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Treatment of prostate cancer with da Vinci prostatectomy (program ID: 270838)

University Hospital Halle (Saale)

location_on Halle, Germany
9.6/10 from 78 Votes
Specialized hospital
Paolo Fornara

Head Physician
Prof. Dr. med.

Paolo Fornara

Specialized in: urology

Department of 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

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.

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
    • Prostate cancer
    • Testicular cancer
    • Bladder cancer
    • Kidney cancer
      • Interdisciplinary tumor boards
      • Drug therapy
      • Radiation therapy
      • Surgical treatment (open, laparoscopic and robot-assisted interventions)
      • Innovative therapeutic procedures
  • Diagnostics and treatment of benign diseases of the urogenital tract
    • Bladder dysfunction
    • Benign prostatic hyperplasia
    • Kidney stone disease
  • Kidney transplantation from living and deceased donors
  • Innovative treatments
    • Treatment of stress urinary incontinence in men after surgical treatment of prostate diseases with the help of an ATOMS implant
    • Botulinum toxin A therapy (for example, with neurogenic bladder, severe bladder dysfunction)
    • Robot-assisted surgery using the da Vinci system (prostatectomy, nephrectomy, renal pelvis repair, kidney fixation (for example, in floating kidney), radical cystectomy), removal of lymph nodes during testicular tumor (retroperitoneal lymphadenectomy)
    • E.M.D.A therapy (a form of treatment, in which liquid drugs are selectively injected into the deeper layers of the bladder wall using a weak electric field)
    • Endoscopic procedures
    • Extracorporeal shock wave lithotripsy for the treatment of kidney and ureter stones
    • Laparoscopic surgery
      • Prostatectomy
      • Partial kidney resection
      • Nephrectomy
      • Renal pelvis repair
      • Colposacropexy
      • Retroperitoneal and pelvic lymphadenectomy
      • Lymphocele fenestration
      • Varicocele surgery
      • Surgery to resect a kidney from a living donor before transplantation
    • Sacral neuromodulation
    • MRI-guided fusion biopsy
  • 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) 


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