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Radical 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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Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of Urology

The Department of Urology offers the full range of diagnostics and treatment in this ​​medical field. The department's doctors have excellent qualifications in the treatment of diseases of the kidneys, urinary tract and reproductive organs in men. Of particular interest is the treatment of malignant urological neoplasms, which include prostate cancer, testicular cancer, kidney and bladder cancer. The department has in its arsenal many effective conservative and surgical treatment techniques, which can fully restore men's health.

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.

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 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.

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, 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.

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.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

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.

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

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.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

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).

Prostate cancer is a slowly progressing disease. Nevertheless, in long-term absence of treatment cancer can grow into adjacent organs and structures, as well as give regional metastases in lymph nodes near the organs. Tumor cells can be transferred via the bloodstream to distant organs (bones, lungs, liver, etc.) and give origin to new distant metastases.

Treatment of prostate cancer with radical prostatectomy

The main treatment for localized prostate cancer is surgery. The goal of prostate cancer surgery according to the generally accepted oncological principles is the maximum radicality, which means the complete removal of the tumor, the affected organ, and regional lymph nodes.

A radical prostatectomy is surgery for complete removal of the prostate gland and seminal vesicles. It also removes lymph nodes in the pelvic area. This is done in order to prevent the spread of cancer from the prostate gland to other parts of the body.

A tumor can be suspected already during the urological examination. Palpation allows you to suspect the presence of pathological tissue proliferation. Ultrasound confirms the suspicion of a tumor. However, a biopsy is done to determine if it is benign or malignant. A prostate-specific antigen (PSA) blood test is used for the additional diagnosis confirmation.

The degree of tumor malignancy is determined by the Gleason scale. The technique helps to find out how differentiated the cells of neoplasm are. There may be indicators from 2 to 10. The higher the indicator is, the less differentiated the tissues are, and the more aggressively the tumor will develop.

These scales directly influence the choice of medical treatment method. For actively developing formations, chemotherapy and radiation therapy are considered more effective and can be performed instead of resection.

Types of radical prostatectomy

Open radical prostatectomy 

In open prostatectomy, the surgeon makes an incision from the pubic bone towards the navel. After that, the pelvic lymph nodes are removed first, then the prostate gland, and then the adjacent affected tissues.

Laparoscopic radical prostatectomy or robotic radical prostatectomy

In the laparoscopic radical prostatectomy or robotic radical prostatectomy, several small incisions are made in the abdomen during the surgery. A laparoscope is then inserted through one of the incisions and the abdomen is expanded with gas. The prostate gland is removed through other incisions, using surgical instruments.

When is radical prostatectomy the right for prostate cancer treatment?

Prostate cancer surgery might be the best choice for patients with high risk of further cancer progress, as well as for those who are healthy, younger than 70 years old, for those, who understand and accept the risks and side effects associated with the chosen type of cancer surgery and want to remove cancer.

In addition to the common risks associated with surgery, prostate removal is associated with potential long-term side effects that can affect a patient's quality of life, such as:

  • Loss of urinary control
  • Impaired sexual function or impotence
  • Altered bowel function
  • Sclerosis of the prostate, prostate adenoma

How is radical prostatectomy carried out?

Before prostate cancer surgery, you will undergo preoperative examination. On the day of your scheduled preoperative examination, you can take your food and medication as usual.

The surgery is performed under general anesthesia. During the entire surgery, the patient is in a state of sleep and doesn’t feel anything.

Once the patient is asleep, the surgeon makes an incision below the navel and just above the pubic bone (open radical prostatectomy) or makes several punctures in the abdomen.

After removing the prostate and, if necessary, other organs and tissues (lymph nodes, seminal vesicles, etc.), the surgeon sutures the wound and inserts drainage. A catheter is placed in the patient's urinary canal to drain urine during the first days after the procedure.

If possible, the surgeon can perform a nerve-sparing surgery, which will allow the patient to maintain potency.

After prostate cancer surgery, the patient will stay in the hospital for some time under the medical supervision.

A drain inserted immediately after surgery is usually removed in 1 or 2 days. The urinary catheter is left for about 5-20 days and then removed.

The first time after the surgery, the patient will be on a liquid diet, followed by the gradual introduction of other products. The rehabilitation period takes on average 4-6 weeks. Patients who have undergone laparoscopic radical prostatectomy recover faster.

Side effects of radical prostatectomy

Urinary incontinence is common after the radical prostatectomy and requires additional therapy. The reported prevalence of this complication varies: incontinence associated with increased intra-abdominal pressure (for example, when coughing, sneezing, laughing, etc.) is observed in 50% of patients, and severe incontinence – in 0-15% of patients.

After radical prostatectomy, another severe for men complication is often observed. This is impotence, which is almost inevitable if surgical methods are used that do not allow the preservation of nerve fibers. When biopsy results indicate a tumor of the apex or both lobes of the prostate, it may be more appropriate to extensively remove the prostate without preserving the nerves.

Patients must clearly understand the need for this and agree with the decision of the surgeon. An informed patient almost always comes to terms with the loss of potency if he realizes the need for extended operation. In this sense, impotence is not so much a complication as the expected result of an attempt to cure prostate cancer. Fortunately, there are now advanced methods of restoring an erection after radical prostatectomy.

In recent years, various medical treatment regimens have been developed to reduce the risk of postoperative impotence. In the postoperative period drugs can improve erection ability. Men who still have erectile dysfunction later can use the same medications. To solve the problem, you can also use the introduction of drugs into the urethra that cause erection or intrapenile injections. In the most severe cases, a penile prosthesis is performed.

Advantages and disadvantages of radical prostatectomy

Advantages include the following:

  • If the cancer is located inside the prostate, surgery will remove all of cancer.
  • The prostate is investigated under a microscope to receive a clearer picture of how aggressive your prostate cancer is, whether it has spread outside your prostate, and if you need further treatment.
  • Your health care professionals can receive the reliable information about whether your cancer was completely removed during surgery. Your PSA blood level should drop to less than 0.1 ng/ml during six to eight weeks after the surgery.
  • If there are signs that your prostate cancer has come back or wasn’t removed completely, you may have further medical treatment.
  • Some men find it reassuring to know that their prostate has been physically removed, although you will still need to have follow-up tests to make sure that no cancer cells have spread outside the prostate.

Disadvantages include the following:

  • There are risks in having surgery, as with any major operation and invasive therapy.
  • You might experience side effects such as erection and urinary problems.
  • You’ll need to stay in the hospital for a few days – usually between one and five days depending on the type of surgery you have.
  • If cancer has spread outside the prostate, the surgeon may not be able to remove all of cancer and you might need further treatment.
  • You won’t be able to have children naturally or ejaculate after surgery as you won’t be able to produce semen, but it’s possible to store sperm before the surgery for fertility treatment.

The cost of radical prostatectomy for prostate cancer treatment

Today there are advanced methods of treating prostate cancer at the initial stages, as well as ways to prolong life and improve its quality at the later stages. Unfortunately, not all methods of fighting prostate cancer are known or available to local doctors. Therefore, many patients are forced to seek treatment abroad.

With Booking Health services you can book radical prostatectomy for prostate cancer at an affordable price. The cost of the procedure varies in different countries. We can arrange a trip for radical prostatectomy at a fair price. The cost of radical prostatectomy for prostate cancer goes as follows:

  • Germany – from 15,000 EUR
  • Turkey – from 13,600 EUR
  • India – from 11,300 EUR

Where can I undergo radical prostatectomy?

In the case of prostate cancer, it should be emphasized that the clinic should have all the advanced methods of modern diagnostics of the disease and offer the maximum of medical treatment information regarding both conservative and surgical options.

Foreign certified hospitals to undergo prostate cancer treatment are:

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.    Medipol Mega University Hospital Istanbul, Department of Adult and Pediatric Urology. The department offers a full range of diagnostics and treatment of genitourinary diseases in boys and men. Particular attention is paid to the surgical treatment of prostate cancer.

3.    University Hospital Ulm, Department of Adult and Pediatric Urology. The department ranks among the TOP German medical facilities specializing in prostate cancer treatment. The department is also certified by the German Cancer Society, therefore all the therapeutic measures correspond to strict national and international standards.

How can I undergo radical prostatectomy treatment abroad?

The self-organization of radical prostatectomy treatment abroad can be overwhelming. 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
  • Information on the overall cost of radical prostatectomy procedure
  • Translation of medical documents
  • Help in applying for a visa for the patient and accompanying person
  • Flight and accommodation booking
  • Interpreting services

To undergo prostate cancer treatment abroad for a reasonable price, please leave a request on our website. The medical tourism manager will contact you within a few hours and provide you with the necessary information.




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