Kidney treatment in Germany

Urologists in Germany provide excellent care for patients of all ages who are suffering from urinary tract problems. In Germany, diseases and conditions of the reproductive organs in male are treated by urologists and problems in female reproductive organs are treated by expert gynecologists.

Urology in Germany has made great advancements in the field of diagnosis and treatment procedures. Expert German urologists are well versed in performing minimally invasive operational procedures for a range of urological problems. As a result of these minimally invasive techniques, patients have had excellent results; they have a fast recovery, a short stay at the hospital, less discomforts and lesser incidences of complications.

Kidney treatment in Germany includes kidney operations and endoscopic procedures for diagnosing and treating disorders of upper urinary tract. German urologists have been in the forefront in clinical researches that have consistently enhanced the capabilities of offering advanced treatments for various urological conditions and disorders.

Renal failure

Renal or kidney failures are clinically classified into two groups:
  • Acute renal failure or acute kidney failure
  • This condition occurs when kidneys lose their ability to filter waste metabolic products from blood. As a result of this, the chemical composition of blood changes drastically due to accumulation of wastes at higher concentrations. This may occur within a few hours or days. This condition is fatal and more common in people who are already hospitalized, often in people who are critically ill and need intensive care. However, this case is reversible. A person in normal health condition can recover well.
  • Chronic renal failure or chronic kidney failure
  • This conditions occurs due to a gradual loss in kidney function. When failure in kidney functioning reach an advance stage, the filtering of blood is at its lowest level. This results in dangerous levels of fluid, waste and electrolyte accumulation in blood.
Early stages of kidney failure may not show any signs and symptoms. Chronic kidney failures only show more apparent results when there is a significant impairment in kidney functions. Treatments for chronic kidney failure aim at slowing down the progression of kidney damage by measures to control the underlying cause. End-stage renal disease is fatal and needs dialysis at regular intervals or even a kidney transplant.

In most cases, kidney problems may not be detected until a significant damage to kidney/s has already been done. Nausea, fatigue, vomiting, problems in sleep, changes in urine output, chest pain, fluid retention, uncontrollable high blood pressure and such other symptoms may show up only at later stages. As physical symptoms and signs are usually not detected at early stages, problems in kidney are often detected with blood and urine tests done for diagnosing other diseases and conditions. It is for this reason that cases of high blood pressure are treated in German hospitals with a perspective on renal impairment as well.

Diagnosis and tests in Germany for kidney problems

Diagnosis for renal disorders in German hospitals are done by various methods like urine output measurement, tests for retention in blood, urinalysis, imagining tests like ultrasound and computerized tomography, biopsy of a kidney tissue, blood tests to assess the levels of urea and creatinine, IVU, kidney scintigraphy, etc as the case may be suitable with.

Urine sediment microscopy is conducted as an integral part of urinalysis in Germany. Proteinuria is essentially done as a primary care practice. A procedure like 24-hour-urine collection is one of the most accurate tests for assessing proteinuria and conducting a qualitative urinalysis. Sulfosalicylic Acid Tests are conducted for detecting all types of proteins present in a patients’ urine. 24-hour creatinine clearance often overestimates GFR in patients with a poor renal activity. Glomerular filtration rate (GFR) is assessed using suitable techniques except in cases with severe renal disorders. 24-hour blood pressure measurements are done at regular intervals to detect the actual alteration in blood pressure.

Kidney treatment in Germany

Treatment procedures are done corresponding to the severity of functional failures and to treat various underlying causes that trigger a renal disorder. In cases ranging from mild to moderate loss in functionality, the treatment procedures aim at limiting the further deterioration and also aim at eliminating risk factors like hypertension, smoking, hyperglycemia, etc. that may aggravate the condition. This approach is further complemented by dietary support like reduction in protein intake, restriction of salt, avoiding high fluid intake, supplements for bone protection, etc.

Advanced cases of renal impairment can cause symptoms like an increased fluid retention; diuretics are administered to control the condition. In these advanced conditions where kidneys are unable to function properly, artificial filtration procedures like dialysis help in removing waste materials and excess fluids from your blood. Procedures like haemodialysis and peritoneal dialysis can be done in German hospitals. If a patient has no life-threatening medical conditions other than a renal failure, a renal replacement can an option. This procedure involves surgical replacement of a failed kidney with a healthy kidney obtained from a deceased donor or even from a living donor.

Germany has been in the forefront in adopting innovative techniques in renal treatment. Urology in Germany has seen great advancements in the recent years and Germany has been a safe place for receiving treatments for urinary tract and kidney problems for both men and women. If you are considering receiving a kidney treatment in Germany, we are always able to help you select the most viable center for treating your condition.

Treatment of prostatisis in Germany

Prostate gland is a walnut-sized gland present in men just below the bladder. A condition that leads to swelling and inflammation of the prostate gland is referred to as prostatitis. The prostate gland produces the semen that provides nourishment and aids in transportation of sperms. Prostatitis makes urination difficult and gives a lot of pain. The other symptoms include pain in the pelvic area, genitals, groin area and an occasional flu-like feeling.

Prostatitis may occur because of many different factors; one of them is bacterial infection. Prostatitis due to bacterial infection can be cured successfully. It may occur due to an immune system or nervous disorder; an injury may also trigger this condition. Sometimes, the underlying reason may not be ascertained at all. Depending on the reason, the condition can occur suddenly or gradually. This condition can get cured by itself or may need some treatment. However, some types keep recurring or may stay for several days.

Prostatitis can also be prostate inflammation without infection. Only about 5-10% of the cases may be caused due to bacterial infection and this condition may not be connected with prostate cancer. The condition can occur in men of all ages.

Based on the nature and the underlying causes, the classification is made as:
  • Acute bacterial prostatitis
  • Chronic bacterial prostatitis
  • Inflammatory and non-inflammatory chronic pelvic pain syndrome
  • Asymptomatic prostatitis

Diagnosis for prostatitis:

The tests and diagnosis for prostatitis are intended to make sure about the underlying cause for the resulting condition. German urologists will conduct comprehensive exams to verify whether the patient has prostatitis. Digital rectal exam will give clear results as to whether the prostate gland is tender or enlarged. Further tests like analysis of fluids from prostate, biopsy, transrectal ultrasound, etc., voiding studies will help in determining as to which part of the urinary system has got an infection. In general, the diagnosis for prostatitis can be done through-
  • A general questionnaire from your doctor
  • Physical examination
  • Blood culture
  • Semen and urine test
  • Cystoscopy
  • Bladder tests

Treatment of prostatitis:

Urology in Germany is very much advanced and the expert urologists in Germany will diagnose the underlying cause correctly. Prostate treatment in Germany begins only after making sure that the symptoms are not caused by urethritis or any other cause that may lead to a permanent kidney or bladder damage. In that case, you are referred to a relevant department. Treatment of prostatitis in Germany is based on the type of prostatitis that the patient is suffering from. The conditions are:
  • Acute bacterial prostatitis:
  • The treatment begins with hospitalization, and followed by an initial parenteral diet and an empirical therapy. Antibiotics like broad spectrum penicillin along with beta-lactamase, 3rd generation cephalosporins, aminoglycosides, fluoroquinilones, with Ampizillin can be administered to curb the bacterial infection. The prostatic swelling may have to be drained in case there is acute pain. Oral fluoroquinilones will have to be taken for further 2 to 5 weeks. Pain killers can be administered to relive the pain. Laxatives will help in easing out the stools comfortably particularly, if the hard stools are pressing the infected prostate. In cases of acute urine retention, a catheter is inserted directly into the bladder to ease out the process of urination.
  • Chronic bacterial prostatitis:
  • Chronic bacterial prostatitis occurs due to repeated infections in bladder. Oral fluouroquinolones for about 4 to 6 weeks will work well for sensitive bacteria. If the bacterial infection is fluoroquilone resistant, trimethoprim-sulfamethoxazole will be administered for up to 3 months. An intermittent antibiotic treatment, a low-dose suppression therapy using nitrofurantoin may also be undertaken. As a last resort, transurethral resection or a prostatectomy can be carried out.
  • Chronic Prostatilis:
  • Recommended therapy in this condition is by
    • Alpha-blockers that help relax the muscles in the bladder and the prostate to ease the urine flow and reduce the symptoms
    • Antimicrobial therapy
    • Multimodal therapy as per symptoms
    • Hormonal medications to help prostate shrinking to its original size
  • Asymptomatic inflammatory prostatitis:
  • This case is not clinically significant. However, an antimicrobial therapy with an active PSA can be done.
Prostate treatment in Germany also includes providing you with valuable tips to help avoid recurrence of prostatitis. Back at home, you can benefit from avoiding spicy foods, acidic drinks and caffeine. Activities that aggravate the condition like cycling must also have to be avoided. Remember that, prostatitis is treatable and it is not a contagious disease. The recommended treatment will certainly help you in controlling the symptoms. However, one must make sure that a full prescription has to be followed to get better results. It is suggested that you must take regular checkups for detecting any incidence of a prostate cancer even after your prostatitis has been cured.

If you are considering receiving a prostate treatment in Germany, we can certainly assist you select the best possible treatment facility for obtaining a successful treatment for your condition.