Urology

As a urine sample is required for most urological examinations, we kindly ask you to take a urine sample, not going to the toilet two hours before your appointment. Urine collection is usually necessary. We will inform you in the practice and explain the procedure to you at your leisure.

Sexually transmitted diseases (STDs) can be detected by a blood test (e.g. for HIV, hepatitis or syphilis) or by swabs taken from the urethra or vagina (e.g. for chlamydia, gonococci/"gonorrhea", ureaplasma or mycoplasma).

Important: For a reliable urethral swab, you should have not been to the toilet for at least two hours beforehand.

Please also note that the costs for a complete STD check are usually not covered by statutory health insurance become.

No, sobriety is not usually required.
For ultrasound examinations of the kidneys, bladder, testicles, groin or prostate, you must not sober be.

Routine blood tests - for example for kidney values, inflammation values, blood count or PSA - are also No need to be sober.

Exception: Fasting may be necessary for certain hormone tests. If in doubt, please contact us.

No. For a urine test or to provide an ejaculate sample (for microbiological examination) you do not need an appointment. You can simply come to the practice during our opening hours.

In urine cytology, the urine is examined for individual cells under a microscope. This allows inflammatory changes as well as abnormal or suspected tumor cells to be detected.

This examination is often used for Early detection of bladder cancer and other diseases of the urinary tract - for example in the urinary bladder, ureters or renal pelvis.

It is a useful addition to other diagnostic procedures, especially in the case of unclear findings or for monitoring existing risks.

For a cystoscopy (urethrocystoscopy), the following is usually required No special preparation necessary. You must not sober appear.

Shortly before the examination, your urine will be tested again for infections as a precaution.

During a cystoscopy, the urethra and bladder mucosa are examined in detail. Our far beyond the usual standard High-resolution cystoscope CYF-VH with "chip-on-the-tip" technology and LED-illumination provides a particularly clear and bright image. This allows the mucosal structures to be seen better and in greater detail even under normal white light.

In addition, the NBI technology (narrow-band imaging) ensures that flat and often aggressive tumors, so-called CIS tumors, which are difficult to see, can be better visualized. Using two special wavelengths of light, healthy and diseased areas of the bladder mucosa can be better differentiated, making it easier to detect even minor changes. Further information (external link from Olympus®).

No, You do not have to stop taking your blood-thinning medication before the cystoscopy. No tissue samples are taken during a purely diagnostic examination, so the risk of bleeding is low.

A cystoscopy is usually a Safe and well-tolerated examination. We use a particularly flexible and thin instrument that usually minimizes discomfort.

We understand that you may be worried - this is completely normal. Before the examination, we take plenty of time for a personal consultation in which we answer all your questions and address your fears in detail. This allows us to discuss together how the examination will work best for you.

Although cystoscopy can be unpleasant, it is not usually painful. We use flexible and very thin devices that irritate the mucous membranes in the urethra and bladder as little as possible. The examination usually takes no longer than 10 minutes and is performed without anesthesia.

After cystoscopy, the examination with the flexible, thin devices can sometimes cause slight bleeding, especially in men with a narrow prostate gland. There may also be a burning sensation when urinating.

This is completely normal and nothing to worry about. These symptoms usually improve on their own after 1 to 3 days. During this time, it is best to drink plenty of fluids and go to the toilet regularly - this will help the burning and bleeding to subside more quickly.

Immediately after the cystoscopy, we will discuss the results of the examination with you - we will also show you the images. So you can understand everything exactly.

You will also receive a written report on the examination. If laboratory results are still available, for example from the flushing cytology, we will send them to you later.

With your consent, we will also send all findings to your family doctor so that he or she is well informed.

No, Transmission of diseases through our endoscopes is impossible. Hygiene is our top priority - you can rely on that.

All appliances are cleaned according to strict specifications: First pre-cleaned by hand, then disinfected fully automatically - using state-of-the-art technology and highly effective peracetic acid. In addition, only sterile disposable instruments are used for each examination, e.g. valves.

Our cleaning processes are regularly audited by independent experts - including the Max von Pettenkofer Institute at LMU Munich - and are certified by the Association of Statutory Health Insurance Physicians.