Prostate diseases are diagnosed, according to statistics, in every third man. A certain shyness prevents patients from seeking help from doctors when symptoms have just begun to appear and are mild. The result is an advanced pathological process, severe manifestation of symptoms and the need for long and complex treatment. Prostate diseases are characterized by a diverse, non-specific clinical picture, which can lead to diagnostic errors. To prevent this, prostate treatment should be carried out in Germany – the best specialists have not only extensive experience but also modern equipment to solve even complex problems.
Causes of Prostate Diseases
Exact, unambiguous causes of pathological processes in prostate tissue cannot be named, but doctors are well aware of the provoking factors:
infectious diseases of the urogenital system, which lead to the development of inflammatory processes in the kidneys, bladder and urethra;
congestion in the prostate – occurs against the background of a sedentary lifestyle and rare sexual contacts;
regular hypothermia or overheating – may be related to the specifics of work activity;
Most often, for the development of pathology in prostate tissue, several provoking factors must work simultaneously. This is due to the fact that the prostate has an optimal anatomical location – pathogenic bacteria and infectious agents must travel a considerable path to its tissues: through the bloodstream or lymph, urethra or rectum.
Diagnosis of Prostate Diseases in Germany
In Germany, when a patient is admitted for treatment, doctors first conduct a complete examination even if there are diagnostic results from other specialists. First, they listen to complaints and study the disease history. Then laboratory and instrumental examinations begin:
general urine and blood tests – almost all prostate diseases manifest themselves through changes in the biological material formula;
ultrasound examination of abdominal organs;
chest X-ray – necessary to identify or rule out concomitant internal pathologies;
excretory urethrography;
retrograde urethropyelography;
microscopic examination of prostate secretion;
bacteriological diagnostics – inflammatory processes in prostate tissue are identified;
PCR diagnostics for identification/exclusion of genital infections;
prostate ultrasound – performed through the rectum;
uroflowmetry – the degree of urination disorders is determined;
computed tomography of the problem organ.
The most informative diagnostic method is digital rectal examination. Doctors in Germany have such experience that they can make accurate assumptions regarding the diagnosis based only on the shape, size and structure of the prostate. If there is suspicion of a malignant process in the organ cells, a biopsy (histological examination of a tumor tissue fragment) and a test to determine a specific tumor marker are ordered.
After diagnosing the disease, doctors begin to choose the direction of treatment. Specific prescriptions depend on several factors:
man's age, state of his general health (presence of concomitant pathologies, immunity level);
diagnosed pathology – cancer and prostatitis have completely different treatment regimens;
disease stage – in the early stage it is possible to manage with medications, in advanced stages, in most cases, surgical intervention is required.
German doctors try to stop the pathological process with medications, but they know exactly the line when a man needs surgery. One of the advantages of prostate treatment in Germany is constant monitoring of the disease dynamics of each patient, which allows for quick changes in prescriptions.
Prostate Treatment Methods in Germany
Doctors treat prostate diseases using two methods – medication or surgical. In the first case, medications are prescribed:
5-alpha reductase inhibitors – reduce swelling of the prostate;
hormonal action;
herbal.
Even early stages of prostate adenoma and cancer are initially treated conservatively, chemotherapy and radiation therapy are prescribed. But if drug therapy does not show positive dynamics, German specialists offer to apply surgical methods of treating prostate diseases. Usually performed:
Transurethral resection of the prostate. This is the standard choice of surgery type, most often used when diagnosing benign hyperplasia. The essence of the intervention is the removal of pathologically altered organ tissues.
Open prostate removal. Prescribed for malignant neoplasms, the patient is warned about complete loss of reproductive function. Usually this operation is performed in late stages of cancer.
Electrosurgical removal performed by transurethral method. This treatment method includes vaporization, electroresection, enucleation. Doctors choose this type of surgery very rarely because there is a high probability of the need for repeated surgical manipulations.
Modern types of surgical treatment of prostate diseases include:
Treatment is prescribed individually and therefore it is impossible to say in advance what the doctors will choose – German specialists first examine the patient, then make attempts to conduct effective drug therapy (if the man's condition allows).
Indications for Surgery
Surgical intervention is prescribed in the following cases:
the prostate is affected by a malignant process discovered at a late stage;
stones are found in the bladder, there is chronic urinary retention;
benign hyperplasia is diagnosed;
the patient has renal failure.
Surgery is also indicated for complications of advanced prostatitis and detection of stones directly in prostate tissue.
German Clinics Specializing in Prostate Pathology Treatment
Which German clinics should be contacted regarding prostate disease treatment:
After Berlin's Charité, the Munich University Hospital with the Innenstadt and Großhadern campus is the largest maximum care medical complex in Germany.
The clinic belongs to the Catholic "Brothers of Mercy" monastic order
The medical facility operates on the basis of the Technical University and the German Academy of Dietetics. In just one year, they provide inpatient treatment for more than 16,000 patients and outpatient treatment for 29,000 patients.
The Department of Hematology and Oncology offers a full range of diagnostic and therapeutic services in these fields. The highly qualified team of doctors provides patients with effective treatment of all oncological diseases, blood and lymph pathologies (e.g., leukemia, multiple myeloma).
Catholic "Third Order" Clinic (Dritter Orden Clinic)
This is the Ludwig Maximilian University Hospital in Munich, for which the main focus is pediatric and adolescent medicine.
This is only a small part of specialized German clinics that deal with the treatment of prostate diseases and related conditions.
Prices for Prostate Pathology Treatment
No clinic can name the exact cost of a treatment course, because first you will need to undergo an examination and receive prescriptions. Based on this, only an average indicator can be derived – 1900 – 18000 euros. Examinations are paid additionally – clarifying diagnostics will cost 750 euros, and biopsy together with tissue examination 3500 euros.
In Germany, great attention is paid to the rehabilitation period. After recovery, the patient goes home, but this does not mean that he can completely exclude visits to doctors – at least 2 times a year it will be necessary to undergo a control examination. This is especially important for those who have undergone treatment for cancer, adenoma or hyperplasia – relapses of these pathologies are very frequent, so it will be necessary to respond as quickly as possible and undergo a repeat course of therapy or another surgical intervention.
Timely and competent treatment of prostate diseases is recovery and prolongation of a man's life. Germany uses the most modern treatment methods and conducts in-depth diagnostic examinations. Doctors can give an initial consultation remotely, but more accurate information about the cost of treatment and the duration of the patient's stay in the clinic can only be obtained during a personal visit to the selected center.
13 specialized treatment centers and 3 outpatient clinics. The main department operates in Upper Bavaria and is located in one of the most picturesque places on the shores of Lake Tegernsee.
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