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Westgerman Prostate Center
Klinik am Ring
Hohenstaufenring 28
D-50674 Cologne, Germany

Fon.: +49-221-92424-470
Fax:  +49-221-92424-460
info@wpz-koeln.de

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Sex nach Prostata-OP

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Sexualstörungen nach der radikalen Entfernung der Prostata häufig aber wenig beachtet

Viele Patienten fürchten nach einer Prostatakrebs-OP den Verlust eines erfüllten Sexuallebens. Eine berechtigte Sorge, da ein erheblicher Teil der operierten Männer an Störungen der Sexualfunktion leidet, wie jüngst eine dänische Studie zeigen konnte. Doch oft werden die Patienten vor einem radikalen Eingriff nur über die Impotenz informiert.

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How often does incontinence occur after surgery?

“Men diagnosed with prostate cancer are still not thoroughly informed about urinary incontinence as a consequence of surgery prior to undergoing the procedure,”complains Dr. Stephan Neubauer, Urologist at the West German Prostate Center. Many men are affected by the involuntary loss of urine despite more advanced surgical techniques. However, details of the actual incidence are still incomplete. "For example the statistical numbers for urinary incontinence often differ vastly depending on the type of study they were derived from, e.g., how and when they were determined. Usually these numbers are far removed from realty," says Dr. Neubauer.

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Prostate cancer: PSA test sparks criticism

"PSA testing is useless and sometimes even dangerous“  ?  a statement that is frequently incorrectly transported by the media, lately even in the broadcast of the RBB Politmagazine Kontraste "Early detection for prostate cancer: The business of fear." The German Society of Urology (Deutsche Gesellschaft für Urologie - DGU), the Professional Association of German Urologists (Berufsverband der Deutschen Urologen - BDU), and the Federal Association of Prostate Cancer Self-Help e.V. (Bundesverband Prostatakrebs Selbsthilfe e.V.) criticize the one-sided reporting that leads to deep insecurity in men.

 

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ESTRO: Brachytherapy achieves excellent results

Internal radiation – more effective, safe, and cost efficient than radical surgery

Urinary incontinence, erectile dysfunction, impotence? Especially for younger patients with prostate cancer the expected adverse effects play crucial role in the selection of therapy. In these cases, brachytherapy, a special form of internal radiation, not only proves highly effective, but also results in fewer side effects. A study recently presented at the annual meeting of the European Society of Radiology and Oncology (ESTRO), clearly demonstrates: patients treated with brachytherapy instead of conventional radical surgery, can expect a much better quality of life without worrying about recovery after surgery. In addition: Brachytherapy is compared to cost for conventional surgery more less costly1.

 

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Recent meta-analysis: Brachytherapy better than radical prostatectomy

Paradigm change in the therapy of localized prostate cancer

If prostate cancer is detected at an early stage, surgeries, brachytherapy and external irradiation offer equal chance of recovery. Since a direct comparison of the methods derived from randomized studies failed to materialize, for a long time the operation was favored as the treatment of choice despite significant side effects. A current meta-analysis that was recently published in the British Journal of Urology International (BJUI) demonstrates for the first time that the so-called brachytherapy, alone or in combination with an additional radiation or hormonal therapy, is in all disease stages of localized prostate cancer at least equivalent to a radical prostatectomy or even better. "The scientific confirmation of the high effectiveness of brachytherapy in the treatment requires a rethinking of the localized prostate carcinoma" commented Dr. Stephan Neubauer of West German Prostate Center in Cologne. The current results of the largest comparative study: "The radical prostatectomy as the gold standard is thus void once and for all."

 

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Dr. Neubauer honored again as one of the best urologists in Germany

In a recently published ranking of physicians, Dr. Stephan Neubauer, Specialist in Urology at the West-German Prostate Center, was again voted to be one of the best urologist in Germany and this year he was among the leading physicians at the top of the list. From surveys of surgeons and patients as well as recommendations from incoming Internet research, the Journal HÖRZU tv14 identified nationwide the top 500 physicians. A year ago, Dr. Neubauer had already been honored by the journal HÖRZU as one of the best in his profession.

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