Diagnosis of erectile dysfunction (impotence)
Urology Clinic Frechen-Koenigsdorf
Frechen-Koenigsdorf, Germany
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Program id #
722568
Prof. Dr. med. Horst Schuldes
Department of Adult and Pediatric Urology, Andrology
Specialized in: adult and pediatric urology, andrology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- urological examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical blood test
- inflammation markers (CRP, ESR)
- blood coagulation analysis (aPTT, PT, INR)
- glucose level
- hormone test (testosterone)
- ultrasound of the urogenital system
- penile color doppler ultrasonography
- nursing services
- consultation of related specialists
- treatment by chief physician and all leading experts
- explanation of individual treatment plan
(the cost of medicines is not included)
Required documents
- Medical records
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About the department
The Department of Adult and Pediatric Urology, Andrology at the Urology Clinic Frechen-Koenigsdorf provides the full range of medical services in its areas of specialization. The department offers medical care to women and men with diseases of the urinary system and men with pathologies of the reproductive system. The department's team of urologists also treats men with andrological diseases. They provide consultations, diagnosis, and treatment for erectile dysfunction, male infertility, and andropause (male menopause). The area of expertise of doctors also includes the treatment of urological diseases in children, in particular enuresis and genital malformations in boys. The specialists often treat oncological diseases, such as prostate cancer, testicular cancer, kidney cancer, and bladder cancer. Of particular interest is the treatment of benign prostatic hyperplasia using holmium laser enucleation (HoLEP). It is worth mentioning that the department is one of the leading medical facilities in Europe in the field of this procedure. Only 10 clinics in Germany offer HoLEP treatment, and the department's team of urologists is one of the most experienced in this field. The department's physicians focus on providing patients with individualized medical care in accordance with the requirements of the German Society of Urology (DGU) and the German Cancer Society (DKG).
The department is headed by Prof. Dr. med. Horst Schuldes. The specialist has more than 30 years of successful clinical practice and has exceptional experience in the treatment of benign and malignant urological diseases. Prof. Schuldes enjoys a reputation as one of the best experts in the treatment of benign prostatic hyperplasia with the innovative HoLEP method. He is also a Member of the German Society of Urology (DGU), the Berlin Society of Urology (BUG), and the German Cancer Society (DKG).
The primary focus of the department's urological team is the treatment of prostate adenoma using holmium laser enucleation (HoLEP). The medical facility is one of the most competent in Germany in the field of the innovative HoLEP procedure, and only 10 urology clinics in the country work with this technique. HoLEP requires expensive equipment and additional training. The department's team of urologists has invaluable experience with HoLEP and regularly demonstrates excellent treatment success rates.
Benign prostatic hyperplasia is an abnormal overgrowth of prostate tissue. The main manifestations of the disease include difficulty urinating, frequent urges to urinate, a burning sensation when urinating, and a scanty amount of urine. Not so long ago, the only effective treatment for an advanced stage of prostate adenoma was traumatic surgery, but the advent of the HoLEP procedure was a real revolution in the world of urology. Holmium laser enucleation of the prostate is a minimally invasive procedure that is performed through a transurethral approach without opening the abdominal cavity. For complete removal of an enlarged prostate, the department's urologists use a holmium laser, which allows for the preservation of the integrity of the external capsule of the organ. Prostate tissues are crushed and moved into the bladder with the help of a morcellator (a special instrument), which enables sampling biological material for a subsequent histological examination (there is no such possibility when using the Greenlight procedure and diode laser treatment). In a relatively short period of time, the HoLEP procedure has gained high popularity worldwide. The effectiveness of the method is comparable to open surgery, but it is virtually bloodless, eliminates serious surgical risks, and is successfully used to treat prostate adenomas of any size. Due to the low trauma of treatment with the HoLEP method, postoperative recovery time is significantly reduced. Immediately after the HoLEP laser procedure, the patient feels a significant relief.
The department's specialists are deservedly proud of their results in the treatment of oncological diseases of the urological spectrum. The doctors most often diagnose and treat men with prostate cancer, which is one of the most common oncological diseases worldwide. The medical facility also attaches great importance to prostate cancer prevention. Screening for prostate cancer includes a PSA test (over 8,000 tests annually) and 3D ultrasound scans. The first-line treatment for prostate malignancies is surgery, which is performed using minimally invasive techniques whenever possible. The department's urologists also specialize in systemic treatment of prostate cancer using chemotherapy, hormone therapy, and targeted therapy. A treatment regimen is prescribed on an individual basis, taking into account the patient's clinical data. Men with end-stage prostate cancer receive palliative care aimed at relieving symptoms and improving their quality of life.
The department's range of services includes effective methods for treating urinary incontinence, or involuntary urination. The disease is most commonly diagnosed in women. This is due to the structural features of their genitourinary system and other factors. There is stress, urgency, situational, mixed, and nocturnal (enuresis) urinary incontinence. Treatment tactics largely depend on the type of urinary incontinence, the reasons for its development, and the severity of symptoms. At the early stages of the pathology, the department's urologists use only conservative methods. Doctors prescribe a course of drug therapy and may recommend patients undergo pelvic floor muscle training, biofeedback, and the use of pessaries. For the treatment of urge incontinence, the department successfully performs botulinum toxin injections. Surgery is the last-line treatment, and the gold standard is the TVT sling procedure. This surgical intervention is classified as low-traumatic and is performed under local anesthesia.
Andrology is an integral part of the clinical practice of the department. It provides qualified medical care for men with erectile dysfunction, infertility, andropause (male menopause), and Peyronie's disease. The department performs vasectomy, a surgical procedure for sterilization in which the vas deferens is ligated.
The department's range of medical services includes the following:
- Urology
- Diagnostics and treatment of benign prostatic hyperplasia
- Holmium laser enucleation of the prostate (HoLEP)
- Transurethral resection of the prostate
- Bipolar transurethral resection of the prostate
- Diagnostics and treatment of prostate cancer, testicular cancer, kidney cancer, and bladder cancer
- Surgical interventions: prostatectomy, orchiectomy, nephrectomy, and cystectomy
- Conservative treatments: chemotherapy, targeted therapy, and hormone therapy
- Diagnostics and treatment of kidney stone disease
- Ureteroscopy
- Laser lithotripsy
- Extracorporeal shock wave lithotripsy
- Diagnostics and treatment of inflammatory diseases of the kidneys and bladder
- Drug therapy
- Diagnostics and treatment of urinary incontinence in men and women
- Conservative treatment: drug therapy, pelvic floor muscle training, biofeedback, and the use of pessaries
- Botulinum toxin injections
- TVT sling procedure
- Diagnostics and treatment of enuresis in boys and girls and genital malformations in boys (phimosis, cryptorchidism, varicocele, etc.)
- Diagnostics and treatment of benign prostatic hyperplasia
- Andrology
- Diagnostics and treatment of erectile dysfunction
- Diagnostics and treatment of male infertility
- Diagnostics and treatment of andropause (male menopause)
- Diagnosis and treatment of Peyronie's disease
- Vasectomy (male sterilization)
- Diagnostics and treatment of other diseases
Curriculum vitae
Higher Education and Professional Career
- 1974 - 1980 Medical studies, Ernst Moritz Arndt University of Greifswald.
- 1979 Doctorate, Ernst Moritz Arndt University of Greifswald.
- 1980 Admission to medical practice.
- 1983 - 1988 Research Fellow and advanced training, Department of Urology, Schlosspark Hospital Charlottenburg (academic hospital of the Free University of Berlin).
- 1984 Doctorate, Free University of Berlin.
- 1988 - 1999 Research Fellow, Department of Adult and Pediatric Urology, University Hospital Frankfurt am Main.
- 1992 Board certification in Urology, Medical Association of Hesse.
- 1994 Senior Physician, Department of Adult and Pediatric Urology, University Hospital Frankfurt am Main.
- 1996 Habilitation in Urology. Subject: "The role of the cell membrane in the chemoresistance of cancer cells. Studies on the CHO cell line, RT 112 cell line, and bladder cancer."
- 1997 PD, Department of Medicine, Johann Wolfgang Goethe University Frankfurt am Main.
- 1999 - 2013 Head Physician, Department of Adult and Pediatric Urology, St. Catherine Hospital Frechen.
- 2003 Extraordinary Professorship, Department of Medicine, Johann Wolfgang Goethe University Frankfurt am Main.
- 2014 Doctor, Private Urology Practice at the DRK Altenkirchen-Hachenburg Hospital.
- Since 2015 Head Physician, Department of Adult and Pediatric Urology, Andrology, Urology Clinic Frechen-Koenigsdorf.
Memberships in Professional Societies
- Berlin Society of Urology (BUG).
- German Society of Urology (DGU).
- German Cancer Society (DKG).
- North Rhine-Westphalian Society of Urology
- South-West-German Society of Urology.
- Urologic Oncology Working Group.
Photo of the doctor: (c) Urologische Privatpraxis Frechen-Königsdorf
About hospital
The Urology Clinic Frechen-Koenigsdorf is a modern medical facility focused on providing highly qualified care to patients with urological diseases. The clinic provides comprehensive medical services to women, men, and children with diseases of the urinary system. The clinic's team of doctors also specializes in the treatment of male genital diseases and pathologies of the andrological spectrum.
The clinic is one of the best medical centers for the treatment of benign prostatic hyperplasia using holmium laser enucleation (HoLEP) in Germany and far beyond its borders. Only 10 clinics in Germany offer this treatment. The HoLEP procedure is an innovative method that has proven to be highly effective and minimally traumatic. The American Journal of Clinical and Experimental Urology predicts that the HoLEP procedure will become the "gold standard" for the treatment of prostate adenoma in the 21st century.
The clinic's team of urologists also has extensive experience in the diagnosis and conservative treatment of prostate, testicular, kidney, and bladder malignancies. The clinic offers consultations for men with andrological disorders. The specialists focus on patients with erectile dysfunction, male infertility, and andropause (male menopause). The doctors of the medical facility are also highly competent in providing medical care to young patients with enuresis, genitourinary malformations, and genital malformations in boys.
The clinic is proud of its advanced diagnostic facilities. The medical institution offers all modern urological examinations, ranging from classical ultrasound scans to high-resolution transrectal 3D sonography, Doppler ultrasound, urodynamic tests, digital X-rays, and digital video endoscopic examinations of the urinary system. The clinic also has its own laboratory where patients can undergo general clinical blood and urine tests, hormone tests, tumor marker tests, PSA tests, and many other tests.
The Urology Clinic Frechen-Koenigsdorf follows the highest international standards of medical care. At the same time, great importance is attached to the comfort of the patients, their needs and wishes are taken into account, and moral support is provided during the therapeutic process. Patients confidently trust their health to the clinic's doctors, who have everything they need at their disposal to achieve good results.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Urology Clinic Frechen-Koenigsdorf stay in comfortable single and double rooms. The patient rooms are furnished with an automatically adjustable bed, a bedside table with a pull-out tray, a wardrobe, a table and chairs, a TV, and a telephone. The patient rooms have access to Wi-Fi. Each patient room has an ensuite bathroom with a shower and a toilet.
Meals and Menus
The clinic offers three meals a day: breakfast, lunch, and dinner. If, for some reason, you do not eat all the products, you will be offered an individual menu. Please inform the medical staff about your dietary preferences before starting treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
