The 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)
Service
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About the department
According to the Focus magazine, the Department of Urology at the University Hospital Halle (Saale) 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.
The department is headed by Prof. Dr. med. Paolo Fornara, a highly qualified urologist with over 35 years of successful clinical experience. In his work, the doctor pays special attention to the maximum expansion of the scope of minimally invasive surgery, in particular for cancer treatment. Prof. Paolo Fornara has served as a president of the German Society of Urology (DGU) and is also a member of the European, American, and Italian Societies of Urology. Scientific contributions to medical literature include more than 300 publications, 4 books, and 54 book chapters. In addition, during his work, the doctor had more than 900 reports and poster presentations. The doctor has received many prestigious awards, including the American Urological Association (AUA) Innovation Awards in Urology.
The department’s priority clinical focus is the treatment of cancer of the urogenital tract. The basis for the treatment of malignant tumors is an interdisciplinary approach, so each clinical case is studied at a consultation of doctors of various directions. The therapeutic possibilities in this field cover all modern options, ranging from drug treatment to open surgery, laparoscopy and robot-assisted surgery. The treatment regimen is developed individually for each patient, which guarantees the most effective and long-term result. The patients with end-stage oncopathology are offered to participate in clinical trials of new drugs, surgical techniques. Thus, the department has in its arsenal all the necessary resources to provide patients with the highest level of medical care.
The department has the Kidney Transplant Center founded in 1974. Since its inception, it has performed more than 2,000 kidney transplantations. The specialization covers kidney transplantation from both living and deceased donors. The department’s doctors have excellent competence in the field of kidney transplantation from a living donor. Kidney extraction procedures are performed laparoscopically, that is, without extensive incisions in the abdominal wall. The specialists of the department work in close cooperation with the surgeons of the University Hospital Magdeburg, which allows for combined kidney and liver transplants (in the future it is planned to expand the spectrum to combined kidney and pancreas transplantation).
As a progressive department with modern infrastructure, it offers many innovative treatment methods, for example, laser therapy for benign prostatic hyperplasia, kidney stone disease, destruction of prostate cancer cells using heat and high-frequency ultrasound, implantation of stimulants and artificial systems in case of bladder dysfunction, etc.
The service range of the department includes:
Diagnostics and treatment of malignant diseases of the urogenital tract in men |
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Diagnostics and treatment of benign diseases of the urogenital tract |
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Kidney transplantation from living and deceased donors | |
Innovative treatments |
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Other medical services |
Curriculum vitae
Education
- 1974 - 1980 Study of Medicine at the University of Padua.
- 28.02.1981 Admission to medical practice.
- 24.03.1981 Doctorate (summa cum laude).
Academic and Professional Career
- 1981 - 1984 Department of Surgery and Transplant Surgery, University of Padua.
- 1984 - 1986 Transplant Center, Ludwig Maximilian University of Munich, Grosshadern Hospital.
- 1986 - 1989 Department of Urology, Ludwig Maximilian University of Munich, Grosshadern Hospital.
- 1988 Board certification in Urology.
- 1989 - 1990 Senior Physician, Department of Urology, Ludwig Maximilian University of Munich, Grosshadern Hospital.
- 1990 - 1995 Senior Physician of the Department of Urology at the University of Lübeck.
- 1992 Board certification in Surgery.
- 1995 - 2000 Deputy Head of the Department of Urology at the University of Lübeck.
- 1997 Habilitation and PD title.
- 1999 Invitation to the position of C3 Professor of Urology, University of Lübeck.
- 2000 Invitation to the position of C4 Professor of Urology and appointment as the Head of the Department of Urology at the University Hospital Halle (Saale).
- 2001 - 2006 Deputy Medical Director of the University Hospital Halle (Saale).
Memberships
- 2001 - 2004 Board Member of the German Society of Urology.
- Since 2003 Member of the Council of the Medical Faculty, Martin Luther University Halle-Wittenberg.
- Since 2004 Member of the Board of Examiners of the Permanent Committee for Organ Transplantation of the German Medical Association.
- Since 2007 Member of the Permanent Committee for Organ Transplantation of the German Medical Association.
- Since 2013 Member of the Working Group on Living Donation Guidelines of the German Medical Association.
Photo of the doctor: (c) Universitätsklinikum Halle (Saale)
Sources:
About hospital
According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities!
The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a specialized medical facility for the treatment of very severe and rare diseases and injuries. It provides medical care for patients of all age groups in accordance with the very latest scientific achievements. It is worth noting that the hospital is characterized by its successful research activities, especially in the field of cardiovascular diseases and oncopathology. The specialists of these fields have made a significant contribution to the development of new diagnostic methods and therapeutic approaches.
The hospital diagnoses and treats more than 40,000 inpatients and about 120,000 outpatients every year. Such a large number of patients indicates the reliability and effectiveness of medical services.
Some structural units of the hospital deserve special attention. For example, the Central Department of Emergency Medical Care (the largest in Saxony-Anhalt), modern dental rooms, the Perinatal Center and the Transplant Center with a history of more than 40 years.
Thanks to the use of the cutting-edge medical technology and the availability of advanced equipment, many operations and procedures, which previously could entail a lot of risks and consequences, are currently performed in the hospital with the help of sparing techniques. In this context, it is worth noting hybrid heart interventions, robotic interventions in urology (da Vinci surgical system), etc.
In addition, the key to successful clinical practice is the availability in the hospital of experienced and competent medical staff. The total number of medical staff includes more than 4,000 medical employees. Many doctors are known far beyond the borders of Germany, they regularly carry out significant researches, which allow them to develop modern medicine. In addition, the hospital specializes in training of medical students, therefore the qualified doctors and professors are willing to pass on their experience to the younger generation.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Halle (Saale) live in comfortable single, double and triple patient rooms made in a modern design. All patient rooms are equipped with an ensuite bath with toilet and 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. There is access to Wi-Fi. For security reasons, in some places, including in Intensive Care Units, it is forbidden to use laptops and mobile phones. In addition, the hospital offers enhanced-comfort patient 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. Children are offered a special menu with healthy and tasty dishes, rich in nutrients necessary for the growing body.
Further details
Standard rooms include:
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 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.