Bedeutung einer Reha nach Prostata OP
The complete removal of the prostate radical prostatectomy is a possible therapy when the cancer is contained inside the prostate. This operation is at present the most frequently used and proven method. It is the method for the treatment of localised prostate cancer for which the most experience has been gathered. The Martini-Klinik is the world-wide leader in the number of prostatectomies performed. Doctors here have already operated on 22, patients.
Sincemore than 2, prostatectomies have been carried out annually in the Martini-Klinik. These figures are all the more impressive considering that in Germany less than 40 radical prostatectomies are carried out in half of the urological departments each year.
A centre does not need to provide a minimum sum of operations when applying for a quality certificate. It is, however, generally accepted that a large number of operative experiences are an absolute key factor for successful tumor control and optimal quality of life after such an operation. These side-effects occur when the neurovascular bundles which are situated very close to the prostate are damaged or removed during the operation, or when the sphincter muscle for urine control cannot be completely spared.
However, removal of the tumor from the prostate while retaining the prostate is not an option. These cannot be seen with the naked eye during the operation.
In order to establish if the tumor has extended through the capsule we perform a so-called frozen-section examination NeuroSAFE during the operation. This informs postoperativen Prostatakrebs if the nerves adjacent to the prostate can be spared or if they must also be removed.
The potency-preserving removal of the prostate and the retention of a postoperativen Prostatakrebs undamaged sphincter muscle are strong points of the Martini-Klinik.
The very fine layer which contains the neurovascular structure for continence and erectile function is carefully separated from the prostate and thus remains as an intact structure in the body. The sphincter muscle is retained in its full length.
In postoperativen Prostatakrebs cases, continence and potency remain at pre-operation levels. Being able to offer both surgical procedures in order to achieve the good results postoperativen Prostatakrebs regard postoperativen Prostatakrebs cancer recovery rates, continence and potency is an advantage of the Martini-Klinik. For most patients, both methods are equally suitable. The surgeons of the Martini-Klinik are all specialized in the operation and conduct this procedure about to times a year.
All together, the nine surgeons postoperativen Prostatakrebs the clinic completed more than Therefore, patients who postoperativen Prostatakrebs blood before theoperation do so for no reason and are weakend before the operation. For this reason, we do postoperativen Prostatakrebs advise to donate one's own blood beforehand.
No, the whole scope of modern postoperativen Prostatakrebs, compliant with the guidelines, is offered at the Martini-Klinik: Operation open surgery or da Vinci-methodRadiation Therapy Brachytherapy, external radiationActive Surveillance and Hormonetherapy. Yes, the Martini-Klinik is one of the few surgical clinics that retrieves the results of the patients having been treated here after one week, three months and afterwards yearly and that analyzes its data annually.
The Martini-Klinik hires four employees to organise this - a service that is not included in most of the other surgical clinic's budgets. Results concerning the rate of cure, continence and virility are shown here. These results can be explained to every patient based on his tumor's individual characteristics. Almost every patient's nerves are protected during operation to preserve the erectile function.
This is not possible if single cells of the tumor have already spread to the nerves, which are delicately attached to the prostate gland's sides. Based on this finding it is then decided whether the nerves on both sides can be preserved or have to be removed. Already during the postoperativen Prostatakrebs weeks after surgery some patients have good urinary continence. For some patients, the regain of urinary control may take longer than 3 months.
This also depends on the individual risk factors involved, e. Luckily, the infection rate is very low in our clinic. Consequently, the rate of infections with multi-resistant germs is rather low. Postoperativen Prostatakrebs reason for this postoperativen Prostatakrebs in the specialization of the clinic. Moreover, strict postoperativen Prostatakrebs of precaution concerning these infections are being met at the Postoperativen Prostatakrebs.
We predict about 2 to 3 weeks for further recovery after discharge from our postoperativen Prostatakrebs. After this time, you are usually recovered to take up your postoperativen Prostatakrebs procedures. Yes, during every operation method a catheter is inserted. In general, it remains for one to two weeks after the operation. Large experience The Martini-Klinik is the world-wide leader in the number of prostatectomies performed.
Various surgical procedures The Martini-Klinik offers various surgical procedures: The full, open-surgical removal of the prostatethe so-called radical retropubic postoperativen Prostatakrebs. In this procedure, the prostate is removed via a small incision in the lower abdomen.
The operation is performed with micro-surgical technology and microscopic enlargement. Minimally-invasive, robot-assisted surgery with the da Vinci operation system. Three da Vinci operation systems are installed in the Martini-Klinik. The stationary postoperativen Prostatakrebs takes about a week.