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Treatment of bladder cancer with embolization or chemoembolization (688785) | University Hospital Frankfurt am Main - BookingHealth
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After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan, CT scan and MRI. This will allow the doctor to determine which vessels are feeding the tumor and its metastases, as well as determine how well you will tolerate the procedure.<\/p>\n\n<p style=\"text-align:justify\"><strong>Chemoembolization <\/strong>begins with local anesthesia and catheterization of the femoral artery. The thin catheter is inserted through a few centimeters long incision of the blood vessel. The doctor gradually moves the catheter to the vessel feeding the primary tumor or its metastases. The procedure is carried out under visual control, an angiographic device is used for this. The vascular bed and the position of the catheter in it are displayed on the screen of the angiograph.<\/p>\n\n<p style=\"text-align:justify\">When the catheter reaches a suspected artery, a contrast agent is injected through it. Due to the introduction of the contrast agent, the doctor clearly sees the smallest vessels of the tumor and the surrounding healthy tissues on the screen of the angiograph. After that, he injects emboli into the tumor vessels through the same catheter.<\/p>\n\n<p style=\"text-align:justify\">Emboli are the spirals or the liquid microspheres. The type of embolus is selected individually, taking into account the diameter of the target vessel. When carrying out chemoembolization, a solution of a chemotherapy drug is additionally injected into the tumor vessel. Due to the subsequent closure of the vessel lumen with an embolus, the chemotherapy drug influences the tumor for a long time. In addition, the drug does not enter the systemic circulation, which allows doctors to use high doses of chemotherapeutic agents without the development of serious side effects. Chemoembolization leads to the destruction of the tumor or slowing down its progression.<\/p>\n\n<p style=\"text-align:justify\">After that, the catheter is removed from the artery. The doctor puts a vascular suture on the femoral artery and closes it with a sterile dressing. During chemoembolization, you will be awake. General anesthesia is not used, which significantly reduces the risks of the procedure and allows performing it on an outpatient basis, avoiding long hospital stay.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the first procedure<\/strong>, you will stay under the supervision of an interventional oncologist and general practitioner. If necessary, you will receive symptomatic treatment. As a rule, a second chemoembolization procedure is performed in 3-5 days after the first one in order to consolidate the therapeutic effect. After that, you will receive recommendations for further follow-up and treatment.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the hospital<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of available medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>General urine analysis<\/li>\n\t\t<li>Biochemical analysis of blood<\/li>\n\t\t<li>Tumor markers<\/li>\n\t\t<li>Inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>Coagulogram<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Ultrasound\u200b scan<\/li>\n\t<li>CT scan \/ MRI<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Embolization or chemoembolization, 2 procedures<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Cost of essential medicines<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Elaboration of further recommendations<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>During the first visit<\/strong>, the doctor 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, CT scan and MRI. This will allow the doctor to determine which vessels are feeding the tumor and its metastases, as well as determine how well you will tolerate the procedure.<\/p>\n\n<p style=\"text-align:justify\"><strong>Chemoembolization <\/strong>begins with local anesthesia and catheterization of the femoral artery. The thin catheter is inserted through a few centimeters long incision of the blood vessel. The doctor gradually moves the catheter to the vessel feeding the primary tumor or its metastases. The procedure is carried out under visual control, an angiographic device is used for this. The vascular bed and the position of the catheter in it are displayed on the screen of the angiograph.<\/p>\n\n<p style=\"text-align:justify\">When the catheter reaches a suspected artery, a contrast agent is injected through it. Due to the introduction of the contrast agent, the doctor clearly sees the smallest vessels of the tumor and the surrounding healthy tissues on the screen of the angiograph. After that, he injects emboli into the tumor vessels through the same catheter.<\/p>\n\n<p style=\"text-align:justify\">Emboli are the spirals or the liquid microspheres. The type of embolus is selected individually, taking into account the diameter of the target vessel. When carrying out chemoembolization, a solution of a chemotherapy drug is additionally injected into the tumor vessel. Due to the subsequent closure of the vessel lumen with an embolus, the chemotherapy drug influences the tumor for a long time. In addition, the drug does not enter the systemic circulation, which allows doctors to use high doses of chemotherapeutic agents without the development of serious side effects. Chemoembolization leads to the destruction of the tumor or slowing down its progression.<\/p>\n\n<p style=\"text-align:justify\">After that, the catheter is removed from the artery. The doctor puts a vascular suture on the femoral artery and closes it with a sterile dressing. During chemoembolization, you will be awake. General anesthesia is not used, which significantly reduces the risks of the procedure and allows performing it on an outpatient basis, avoiding long hospital stay.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the first procedure<\/strong>, you will stay under the supervision of an interventional oncologist and general practitioner. If necessary, you will receive symptomatic treatment. As a rule, a second chemoembolization procedure is performed in 3-5 days after the first one in order to consolidate the therapeutic effect. 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Treatment of bladder cancer with embolization or chemoembolization

University Hospital Frankfurt am Main

Frankfurt am Main, Germany
Program id # 688785
Doctor photo
Prof. Dr. med. Felix Kyoung-Hwan Chun
Department of Urology
Specialized in: urology

The program includes:

  • Initial presentation in the hospital
  • Clinical history taking
  • Review of available medical records
  • Physical examination
  • Laboratory tests:
    • Complete blood count
    • General urine analysis
    • Biochemical analysis of blood
    • Tumor markers
    • Inflammation indicators (CRP, ESR)
    • Coagulogram
  • Ultrasound​ scan
  • CT scan / MRI
  • Preoperative care
  • Embolization or chemoembolization, 2 procedures
  • Symptomatic treatment
  • Cost of essential medicines
  • Nursing services
  • Elaboration of further recommendations

How program is carried out

During the first visit, the doctor 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, CT scan and MRI. This will allow the doctor to determine which vessels are feeding the tumor and its metastases, as well as determine how well you will tolerate the procedure.

Chemoembolization begins with local anesthesia and catheterization of the femoral artery. The thin catheter is inserted through a few centimeters long incision of the blood vessel. The doctor gradually moves the catheter to the vessel feeding the primary tumor or its metastases. The procedure is carried out under visual control, an angiographic device is used for this. The vascular bed and the position of the catheter in it are displayed on the screen of the angiograph.

When the catheter reaches a suspected artery, a contrast agent is injected through it. Due to the introduction of the contrast agent, the doctor clearly sees the smallest vessels of the tumor and the surrounding healthy tissues on the screen of the angiograph. After that, he injects emboli into the tumor vessels through the same catheter.

Emboli are the spirals or the liquid microspheres. The type of embolus is selected individually, taking into account the diameter of the target vessel. When carrying out chemoembolization, a solution of a chemotherapy drug is additionally injected into the tumor vessel. Due to the subsequent closure of the vessel lumen with an embolus, the chemotherapy drug influences the tumor for a long time. In addition, the drug does not enter the systemic circulation, which allows doctors to use high doses of chemotherapeutic agents without the development of serious side effects. Chemoembolization leads to the destruction of the tumor or slowing down its progression.

After that, the catheter is removed from the artery. The doctor puts a vascular suture on the femoral artery and closes it with a sterile dressing. During chemoembolization, you will be awake. General anesthesia is not used, which significantly reduces the risks of the procedure and allows performing it on an outpatient basis, avoiding long hospital stay.

After the first procedure, you will stay under the supervision of an interventional oncologist and general practitioner. If necessary, you will receive symptomatic treatment. As a rule, a second chemoembolization procedure is performed in 3-5 days after the first one in order to consolidate the therapeutic effect. After that, you will receive 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

According to the Focus magazine, the Department of Urology at the University Hospital Frankfurt am Main 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.

The department is headed by Prof. Dr. med. Felix Kyoung-Hwan Chun, who has 20 years of clinical experience gained at German university hospitals. The doctor is known for his exceptional professional skills in treating prostate cancer, laser therapy for benign prostatic hyperplasia, and urethral reconstructive surgery. Prof. Felix Kyoung-Hwan Chun is also proud of his successful experience in da Vinci robotic surgery. The specialist is the winner of numerous awards from the European Association of Urology (EAU) and the German Society of Urology (DGU). The number of the doctor's publications in scientific printed and Internet resources is also impressive, and in total there are more than 400 publications.

The department has advanced infrastructure, excellent diagnostic equipment and state-of-the-art operating rooms. It is common practice for the department’s specialists to perform minimally invasive interventions using the da Vinci surgical system. Such operations are characterized by minimal trauma, small blood loss, low level of postoperative complications, and also provide a short period of hospitalization and speedy recovery of the patient.

It is worth noting that the department’s priority focus is prostate cancer treatment. If diagnosed with this pathology, the doctor will conduct a comprehensive consultation with the patient, during which he will inform him about the diagnosis, the stage of the disease, treatment options and the risks they may entail. The doctor necessarily takes into account all the individual wishes of the patient.

Depending on the clinical indications, the therapeutic spectrum covers open surgery, minimally invasive interventions and robotic surgery (da Vinci robot). Thanks to innovative treatment methods, the surgeons of the department manage to preserve potency and men's health. Also, the doctors of the department have at their disposal well developed effective treatment regimens for advanced prostate cancer. In elderly patients, the doctors often use an "active monitoring" technique, and in the case of slow progression the patient manages to avoid radical treatments.

The service range of the department includes:

Diagnostics and treatment of prostate cancer
  • Diagnostics
    • PSA test
    • Prostate biopsy
    • Imaging studies
  • Therapy
    • Open surgery
    • Minimally invasive interventions
    • Robot-assisted surgery
    • "Active monitoring" technique for elderly patients
Diagnostics and treatment of benign prostatic hyperplasia
  • Holmium Laser Enucleation of the Prostate (HoLEP)
  • Transurethral resection of the prostate (TURP)
  • Open surgery
  • Prostate artery embolization
Diagnostics and treatment of kidney cancer (laparoscopic, open and robot-assisted surgery)
  • Radical nephrectomy
  • Organ-preserving tumor resection
Diagnostics and treatment of testicular cancer
  • Surgical treatment with the possibility to preserve fertility
Diagnostics and treatment of kidney stone disease
  • Extracorporeal shock wave lithotripsy
  • Endoscopic stone removal using rigid and flexible ureterorenoscopy, including laser therapy
  • Percutaneous nephrolitholapaxy
Diagnostics and treatment of urinary incontinence in men and women
  • Stress incontinence
  • Imperative urinary incontinence
  • Mixed urinary incontinence
  • Neurogenic bladder
  • Extraurethral urinary incontinence
    • Exercises to strengthen the pelvic floor muscles
    • Pessary use
    • Vaginal and rectal electrostimulation
    • Biofeedback
    • Drug therapy
    • Injection therapy (Botox)
    • Sacral neuromodulation with bladder stimulator implantation
    • Artificial sphincter implantation
    • Surgical treatment using slings, Burch colposuspension, sacropexy
Diagnostics and treatment of erectile dysfunction
  • Drug therapy
  • Vacuum pump therapy
  • Penile prosthetics
  • Arteriovenous shunt coiling (in collaboration with the Department of Radiology)
Reconstructive urology
  • Renal pelvis plasty (robot-assisted procedure)
  • Artificial sphincter implantation in patients with urinary incontinence, as well as in patients after radical prostatectomy
  • Interventions for urethral stenosis
  • Endoscopic procedures for the treatment of urethral stricture
  • Surgical correction of penile curvature
Other medical services 

Curriculum vitae

Prof. Dr. med. Felix Kyoung-Hwan Chun is the Head of the Department of Urology at the University Hospital Frankfurt am Main. His main clinical focuses include urologic oncology, especially prostate cancer treatment, laser surgery for benign prostatic hyperplasia and urethral reconstructive surgery. In addition, Prof. Chun is an expert in minimally invasive urologic surgery and has extensive experience in the use of modern surgical system da Vinci.

Prior to the position at the University Hospital Frankfurt am Main, he worked as a Senior Physician in the Department of Urology at the University Hospital Hamburg-Eppendorf. Many of his scientific works were distinguished with prizes and awards.

Photo of the doctor: (c) Universitätsklinikum Frankfurt

Sources:

Frankfurter Societäts-Medien GmbH

SILO

PubMed, National Library of Medicine


About hospital

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! 

The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about the health of patients around the clock, ensuring them with the highest standards of medical care and best possible safety.

The hospital has 32 specialized departments and more than 20 research institutes, which have all the necessary resources for the provision of the most effective care for any patient. The hospital has 1,488 beds for inpatient medical care. The medical facility diagnoses and treats more than 51,000 inpatients and about 44,800 outpatients every year. Due to the demonstration of outstanding treatment results, the number of patients seeking medical care here increases significantly annually.

The hospital presents all areas of modern medicine, whereas its special competence lies in neuroscience, oncology, cardiovascular medicine, cardiac surgery and other fields. Many treatment methods available here are unique not only in Europe, but also internationally.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Frankfurt am Main live in comfortable rooms made in modern design and meeting the highest standards of European medicine. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room includes a comfortable, automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors and a TV. If desired, patients can use Wi-Fi. The patients can also stay in the enhanced-comfort rooms.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or in a hotel of your choice.

Hotel

During the outpatient program, you may stay in a hotel of your choice. Managers will help you choose the most suitable options.