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Treatment of prostate cancer with da Vinci prostatectomy (341602) | Vivantes Auguste-Viktoria Hospital Berlin - BookingHealth
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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.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> 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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, 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. 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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.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> 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. 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Treatment of prostate cancer with da Vinci prostatectomy

Vivantes Auguste-Viktoria Hospital Berlin

Berlin, Germany
Program id # 341602
Doctor photo
Dr. Dr. h.c. Mario Zacharias
Department of Urology
Specialized in: urology

The 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

The Department of Urology at the Vivantes Auguste-Viktoria Hospital treats the whole spectrum of urological diseases. One of the key areas of specialization is the diagnosis and treatment of prostate, bladder and kidney tumors with the minimally invasive methods. The Center for Prostate Diseases is the foremost institution of specialized medical care for cancer and other prostate diseases. The head of the department is Dr. Dr. h.c. Mario Zacharias.

An important direction of the department`s activity is the Urology Laser Center Berlin (ULZB). Since 1998, it conducts holmium laser enucleation of the prostate gland (HoLEP) - an innovative method of treating benign tumors of the prostate, which helped many patients to achieve  good results. In the field of this method, the Department of Urology at the Vivantes Auguste-Viktoria Hospital is a European leader.
Also much attention is paid to the surgical treatment of malignant bladder tumors. The whole range of operational methods to treat malignant bladder tumors is offered here - from surgical removal of tumors through the urethra (transurethral resection, TUR of the bladder) to more complex removal of the bladder followed by the formation of an artificial bladder (orthotopic artificial bladder in men and women, the Mainz- Pouch) or reservoir (from the site of the ileum). In other words, all common surgical urological interventions are performed at the department.

Clinical directions are:

  • Radical removal of the prostate
  • Laparoscopic (partial) kidney removal
  • Treatment of benign prostate enlargement with HoLEP
  • Plastic reconstructive urological operations
  • Surgeries for malignant bladder tumors
  • Treatment of testicular cancer

Photo of the doctor: (c) Vivantes - Netzwerk für Gesundheit GmbH 


About hospital

The Vivantes Auguste-Victoria Hospital, located in Berlin's Tempelhof-Schöneberg district, is a hospital of specialized medical supplies with 692 beds in it. Annually 12 departments of the hospital receive about 70,000 patients - 47,000 in outpatient and 23,000 in inpatient settings. The hospital has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions.

The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci system, holmium laser enucleation (HoLEP), modern diagnostics, including fusion biopsy technique (MRI + ultrasound). Further, magnetic resonance imaging is also used for cardiac diagnostics. The clinic also stands out by its advanced diagnostic technologies of radiotherapy, diagnostic and therapeutic capabilities of nuclear medicine, including radiological synoviorthesis and joint therapy by methods of nuclear medicine.

In order to provide the best treatment and care, the hospital complies with strict quality criteria. By taking part in the "Quality Medicine Initiative" program, the entire medical team is constantly working to further improve the services offered.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

Patients can use the accommodation services of the comfortable Vivantes Auguste-Victoria Hospital.

The spacious, bright rooms in modern style have at their disposal big bathrooms, electrically adjustable comfortable beds and free internet.

In addition, patients are also offered hotel services, including, for example, a bathrobe, towels, slippers.

Meals and Menus

Gastronomic assortment of the hospital includes:

  • Buffet breakfast and dinner in the restaurant
  • Vast choice of meals for lunch
  • Intermediate meals: yogurt and fruit
  • Bakery and confectionery
  • Hot and cold drinks, etc.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV

Accompanying person

Subject to prior approval for an additional fee, an accompanying person may be accommodated in the patient's room.