Open Prostatectomy for Benign Prostatic Hyperplasia (BPH) in Germany
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Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of services in the areas of its specialization. Men and boys with diseases of the reproductive system can be diagnosed and treated in the medical facility. Doctors also treat infertility and erectile dysfunction. Medical care is provided to men and women with diseases of the urinary system, namely kidneys, ureters, bladder, and urethra. The department is certified as the Prostate Cancer Center by the German Cancer Society (DKG), which indicates the excellent quality of the services provided in this area. The department's urologists have a perfect command of the innovative treatment methods, including holmium laser enucleation of the prostate (HoLEP), photodynamic therapy, and da Vinci robot-assisted surgery. The department employs comprehensively trained and experienced doctors who apply advanced medical achievements in their practice. Each patient is provided with an individual approach, considering their specific needs and wishes.
Department of Adult and Pediatric Urology
The Department of Adult and Pediatric Urology provides high-precision diagnostic examinations and effective treatment for diseases of the genitourinary system and reproductive system in men and boys. Of particular interest is drug therapy and surgical treatment of prostate, bladder, kidney, testicular, and penile cancers. The department is part of the Comprehensive Cancer Center Ulm (CCCU). For the patient, this means that their clinical case is studied by a multidisciplinary tumor board, which determines the optimal treatment tactics. The department is also certified by the German Cancer Society (DKG), so all therapeutic procedures meet strict national and international standards. The department's team of urologists also has unique clinical experience in the minimally invasive treatment of kidney stone disease, benign prostatic hyperplasia, neuro-urological dysfunction, and all urologic diseases in children. During the surgical treatment, the specialists at the medical facility successfully use minimally traumatic surgical techniques. They perform endoscopic, laser, minimally invasive, and robot-assisted surgery using the innovative Da Vinci system. The department treats about 3,000 inpatients and 9,000 outpatients with clinical cases of varying complexity annually. The number of surgical procedures performed and treatment outcomes are regularly published by the authorized commission of the Initiative Quality in Medicine (IQM).
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of services for the diagnostics and treatment of urologic diseases in men and children, as well as urogynecologic disorders in women. One of the priority focuses of the department's specialization is the restoration of potency in men. According to the international ratings, this is the best hospital in Europe, where a team of urologists effectively treats erectile dysfunction. Another key focus of the department's work is on the treatment of benign and malignant prostate diseases. To treat prostate cancer, the doctors perform low-traumatic robot-assisted interventions using the very latest da Vinci® XI HD surgical system. The therapeutic offer is complemented by the treatment of pathologies of the kidneys, ureters, bladder, testicles and penis. In the field of pediatric urology, the correction of congenital malformations of the reproductive system in boys is of particular interest. The department's doctors are professionals in their area of specialization, so the patients can be sure that they will certainly find an effective solution even for the most complex clinical case.
Department of Adult and Pediatric Urology, Andrology
According to the Focus magazine, the Department of Adult and Pediatric Urology, Andrology is one of the best medical facilities in Germany for prostate cancer treatment! The department provides the full range of diagnostic and therapeutic services for men and women with diseases of the urinary system, representatives of the stronger sex with pathologies of the reproductive system, and children with congenital and acquired urological conditions. The department specializes in conservative and surgical treatment of malignant tumors of the male genitals, kidneys, and bladder. The specialists at the healthcare facility are proud of the status as a Training Center for Robotic Urological Surgery with certification by the European Association of Urology (EAU). Robotic surgery with the da Vinci system is an integral part of the daily clinical practice of the department's doctors, and the presence here of one of the best da Vinci surgery training centers in Europe testifies to the advanced experience of the department's medical team in this field. Together with the Department of Nephrology and the Department of Surgery, it is part of the Kidney Transplant Center, the largest of its kind in Germany. The unique feature of this center is that almost all operations to remove a kidney from a living donor are minimally invasive procedures. Men with andrological problems can also be treated in the department. Special attention is given to the treatment of erectile dysfunction, infertility, and hormonal imbalances.
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department offers the full range of diagnostics and treatment of the urinary system in men and boys. The department has a long history, rich traditions, and is also a recognized center of excellence in the treatment of all urological diseases. The department specializes in the treatment of malignant urological diseases, reconstructive surgery, pediatric urology, treatment of urinary tract dysfunction and kidney stone disease.
Department of Urology
According to the Focus magazine, the Department of Urology ranks among the top German medical institutions specializing in prostate cancer treatment! The department offers the full range of high-precision diagnostic studies and effective therapeutic options for men with diseases of the genitourinary system. The doctors of the department specialize in the treatment of prostate cancer, benign prostatic hyperplasia, kidney, testicular cancers, urolithiasis, erectile dysfunction and urinary incontinence. There are also excellent qualifications in the field of reconstructive urology.
Department of Adult and Pediatric Urology, Andrology
According to the Focus magazine, the Department of Adult and Pediatric Urology, Andrology is one of the best medical facilities in Germany for prostate cancer treatment! The department provides effective treatment for the entire spectrum of diseases of the urinary tract and male reproductive system in accordance with the highest medical standards. Patients of all ages, from newborns to the elderly, can receive medical care. The department's primary specialty is reconstructive urology: surgeons perform reconstructive urethral plastic surgery, artificial sphincter and synthetic tape (sling) implantation surgery to treat urinary incontinence, reconstructive penile plastic surgery to correct congenital and acquired defects, and penile prosthetics for erectile dysfunction. An equally important focus of the urology team is the surgical treatment of oncologic diseases such as bladder, kidney, adrenal, prostate, testicular, and penile cancer. Almost all surgical procedures to treat cancer are performed using minimally traumatic microsurgical and robot-assisted techniques – the department's urologists have the innovative da Vinci system at their disposal. Tumor drug therapy is provided in cooperation with specialists at the Cancer Center Hamburg. The department is a certified Urologic Oncology Center of the German Cancer Society (DKG). It is also one of the leading centers for pediatric urology in Germany and has the status of a certified training center for physicians of the European Society for Pediatric Urology (ESUP).
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department offers the full range of advanced methods of diagnostics and treatment of all genitourinary system diseases, including in children. Of particular interest is the treatment of patients with urinary tract and kidney tumors, kidney stone disease, prostate diseases, treatment of urinary incontinence, andrologic disorders and urological problems in young patients. Since 2010, the department has been certified as the Prostate Cancer Center (certified by the German Cancer Society, recertified in 2016).
Department of Adult and Pediatric Urology, Andrology
According to the Focus magazine, the Department of Adult and Pediatric Urology, Andrology ranks among the best departments in Germany specializing in prostate cancer treatment! The department offers the full range of diagnostic and therapeutic services in the fields of its expertise. The department's medical team specializes in the treatment of diseases of the urinary tract in women and men, as well as in the treatment of pathologies of the reproductive system in adult men and children, andrological diseases in men. The primary focus of the clinical practice of the department's doctors is medical care for patients with kidney, bladder, ureteral, urethral, prostate, testicular and penile cancers. The department's specialists keep pace with medical innovations, so most surgical interventions are performed using sparing laparoscopic techniques that do not require large incisions in the skin and soft tissues. To treat prostate cancer, doctors successfully use robot-assisted prostatectomy with the da Vinci surgical system. This intervention has many advantages over classical surgery and is available only in the best hospitals in the world. In addition, the department's doctors demonstrate excellent results in the treatment of kidney stone disease, urinary incontinence and pelvic organ prolapse. A specially trained team of doctors has been formed for the treatment of urological pathologies in children. Of particular interest is the correction of congenital genitourinary anomalies in young patients.
Department of Urology
The Department of Urology specializes in the diagnosis and treatment of a full range of kidney, bladder, and urethral diseases in both men and women, as well as prostate, testicular, and penile pathologies. The department provides both conservative and surgical treatment. The department successfully practices innovative da Vinci robotic surgery and performs laparoscopic and endoscopic procedures. These operations are classified as minimally traumatic, while their effectiveness is comparable to the results of classical open surgery. Doctors of the department, together with specialists in nephrology and transplantology, perform kidney transplants, including from living donors. It should be noted that the medical facility is one of the few in Germany to perform kidney transplants using the da Vinci robotic technology. The priority focus of the urologists of the department is the treatment of cancers of the urinary system and male genitalia. The department is certified by the German Cancer Society (DKG) as a specialized center for prostate, testicular, kidney, and bladder cancer. The exceptional professionalism of the department's medical team, combined with state-of-the-art equipment, forms a solid basis for providing high-quality medical services to patients with urological diseases.
Department of Adult and Pediatric Urology
The Department of Adult and Pediatric Urology offers the diagnostics and treatment of all diseases of the urinary system organs (kidneys, ureters, bladder, urethra, etc.), as well as of the male reproductive organs in adults and children. The department specializes in the surgical and drug treatment of oncological diseases, correction of complex malformations, and plastic reconstructive urology. The department is the certified Prostate Cancer Centre.
Department of Adult and Pediatric Urology
The Department of Adult and Pediatric Urology provides high-precision diagnostics and effective treatment of the full range of diseases of the kidneys, urinary tract, bladder, prostate, testicles and their appendages, vas deferens and penis. The treatment of urologic cancers is of particular interest. The focus of pediatric urologists is on young patients with congenital and acquired malformations of the genitourinary system. The department has its in-house advanced operating rooms, an X-ray unit, and two stations with 57 beds. The high quality of medical care is confirmed by many prestigious certificates, including the DEKRA certificate and the certificate of the European Board of Urology. As one of the best urologic facilities in Germany and a leading urology clinic in Munich, the department has been offering patients the daVinci robot-assisted surgery since 2009, which has many advantages for patients: minimal pain, speedy recovery, the highest level of precision compared to conventional surgical interventions.
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department offers services for the diagnostics and treatment of diseases of the kidneys, urinary tract and pathologies of the reproductive organs in men. The therapeutic options are complemented by the treatment of urological problems in children. The department's doctors focus on the patients with oncopathologies (prostate cancer, renal cell cancer, bladder cancer, testicular cancer). Of particular interest is minimally invasive therapy of stones in the kidneys, ureters and bladder. The doctors have in their arsenal conventional and the very latest conservative, drug and surgical therapies, which allow them to achieve the best result in clinical cases of varying severity.
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department offers the widest range of modern diagnostic and therapeutic methods for accurate detection and treatment of diseases of the genitourinary system in men and boys. The priority focus of the department is the treatment of prostate cancer (certification of the German Cancer Society).
Department of Urology
According to the Focus magazine, the Department of Urology is included in the ranking of the top German departments for prostate cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the kidneys, bladder and urinary tract, male genital organs. The department has advanced experience in urologic surgery and is one of the most reputable medical institutions specializing in the treatment of benign and malignant prostate diseases. In 2009, the department was certified by the German Cancer Society as the Prostate Cancer Center.
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department deals with the diagnostics, conservative and surgical treatment of diseases of the genitourinary system in men and boys. If necessary, surgical treatment may be provided with the use of sparing minimally invasive techniques, which allows to ensure early recovery for the patient. In the treatment of benign prostatic hyperplasia, kidney stone disease, ultramodern laser technologies are widely used. The department treats more than 1,800 inpatients and about 5,000 outpatients every year.
Open adenomectomy is historically the first treatment option for benign prostatic hyperplasia and is still one of the most commonly performed surgical procedures. The essence of the surgery is the removal of all or most of the prostate gland, usually together with the capsule and the prostatic urethra. You can undergo your surgical treatment in one of the German hospitals. You are welcome to use the Booking Health website to get medical services abroad.
Content
- Principles of therapy for benign prostatic hyperplasia
- When can open adenomectomy be used for benign prostatic hyperplasia?
- How is open adenomectomy performed for benign prostatic hyperplasia?
- Safety of open adenomectomy for benign prostatic hyperplasia
- Benefits of open adenomectomy for benign prostatic hyperplasia
- Where can I have adenomectomy for the treatment of benign prostatic hyperplasia?
Open prostatectomy is a surgical procedure to treat severe BPH by removing the enlarged part of the prostate through an abdominal incision.
In Germany, open prostatectomy for benign prostatic hyperplasia is performed under general anesthesia. Surgeons make an incision to access and remove the enlarged prostate tissue.
Compared to other treatments, open prostatectomy offers long-lasting symptom relief for severe BPH cases and is effective for very large prostates.
Germany's medical specialists are highly experienced in open prostatectomy, with many having performed numerous procedures and utilizing advanced surgical techniques.
Open prostatectomy has a high success rate in treating BPH. Factors affecting outcomes include prostate size, overall health, and surgeon expertise. Booking Health can help find experienced specialists in Germany.
Principles of therapy for benign prostatic hyperplasia
Most men with benign prostatic hyperplasia receive conservative therapy. This helps curb the growth of prostatic tissue and control the symptoms of the disease while allowing normal urinary function.
Conservative therapy may become ineffective. When the prostate reaches a significant size or when it grows locally in the area of the prostatic urethra, compression and irritation of the urinary tract occur. The patient's symptoms worsen, and urinary retention may develop. In such cases, conservative therapy may no longer provide the necessary results, so surgical treatment or minimally invasive medical procedures are used.
When can open adenomectomy be used for benign prostatic hyperplasia?
According to the recommendations of the European Association of Urology, surgical adenomectomy is one of the two main methods of treatment for benign prostatic hyperplasia when the organ volume exceeds 80 ml, along with laser enucleation, a minimally invasive medical procedure.
Open resection of the prostate remains one of the most commonly used treatments for benign prostatic hyperplasia in urology. It accounts for 30% to 70% of all surgeries and invasive medical procedures for benign prostatic hyperplasia in different countries.
How is open adenomectomy performed for benign prostatic hyperplasia?
The surgery is performed under general anesthesia. The doctor makes an incision in the perineum or in the lower abdomen.
A suprapubic transvesical approach is most commonly used. The doctor makes an incision in the lower abdomen, dissects the bladder, dissects the prostate capsule, and then removes it along with the prostatic urethra. The surgeon then performs prostate bed hemostasis (cessation of bleeding), sutures the bladder, and closes the surgical wound.
The duration of bladder catheterization after surgery ranges from 3 to 8 days, depending on the surgical technique used and the course of the postoperative period. Patients stay in the hospital for 1 to 2 weeks.
Safety of open adenomectomy for benign prostatic hyperplasia
Despite the fact that open adenomectomy is the most traumatic surgery for the treatment of benign prostatic hyperplasia, it is considered safe.
Patient mortality after open prostatectomy is 0.25%. This is higher than after TUR of the prostate (0.1%), an endoscopic medical procedure that is performed through a transurethral (through the urethra) approach. However, a direct comparison of patient mortality rates is inappropriate because open adenomectomy is performed in more severe cases of the disease, often against a background of acute urinary retention.
Patients lose more blood after open adenomectomy compared to laparoscopic and transurethral procedures. Some may require a blood transfusion.
Benefits of open adenomectomy for benign prostatic hyperplasia
Open prostatectomy is historically the first method of surgical treatment for benign prostatic hyperplasia and is still used today. Its benefits are as follows:
- Possibility of total removal of the prostate along with the capsule
- Lowest risk of recurrence of benign prostatic hyperplasia among all treatment methods
- No recurrence after total removal of the prostate gland
- Prevention of prostate cancer, which is especially important for older patients with high PSA levels
- Possibility of performing surgery for bladder diverticulum
The advantage of open adenomectomy compared to transurethral procedures is a faster recovery of urination (as early as 3-4 days).
However, laparoscopic and robot-assisted adenomectomy have the same advantages. These techniques are less traumatic. The operations are performed through short abdominal incisions. Compared to them, the advantage of open prostatectomy is its availability and low cost of treatment.
Laparoscopic surgery is the most common method of treatment in Germany, although surgeons can also perform open adenomectomy. The disadvantages of open surgery are a long hospital stay (1-2 weeks), significant blood loss (7-14% of patients require transfusions of blood components), and more pronounced postoperative discomfort.
Where can I have adenomectomy for the treatment of benign prostatic hyperplasia?
You can undergo your surgical treatment of benign prostatic hyperplasia using open adenomectomy (prostatectomy) in one of the German hospitals. Treatment in Germany has many advantages. These include the following:
- High-precision diagnostics
- A personalized approach to choosing a treatment method for benign prostatic hyperplasia
- State-of-the-art equipment
- Low risk of complications
- Reliable results
- Comprehensive postoperative care
You can find out the cost of treatment, choose the most suitable German hospital, and make an appointment for your treatment in Germany using the Booking Health service. Our website presents the best urology centers and lists the prices of procedures and surgeries. On our website, you can compare the cost of treatment in different German hospitals and make an appointment for your treatment in Germany at the best price.
The Booking Health team will help you choose a German hospital that specializes in the treatment of benign prostatic hyperplasia and demonstrates good results. We will make an appointment at the hospital for your preferred dates and take care of all the arrangements for your treatment in Germany. The prices for medical services in German hospitals will be lower for you in comparison with directly seeking medical help from urology centers due to the absence of additional fees for foreign patients.
Authors:
The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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