(Deutsch) Perioperatives Management bei NOAKs

(Deutsch) Fokale Therapie des Prostata-CA

(Deutsch) Metaphylaxe bei Harnsteinleiden


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In Zusammenarbeit mit ONKO TV (www.onko.tv) ist dieser Beitrag über die Operation mit dem da Vinci System entstanden (2011)

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We ask our patients about their state of health in regular intervals for ten years after their surgery, so we have a good overview of the oncological and functional results of our therapies. Since 2006 nearly 4800 men have undergone in prostate cancer surgery in Gronau. These data are collected and analyzed in a data bank which is especially programmed for us. As a co-founder of German Society for Robot-Assisted Urology (DGRU, www.dgru.de) we have made this data bank available for all those clinics, which are working with the da Vinci surgical robot.

Here you can see a summary of the results.  For more information, please feel free to contact the Study Secretariat.

Download results.



Welcome to the PZNW! Here’s something about it’s history.


Recent studies

In the following is an overview of our currently running studies.


Course of operation

The removal of the prostate with the da Vinci-System takes approximately 2 to 3 hours.  Usually the pure operating time is under 90 minutes.

Clear case for qualified surgeons

Before the actual surgery, the da Vinci-System and the patient should be prepared. After the narcosis we generally make 6 small incisions on the abdominal wall, and later the instruments will be put in through them, and the prostate will be removed. While the surgical team, which consists of an assistant operator and medical staff, take care of the patient and the system, the operator can concentrate on the surgery from the console. As soon as the instruments are in position, the prostate is vacated. The vascular area -the prostate is located between the bladder and the urethra- is clamped and diverted. Then the tissues, which surround the prostate, are pushed down. If the prostate cancer has not spread beyond the prostate capsule yet, the prostate can be peeled out from the tissues. This protects the erection nerves and the bladder neck so it has a positive effect for the healing of the structure (vessels and tissue) of the anastomosis. If the cancer has already attacked a bigger area, over the prostate capsule, we remove the prostate with the surrounding tissue layers. After the removal of the prostate and the appended seminal vesicle, the urethral stump is sutured to the bladder neck. We place a catheter through the urethra to spare this area for six to ten days. Then on the fifth postoperative day we do a leakage test- if there is no leakage, we remove the catheter on the same day. If you are interested, here you can watch a video of the surgery: http://www.youtube.com/user/Prostatazentrum


The History

One of the leaders of robot-assisted prostate surgery in Germany

The Prostate Center Northwest was founded in 2004 and it was certified in 2010. Within a short time period it has become the most significant prostate center worldwide.

In 2011, more than 1000 robot-assisted surgery were made by the team with the leadership of Dr. med. Jörn H. Witt, who is the Chief Physician of the urological department of St. Antonius-Hospital Gronau. From 2006, altogether 4800 surgeries were made here. (more…)