The Aue Clinic for Urology and Paediatric Urology offers the full range of diagnostic and treatment services for urological disorders in both adults and children.

A general overview is listed below.

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Since discussion with your own doctor is a priority for every treatment, we have consciously avoided giving detailed descriptions of all urological disorders here. Please contact your regular urologist or make an appointment for one of our consultations.

Here we would like to introduce you to 11 important specialist areas within our discipline:

1. Minimally invasive operative urology (urological laparoscopy)
This includes the entire spectrum of procedures known as ‘keyhole surgery’ on the kidneys, adrenal glands, renal pelvis, ureter, urinary bladder and prostate gland. An overview can be found here.

2. Uro-oncology, interdisciplinary tumour surgery and chemotherapy
In our Clinic, all urological tumour diseases are diagnosed and treated; in selected cases, this is conducted through interdisciplinary collaboration with surgeons or gynaecologists. Minimally invasive surgery is preferred, although in complex and/or recurrent situations open surgery is performed. Frequently, so-called urinary diversions and sometimes intestinal neobladders are necessary. The complete range of chemotherapy is also available in our Clinic. This includes fitting port systems for the improved administration of chemotherapeutic substances and to protect the veins. Details can be found here.

3. Stone therapy/Endourology
Various surgical methods are used to remove stones from the urinary tract; these include, in particular, the use of state-of-the-art flexible mini-endoscopes which are inserted via the urethra and bladder into the kidney. This enables the kidney and ureter to be examined completely and any stones, tumours or constrictions to be removed. If the diameter of the ureter is larger than the stone, it is possible to remove the stone in one piece. If the stones are larger, they are first broken up into smaller fragments (lithotrypsy) for being removed. This is done using laser and pneumatic devices.
Whereas in laser devices a thin flexible fibreglass tube transfers the laser energy onto the stone, the pneumatic systems function like a miniature pneumatic hammer (called lithoclast probes). The endoscopic extraction of tumours in the urinary tract and the fitting of ureteral stents are also part of this large specialist field.
Larger stones with a diameter of more than about 2 cm can be extracted directly through the skin using keyhole surgery. The abbreviation PNL used for this type of operation stands for percutaneous nephrolitholapaxy.

4. Benign prostatic hyperplasia
The non-cancerous enlargement of the prostate gland, known as benign prostatic hyperplasia (BPH), is a condition that occurs in older men. More than half of all men over 60 are affected by this condition. The surgical treatment of benign enlargement of the prostate gland is performed in our Clinic exclusively via the urethra. Various techniques are used for removing the tissues. The gland tissue is generally removed by means of an electric loop, the green-light laser procedure and – as the gold standard – enucleation (curettage and removal of prostate tissue).

5. Reconstructive urology and implantology
This sub-specialism frequently involves surgery needed in order to correct congenital or acquired disorders of the urinary tract and restore the natural flow of urine from the kidneys via the ureter, the urinary bladder and the urethra. A wide variety of surgical techniques are used for replacing the structures, including endogenous tissue taken from the patient’s own body, such as from the small intestine or the oral mucous membranes. However, implants or prostheses may also be used, such as an artificial sphincter or prosthetic ureter, depending on the indication. The surgical technique selected in each case depends on many different factors and is decided upon on an individual basis. Further details can be found here.

6. Urogynaecology/Incontinence
This area in the field of Urology requires, in particular, a precise diagnosis. For this purpose, we offer a special consultation service  and various surgical techniques. The different types of incontinence require very different forms of treatment, which are available in our Clinic. Details can be found here.

7. Paediatric urology
This includes not only the traditional procedures on the genitalia such as treatment for foreskin contraction (phomosis), undescended testicles or hydrocele, but also the surgical correction of disorders of the urethra (hypospadia), the ureter (vesicouretorenal reflux, pyloric stenosis) and the kidneys. Laparoscopic techniques (‘keyhole surgery’) are also frequently used in our Clinic.
The range of services is complemented by the diagnosis and treatment of urinary stones, the treatment of disruptions to urinary flow and neurogenic bladder malfunction (spina bifida), childhood incontinence (enuresis), haematuria, paediatric urological emergencies such as testicular torsion, paraphimosis and epididymal inflammation, as well as accidents. Appointments for paediatric urological consultations can be made here.

8. Kidney transplant
Prior to or following a kidney transplant, patients can suffer from a particular range of urological disorders which we can treat in our Clinic. For example, before or after a kidney transplant it may be necessary to remove the patient’s own, no longer functional kidneys. This can often be done using keyhole surgery. Other urological operations on kidney transplant patients, such as the treatment of a lymphocele, the removal of non-functioning transplanted kidney or the remedying of a symptomatic enlargement of the prostate can also be performed here. Details can be found here.

9. Andrology
The field of “Andrology” deals with male reproductive functions and related disorders. The range of treatments mainly focuses on involuntary childlessness, hormonal disruptions, impotence and sterilisation operations as well as the restoration of fertility after sterilisation (vasovasostomy).

10. Neurourology
Dysfunctions of the urinary bladder can affect the storage of urine and urination and can be caused by a malfunction in the neural control of the bladder.
This requires thorough diagnosis and differentiated treatment, which often takes place in a process of steps. It is often planned and performed in collaboration with other specialists (e.g. neurologists, physiotherapists). We provide these specialised diagnostic services and modern surgical treatment, including the implantation of bladder pacemakers.

11. Urological traumatology
Injuries to the kidneys, ureter, urinary bladder, urethra, penis and testicles are gaining surgical significance as a result of progressive industrialisation and increasing traffic density. In patients with multiple injuries (polytrauma), injury to these organs has to be taken into account in 60 – 100% of cases. This requires close interdisciplinary collaboration in order to not only provide treatment quickly but also to perform specific urological trauma treatment. We have modern diagnostic and intensive medical procedures available for this purpose. Open ablative and reconstructive surgical techniques are generally used for this treatment.