Endoscopic incision of the ureter (endopyelotomy) — in selected cases ureteral reimplantation, ureteral reconstruction, ureteral replacement with a small bowel segment

Ureteral surgery

Pyeloplasty (renal pelvis plasty)

Kidney surgery

Ureteral stent (DJ catheter) or percutaneous nephrostomy

Acute relief (if needed)

Possible treatment

Narrowing at the junction of the renal pelvis · Narrowing of the ureter (ureteral stricture)

Possible causes

Ultrasound · CT urography · further functional diagnostics if needed

Assessment

Urinary obstruction occurs when the outflow of urine from the kidney is impaired — often due to a narrowing at the junction of the renal pelvis or in the ureter. Left untreated, it can impair kidney function in the long term.

Urinary obstruction

Transurethral resection of the bladder tumour (TURBT), possibly with intravesical instillation therapy — for non-muscle-invasive bladder tumour
Radical cystectomy — for muscle-invasive bladder tumour

Bladder surgery

Partial nephrectomy, nephrectomy, nephroureterectomy (for ureteral tumour)

Kidney surgery

Possible treatment

Kidney tumour · Ureteral tumour · Bladder tumour

Possible causes

Ultrasound · Cystoscopy · CT urography · Urine cytology (examination of urine cells)

Assessment

Visible blood in the urine is always a warning sign that should be assessed by a urologist promptly — even if it is painless or disappears on its own.

Blood in the urine

Bladder diverticulectomy (if a bladder diverticulum has developed)

Bladder surgery

Enucleation of the prostate adenoma (robot-assisted) for pronounced findings

Prostate surgery

Alpha blockers, 5-alpha reductase inhibitors — usually the first step

Medication

Possible treatment

Uroflowmetry (urine flow measurement) · Residual urine measurement · IPSS questionnaire

Assessment

Frequent urination, also at night · Weak urine stream · Incomplete bladder emptying · Recurrent urinary tract infections

Symptoms

Voiding disorders

Frequent urination

Androgen deprivation therapy (ADT), usually in combination for advanced or metastatic cancer

Hormone therapy

External beam radiotherapy or brachytherapy (internal radiation)

Radiotherapy

Radical prostatectomy

Prostate surgery

Close monitoring of low-risk cancer without immediate treatment

Active surveillance

Possible treatment

PSA test (blood test) · Digital rectal examination · Ultrasound · Recommended from age 50, from 45 with a family history. Bookable online.
If findings are abnormal: advanced imaging (MRI) and, if needed, transperineal MRI-fusion biopsy — directly in our practice.

Key facts

Risk-adapted early detection can help to detect prostate cancer early, before symptoms appear.

Prostate check-up

I fully include existing findings from other doctors — such as MRI, CT, scintigraphy or histology — and bring them together in the overall clinical context in order to define your individual surgical strategy together with you.

Medical history · Clinical examination · Laboratory values · Ultrasound · Advanced imaging

Building blocks

Thorough diagnostics are the basis of every decision for or against surgery. Depending on your symptoms and findings, different examination steps are used — from the initial assessment to the concrete planning of a surgical procedure.

Diagnostics