Urology Clinic Munich-Planegg

The problem of diseases of the genitourinary system is becoming more and more urgent. A large number of men and women annually face various pathologies of kidneys, bladder and other parts of the urinary system. Also, due to the increasing possibilities of early diagnosis of diseases, the number of patients with cancer of the urinary system is steadily increasing. About 40% of couples worldwide face the problem of infertility, both male and female.

The following diseases are treated here:

Prostate abscess Adenocarcinoma of the kidney Adenoma of the prostate gland Alcoholic nephropathy Kidney amyloidosis Analgesic nephropathy Angiolipoma of the kidney Apostematous pyelonephritis. Balanoposthitis Pregnancy with a single kidney Berger’s disease Vesiculitis Testicular hydrocele Prolapse of the urethral mucosa Gestational pyelonephritis Hydronephrosis Light-cell adenocarcinoma of the kidney (hypernephroma) Hypertensive nephropathyHlomerulonephritis Glomerulonephritis Glomerulonephritis in pregnancy Spongy kidney Bladder diverticulum Diverticulum of the urethra Kidney dystopia Benign tumors of the bladder Benign urethral tumors Urinary retention Granular cell carcinoma of the kidney Bladder foreign body Urethral foreign body Kidney infarction Ischemic nephropathy Kidney stones; Bladder stones Urinary tract stones; Ureteral stones

Carbuncle of the kidney Urethral caruncle Kidney cyst Urachus cyst Cryptorchidism Lipoid nephrosis Megacalicosis Membranous glomerulonephritis Urolithiasis Urinary incontinence Urinary incontinence in women Neurogenic bladder Nephroptosis Nephrotic syndrome Obliterative xerotic balanitis. Oxalosis Ureteral tumors Wilms tumor Orchitis Acute urinary retention Acute renal failure Acute glomerulonephritis Acute pyelonephritis Acute prostatitis Papillary adenocarcinoma of the kidney Pyelonephritis Pyonephrosis Horseshoe kidney Polycystic kidney disease Renal colic; Renal cell cancer

Prostatitis Bladder cancer Penile cancer Kidney cancer Prostate cancer Urethral cancer Testicular cancer Bladder fistula Bartter’s syndrome Spermatoceles Kidney fusion Renal artery stenosis Ureteral stricture Urethral stricture Renal tuberculosis Tubular carcinoma of the kidney Ureterocele Urethritis Urethro-vaginal fistula Phimosis Funiculocele Chronic renal failure Chronic glomerulonephritis Chronic pyelonephritis Chronic prostatitis Chronic cystitis Cystitis Cystitis in pregnant women Cystitis in women Cystitis in men Ectopia of the ureteral orifice Enuresis Epididymitis

Facts in figures

Inpatient treatment

Designation	Number of cases
Insertion, modification or removal of a ureteral splint	+992
Radiography of kidneys and urinary tract with contrast agent	+818
Surgical incision, removal or destruction of diseased bladder tissue with access through the urethra	+774
Application of visualization techniques during surgery	+759
Surgical removal or destruction of prostate tissue through the urethra	319
Surgical creation of a connection between the bladder and the skin of the abdomen for artificial urine outflow	302
Intensive medical monitoring of the respiratory, cardiac and circulatory systems without measurement of pulmonary artery pressure and right atrial pressure of the heart	297
Endoscopic examination of the ureters	276
Surgical incision in the kidneys, insertion of a tube to remove urine from the kidneys, removal of stones by surgical incision, enlargement of the renal pelvis, or removal of stones by mirroring	240
Surgical incision in the ureter or stone removal during open surgery or endoscopic htr surgery	230
Examination of the urethra and bladder by reflection	188
Surgical vaginal wall harvesting or pelvic floor tightening with access through the vagina	177
Work with the use of laser devices	169
Taking a tissue sample (biopsy) from the kidneys, urinary tract, or prostate gland through the urethra	147
Surgical incision in the affected urethral tissue with urethral access	138
Surgical removal of the prostate gland, seminal vesicles and associated lymph nodes	129
Flushing or injecting medicine into the bladder	119
Regional treatment of pain by injecting anesthetic into the cleft space in the spinal canal (epidural space)	87
Surgical removal or destruction of prostate tissue through an abdominal incision	79
Surgical closure of a hydrocele on the testicles	78
Other bladder surgeries	72
Urethral surgery recovery	60
Removal of a tissue sample (biopsy) from the male reproductive organs through the rectum	58
Surgical dilation of the urethra	58
Transfer (transfusion) of blood, red blood cells or platelets from a donor to a recipient	55
Complete surgical removal of the uterus	54
Surgical removal of the testicle	51
Implantation of material used for tissue replacement and tissue enhancement	48
Clitoral surgery	45
Other radiation treatment with injection of a coated radioactive substance into the area of the affected tissue	43

Outpatient treatment

Designation	Number of cases
Insertion, modification or removal of a ureteral splint	209
Examination of the urethra and bladder by reflection	201
Dilation of the ureter during surgery by endoscopic method	138
Surgery on the foreskin of the penis	129
Surgical incision, removal or destruction of diseased bladder tissue with access through the urethra	108
Taking a tissue sample (biopsy) from the kidneys, urinary tract, or prostate gland through the urethra	41
Surgical incision in the affected urethral tissue with urethral access	27
Surgical creation of a connection between the bladder and the skin of the abdomen for artificial urine outflow	18
Surgical dilation of the urethra	16
Surgical closure of a water scrap (hydrocele) on the testicles	12
Surgical removal or destruction of (diseased) urethral tissue	11
Removal of surgical tissue in the epididymis	10
Surgical removal or destruction of affected scrotal tissue	4

Urologists and andrologists deal with problems in this area. Due to the large number of specialists around the world, patients are often at a loss as to which one to turn to. It is well known that German medicine is at the highest level in terms of quality and efficiency of treatment.

There are dozens of urology clinics throughout Germany, but the Munchen-Planegg Urology Clinic is the largest and most widely known clinic in all of Bavaria and also in Europe. The clinic was opened in 1970 by Dr. R. Castringius, under whose direction it became the first center for the treatment of prostate cancer.

Advantages of the Munich-Planeg Urology Clinic

Modern equipment for diagnosis, treatment and dynamic monitoring of each patient. The clinic has at its disposal:

• a lab that can detect all sorts of markers,
• department, which enables to perform computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), ultrasound methods of research,
• this equipment allows for video-guided biopsy,
• radioisotope methods of research and treatment.

Diagnosis and treatment are carried out by highly qualified specialists with world renown and vast experience.

Performing the most complex level of surgery using a variety of robotic techniques.

Reasonable prices that are determined individually for each patient.

Top-notch care in the wards

What are the possibilities of the urological clinic Munich-Planeg?

The Urology Clinic Munich-Planeg covers the treatment of all pathologies of the urinary system. The clinic has a Center for the treatment of urolithiasis as well as a Center for the treatment of pelvic floor organs.

Main areas of focus

Bladder cancer. It is currently ranked 8th among other diseases of the urinary system. Depending on the stage of the disease, different treatment regimens are required, using surgical treatment methods, as well as radiation, hormonal and chemotherapy. The clinic conducts clinical trials to test the latest treatment methods that are in the final stages of development.

Penile cancer. To date, it occupies the 10th place among other diseases of the urinary system of men. There are conservative, radiological and surgical methods of treatment of this pathology.

Prostate Cancer. Given that this center was originally a prostate cancer center, this is where you can get the latest therapies. The latest development of the center is brachytherapy for prostate cancer. This method is a type of radiation therapy. The method is based on the impact of radioactive «grains», which are located in the prostate tissue, directly on the tumor.

In infectious and inflammatory diseases, as well as bladder tumors, a frequent complication is the disruption of urine outflow through the ureters, which requires surgical intervention. Stenting is used to treat this complication. Having in the arsenal of the clinic modern stents made of safe materials and of different sizes, these operations are performed with great success, their frequent replacement is not required.

Chronic prostatitis, as well as urinary tract infections. The complexity of these diseases is that usually the patient undergoes many treatment regimens without obtaining a satisfactory result. The peculiarity of chronic prostatitis is the presence of different pathogenic microflora, which changes after each unsuccessful course of treatment. In the urological clinic, a so-called personalized approach is used to each patient. Before prescribing any drug, the patient is preliminarily fully examined. Conduct various methods of research, such as CT, ultrasound, the doctor fully examines the patient. After that, blood tests are taken for the level of prostatic specific antigen (a marker of prostate cancer), seeding and urine analysis, and also examine the ejaculate. Only then begins the selection of adequate antibacterial therapy, anti-inflammatory drugs are used, phytopreparations, used in some cases hormonal therapy. The peculiarities of treatment of chronic prostatitis in the Munich-Planeg Clinic and urinary tract infections are recurrence-free and highly effective.

Testicular cancer is not a particularly common type of cancer, however, the clinic pays special attention to this issue, which is confirmed by the high cure rate of this pathology regardless of the stage of the disease.

Potency problems. The key issue in this problem is to determine the causes of the disorders. The Urology Clinic Munich-Planeg is equipped with a high-tech laboratory, thanks to which most causes of potency disorders can be determined. Often a decrease in potency is only a symptom of a more serious disease. At the Urology Clinic Munich-Planeg, doctors not only find the cause of potency loss, but also correct the therapy of the underlying disease, which, as a result, restores potency. 

Prosthetics for the removed testicle. In testicular cancer, the main intervention will be the removal of the testicle. Because of the operation, due to the changed appearance, men have problems with potency. The clinic performs operations on prosthetics of the removed testicle, which returns the original appearance and normalizes the psychological state of the man.

Urinary incontinence. This is a rather urgent problem for both men and women. It is not a fatal disease, but it very significantly affects the quality of life of any person. Urinary incontinence is a complex problem that has different types, causes of occurrence, and in this regard, requires different methods of treatment:

• Drug therapies include drugs that have the ability to restore blood circulation in the urinary system, increase muscle tone. In addition, concomitant diseases are treated.
• Physiotherapy treatments. The aim of this therapy is to keep the pelvic floor muscles working. It covers a huge range of all kinds of methods.
• Psychological help in the form of behavioral therapy. This type of therapy is aimed at eliminating bad habits that may be the cause of the disease. It helps in the formation of a lifestyle with this problem, limiting the consumption of fluids, bladder control.
• Surgical interventions. Quite a rare variant of therapy, used when other methods fail. All interventions are minimally invasive, the postoperative period is short. Complications are practically nonexistent. There are several techniques to eliminate urinary incontinence: implantation of an artificial sphincter, male loop and paraurethral injections.

Diseases of the urinary system in children. The urological clinic of Munich-Planeg diagnoses and treats practically any kind of diseases in children. Taking into account the peculiarities of anatomy and physiology of a child, the best pediatric urologists and andrologists treat this group of patients. The clinic tries to apply mainly conservative methods of treatment. At the same time, the main attention is paid to the psychological comfort of the child.

Kidney cancer. Today, the treatment methods for kidney cancer are no different in almost all countries. However, the urological clinic in Munich-Planeg has a highly qualified team of doctors, which consists of surgeons, oncologists, nephrologists, nephrologists, radiologists, anesthesiologists, resuscitators. They select the most optimal and effective method of treatment and do not neglect the postoperative period.

Benign prostatic hyperplasia (BPH) is one of the most common pathologies of the urinary system in men over 60 years of age. The difficulty of treatment lies in the recurrent nature of the disease. The Urology Clinic Munich-Planeg has a wide range of treatment options for the treatment of BPH:

• medication methods. A special feature of drug treatment in the clinic is a thorough annual monitoring, which demonstrates the effectiveness of therapy and can also determine the indications for surgery.
• Surgical interventions on the prostate. The clinic primarily performs minimally invasive surgical techniques: transurethral resection of the prostate, holmium laser enucleation of the prostate (removal of overgrown tissue with a laser). These types of surgery guarantee a long recurrence-free period.

Penile cancer. This type of cancer grows from the area of the glans and foreskin. In the clinic, if there are no metastases, cryodestruction is used, which kills the tumor tissue while preserving the organ itself.

In addition to the treatment of any diseases, the urology clinic is separately engaged in reconstructive surgery. The range of such surgeries is very wide: from plastic surgery for ureteral narrowing, anti-reflux surgery to plastic surgery for penile curvature, penile and testicular implantation, and foreskin circumcision.

The clinic also treats infertility and offers various options for assisted reproductive technologies such as IVF (in vitro fertilization) and ICSI (insertion of a single sperm into an egg). In addition to these technologies, the Munich-Planeg Urological Clinic also provides diagnosis and treatment of male infertility with TESE and/or MESA (mini-surgery with biopsy of the testicular appendage or spermatic ducts) for subsequent use in ICSI.

Photodynamic diagnostics at the urological clinic Munich-Planeg allows the detection of superficial bladder tumors: a drug is injected into the bladder, changes its chemical structure and selectively accumulates at the tumor site. When cystoscopy is performed, the tumor site is pink and the location and size of the tumor is clear to the doctor.

16.Photodynamic therapy at the Munich-Planeg Clinic is widely used in conjunction with other cancer therapies. In recent years, low-toxic photosensitizers have been invented that accumulate in tumor tissue and destroy it. And also methods of light beam delivery to internal organs have been improved, which has expanded the list of indications for this technique. This method is minimally invasive organ-preserving and can be used as a separate method of treatment.

The Urology Clinic Munich-Planeg is open 24 hours a day for emergency treatment.

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