Diagnostic tests for urethral fistula (program ID: 335097)
Urology Clinic Munich-Planegg Munich
Martin KriegmairSpecialized in: adult and pediatric urology, andrology
Department of Adult and Pediatric Urology, Andrology
The Department of Urology annually examines more than 520 patients with suspected urethral fistula. To make an accurate diagnosis, specialists conduct the full range of examinations, including endoscopic imaging methods and studies with color pigments. The department is headed by Prof. Dr. med. Martin Kriegmair, who is a member of the German Society of Urology, as well as of the European and American Association of Urologists.
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- urological examination
- laboratory tests:
- complete blood count
- clinical urine test
- biochemical blood analysis
- kidney function test
- inflammation indicators (CRP, ESR)
- indicators of blood coagulation
- pelvic ultrasound
- MRI scan (on indication 1200 €)
- nursing services
- consultation of related specialists
- consultation of the chief physician and all leading experts
- development of individual treatment plan
- written statement
- Medical records
- Ureteroscopy (if available)
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About the department
The Department of Adult and Pediatric Urology, Andrology at the Urology Clinic Munich-Planegg Munich offers the full range of services for the diagnostics and treatment of urologic diseases in men and children, as well as urogynecologic disorders in women. One of the priority focuses of the department's specialization is the restoration of a sexual potency in men. According to the international ratings, this is the best hospital in Europe, where a team of urologists effectively treats erectile dysfunction. Another key focus of the department's work is on the treatment of benign and malignant prostate diseases. To treat prostate cancer, the doctors perform low-traumatic robot-assisted interventions using the very latest da Vinci® XI HD surgical system. The therapeutic offer is complemented by the treatment of pathologies of the kidneys, ureters, bladder, testicles and penis. In the field of pediatric urology, the correction of congenital malformations of the reproductive system in boys is of particular interest. The department's doctors are true professionals in their area of specialization, so the patients can be sure that they will certainly find an effective solution even for the most complex clinical case.
The department's team of doctors is headed by Prof. Dr. med. Martin Kriegmair and Dr. med. Ralph Oberneder. Both Head Physicians are board certified in urology. They are the members of reputable medical and scientific societies, as well as the authors of numerous scientific publications in the international professional journals and editions.
One of the department's main specializations is the treatment of erectile dysfunction (impotence) in men. When solving this intimate problem, the specialists show maximum delicacy. The choice of the most suitable treatment method is based on the preliminary comprehensive diagnostics in the department's in-house laboratory. The doctors assess sex hormone levels, the patency of the penile vessels and the state of the nerve endings. If necessary, the patient undergoes a comprehensive examination to detect concomitant diseases that may affect his potency. All these measures are followed by the development of a treatment plan for erectile dysfunction with the help of hormone drugs, minimally traumatic surgical procedures, physiotherapy and psychotherapy. The comprehensive treatment regimens completely restore potency, eliminate " the fear of failure before a sexual intercourse" and provide a man with the opportunity to become a father in the future.
In the field of andrology, the department deals with the treatment of men with hormonal imbalances, including due to the age-related changes, and infertility. Infertility is often caused by the previously suffered urologic pathologies, such as varicocele, cancer, undescended testicles (including after a surgical repair in the childhood), inflammatory diseases of the male reproductive system. In addition, male infertility may be the result of a previous sterilization. The department's doctors have the necessary resources to provide the patient with the comprehensive diagnostics and detect the exact causes of infertility. In 40% of cases, the cause of male infertility is varicocele, which is varicose veins in the testicles. The specialists of the medical facility successfully cope with the pathology using sclerotherapy. The therapeutic procedure is performed under local anesthesia, on an outpatient basis. In some cases, a minor microsurgical intervention may be required. The department's patients are quite often diagnosed with sperm production disorders, which respond well to drug therapy.
Since May 2009, the department has been a certified Prostate Cancer Center in Munich (certification of the Association of German Prostate Cancer Centers) and a highly specialized Center for Benign and Malignant Prostate Diseases. An interdisciplinary society of medical professionals provides individual comprehensive diagnostics and counseling. In a case of localized prostate cancer, the highly skilled surgeons manage to preserve the man's erectile function and his full ability to control urination. This is possible thanks to the use of the most sparing surgical techniques, including the da Vinci surgical system. In addition, the department successfully performs brachytherapy – an internal radiation therapy for the treatment of localized prostate cancer. The therapeutic procedure involves the image-guided implantation of radioactive "seeds" directly into the cancer focus. Depending on the stage of prostate cancer, the patients are offered to undergo a low-dose or high-dose brachytherapy. The first option is usually prescribed for the patients with small non-aggressive tumors, and in this case the irradiation takes a relatively long period of time. The high-dose brachytherapy is an effective treatment for advanced prostate cancer. In this case, a high dose of radiation is used, but the duration of the internal irradiation is as short as possible. The high-dose brachytherapy is usually combined with external beam radiation therapy. Due to the targeted effect of radiation on a malignant prostate tumor, brachytherapy achieves excellent therapeutic results, does not damage the healthy tissues, and also eliminates the risk of severe side effects.
The department's specialists also pay due attention to the early detection of prostate cancer. Currently, a PCA-3 test and a prostate HistoScanning are promising. The PCA-3 test is a molecular genetic test for the early detection of prostate carcinoma. In this case, the cells of the prostate gland obtained during the urinalysis are examined. HistoScanning™ is an innovative, painless, outpatient, and computer-assisted procedure for an ultrasound scanning of the prostate gland for suspected cancer.
Along with the surgical treatment of urologic cancers, the department offers a wide range of drug therapies. These include, in particular, intravenous chemotherapy, as well as systemic therapy using the very latest anticancer drugs.
In the treatment of benign urologic diseases, special attention is paid to the surgical interventions for kidney stone disease and urinary incontinence in women, as well as to plastic reconstructive urology after accidents. The department's specialists also have vast experience in the treatment of testicular and penile diseases, as well as genitourinary infectious lesions.
The specialists in the field of pediatric urology successfully repair congenital pathologies of the kidneys, urinary tract and external male genitalia (for example, hypospadias). Most urological interventions in young patients are not major, and therefore they are performed on an outpatient basis (for example, circumcision for phimosis). To ensure the most sparing treatment for young patients, the doctors prefer minimally invasive surgical techniques.
The department specializes in the diagnostics and treatment of the following diseases:
- Erectile dysfunction
- Premature ejaculation
- Hormonal imbalance in men
- Age-related hormonal changes in men
- Male infertility
- Malignant diseases
- Prostate cancer
- Testicular cancer
- Penile cancer
- Bladder cancer
- Kidney cancer
- Ureteral cancer
- Benign diseases
- Benign prostatic hyperplasia
- Benign kidney and bladder tumors
- Kidney stone disease
- Infectious diseases of the kidneys, ureters and bladder
- Urinary incontinence and overactive bladder
- Pediatric urologic diseases
- Inflammatory and infectious genitourinary lesions in boys
- Malignant diseases
- Other urologic and andrologic diseases
The department's range of medical services includes:
- Laboratory tests: blood count, urinalysis, hormone tests, etc.
- Ultrasound scanning
- Bladder and urethral endoscopy
- Imaging tests: computed tomography and magnetic resonance imaging
- Biopsy, including fusion-guided prostate biopsy
- Conservative treatment
- Drug therapy
- Surgical treatment
- Minimally invasive interventions
- Endoscopic interventions
- Robot-assisted interventions using the da Vinci surgical system
- Classic open surgery
- Reconstructive interventions for genitourinary malformations
- Intimate plastic surgery: phalloplasty, rejuvenating intimate plastic surgery, etc.
- Brachytherapy (internal radiation therapy)
- Conservative treatment
- Other diagnostic and treatment methods
Higher Education and Professional Career
- 1978 - 1984 Study of Human Medicine at Ludwig Maximilian University of Munich.
- 1984 State Medical Examination and admission to clinical practice.
- 1985 Assistant Physician in the Department of Surgery at the University Hospital Luebeck.
- 1986 Doctoral thesis defense with honors. Subject: "Specificities of the formation of necrosis during bipolar radiofrequency coagulation".
- 1986 Assistant Physician in the Department of Urology at the University Hospital Luebeck.
- 1989 Assistant Physician in the Department of Urology at the University Hospital of Ludwig Maximilian University of Munich, Campus Grosshadern.
- Since 1989 Medical Consultant at the Comprehensive Cancer Center Munich (focus on bladder cancer and renal cell carcinoma).
- 1990 Board certification in Urology.
- 1990 Senior Physician, Department of Urology, University Hospital of Ludwig Maximilian University of Munich, Campus Grosshadern.
- 1995 Venia legendi in Urology at Ludwig Maximilian University of Munich, as well as the title of PD by the Bavarian State Ministry for Education, Culture, Science and Art.
- 1997 Start of the work at the General Urology Practice of Ebersberg.
- 1999 Additional qualification in Special Urologic Surgery.
- 2000 Authorized to carry out postgraduate education in Urology.
- 2001 Board Member of the Working Group of the Urology Center Munich.
- 2002 Extraordinary Professorship, Ludwig Maximilian University of Munich.
- 2002 Head Physician of the Department of Adult and Pediatric Urology, Andrology at the Urology Clinic Munich-Planegg Munich.
- 2003 President of the South Eastern German Society of Urology.
- 2011 Managing Director of the MedVZentrum Ebersberg GmbH.
- da Vinci robot-assisted surgery.
- Nerve-sparing radical prostatectomy.
- Radical cystectomy with bladder reconstruction.
- Organ-preserving surgery for kidney tumors.
- Reconstructive urethral surgery.
- Transurethral resection of the prostate.
- Transurethral resection of the bladder.
- 1994 Poster Award of the American Urological Association.
- 1995 Award for Innovations in Urology, Doctor Robert Pfleger Foundation.
- 1996 Award for Video Material of the German Society of Urology.
- 1997 Annual Audio-Visual Award of the American Urological Association (Second Award).
Memberships in Professional Societies
- German Society of Urology (DGU).
- American Urological Association (AUA).
- European Association of Urology (EAU).
- Professional Association of German Urologists (BDU).
Photo of the doctor: (c) Urologische Klinik München-Planegg