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Da Vinci Prostatectomy for Prostate Cancer treatment in the Best Hospitals in the World

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

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 urological diseases in men and boys. The department employs comprehensively trained, experienced doctors, who use in their practice all the advanced medical achievements. Each patient is provided with an individual approach to therapy with due consideration of specific needs and wishes.

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Marien Hospital Marl

9.8/10
location_onGermany, Marl

Department of Adult and Pediatric Urology

The Department of Adult and Pediatric Urology offers the full range of diagnostics and treatment of diseases of the genitourinary system in men and boys. The department has 62 beds for inpatient treatment. The therapeutic options include both conservative and surgical techniques. Many operations are performed using the innovative da Vinci surgical system. The key focus of the department is cancer surgery in malignant diseases of the prostate gland, bladder, kidneys and testicles. Also, the department specializes in the treatment of urinary incontinence and pediatric urological pathologies.

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University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Adult and Pediatric Urology

The Department of Adult and Pediatric Urology offers the full range of services in this medical focus. The department specializes in the treatment of kidney, adrenal, ureter, bladder, urethral and prostate diseases in men, as well as reproductive organs in men, women and children. A unique feature of the department is the Da Vinci Robotic Surgery Center, within the framework of which a number of effective minimally invasive procedures for the treatment of prostate, bladder cancer and kidney tumors are performed.

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Memorial Sisli Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Urology and Andrology

The Department of Urology and Andrology offers comprehensive diagnostics and effective treatment of the full spectrum of diseases of the genital organs in men, as well as the urinary system in men and women. Andrology specialists deal with the treatment of male infertility, erectile dysfunction, ejaculation disorders, age-related changes in men, etc. One of the key focuses of the department's work is the treatment of oncological diseases of the genitourinary system in men. The department's medical team is distinguished by exceptional professionalism in their area of ​​expertise and regularly demonstrates excellent treatment success rates. The doctors work on advanced medical equipment that allows them to detect the slightest pathological changes and effectively carry out surgical treatment using endoscopic, laparoscopic and robotic techniques, which guarantee quick postoperative recovery and minimal risks of complications after the intervention.

Medipol Mega University Hospital Istanbul

8/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Urology

The Department of Adult and Pediatric Urology offers the full range of diagnostics and treatment of genitourinary diseases in men and boys. Particular attention is paid to the surgical treatment of prostate cancer. The treatment of this pathology is also carried out using an innovative technique, namely high-intensity focused ultrasound (HIFU). Depending on the clinical case, the surgical intervention can be open or laparoscopic / endoscopic. The department ranks among the best in the field of its competence in the country.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Urology

According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top medical institutions in Germany for prostate cancer treatment! The department offers the full range of high-precision diagnostics and effective treatment of diseases of the urogenital system, genitals in men and boys. It treats about 3,000 inpatients and 9,000 outpatients with the clinical cases of varying severity every year.

Urology Hospital Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

The Department of Adult and Pediatric Urology offers the full service range for the diagnostics and treatment of urological diseases in men and children, as well as urogynecological problems in women. One of the department's priorities is the restoration of potency in men. According to international ratings, this is the best hospital in Europe where a team of urologists effectively treats erectile dysfunction. The department has all modern techniques for the treatment of pathologies of genitourinary tract, while the rich practical experience of doctors allows them to select the best treatment option for each patient. Another department's key focus is the treatment of benign and malignant diseases of the prostate gland.

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Adult and Pediatric Urology, Nephrology

The Department of Adult and Pediatric Urology, Nephrology provides the accurate diagnostics and effective treatment of a wide range of genitourinary diseases in men, kidney diseases in men and women. For patients with the advanced stage of kidney failure, kidney transplantation is offered. Of particular interest is the treatment of cancers, particularly, prostate cancer, bladder cancer and kidney cancer. In most cases, the doctors use non-invasive and minimally invasive treatment methods, thereby providing better results and speedy recovery of the patient.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

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.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

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 all types of modern diagnostic and therapeutic services for patients with urologic diseases. Of particular interest is the treatment of urogenital tumors in men and urogynecological diseases. The department also specializes in kidney transplantation, which is carried out within the specialized center. This center is the largest in Germany and Europe and annually demonstrates high treatment success rates. In addition, the department's competence covers the treatment of urological problems in boys of all age groups.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

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.

University Hospital Jena

8.9/10
location_onGermany, Jena

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).

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

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 diseases of the urogenital system in adult men and children. The department operates a number of certified specialized centers, for example, the Prostate Cancer Center, the Urinary Incontinence Center, the Pediatric Kidney Disease Center, etc. The department's doctors are also actively engaged in research, so the patients have access to relevant clinical trials, which in some cases saves their lives.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Urology

According to the Focus magazine, the Department of Urology ranks among the top medical institutions in Germany specializing in prostate cancer treatment! The department offers the full range of diagnostics and treatment of urinary tract diseases in men. Of particular interest are kidney transplantation, treatment of benign and malignant urologic diseases. The department has become one of the pioneers in the field of minimally invasive robot-assisted surgery (da Vinci), thanks to which it has exceptional experience in this area. In addition, the department became the second medical facility in Germany, which performed kidney transplantation using a da Vinci robotic system.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

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 has all the diagnostic and therapeutic options to provide first-class medical care for patients with diseases of the genitourinary system. The priority focus is reconstructive urology, in particular, the whole range of urethral surgery, procedures for the treatment of urinary incontinence (including artificial sphincter implantation, sling procedures), as well as penile surgery for congenital or acquired malformations, prosthetics in case of erectile dysfunction.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

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.

Prostate cancer (adenocarcinoma) is a malignant tumor that develops from the cells of the prostate gland. It can grow slowly and stay unnoticed for years or resemble other diseases. The statistical data about prostate cancer shows that it is ahead of lung cancer and colorectal (rectal) cancer worldwide. The risk of tumor formation is 1.28% for men aged 40-59 years. In the interval from 60 to 79 years, it equals 15.6%.

When is surgery required?

It has been found that in patients with medium-grade or high-grade prostate cancer radical removal of the prostate increases life expectancy. In some patients with locally advanced cancer, surgery (radical prostatectomy) is also possible.

Types of prostate cancer surgery

The choice of prostate cancer treatment is determined by the stage of the tumor process.

For localized prostate cancer, surgical treatment (radical prostatectomy) is performed, which involves the removal of the prostate with seminal vesicles, surrounding fatty tissue, and pelvic lymph nodes.

Radical prostatectomy сan be performed with a robotic system (Da Vinci radical prostatectomy) or without, as the abdominal surgery.

Unfortunately, the conventional surgery in prostate cancer treatment often leads to complications, namely, urinary incontinence and problems with potency, because a scalpel, used in the conventional surgery, can damage the bladder and the muscles responsible for erection.

Difference between the robotic and conventional radical prostatectomy

Robotic surgery is ideal for prostate cancer treatment. Surgery is carried out in the pelvic area, which is surrounded by bones, as well as contains the bladder and nerves responsible for the erectile function, so urinary incontinence or erectile dysfunction may be the complications after surgery. An accurate and low-traumatic operation is very important for the patient's future quality of life.

Fortunately, in modern clinics, prostate cancer treatment is performed using robotic radical prostatectomy, which reduces blood loss and preserves both sexual function and normal bladder function.

Unlike other forms of prostate cancer treatment, robotic radical prostatectomy is special, because it is a laparoscopic operation (surgery without incision of the abdomen or perineum) performed by a robot controlled by a surgeon. Using the Da Vinci robot allows the surgeon to operate with higher accuracy and, as a result, reduces the risk of complications.

Benefits of the Da Vinci prostatectomy

The Da Vinci Robot Surgeon, equipped with a 3D high-resolution multi-zoom viewing system, provides the surgeon with the unique opportunity: the doctor controls the movements of tiny instruments inside the body.

Da Vinci technology allows the doctor to perform the most complex manipulations through the minimum number of tiny holes. The use of a state-of-the-art surgical system allows the physician to perform the laparoscopic operation in the most precise and least invasive way possible.

Prostate cancer surgery with a Da Vinci robot has the following advantages:

  • Minimal blood loss and the need for blood transfusions during and after surgery.
  • Reduced risk of postoperative complications, including prolonged pain, urinary problems, infection, and inflammation.
  • Shorter hospital stay and the rehabilitation period. Robotic radical prostatectomy facilitates return to the usual lifestyle and physical activity.
  • Effective restoring of the functional capabilities of the male body: the use of the Da Vinci robot helps to preserve healthy tissues and nerve bundles, which ensure recovery of urinary and erectile function. The term of restoring sexual activity and potency is individual and can take from several months to a year. According to reviews of men under 50, the chance of restoring potency after a robotic operation exceeds 90%.
  • Reduced risk of death: according to numerous studies, prostatectomy has the lowest risk of death compared to non-surgical medical treatments for prostate cancer. The risk of death in the treatment with radiotherapy is more than 2 times higher than that in surgery.

How is robotic prostate cancer surgery carried out?

Operation by a Da Vinci robot is called the robotic radical prostatectomy. The operation is performed under general anesthesia and lasts 3 hours maximum.

The prostate cancer surgery is performed with precise instruments, the size of which is only a few millimeters.

To penetrate the prostate, five punctures are made in the lower abdomen, in size of less than one centimeter each. Three operating instruments and two tubes with miniature video cameras are inserted into the holes, which serve as the eyes to an urologist. With the help of these cameras, a 3D image is projected onto the screen with a 15-20 times magnification, which contributes to the maximum accuracy of the surgeon's actions and significantly reduces the likelihood of any complications after the procedure.

During the laparoscopic operation, the prostate gland and seminal vesicles are removed. Depending on the stage and grade of cancer, the surgery can remove the lymph tissue outside the prostate gland, which the pathologist examines for cancer cells afterwards.

The urethra, which runs inside the prostate, is trimmed near the sphincter and bladder. After removal of the prostate, the bladder is sutured to the urethra. The catheter is placed through the urethra into the bladder until the sutures heal.

During a robotic-assisted radical prostatectomy, a telescopic lens is inserted into one of the channels, providing a three-dimensional and enlarged image of the delicate structures surrounding the prostate (nerves, blood vessels, and muscles), thereby maximizing the preservation of these vital structures that ensures benefits of robotic surgery procedure. 

Throughout most of the laparoscopic operation, the surgeon sits at the console and controls the instruments with his fingers. The operation is carried out following the same surgical principles as in the open surgery, but without introducing the surgeon's hands into the patient's abdominal cavity.

These operating instruments can move in all directions at a 90-degree angle to provide the same maneuverability as a human hand. The robot's arms repeat the movements of the doctor's hands as accurately as possible.

Is there a need for additional treatment procedures?

The pathologist examines the removed histological specimens under a microscope after the operation. Thus, it is possible to understand the specifics of cancer, the local spread of cancer cells, as well as the possibility of their metastasizing to the lymph nodes. Prostate cancer surgery is sufficient if there are no cancer cells around the edges of the removed tissue. Surgery may be complemented by radiation therapy or hormonal therapy if cancer grows through the prostate capsule or along the edges of the tissue removed from the specimen, or if cancer cells are present in the lymph nodes.

Complications after prostatectomy

The surgery can cause the following complications:

  • Bleeding
  • Inflammation and venous thrombosis in a small number of patients
  • Damage of the intestines, especially if there are adhesions and scars in the abdominal cavity after previous operations

Significant postoperative complications after radical prostatectomy occur in less than 1% of patients. Potential long-term complications after radical prostatectomy are urinary incontinence and erectile dysfunction (impotence). Urinary incontinence is temporary in about 90-95% of patients. Erectile ability and erectile nerves are likely to be preserved in patients with small tumors. Most of the postoperative complications are temporary.

Prices for robotic radical prostatectomy

Although the operation price in treatment abroad is high, the overall cost is reduced due to shortening the patient's hospital stay. After robotic surgery, in most cases, the patient is discharged from the hospital in 1-2 days. After the abdominal surgery, the price of which is high as well, it is necessary to spend from 3 to 6 days in the hospital. The cost also lowers since during robotic surgery for prostate cancer treatment the patient loses on average only 200 milliliters of blood. Since blood loss is significant during standard surgery, the patient needs 0.5 to 1.5 liters of donated blood.

The average prices for robotic interventions are as follows:

  • Germany – from 20,000 EUR
  • Israel – from 22,000 EUR
  • Turkey – from 11,000 EUR

Where can I undergo robotic radical prostatectomy treatment abroad?

Successful performance of prostate removal operations, specifically robotic radical prostatectomy, requires vast experience with the Da Vinci robot and surgical skills. Besides, the Da Vinci robot costs a lot of money, and a set of disposable tools costs several thousand euros. That is why robotic radical prostatectomy is performed in a very small number of specialized clinics.

Among German hospitals, the best success rates in robotic radical prostatectomy of prostate cancer treatment are demonstrated by:

  1. University Hospital of Ludwig Maximillian University of Munich, Department of Adult and Pediatric Urology. The department ranks among the TOP German departments specializing in prostate cancer treatment. It is certified as the Prostate Cancer Center according to the standards of the German Cancer Society. This fact confirms the credibility of the department in the field and the high success rates in prostate cancer treatment.
  2. Marien Hospital Marl, Department of Adult and Pediatric Urology. For the comprehensive and most effective medical treatment of prostate diseases, the department has a specialized center, which was the first in the Recklinghausen region and the second in Germany to be certified by the international quality standard DIN EN ISO 9001.
  3. University Hospital Saarland Homburg, Department of Adult and Pediatric Urology. A unique feature of the department is the Da Vinci Robotic Surgery Center, within which a number of effective minimally invasive procedures for the medical treatment of prostate cancer were performed (more than 3,700 successful prostatectomies, starting from 2006).

How can I undergo prostate cancer treatment abroad?

Reasonably enough, the organization of medical treatment abroad can seem a little bit too much. It requires specific knowledge and experience in medical tourism. It is safer, easier, and less stressful to shift some responsibility onto a medical tourism agency.

Booking Health is the largest and most transparent medical tourism agency in the world. Medical treatment abroad is arranged due to the direct cooperation with leading foreign hospitals.

Booking Health provides the following services:

  • Selection of treatment program and medical facility
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  • Help in applying for a visa for the patient and accompanying person
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To undergo medical treatment abroad, please leave a request on our website. The medical tourism coordinator will contact you within a few hours.




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