Surgical treatment of testicular torsion with its reposition

About the department

The Department of Adult and Pediatric Urology, Andrology at the Paracelsus Clinic Golzheim Duesseldorf offers the full range of medical services for diagnosing and treating various urinary diseases in women and men, as well as pathologies of the male reproductive system. The department admits both adult and pediatric patients. Of particular interest to the department's team of doctors is the treatment of benign prostatic hyperplasia, kidney stone disease, kidney diseases, as well as urinary incontinence in men and women. The department's specialists also treat andrologic diseases in men, such as erectile dysfunction, ejaculatory disorders, male infertility, and hormonal disorders in men. Doctors have state-of-the-art diagnostic equipment, allowing them to provide the most accurate diagnostics, which is the key to a successful treatment outcome. Therapeutic options range from drug therapy with modern medicines, laser procedures, sparing minimally invasive surgery, to classical open surgery.

The Head Physician of the department is Prof. Dr. med. M.sc. Johannes Maria Wolff. The specialist has tremendous experience, which he has acquired in prestigious university hospitals in Germany, and also regularly demonstrates high treatment success rates. He is a Fellow of the European Board of Urology (FEBU) and has an excellent reputation not only in Germany but throughout Europe.

The primary focus of the department's urologists is the diagnostics and treatment of benign prostatic hyperplasia. This pathology occurs quite often in men, so there are many effective treatment methods available today, such as transurethral resection of the prostate, laser vaporization, and laser enucleation. At the early stages of the pathology, it is possible to achieve a good result with an effective drug therapy regimen. The treatment tactics are determined solely on an individual basis.

The department's doctors also specialize in treating kidney stone disease. To do this, a highly specialized center was created here, within the walls of which more than 1,000 patients with this diagnosis are treated every year. During the diagnostics, a patient is prescribed blood and urine tests, high-resolution ultrasound imaging, computed tomography, and, in some cases, X-ray scans, including those with contrast enhancement. The department's doctors quite often carry out effective drug therapy that allows them to remove stones in a natural way. Other therapeutic options for stone management include extracorporeal shock wave lithotripsy (ESWL), ureterorenoscopy (an endoscopic procedure), percutaneous nephrolithotomy (a minimally invasive procedure), and open stone surgery. The last treatment option is a very rare option.

Urinary incontinence in men and women is treated using the latest medical advances in this field. The department's doctors most often have to deal with such forms of incontinence as stress urinary incontinence, urge incontinence, and mixed forms of incontinence. The department's doctors have excellent qualifications in treating enuresis in children. Incontinence treatment methods range from electrical stimulation, biofeedback, drug therapy, Botulinum toxin A injection therapy, to surgical methods, such as TVT or TOT procedures, laparoscopic colpopexy (a Burch procedure) in women, sling procedures, and artificial sphincter implantation in men.

The scope of tasks of the department's doctors also includes the provision of medical care to children with urologic diseases and malformations of the urinary tract and organs of the reproductive system. The most common urologic disorders in children include undescended testicles (cryptorchism), hydrocele, varicocele, phimosis, hypospadias, epispadias, enuresis, and recurrent urinary tract infections. Enuresis and infectious lesions can be eliminated with the help of modern medicines. As for the other pathologies listed above, the most effective treatment method is surgical repair. As a rule, doctors perform minor interventions on an outpatient basis.

Andrology is an integral part of clinical activity. Of particular interest is impotence and male infertility treatment. The department performs sterilization procedures as well as operations to restore fertility after a vasectomy (a vasovasostomy). The intervention is performed with microsurgical techniques, which contributes to the patient's fastest recovery and minimal pain. Male infertility can be treated with modern sperm retrieval procedures such as TESE (testicular sperm extraction) and MESA (microsurgical epididymal sperm aspiration). In addition, the department's doctors specialize in repairing penile curvature and other malformations, such as urethral malformations, testicular malposition, etc. Medical care for age-related changes, for example, hormonal ones, is also within the department's competence.

The department's range of medical services includes:

• Diagnostics and treatment of benign urinary diseases in men and women, as well as diseases of the reproductive system in men
  • Prostatitis
    • Drug therapy
  • Benign prostatic hyperplasia
    • Drug therapy
    • Transurethral resection of the prostate
    • Laser vaporization of the prostate
    • Laser enucleation of the prostate
  • Kidney stone disease
    • Drug therapy
    • Extracorporeal shock wave lithotripsy (ESWL)
    • Ureterorenoscopy (an endoscopic procedure)
    • Percutaneous nephrolithotomy (a minimally invasive procedure)
    • Open surgery to remove stones
  • Recurrent inflammatory processes of the urinary system in women and men
    • Drug therapy
• Diagnostics and treatment of all forms of urinary incontinence in men and women, including enuresis in children
  • Methods for pelvic floor muscle strengthening 
    • Electrical stimulation
    • Biofeedback 
    • Magnetotherapy
    • Training on vibration simulators 
    • Pessary use
  • Drug therapy
  • Botulinum toxin A injection therapy
  • Surgical treatment of urinary incontinence (separate techniques for men and women), including the da Vinci surgical system: sacrocolpopexy, colposuspension and pectopexy
  • Sacral neuromodulation
• Diagnostics and treatment of urologic diseases and genitourinary malformations in children
  • Drug therapy for enuresis and infectious urinary diseases
  • Surgical treatment of malformations of the penis, testicles, and epididymis (for example, phimosis and undescended testicles)
• Diagnostics and treatment of andrologic diseases
  • Sterilization
  • Vasovasostomy (a surgical interventions designed to restore fertility after a vasectomy)
  • Surgical sperm retrieval for male infertility
    • Testicular sperm extraction (TESE)
    • Microsurgical epididymal sperm aspiration (MESA)
  • Treatment of erectile dysfunction (impotence)
    • Hormone replacement therapy
    • Intake of oral and topical drugs (for example, Viagra, intracavernous body injection therapy)
    • Vacuum pumps
    • Vascular surgery
    • Penile prosthetic repair
  • Correction of the penile curvature and other malformations
    • Penile curvature repair surgery
    • Plastic surgery for urethral abnormalities
    • Improper testicular position repair
    • Testicular prosthetic repair
    • Varicocelectomy
    • Laser surgery
  • Medical care for age-related changes in men
    • Hormone replacement therapy
    • Drug therapy
    • Nutrition counseling
    • Cancer screening
• Other urologic diseases, diagnostic and treatment methods