Urology

The departments of urology and andrology are concerned with diseases of the kidneys, adrenal glands, ureters, bladder and urethra in both sexes, and in men with the prostate, the seminal vesicles, seminal ducts and external genitals. As urologists, we would like to make all of our expertise available to all our patients and advice and care for them in conservative and surgical matters.

Areas of responsibility of the urologist

  • Preventive examination and prophylaxis
  • Diagnosis
  • Therapy
  • Aftercare

of the following diseases:

  • inflammatory diseases of the genitourinary tract (kidney, urinary tracts, male reproductive organ)
  • stone disease
  • tumours
  • traumas
  • malformations
  • urinary incontinence
  • andrological dysfunctions (erectile dysfunction, etc.)

Other services:

  • Desire to have children (clarification of male infertility)
  • Family planning – vasectomy (ligature of the seminal ducts)

Dr. Michael Lamche, MSc, MBA, F.E.B.U.

 

As urologist, I would like to make all of my expertise available to all patients and to advise and care for you in conservative and surgical matters. In the course of my work as senior physician in the teaching hospital KH der Barmherzigen Brüder, I can offer a wide range of treatment options and an interdisciplinary care not only in the practice but also in the hospital. Very important to me are individual care, disease prevention as well as sufficient time for conversation.

 

 

More information about Dr. Michael Lamche.

 

Dr. Michael Stolzlechner, F.E.B.U.

 

Mutual respect between doctor and patient is the basic requirement for approaching health problems together. This includes communication at eye level, best possible information and shared responsibility for health. As a specialist at the urological department at the hospital KH der Barmherzigen Brüder I can organise and perform surgeries there.

 

 

More information about Dr. Michael Stolzlechner.

 

AndroCHECK

The urologist is the reference physician for the early diagnosis and early treatment of diseases and functional impairment of the male urogenital area; as a doctor for men the urologist is to the man what the gynaecologist is to the woman. The AndroCHECK-programme defines the algorithms for specific urological clarifications and makes the urologist the first specialist contact person for specific male health problems. AndroCHECK, the programme of the Austrian urologist for ensuring the health and quality of life of men over the age of 45, includes early detection and timely treatment of prostate carcinoma with a curative therapy approach.

What happens at the AndroCHECK?

Regular check-up of the urinary bladder (cancer; age changes of the urinary bladder, lithiasis), bladder emptying, early detection and treatment of any complaints. Detection and evaluation of symptoms and complaints, which are related to hormonal changes in the aging man; if necessary technically established hormone substitution. Counselling of the man and his partner in case of erection problems; early recognition and treatment of erectile dysfunction. You can find more information here in the  folder AndroCHECK.

Prostatomegaly

The increase in size of the prostate can lead to an impairment of the urinary stream, bladder emptying dysfunction with e.g. formation of residual urine and in the final state to the destruction of the bladder muscles. In order to prevent this early enough, the symptoms (frequent urge to urinate, nightly urge to urinate, residual urine sensation,…) should be taken seriously and should be clarified by a specialist. Subsequently, it may be advisable to initiate a medication therapy; possibly an operation may be necessary.

Pelvic floor weakness and urinary incontinence

Uncontrolled loss of urine is a taboo subject in our society. This complaint can have various causes: pregnancy, vaginal births, constitutional weakness, but also wrong manner of behaviour in everyday life. If the desired success is not achieved after clarification and appropriate therapy, minimally invasive surgical methods are an option nowadays. This also applies to male urinary incontinence. The incontinence of men is about to lose its existing taboo character. In general awareness it is becoming a treatable condition, just like female incontinence. The therapy has to take into account the anatomical differences as well as the different developing mechanisms of male incontinence.

Surgical Urology

Laparoscopy (keyhole surgery): with the laparoscopy, operations can be performed through small skin incisions in a way that is gentle on the muscles. This technique has been used in surgery for a long time, for example in gall bladder operations. In urology, this method has been established in the field of kidney and prostate surgery for several years. A further development of the laparoscopic technique is the robot-assisted technique (DaVinci®). Here, the surgeon can perform the desired operations much more precisely and with more rotation options via an operation console which is computer-assisted through 3D view (in the urology: radical prostatectomy (cancer operation of the prostate), kidney (tumour) operations with organ salvage and the radical bladder removal for cancer (cystectomy)).

Further topics of the operative urology (microsurgery, tumour surgery, incontinence surgeries, laser,...)

Microsurgery: on the urological side, microsurgery is used for varicose veins surgeries on the testicles and also for refertilisation (reconnection of the seminal ducts in case of a desire to have children after a vasectomy).

Tumour surgery: Tumour surgery In case of tumours of the kidneys, ureter, bladder, prostate, penis, testicles and epididymis, it is advisable to have surgery, appropriate follow-up treatment and aftercare at a specialised department, such as the urologischen Abteilung des KH der Barmherzigen Brüder.

Incontinence operations: There are numerous methods for incontinence treatment. In case of stress incontinence, “sling operations” have become the most efficient methods in recent years. If indicated there is alternatively the possibility of the laparoscopic, robot-assisted (DaVinci®) surgical technique, the sacral colpopexy.

Laser therapy: Various lasers are used in urology. For internal procedures (such as prostate reduction via the urethra) the holmium:YAG laser has been used for several years. Its depth of penetration into the tissue can be kept very low and can be controlled precisely. With high energy levels, tissue can be “cut” without bleeding by vaporizing. Even urinary and kidney stones can be gently shattered with the holmium:YAG laser under visual control.

Inflammatory urinary tract infections

One of the tasks of urology is the diagnosis and therapy of urinary tract infections. The spectrum ranges from urethritisto (recurrent) bladder infections, including so-called interstitial cystitis and inflammatory infections of the kidneys. In men, inflammation of the prostate (prostatitis) and epididymitis and testicular inflammation can occur. Appropriate diagnostics and therapy is necessary.

Oncology

Oncology comprises the treatment of malignant tumours and is an interdisciplinary field. Cooperation between specialists (urology, internal oncology and radiotherapy) is necessary. This takes place in the so-called tumor board review. In the case of cancer it is therefore increasingly important to be able to offer the entire spectrum; surgery is not always the only sensible option.

Pediatric Urology

The most frequent questions in the field of paediatric urology are, in addition to inborn malformations, the recurring urinary tract infections, phimosis (narrowing of foreskin) and childhood bedwetting (enuresis).

Do you have any questions?

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