The urology department of Friedrichshafen, under the guidance of Doctor of Medicine and a brilliant surgeon Wilhelm Esser-Bartels, enjoys many years' experience in treating prostate cancer. Radical prostatectomy is usually the general form of therapy suggested by urologists in case of progredient forms of prostate cancer. Although it sounds like a drastic measure, a radical prostatectomy no longer necessarily means incontinence and the loss of erectile function.
For urologists, radical prostatectomy is the gold standard in the case of prostate cancer. There are no other forms of therapy that really come into question.
If the cancer affects the anterior lobe, the tumour could be removed completely. This method, defined as a radical prostatectomy, to prevent the further spreading of the disease. In case the seminal vesicles or surrounding lymph nodes are affected with the cancer cells, they are removed as well. This type of therapy is the most efficient to stop the spreading of the cancer to other parts of the body.
In this form of radical prostatectomy, the affected organ is dissected through an incision in the perineum beneath the scrotal sac. Our specialists pay especially attention on reducing the blood-loss and to minimize the incidence of erectile function loss or the chance of continence problems. The lymph nodes can be extracted before the radical prostatectomy. The laparoscopic method applied for the lymph nodes removal is called keyhole surgery. Within the operation the lymph nodes are histologically examined. At the same time a decision is made as to whether the perineal approach is the optimal method for the radical prostatectomy.
A radical prostatectomy in which the seminal vesicles and the pelvic lymph nodes are also removed through an incision in the abdomen is referred to as the retropubic approach. This form of radical laparoscopic prostatectomy is accepted worldwide as standard therapy for localised prostate carcinoma. However, as a therapy for advanced tumour damage, it is a somewhat controversial issue with a wide range of entirely different opinions which tend towards the strategy that local measures are not always effective in the treatment of a disease that has already begun to spread. A radical prostatectomy usually takes about 2-4 hours and often leads to temporary incontinence. If it becomes apparent, during a radical prostatectomy, that the lymph nodes have already been affected by the cancer, usually the procedure will be interrupted or combined with a systemic form of therapy.
Radical prostatectomy via laparoscopic methods has been possible via laparoscopic prostate surgery since 1998. Laparoscopy enables the introduction of surgical instruments and a micro-camera via small incisions so that the abdomen does not have to be opened completely. This form of radical prostatectomy takes considerably longer, however the results and the lack of side-effects make it worth the effort. Our surgical department has many years of experience and expertise in this type of prostatectomy. This surgical technique reduces the trauma and blood-loss and overall, is a much gentler procedure. Due to the optical camera support, the surgeon can see more clearly and work more freely, thereby reducing the possibility of accidental damage. The continence rate for patients who undergo this procedure is almost 100%. The crowning glory of this laparoscopic technique is the "da Vinci® Si HD" surgical robot.
The latest four-armed model of the “da Vinci® Si HD” has been at home at our clinic in Friedrichshafen, Germany since December 2010 – the only one of its kind in the Lake Constance-Upper Swabia area, and one of only a few in Germany. Our urologists have been using it intensively since January 2011. Guided by our expert surgeons, this robot executes surgical incisions with formerly unattainable precision in a minimally invasive procedure, thereby resulting in much gentler surgery and even better results in complex operations such as a radical prostatectomy.
Our urological unit is dedicated to competent, responsible care of men suffering from prostate cancer. A qualified team of physicians, nurses, social workers and psycho-oncologists, all with years of experience in diagnostics and therapy of prostate cancer sufferers, will take care of you in close collaboration with your personal physician. Our goal is to offer the best possible treatment in terms of long-term results and quality of life. In so doing, we adhere to internationally recognised diagnosis and treatment processes, work closely with all those involved in your treatment, across the disciplines and take all previous diagnoses, your medical history, your age, your social situation and your own personal desires for a made-to-measure therapy into consideration.
We would be pleased if you would trust us with your radical prostatectomy. We promise you individual care with a high degree of competence, kindness and responsibility.