in the daily clinical practice of physicians is erectile dysfunction (impotence). This pathological condition impairs the ability to achieve or maintain the erection necessary for full sexual intercourse. Normal erection is an important component of a man's full life, which is a reflection of his physical and psychological state. Patients with erectile dysfunction often suffer from neuroses, apathy, and depression. They have problems in relationships and develop complexes. During the initial appointment, the andrologist conducts a clinical examination and asks the patient about his complaints, the characteristics of his lifestyle, and other things important for the upcoming treatment. At the diagnostic stage, the department's specialists are faced with the task of determining the cause of the development of erectile dysfunction. This disease may be associated with diabetes mellitus, arterial hypertension, hyperlipidemia, genital traumatic injuries, postoperative conditions after a prostatectomy, neurological diseases, endocrine disorders, neuroses, and depressive disorders. Smoking and excessive alcohol consumption also negatively affect men's health.
A diagnostic protocol for suspected erectile dysfunction includes corpus cavernosography of the penis, penile Doppler ultrasound scanning, ultrasound scanning of the endocrine glands, blood and urine tests, and a testosterone test. A comprehensive diagnosis often includes psychotherapeutic testing. With the diagnostic results in hand, the department's specialists develop a personalized treatment regimen for the patient, which may include medication, psychotherapy, vacuum therapy, and/or surgery. A surgical procedure is a last-line treatment and is indicated only when conservative therapy fails. The department's andrologists specialize in hydraulic and flexible penile prosthesis implantation surgery. Prior to surgery, the patient is fully informed about the upcoming procedure, postoperative recovery, and expected results.
The department's team of andrologists is highly qualified in the diagnosis and treatment of male infertility. This diagnosis is made when it is impossible to conceive a child for 1 year, subject to regular sexual activity and the absence of reproductive health problems in the partner. The main method of diagnosing male infertility is a spermogram. This test allows the qualitative, quantitative, and morphological characteristics of the sperm to be assessed. Treatment tactics depend on the type of male infertility. There can be secretory (develops due to impaired spermatogenesis processes), excretory (due to the difficulty of sperm passage through the vas deferens), autoimmune (due to the production of antisperm antibodies that prevent natural conception), combined (due to several factors of infertility), and idiopathic (the conception of a child does not occur due to unknown reasons, subject to satisfactory reproductive health indicators) male infertility. In many cases, the problem of male infertility can be solved with the help of drug therapy: the patient is prescribed drugs to normalize the quantitative and qualitative parameters of the spermogram. If the results of a spermogram reveal serious abnormalities, for example, the absence of sperm in the semen (azoospermia), their complete immobility (asthenozoospermia), and the presence of a large number of non-viable sperm or the absence of live ones (necrozoospermia), conservative treatment is ineffective. In such cases, the department’s andrologists recommend the use of assisted reproductive technologies. Surgical treatment may be an option of choice for the elimination of urological diseases that prevent the conception of a child. For example, the department performs operations for varicocele, ejaculatory duct obstruction, cryptorchidism, etc.
Of particular clinical interest to the department's medical team is the correction of penile curvature. This pathological condition causes not only aesthetic but also physical discomfort, interferes with a full sexual life, and potentially threatens the development of erectile dysfunction. Penile curvature can be congenital or acquired. The only effective method of restoring the normal anatomical shape of the penis in patients with the congenital form of the disease is surgery. For the treatment of the acquired form of the pathology (Peyronie's disease), the department's doctors have an effective non-invasive treatment method, namely local collagenase injections. Injection therapy is performed on an outpatient basis at intervals of 4 weeks. The required number of injections is determined by the attending physician based on the patient's individual clinical data. The department is one of the few medical facilities in Germany that specializes in this type of treatment. The department's team of andrologists has extensive experience in this field and demonstrates excellent results.
The department's range of medical services includes the following:
- Diagnostics and treatment of erectile dysfunction
- Drug therapy
- Hydraulic and flexible penile prosthesis implantation surgery
- Diagnostics and treatment of male infertility
- Drug therapy
- Surgeries for varicocele, ejaculatory duct obstruction, cryptorchidism, and other urological diseases that prevent the conception of a child
- Diagnostics and correction of penile curvature
- Non-invasive treatment of Peyronie's disease with local collagenase injections
- Surgical procedures to correct penile curvature
- Diagnosis and treatment of andropause (male menopause)
- Drug therapy
- Diagnosis and treatment of testosterone deficiency syndrome
- Drug therapy
- Microsurgical varicocelectomy for varicocele
- Vasectomy (one of the types of male contraception) and vasovasostomy to restore reproductive function in men after sterilization
- Medical care for gender dysphoria
- Hormone therapy with male hormones for women after sex reassignment surgery
- Male-to-female sex reassignment surgery
- Other medical services
Curriculum vitae
Higher Education and Professional Career
- 1988 - 1994 Medical studies, Albert Ludwig University of Freiburg.
- 1995 - 1996 Internship, Department of Urology, University Hospital Freiburg.
- 1996 Thesis defense. Subject: "The influence of interleukin-3 and tumor necrosis factor-alpha on multidrug resistance (MDR) in a pleural mesothelioma cell line and two resistant subcellular lines."
- 1996 - 2002 Physician, Department of Urology, University Hospital Freiburg; board certification in urology.
- 2003 - 2021 Blood Transfusion Specialist, Department of Urology, University Hospital Freiburg.
- Since 2004 Fellow of the European Board of Urology (FEBU).
- 2004 - 2007 Senior Physician, Department of Urology, University Hospital Freiburg.
- 2005 - 2021 Urology Lecturer, Albert Ludwig University of Freiburg.
- 2006 Additional qualification in andrology.
- 2007 - 2014 Senior Physician and Deputy Head, Department of Andrology, University Hospital Freiburg.
- 2008 - 2021 Instructor of advanced training courses, Department of Andrology, University Hospital Freiburg.
- 2010 Additional qualification in tumor drug therapy.
- 2012 DEGUM I Certificate in urology from the German Society for Ultrasound in Medicine.
- Since 2012 Fellow of the European Committee of Sexual Medicine (FECSM).
- 2014 - 2021 Head of the Section of Andrology within the Department of Urology, University Hospital Freiburg.
- Since 2018 Responsible for advanced training courses in andrology.
- 2020 Additional qualification in sexual medicine.
- Since 2022 Head Physician, Department of Andrology, Maria-Hilf Hospital Krefeld.
Qualifications
- Board certification in urology.
- Additional qualifications in andrology.
- Additional qualifications in tumor drug therapy.
- Additional qualification in sexual medicine.
Memberships in Professional Societies
- German Society of Urology (DGU).
- German Society of Andrology (DGA).
- German Society for Sexual Medicine, Sexual Therapy, and Sexual Science (DGSMTW).
- North Rhine-Westphalian Society for Urology (NRWGU).
- Greek-German Society of Urology (GDGU).
- European Association of Urology (EAU).
- European Society for Sexual Medicine (ESSM).
- German Society of Ultrasound in Medicine (DEGUM).
- International Society for the Study of the Aging Male (ISSAM).
- Medical Association of the North Rhine.
Photo of the doctor: (c) Krankenhaus Maria-Hilf Krefeld
About hospital
The Maria-Hilf Hospital Krefeld is a progressive medical complex with top-class service. The healthcare facility is an academic hospital of the Heinrich Heine University Duesseldorf. Many areas of modern medicine are represented here, including general and abdominal surgery, endocrine surgery, hernia surgery, colorectal surgery, vascular surgery, general therapy, cardiology, pulmonology, neurology, oncology, gastroenterology, traumatology, orthopedics, urology, and andrology.
The hospital operates modern laboratories, diagnostic rooms with equipment for instrumental examinations, cardiac catheterization laboratories, endoscopy rooms, and operating rooms adapted for minimally invasive, arthroscopic, endovascular, and da Vinci robotic surgery. Thanks to its excellent medical and technical base, highly professional doctors, responsive care, and humane attitude towards each patient, the Maria-Hilf Hospital Krefeld has gained a leading position in the European medical arena.
The hospital has 628 inpatient beds. Minor surgeries and therapeutic procedures are mostly performed on an outpatient basis without mandatory hospitalization. Tens of thousands of patients with clinical cases of various complexity seek help in the medical facility every year, and high credit of patients' trust is the best indicator of the hospital's successful practice.
Since 2016, the hospital has been certified in accordance with ISO 9001:2015 requirements. Certification of this kind is a quality management standard recognized throughout the world: the hospital monitors internal work processes and records treatment success rates and the level of patient satisfaction with medical services. The interests and needs of each patient are always at the forefront.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Maria-Hilf Hospital Krefeld stay in comfortable single and double rooms. A standard patient room includes an automatically adjustable bed with an orthopedic mattress, a bedside table with a pull-out tray, a wardrobe, a table and chairs, a TV, and a telephone. The patient rooms also have Wi-Fi access. Each patient room has an ensuite bathroom with a shower and a toilet.
Meals and Menus
The hospital offers three delicious and balanced meals a day: breakfast, lunch, and dinner. If, for some reason, you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
The hospital has a cozy cafe where you can enjoy a tasty snack or a cup of hot tea or aromatic coffee with dessert. There are also vending machines with snacks and drinks in the lobby and corridors of the hospital.
Further details
Standard rooms include:
Toilet
Shower
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.