University Hospital Oldenburg

Department of Adult and Pediatric Urology (364655)

Friedhelm Wawroschek

Prof. Dr. med.

Friedhelm Wawroschek

Specialized in: adult and pediatric urology

About the department

The Department of Adult and Pediatric Urology at the University Hospital Oldenburg offers a full range of services in the corresponding healthcare area.  Therapeutic possibilities of the department cover all the surgical, endoscopic and conservative methods for treating urologic illnesses in adults and children. The department has 53 beds and 10 separate places for children. About 3,000 surgical procedures are performed annually nn 3 modern operating rooms of the department. The chief physician of the department is Prof. Dr. med. Friedhelm Wawroschek who is listed among the best German doctors in 2017 according to the Focus magazine version. 

The department has its own X-ray room equipped with two digital X-ray units, a modern apparatus for crushing stones in the kidney, a video system for urodynamic studies and many other ultrasonic devices. In addition to that, the department offers treatment with the latest lasers (holmium laser and Greenlight laser) and a large number of endoscopic studies are carried out here as well.

After conducting a differential urological diagnostics, the doctor chooses the best suitable method of treatment or a combination of several options for therapy. Consequently, an individual treatment plan is developed for each patient, that will be most effective in its specific clinical picture.

The department offers rich experience and expertise in the treatment of urinary incontinence in men, women and children. The range of therapeutic activities varies from psychotherapeutic assistance, drug treatment, electrostimulation therapy, physiotherapy and up to various urologic surgeries. One of the most common surgical methods for treating urinary incontinence in women is an operation using a free synthetic loop (TVT). In addition to this , there are various surgical methods that can be used to solve individual patient problems, for example, implantation of an artificial sphincter or special surgical interventions to correct developmental malformations in children.

Small operations and diagnostic procedures (under local or general anesthesia) are often performed on an outpatient basis. Most of the interventions on the male genitalia and surgery to replace the ureteral stent are also carried out on an outpatient basis. When appointing an outpatient operation, the type of disease, the general condition of the patient, the age of the patient, the possibilities for care at home and social integration are necessarily taken into account. Besides, outpatient diagnostics are suggested: cystoscopy in adults and children, special radiographic examination of the urinary tract, fetal tissue samples for further studies (also under anesthesia), etc.

The department offers outpatient surgeries for the treatment of such clinical cases:

  • Narrowing of the foreskin (phimosis)
  • Undescended testicle (cryptorchidism)
  • Inguinal hernia and hydrocele in children
  • Varicocele
  • Other diseases of the male genital organs
  • Men's sterilization
  • Removal of small tumors of the bladder (transurethral resection)
  • Stenosis of the urethra (stricture of the urethra)
  • Urinary stones (urolithiasis)

Worth noting that the department offers excellent opportunities for diagnostics and treatment of all urological diseases in children. The surgical spectrum of pediatric urology covers all operations for the treatment of malformations and diseases of male reproductive organs, such as phimosis, malformation of the urethra (hypospadias), non-admission of testicles, hydrocele and many other pathologies. Besides, in the armory of the department there is  a wide selection of surgical and conservative methods for treating developmental anomalies, tumors, kidney and urinary tract diseases, and urinary incontinence in children.

The range of medical services of the department covers:

Open surgical procedures

  • Surgeries on the kidneys, ureter and in the pelvic organs (e.g. for the treatment of injuries after accidents, correction of malformations, removal of stones or for the treatment of cancer)
  • Surgeries on the bladder (e.g. for the correction of malformations, treatment of certain types of bladder cancer, complete removal of the bladder (cystectomy) with all forms of urine diversion)
  • Surgery on the prostate gland (e.g., for the treatment of bladder emptying caused by BPH, for the treatment of prostate cancer)
  • Surgery on the male genitalia (e.g. with congenital and acquired developmental defects, correction of the urethral opening (hypospadias), straightening of the penis, treatment of phimosis, undescended testicle, all operations for the treatment of penile cancer)

Endoscopic surgeries

  • Surgeries on the urethra (ureteroscopy)
  • Surgeries on the bladder (cystoscopy)
  • Surgeries on the ureter (ureteroscopy)
  • Renal operations (renoskopie)

Laparoscopic surgery (keyhole surgery)

  • Removal of lymph nodes in the pelvic region with prostate cancer (laparoscopic pelvic lymphadenectomy)
  • Removal of cysts in the kidneys
  • Removal of diseased kidneys, with the exception of kidney cancer (laparoscopic nephrectomy)
  • Removal of ureteral adhesions in inflammatory diseases of the surrounding tissue (Ormond's disease)
  • Stitching in the ureter during trauma
  • Some incontinence operations
  • Removal of abdominal cryptorchidism (in children)
  • Operations on seminal vesicles
  • Transplantation of the ureter into the skin
  • Stitches in the bladder area when it is damaged
  • Urethrotomy

Transurethral surgeries

  • Transurethral resection of the prostate (TUR)
  • Holmium laser enucleation of prostatic hyperplasia (HoLEP)
  • Laser vaporization of the prostate adenoma (Greenlight Laser)
  • Other transurethral operations

Curriculum vitae

  • 1982 - 1989 Studying medicine in Rheinisch-Westfälische Technical University Aachen.
  • 1989-1994 Internship in Urology, Department of Urology, Düren Clinic.
  • 1994 - 1995 Internship in Surgery, Department of Surgery, Düren Clinic.
  • 1996 - 2004 Senior physician at the Department of Urology, Augsburg Clinic.
  • Since 2004 Head of the department of adult and pediatric urology, University Hospital Oldenburg.
  • 2004 Defense of doctoral dissertation, Munich University named after Ludwig Maximilian.
  • Since 2009 Head of the Center for the Treatment of Prostate Cancer, University Hospital Oldenburg.
  • Examiner of the Medical Chamber of Lower Saxony for urology, drug therapy for the treatment of tumors and cytology of urine.
  • Author of numerous scientific publications (mainly in the field of prostate cancer).
  • A reviewer of various international journals.

Department of Adult and Pediatric Urology.
University Hospital Oldenburg:

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