Da Vinci Prostatectomy for Prostate Cancer treatment in the Best Hospitals in the World
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Treatment of Prostate Cancer
- Diagnostics
- Prostate cancer | PSMA-PET
- Radiation therapy
- High intensity focused ultrasound (HIFU)
- Brachytherapy
- Transurethral electroresection
- Radical prostatectomy
- Lutetium-177 PSMA (Lu-177)
- Intensity-modulated radiation therapy (IMRT)
- Proton Therapy
- Chemotherapy
- Irreversible electroporation (NanoKnife)
- Photodynamic therapy
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, Andrology
The Department of Adult and Pediatric Urology, Andrology provides the full range of services in the fields of its competence, meeting the high standards of modern university medicine. The department specializes in the diagnostics and treatment of diseases of the kidneys, adrenal glands, ureters, bladder, and urethra. The medical facility also successfully treats diseases of the prostate gland, testicles, penis, male infertility, and erectile dysfunction. In addition, the department's doctors admit children with congenital and acquired diseases of the urinary system, as well as boys with congenital malformations of the reproductive system. A unique feature of the department is an advanced Center for da Vinci Robotic Surgery, which performs many effective minimally invasive interventions for prostate gland, bladder, and kidney cancer. Since 2006, when the center first opened its doors to its patients, the specialists have performed a total of more than 7,000 robot-assisted surgical procedures, including more than 5,000 prostatectomies, about 260 cystectomies, and more than 1,500 nephrectomies. Since 2016, the center's surgeons have also performed 23 kidney transplants with the da Vinci surgical system.
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of diagnostic and therapeutic services for patients with diseases of the urinary system and for men with pathologies of the reproductive system. The team at the medical facility also admits children and adolescents with urologic diseases. The department has 62 beds for inpatient treatment. Therapeutic options include both conservative and surgical techniques. Many operations are performed using the innovative da Vinci surgical system. The department also successfully uses modern laser systems, including the GreenLight laser, a holmium laser, a thulium laser and the laser for water vapor thermal therapy. The key focus of the department's work is on cancer surgery for malignant diseases of the prostate, bladder, kidneys, and testicles. The department also specializes in the treatment of urinary incontinence and pediatric urologic pathologies. Prostate diseases are treated in a specialized center certified in accordance with the DIN EN ISO 9001 requirements.
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 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
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.
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 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
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.
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.
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 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 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.
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:
- 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.
- 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.
- 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
- Communication with the clinic
- Translation of medical documents
- Help in applying for a visa for the patient and accompanying person
- Flight and accommodation booking
- Interpreting services
To undergo medical treatment abroad, please leave a request on our website. The medical tourism coordinator will contact you within a few hours.
