Urology

Since almost every urological examination involves a Urine output is required, we ask you to come to your appointment generally do not go to the toilet again beforehand to go. If it is necessary to pass urine, you will be informed of this at the practice and given appropriate instructions.

Sexually transmitted diseases (STD=Sexually transmitted disease) are diagnosed either via a blood sample (HIV, hepatitis, syphilis) or via vaginal or urethral swabs (gonococci = "gonorrhea", chlamydia, ureaplasma, mycoplasma). Please note that to obtain a reliable result from the urethral swab, you must have at least do not go to the toilet two hours before should have gone.
Please also note that a complete STD examination is not usually covered by statutory health insurance.

No. You do not need to be fasting for a general sonographic examination of the kidneys, bladder, testicles, groin or prostate.
You also do not have to come in fasting for a routine laboratory test (e.g. kidney values, inflammation parameters, blood count, PSA etc.). An exception to this is the testing of certain hormones (please contact us if you have any questions).

No. You can carry out a urine test in our practice at any time or bring in an ejaculate sample for microbiological analysis. You do not need to book an appointment for this.

Urine cytology is an examination of the cellular components of urine. It can detect inflammatory cell changes, but also dysplasia or tumor cells can be detected.
Cytology is well suited as an extended measure for the early detection of cancer of the urinary bladder, urinary tract and renal pelvic caliceal system.

As a rule, you do not need to prepare yourself before a cystoscopy (urethrocystoscopy). You do not have to come sober. Immediately before the examination, your urine will be checked again for infections to be on the safe side.

In a cystoscopy, the urethral and bladder mucosa is examined endoscopically. The advantage of the HD-capable cystoscope CYF-VH with "chip-on-the-tip" technology (digital computer chips at the tip) with LED technology (significantly brighter image) is a high-resolution improved and more detailed image of the bladder mucosa, even under white light. The Integrated NBI technology (high-resolution narrow-band imaging) is particularly suitable for detecting flat and often aggressive tumors adjacent to the mucous membrane, so-called CIS tumors, which are difficult or impossible to detect with normal fiber optics. The two filtered specific wavelengths make it easier to differentiate between healthy and diseased bladder mucosa and smaller pathological findings are easier to detect. Further information (external link from Olympus®).

No. You do not have to stop taking your blood-thinning medication. No samples are taken during a diagnostic cystoscopy.

As a rule, cystoscopy is completely unproblematic. We only use a flexible cystoscope, which is very slim in diameter and therefore less painful. Nevertheless, we take your concerns seriously. Before each examination, you will have a confidential discussion with your examining doctor and you will be informed about the risks. We will specifically address your concerns and discuss your individual risk-benefit ratio.

If you have significant pre-existing conditions or considerable anxiety, we may consult a second doctor for your safety or refer you to a hospital that cooperates with us. As a rule, however, this is not necessary.  

Cystoscopy is unpleasant, but usually not painful. We only use felxible devices, which are very slim in diameter and thus prevent major irritation of the urethral and bladder mucosa. As a rule, a diagnostic cystoscopy does not take longer than 10 minutes and we perform the examination while you are awake. In exceptional cases, should you require a Twilight sleep (sedation, "sleep injection"), please speak to us specifically during the consultation

Despite the flexible, thin endoscopes, the mechanical irritation can cause minor bleeding, especially in men with a severely constricted prostate gland. There may also be a burning sensation when urinating after the examination. This is completely normal and no cause for concern. By drinking more and urinating frequently, the burning sensation and blood in the urine usually disappear after 1-3 days.

Sedation is not an anesthetic but a Gentle twilight sleepfrom which you can be woken up at any time. We only perform sedation during a cystoscopy in exceptional cases. Please note that, unlike sedation during a gastroscopy or colonoscopy, sedation is not covered by statutory health insurance and is a so-called individual health service. (IGeL) acts. The costs will be charged to you privately.

We usually use Propofol, which is characterized by a high level of safety, very good tolerability and controllability. For your safety, we continuously monitor oxygen saturation, blood pressure and heart rate, if medically necessary with an ECG. Our assistants have additional qualifications in sedation and emergency management.

After sedation you are up to 24 h not roadworthy (no car, no bicycle) and not legally competent. One personal Collection in practice by a relative or acquaintance is necessary and must be documented by their signaturealternatively we will call a cab for your way home. 

Of course. Immediately after the cystoscopy, the findings will be discussed with you on the basis of the image documentation and, if necessary, further action will be discussed with you. You will also receive a written report of the findings. Findings from an irrigation cytology will be sent to you later. If you have not withdrawn your consent, all findings will then be sent to your family doctor. 

No. Hygiene is the core element of endoscopy that you must be able to rely on completely. We reprocess the devices according to the strictest criteria through manual pre-cleaning followed by fully automatic disinfection (RDGE) using peracetic acid.

We only use disposable products as additional endoscopic instruments such as biopsy forceps, biopsy valves or polyp loops.

The RDGE and the quality of the hygiene measures are regularly checked, validated and certified by the KVB by independent service providers and the Max von Pettenkofer Institute for Hygiene and Medical Microbiology at the Ludwig Maximilian University of Munich.

If you have received a sleeping injection, you may not actively participate in road traffic until the following day. You must therefore be collected by a responsible person to ensure a safe journey home and this must be documented by the signature of the person collecting you or the cab driver.

Under no circumstances may you drive a car, motorcycle or bicycle yourself. You should not carry out dangerous activities or make important decisions on the day of the examination - you are not fit for business.