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Treatment of prostate cancer with da Vinci prostatectomy (program ID: 294770)

University Hospital Carl Gustav Carus Dresden

location_on Dresden, Germany
9.1/10 from 23 Votes
Specialized hospital
Christian Thomas

Head Physician
Prof. Dr. med.

Christian Thomas

Specialized in: adult and pediatric urology

Department of Adult and Pediatric Urology

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • general clinical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
    • tumor markers, PSA
  • ultrasound scan of the urogenital system
  • CT scan/MRI
  • preoperative care
  • nerve-sparing da Vinci prostatectomy
  • histological and immunohistochemical
    examination of the removed tissues
  • symptomatic treatment
  • cost of essential medicines
  • control examinations
  • nursing services
  • stay in the hospital with full board
  • accommodation in 2-bedded room
  • elaboration of individual treatment plan

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs. Based on the results of the examination, the physician will choose the surgical technique and the type of anesthesia.

Surgery with the da Vinci robot starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which the manipulators of the da Vinci robot and a video camera are inserted into the pelvic cavity. With the help of manipulators, the surgeon ligates the large vessels of the small pelvis, isolates the nerve endings, excises and removes the prostate gland. The video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.

As the surgeon sees the operating field in multiple magnification, he preserves the nerve endings responsible for erection and urination. Also, normal blood supply of the pelvic organs is maintained after operations with the da Vinci robot. This is the most sparing type of surgical prostatectomy.

After the completion of the operation, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time. Your urinary catheter will be removed one day after the surgery.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)
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About the department

The Department of Adult and Pediatric Urology, Andrology at the University Hospital Carl Gustav Carus Dresden offers the full range of diagnostics and treatment of diseases of the reproductive organs and urinary system in men. Key attention is paid to the treatment of urologic cancers, benign prostatic hyperplasia, kidney stone disease and urinary incontinence in men and women. The department also specializes in kidney transplantation (in collaboration with the Department of Nephrology) and the treatment of andrological diseases in men, including infertility. To provide surgical treatment, the department uses sparing minimally invasive techniques and the da Vinci surgical system, which minimize the risk of complications and guarantee the fastest possible recovery of patients. The department is certified by the German Cancer Society (DKG) as a specialized Prostate and Kidney Cancer Center. The department annually admits more than 5,600 inpatients, which makes the urological medical facility one of the largest in Germany. All the department's doctors are highly qualified specialists in their field of expertise, so patients can be sure that they will receive high-quality treatment using the very latest therapeutic techniques. The department is headed by Prof. Dr. med. Christian Thomas.

The priority focuses of ​​the department's work are the treatment of malignant diseases of the reproductive organs in men, as well as the urinary system in men and women: prostate, testicular, bladder, and kidney cancers. The therapeutic options range from modern conservative methods (for example, immunotherapy, chemotherapy) to minimally invasive and radical interventions to remove neoplasms. At the advanced stages of oncopathology, patients receive high-quality palliative care. Since the beginning of 2006, the department has had the da Vinci surgical system, which is effectively used for radical prostatectomy. This progressive device allows the doctors to carry out the most accurate incisions during surgery, minimizing blood loss, the risk of postoperative complications and infection, as well as guarantee rapid recovery. The department's specialists also have won an excellent reputation in the field of testicular cancer treatment.

A separate field of the department's specialization is the treatment of benign prostatic hyperplasia. Doctors have effective modern techniques, for example, drug therapy, classical resections, photoselective laser vaporization using the Greenlight® laser, as well as open surgery (adenomectomy) with a significant prostate gland enlargement. The optimal type of treatment is determined strictly on an individual basis, based on the patient's diagnostic results.

The department employs highly qualified doctors, who perfectly cope with the treatment of urologic diseases in children. Particular focus is made on the correction of congenital malformations, for example, hypospadias, phimosis, cryptorchidism, as well as functional bladder surgery for reflux or renal pelvic defects, and the treatment of urinary incontinence in children. The department's pediatric urologists have all the necessary technical resources to carry out the diagnostic examination and optimal treatment.

In the field of andrology, the department admits men suffering from erectile dysfunction, premature ejaculation, infertility, hormonal disorders and other pathologies. The department successfully performs surgery to repair the penile curvature. For erectile dysfunction and premature ejaculation treatment, drug therapy is mostly used. Men suffering from infertility are offered the TESE procedure – the extraction of sperm from the testicle for subsequent in vitro fertilization. Those patients who need chemotherapy or radiation therapy have the opportunity to undergo a cryopreservation procedure – sperm freezing. If a man has hormonal disorders detected, he will undergo comprehensive diagnostics, after which drug therapy will be prescribed for the normalization of the male sex hormone levels.

The department's key clinical focuses include:

  • Diagnostics and treatment of prostate cancer
    • Conservative treatment methods (such as chemotherapy)
    • Minimally invasive surgery
    • Radical surgery
    • Robot-assisted surgery (da Vinci surgical system)
    • Palliative care
  • Diagnostics and treatment of kidney cancer
    • Open interventions
    • Laparoscopic interventions
    • Organ-preserving surgery
    • Total removal of the affected kidney
  • Diagnostics and treatment of bladder cancer
    • Transurethral resection
    • Radical cystectomy
    • All urinary diversion procedures (for example, bladder replacement, including orthotopic bladder formation, ileal bladder formation)
  • Diagnostics and treatment of testicular cancer
    • Chemotherapy
    • Surgical treatment
  • Diagnostics and treatment of benign prostatic hyperplasia
    • Drug therapy
    • Transurethral surgery (classical resections, photoselective laser vaporization using the Greenlight® laser)
    • Open surgery (adenomectomy) with significantly enlarged prostate gland
  • Diagnostics and treatment of kidney stone disease
    • Extracorporeal shock wave lithotripsy
    • Urethroscopic stone extraction
    • Lithotripsy using mechanical or laser techniques
    • Percutaneous endoscopic surgery to remove large kidney stones
  • Kidney transplantation (in collaboration with the Department of Nephrology)
  • Diagnostics and treatment of urologic diseases in children
    • All types of urologic reconstructive procedures (for example, correction for hypospadias, renal pelvis abnormalities, phimosis and cryptorchidism)
    • Urinary incontinence in children
  • Urinary tract reconstructive surgery (minimally invasive and robot-assisted interventions)
  • Diagnostics and treatment of urinary incontinence in women and men (for example, TVT surgery, Advance®, implantation of sphincter prostheses (AMS 800®))
  • Diagnostics and treatment of andrologic diseases (infertility, erectile dysfunction, premature ejaculation, hormonal disorders)
    • Testicular sperm extraction (TESE)
    • Penile prosthesis implantation for erectile dysfunction
    • Drug therapy for erectile dysfunction, premature ejaculation and hormonal disorders in men
  • Other medical services

Curriculum vitae

Since January 2019, Prof. Dr. med. Christian Thomas has been heading the Department of Adult and Pediatric Urology, Andrology at the University Hospital Carl Gustav Carus Dresden The specialist has vast experience in surgical treatment of urological pathologies and genitourinary cancers. The doctor is also deservedly proud of his successful experience in the application of robot-assisted surgery in urology. Prior to becoming the Head Physician of the Department of Adult and Pediatric Urology, Andrology at the University Hospital Carl Gustav Carus Dresden, Prof. Christian Thomas worked as the Managing Senior Physician in the Department of Adult and Pediatric Urology at the University Hospital Mainz. The specialist received his medical education at the Faculty of Medicine of the University of Hamburg.

Prof. Thomas has more than 25 years of successful clinical practice. The doctor's ​​priority clinical interests include the treatment of benign prostatic hyperplasia, erectile dysfunction, urinary tract infections, kidney diseases, including kidney stone disease, as well as minimally invasive and robot-assisted surgical interventions for urologic diseases.

Photo: (с) depositphotos


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