The urological department of the Friedrichshafen clinic offers all kinds of therapeutically proficient methods for solving all kinds of problems with men’s health. The department under the guidance of Dr. med. Wilhelm Esser-Bartels, a specialist in the field of prostate surgery and men endocrinology, is proud to be one of the world known centre for DaVinci operations (Minimally invasive Robothechnic for sophisticated operations, such as prostate adenoma, the prostate cancer and many others).
Prostate diseases are widespread: according to statistics, they affect every fourth man. As a man grows older the risk of weakening the prostate functions and the emergence of various ailments is growing.
A benign hyperplasia is a very common disease today. The statistics says that every second man over the age of fifty is subject to it.
Like any other organ, the prostate can become inflamed. Inflammatory process called "prostatitis" causes acute pain in urine and urinary bladder channels. After the examination and diagnosis of prostatitis, it can be usually successfully cured with antibiotics.
This disease occurs not so often as benign hyperplasia, nevertheless it is the most common form of cancer in men. In the early stages the disease is often without symptoms. Sometimes they occur as the disease progresses. If you do not identify the tumor in the early stages, it can block the urinary tract, which in turn can make difficulties with urination, and if you do not start prostate treatment, it can spread to other organs.
Next, we describe some of the most common and effective methods of surgery.
This prostate surgery such as laparoscopic prostatectomy or radical prostatectomy involves the implementation of access to the prostate through the urinary tract using a resectoscope. There is an electric loop at the front end of the resectoscope. This high-frequency current loop removes excess tissues and helps to cauterize the bleeding vessels. Such a surgery is one of the most complex endoscopic surgeries.
This surgery method has an important advantage: it occurs with the minimum blood loss. Once the prostate surgery is completed - the bladder catheter will be installed and it will be an output for the urine. The patient does not require long hospitalization with such a minimal intervention, as it would have required open surgery, where it is necessary to make a cut on the outside, to provide access to the bladder. Then the extracted during the surgery tissue will be subject for histological examination. This operation comes quite fast to complete healing.
Adenoktomie surgery is the surgery, which finds its application in benign prostate enlargement. This surgery may be necessary by the following indications: the volume of BPH being more than 40 grams, stone formation in the bladder. The adenomectomy operation has very few contraindications and is function-sparing surgery.
These procedures help to spare surgical techniques with minimal blood loss, which ensures rapid recovery of the patient after surgery. This method is applied most often at a young age and is function sparing, which means that the sexual function of the patient is not affected.
Prostate surgery using laser ablation is gaining popularity today, despite the shortcomings, such as: a higher price compared to the carrying TOUR; prostate surgery using laser lasts much longer than TOUR; many laser techniques make it impossible to study tissue, whereby there is the risk of leaving cancerous cells undetected.
Laser surgery is one of the most effective way of treatment. All lasers used for resection of prostate tissue concentrates light to generate precise and intense heat. Laser surgery removes excess prostate tissue either by ablation (melting away the tissues) or by enucleation (cutting away of tissue).
The cutting laser helps to remove adenoma tissue without any blood loss. Typical examples of laser systems of this group are holmium laser enucleation techniques - HoLEP (Holmium-Laser Enucleation of the Prostate).
The photoselective vaporization of the prostate (PVP) aims at treatment of an enlarged prostate (benign prostatic hyperplasia). A Green Light Laserscope («green laser") allows to burn away (vaporize) excess prostate tissue due to the laser power of 180 watts. GreenLight™ Laser PVP achieves especially good results in patients with indications for the transurethral resection of the prostate. The recent clinical studies have proved that the Green laser is twice as efficient as the traditional prostate surgery. There is growing interest in this technique by patients and practitioners because of its simplicity and excellent results.
Our department was one of the first in Germany to introduce the method of laser enucleation through the urethra with thulium laser (ThuLEP - Thulim laser enucleation of the prostate). This technique combines the best cutting quality of holmium laser with the high quality control and minimal blood loss of the Green laser. This method allows to remove the prostate adenoma of any size with minimum risk of injury to the neurovascular bundles on the rear surface of the prostate. During the prostate surgeries we pay especial attention to maintaining a normal erection function of the patient.
Open prostate surgery will be more effective when the prostate has reached a size at which endoscopic surgery is not possible. Small incision will be made in the lower abdomen to access the bladder and to remove the prostate.
The determining factor for the operation will be the general condition of the patient, the symptoms, the volume of an adenoma. Today, the methods with minimal surgery are gaining popularity (TURP, laser ablation and destruction)
Due to the minimal blood loss small cuts, health is restored very quickly. Open surgery involves a longer postoperative period.
In our center in Germany the treatment of prostate problems is up to your highest expectations. The latest technology allows our specialists make your way to recovery easy and comfortable due to the personalized and modern methods of treatment.
Highly qualified specialists of our clinic in Germany will do everything possible to save you from unpleasant disease whatever prostate surgery you may require.