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Treatment of benign prostatic hyperplasia (BPH) in Germany

We`ve found 22 specialized hospitals for treatment of benign prostatic hyperplasia (bph)

Important facts to know about treating of benign prostatic hyperplasia in Germany.

90% of prescriptions for BPH are medications. It is the most common conservative method of enlarged prostate treatment in Germany. Almost all of prescriptions include saw palmetto, which received a positive rating by the Commission E.

Transurethral resection of the prostate (TURP) is the most common surgical method.

TURP ranking after conduction in German clinics:

  • 0 - 0.25 % is a mortality rate;
  • 2 - 10% of patients have complications with urethral strictures and bladder neck contractures;
  • 5-years retreatment rate is 3 - 14.5%.

6% - 9% of surgeries are made up by minimally invasive techniques of surgeries.

With the Bookimed support, 216 patients received individual program for treatment of benign prostatic hyperplasia (bph)
9.8
Timing of response 10
 
Doctor's qualification 10
 
Medical equipment 10
 
Service and comfort 9
 
Popularity of the clinic 10
 
With the Bookimed support, 874 patients received individual treatment program in Asklepios Medical Group
9.8 average rate of the hospital
21 requests for week

Top clinic in the field of medical tourism

In 2017 Asklepios Medical Group become the leader in the field of medical tourism according to Medical Travel Quality Alliance.

Asklepios Medical Group takes 70,000 patients for diagnostics and treatment annually. The Center includes the Department of Pharmacy, where the specialists produce medicines individually for each patient. Urology Clinic is certificated by European Association of Urology (EAU). With more than 10 years of experience, Urology Clinic is the leader in the field of laser therapy.

Diagnostics

To diagnose a benign prostate enlargement, a large number of specialized examination procedures are available. Diagnostics lasts 2-5 days.

Consultation of an urologist
Urodynamics 400 €
PSA test
Transrectal ultrasound (TRUS)
Complete blood and urine tests
Treatment

Depending on the stage of BPH and the patient individual characteristics, urologists recommend an individual treatment concept.

Transurethral resection of the prostate (TURP) 8000 - 9000 €
Transurethral incision of the prostate (TUIP) 5000 - 6000 €
Transurethral microwave therapy (TUMT) 15000 €
Transurethral needle ablation (TUNA) 10000 €
Prostatectomy 9000 - 12000 €
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9.4
Timing of response 9
 
Doctor's qualification 10
 
Medical equipment 10
 
Service and comfort 9
 
Popularity of the clinic 9
 
With the Bookimed support, 118 patients received individual treatment program in Gesundheit Nord Bremen (Nord Klinik Allianz)
9.4 average rate of the hospital

Top best urologist

In 2015-2016 Professor Sebastian Melchior, head of Urology Clinic at Bremen-Mitte became one of the best urologists in Germany according to FOCUS journal.

Reviews:
All reviews (5)
The service is outstanding. Especially the doctors and nurses in the children's intensive care unit - they are very competent, attentive and nice. I owe them that my little miracle who had heart defect can still sit next to me!

The Urology Clinic of Gesundheit Nord Bremen is one of the largest urological clinics in Germany. The Clinic is focused on the diagnostics, treatment and modern tumor surgery.

Diagnostics

Diagnostics of enlarged prostate lasts 5 days.

Consultation of an urologist
Complete blood count
PSA test
Ultrasound
Treatment

Urologists offer green-light-laser and laparoscopic techniques for benign prostatic hyperplasia treatment. Minimally invasive methods for BPH treatment make an operation painless and patients recover faster.

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9.2
Timing of response 9
 
Doctor's qualification 10
 
Medical equipment 9
 
Service and comfort 9
 
Popularity of the clinic 9
 
With the Bookimed support, 1232 patients received individual treatment program in Medical Center in Solingen
9.2 average rate of the hospital
11 requests for week

The Department of Urology at the Medical Center in Solingen is considered as one of the best in Germany. Urologists carry out removal of benign prostate tumors with minimal financial costs. Applying progressive methods, Professor Marcus Goizer demands to focus on close and long-term interaction of a doctor and a patient and invites the best specialists to Medical Center.

Diagnostics

For the diagnostic of benign prostatic hyperplasia, the specialists use the latest methods of treatment.

Consultation of an urologist
Transrectal ultrasound (TRUS)
Complete blood and urine tests 350 €
Treatment

During surgery, the doctors of the Hospital successfully apply modern scientific achievements (laparoscopic prostatectomy or transurethral resection of the prostate).

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Medication Therapy for BPH Treatment in Germany

Germany is one of the leading counties to provide medication therapy for enlarged prostate. In Germany, 1 out of 4 men, who treat their symptoms, use medicines according to information given by National Center for Biotechnological Information (NCBI). Specialists prescribed medication, when the symptoms are not bad enough for surgery, but have become inflammatory to be left untreated.

Alpha Blockers

For the benign prostatic hyperplasia treatment German specialists the most commonly prescribe alpha blockers. Such medications are used to relax the muscles around the bladder bottom for easier emptying of the bladder. The only contraindication for using alpha blockers is too low blood pressure.

Alpha blockers for the treatment of an enlarged prostate:

  • alfuzosin (Uroxatral);
  • doxazosin (Cardura);
  • silodosin (Rapaflo);
  • tamsulosin (Flomax);
  • terazosin (Hytrin).

Tamsulosin is more often used in German clinics than any other ones. After the treatment course with the help of alpha blockers 6 out of every 10 men have noticed the improvement.

Alpha blockers can cause side effects such as:

  • ejaculation problems;
  • dizziness;
  • exhaustion;
  • low blood pressure;
  • runny or blocked nose.

Usually, side effects after the taking of alpha blockers last for a short time. Only 1 out of 100 men stopped taking alpha blockers because of side effects.

Enzyme Inhibitors

Enzyme inhibitors or 5-alpha reductase inhibitors are the proteins for slowing down the metabolic processes and reducing the level of hormones, which cause the enlarging of the prostate. Enzyme inhibitors also reduce the PSA level in the blood. After taking of enzyme inhibitors the prostate becomes smaller again. Using of enzyme inhibitors lasts for 6 months to a year.

Specialists prescribe 2 main enzyme inhibitors for BPH treatment:

  • dutasteride (Avodart);
  • finasteride (Proscar).

In German clinics finasteride is the most commonly used. Taking finasteride can cause such side effects as erection problems, ejaculation problems, reduced libido (reduced sex drive) and tiredness. 2 out of 100 men have faced any of this problems.

Herbal Medical Products

The most common medicine prescribed by German urologists is called saw palmetto. “Saw palmetto” is an extract produced from one of two types of the fan palm, Serenoa repens and Sabal Serrulata. Both types of palms grow in the southern United States and parts of Europe.

The saw palmetto extract affect the producing of male sex hormones (androgens), which cause enlargement of the prostate.

80 % of men with benign prostate hyperplasia got significant improvement in symptoms after using saw palmetto extract. A German 3-year research found that saw palmetto reduced nighttime urination in 73% of patients, who took 160 mg of it twice a day.

Saw palmetto is effective on the 1 stage of prostate enlargement. On the 2 - 4 stages of BPH saw palmetto helps along with other types of the treatment. It’s quite ineffective by itself.


Taking the medicines doesn’t exclude any other type of the treatment. Moreover, medications can be prescribed only after comprehensive diagnosing by the specialist.


To find the most suitable method of therapy in German clinics you can make an appointment for doctor-coordinator of Bookimed International Patients Support Center. Doctor will help you to find the best hospital and doctor and give an additional information about benign prostatic hyperplasia diagnostics and therapy in Germany.

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Timing of response 8
 
Doctor's qualification 8
 
Medical equipment 8
 
Service and comfort 8
 
Popularity of the clinic 8
 
2212 patients received a treatment program
With the Bookimed support, 2212 patients received individual treatment program in Charité - Universitätsmedizin Berlin
11 requests for week

Charite Urological Clinic is in the list of 5 best and largest centers in Europe. As a result of the preliminary diagnostics the patient is offered conservative of modern laparoscopic treatment. Among the operations that are performed successfully in the Charite Urological Clinic are following: prostatectomy (including da Vinci system), cystectomy, minimally invasive resection of kidneys’ tumors, uroclepsia surgery, laser treatment of benign prostatic hyperplasia, etc. A special feature is the set of pediatric urology, which are implemented by the specialists engaged in treatment of congenital and acquired children pathologies.

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8
Timing of response 8
 
Doctor's qualification 8
 
Medical equipment 8
 
Service and comfort 8
 
Popularity of the clinic 8
 
1737 patients received a treatment program
With the Bookimed support, 1737 patients received individual treatment program in HELIOS Hospital
15 requests for week
Helios Сlinics in Germany belong to Freseinus Medical Group and present high-quality healthcare services in all medical fields. High healthcare quality of the hospitals is proven by International Quality Management Certificate ISO 9001 and IQM reports (Initiative Quality Medicine - German authority for university clinics certification). The use of state-of-the-art technologies such as CyberKnife, NanoKnife ensures high success rate of the treatment for oncology, gastroenterology, cardiac surgery, neurosurgery and orthopedics.
All reviews (8) More
7.6
Timing of response 7
 
Doctor's qualification 8
 
Medical equipment 8
 
Service and comfort 8
 
Popularity of the clinic 7
 
436 patients received a treatment program
With the Bookimed support, 436 patients received individual treatment program in Medical Center - University of Freiburg
The University Medical Center Freiburg is the German teaching hospital famous for its history and authority.
All reviews (3)
I was very impressed with the thoroughness of the treatment which I received in Germany. The fact that it did not lead to the treatment which I was hoping for was wholly related to the nature of my disease. As it was I gained some valuable insights into a fresh development in my disease which has been helpful back in the UK.
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7.6
Timing of response 8
 
Doctor's qualification 8
 
Medical equipment 7
 
Service and comfort 8
 
Popularity of the clinic 7
 
126 patients received a treatment program
With the Bookimed support, 126 patients received individual treatment program in Meoclinic Hospital
Renowned German Meoclinic Hospital is a major a multidisciplinary medical center of Berlin, providing effective and comprehensive treatment in 30 medical fields, as well as high-precision examination with minimum stress and maximum comfort for all patients.
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8.6
Timing of response 9
 
Doctor's qualification 9
 
Medical equipment 9
 
Service and comfort 8
 
Popularity of the clinic 8
 
With the Bookimed support, 325 patients received individual treatment program in Nordwest Clinic (Krankenhaus)
8.6 average rate of the hospital

Top clinic for prostate treatment

In 2017 Nordwest Clinic was included in the list of the best German clinics for prostate treatment in accordance with FOCUS journal.

Nordwest Academic Hospital is multidisciplinary medical institution. Heads of the Clinic departments regularly listed on the Top doctors of Germany. The Urology Department is headed by Professor Eduard Becht. He takes part in researches of innovative surgery methods in the field of urology. Nordwest Clinic includes unique certified Center for prostate cancer.

Diagnostics

The diagnostic programme includes blood test and ultrasound. Specialists can prescribe endoscopic examination if it is necessary.

Consultation of an urologist
Transrectal ultrasound (TRUS)
Complete blood and urine tests
PSA test
Treatment

Surgical methods of BPH treatment include laparoscopy, open and robotic surgery. Cryotherapy (therapy using low temperature for damaging tumors) is preferable for removal of the prostate tumor.

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418 patients received a treatment program
With the Bookimed support, 418 patients received individual treatment program in Essen University Hospital
Essen University Hospital is one of the Europe leaders which provide high-quality medical services and accurate diagnosis in many areas (oncology, hematology, transplantation and treatment of cardiovascular disease). The hospital has an international authority, successfully combines research work with the practice of the treatment of patients, as well as the development and implementation of innovative treatment techniques, conducting various clinical trials and actively collaborates with leading hospitals around the world.
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