University Hospital Rechts der Isar Munich
Department of Adult and Pediatric Urology (114031)
Specialized in: adult and pediatric urology
About the Department of Adult and Pediatric Urology at University Hospital Rechts der Isar Munich
The Department of Adult and Pediatric Urology at the University Hospital Rechts der Isar Munich provides high-precision diagnostics and effective treatment of the full range of diseases of the kidneys, urinary tract, bladder, prostate, testicles and their appendages, vas deferens and penis. The treatment of urologic cancers is of particular interest. The focus of pediatric urologists is on young patients with congenital and acquired malformations of the genitourinary system. The department has its in-house advanced operating rooms, an X-ray unit, and two stations with 57 beds. The high quality of medical care is confirmed by many prestigious certificates, including the DEKRA certificate and the certificate of the European Board of Urology. As one of the best urologic facilities in Germany and a leading urology clinic in Munich, the department has been offering patients the daVinci robot-assisted surgery since 2009, which has many advantages for patients: minimal pain, speedy recovery, the highest level of precision compared to conventional surgical interventions. The department is headed by Prof. Dr. med. Jürgen Gschwend.
The department's priority clinical focus is on the treatment of malignant tumors of the genitourinary system. The unique experience of the department's specialists allows for successful treatment of prostate cancer, bladder cancer, testicular tumors, kidney and adrenal cancer, as well as penile cancer. If the patient is diagnosed with cancer, the department's doctors jointly study the diagnostic results and develop a treatment regimen. A tumor board gathers not only urologists, but also oncologists, nephrologists, radiation therapists, radiologists, gynecologists and other specialists. In most cases, the basis of the therapeutic protocol is surgery, chemotherapy and/or immunotherapy. The department's specialists perform surgical interventions using sparing laparoscopic or minimally invasive robot-assisted techniques.
Robot-assisted surgery using the da Vinci device has been performed in the department since 2009, so doctors have a wealth of experience and excellent clinical data in this area. The range of robotic surgical procedures includes organ-preserving removal of kidney tumors in renal cell carcinoma, radical prostatectomy in prostate cancer with the preservation of regional nerve endings and blood vessels, removal of retroperitoneal lymph nodes in testicular tumors, renal pelvis plastic repair in case of its stenosis and correction of ureteral stenosis. Such interventions allow the patient to avoid severe operative and postoperative risks typical of classical open surgery, as well as provide minimal pain and a good aesthetic result.
The treatment of kidney stone disease, kidney cysts, urinary incontinence in women and men is also of particular interest to the department's medical team. Whenever possible, preference is given to conservative therapeutic methods, but if they do not lead to the desired result, then specialists resort to surgical interventions. At the same time, almost all operations are performed using sparing minimally invasive techniques, which contributes to the patient's rapid recovery and reduced hospitalization period.
The department's main clinical activities include:
- Treatment of oncological diseases of the urological spectrum
- Kidney cancer: radical and organ-preserving surgical interventions
- Bladder cancer: radical bladder removal with the formation of an artificial bladder from the intestinal tissue (if possible, with potency preservation), urinary catheter placement, etc.
- Prostate cancer: radical removal of the prostate gland, as well as robot-assisted surgery to preserve potency
- Testicular cancer: surgery on the testicles and retroperitoneal lymph nodes
- Penile cancer: local surgical interventions, including urgent histological diagnosis, removal of lymph nodes in the groin
- Plastic reconstructive urological interventions
- Ureteral plastic surgery
- Artificial bladder implantation
- Urethral partial plastic surgery
- Corpus cavernosum plastic surgery
- Artificial bladder sphincter implantation
- Renal pelvis plastic surgery
- Treatment of urinary incontinence
- Use of special tapes (transvaginal tape, Advance-Band)
- Artificial sphincter implantation
- Treatment of kidney stone disease
- Minimally invasive surgical procedures for removing stones
- Laser treatments
- Extracorporeal shock wave lithotripsy
- Percutaneous nephrolitholapaxy
- Treatment of benign prostatic hyperplasia
- Conservative treatment
- Surgical treatment (removal of prostate tissue through the urethra and classic open surgery)
- Pediatric urology
- Correction of congenital and acquired malformations of the genitourinary system
- Correction of penile defects
- Penile curvature correction
- Penile prosthesis placement
- Robot-assisted surgery (daVinci robotic system)
- Organ-preserving removal of kidney tumors in renal cell carcinoma
- Radical prostatectomy for prostate cancer with the preservation of erection and natural urination
- Retroperitoneal lymph node removal for testicular tumors
- Renal pelvis plastic surgery in case of its stenosis
- Correction of ureteral stricture
- Other medical services
Curriculum vitae of Prof. Dr. med. Jürgen Gschwend
After studying medicine at the Ludwig Maximilian University of Munich and at the University of Ulm (1981: state examination and thesis defense) Prof. Gschwend began his internship at the University Hospital Ulm. After receiving a scholarship from the German Research Foundation, he worked at the Memorial Sloan Kettering Cancer Center (1995 - 1996). In 1998, the professor had his habilitation on the subject: "Induction of apoptosis in prostate cancer." Since 2006, Prof. Gschwend has been the Professor and Head of the Department of Adult and Pediatric Urology at the University Hospital Rechts der Isar Munich.
Prof. Gschwend's research activities are focused on surgical, clinical and experimental urology. Research projects include molecular biology of bladder and prostate cancer with an emphasis on micrometastases and signaling.
Memberships in Professional Societies
- Official Representative of the Working Group on Urologic Oncology of the German Cancer Society.
- Member of the Board of Directors and Coordinator of the German Society of Urology.
- Official Representative of the Working Group on Urologic Oncology of the German Society of Urology.
- Deputy Chairman of the Comprehensive Cancer Center Munich.
Most Significant Awards
- 2008 Award of the Faculty of Medicine and the Medical Association of the Technical University of Munich.
- 2000 Maximilian Nitze Prize of the German Society of Urology.
- 2000 Merkle Research Prize of the University of Ulm.
Photo of the doctor: (c) Klinikum rechts der Isar der Technischen Universität München
Department of Adult and Pediatric Urology.
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