›State-of-the-art technology humanity for the well-being of my patients!‹
UNIV.-PROF. DR. GÜNTER JANETSCHEK
SPECIALIST IN UROLOGY
Urology
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Vienna Stone Centre (VSC)
VIENNA’S FIRST AND ONLY PRIVATE STONE CENTRE
What are kidney stones?
Kidney stones, also known as nephrolithiasis or urolithiasis, are solid deposits of minerals and salts that form in the kidneys. These stones can vary in size – from tiny granules to large formations that can fill the entire kidney structure. They often consist of calcium oxalate, but other compositions such as uric acid, struvite or cystine are also possible. Kidney stones can cause considerable pain, especially if they migrate into the ureter and block the flow of urine.
Symptoms and causes
Typical symptoms of kidney stones are severe pain in the back or lower abdomen, nausea, vomiting, blood in the urine and frequent urination. The causes of kidney stones are varied and can be influenced by genetic predisposition, diet, lack of fluids or certain medical conditions.
Treatment options
The treatment of kidney stones depends on the size, location and composition of the stones. Small stones can often pass on their own with increased fluid intake and painkillers. Larger stones, on the other hand, may require medical intervention to avoid complications. This is often a two-stage procedure in which the first step is to place a splint in the ureter, which restores urine flow and relieves the acute pain. In the second stage, the splint is removed and the stone is retrieved.
Laser treatment of kidney and ureteral stones
Our centre is Vienna’s only private medical facility specialising in the minimally invasive removal and fragmentation of kidney and ureteral stones using state-of-the-art laser technology. Laser treatment, also known as laser lithotripsy, offers an effective and gentle method of removing stones. It is the gold standard, particularly for the removal of ureteral stones.
How does laser lithotripsy work?
Laser lithotripsy is usually performed under anaesthesia or local anaesthetic. A thin, flexible endoscope is inserted through the urethra and bladder into the ureter to locate the stone. Once the stone is located, a laser fibre is passed through the endoscope. The laser emits high-energy pulses of light that shatter the stone into tiny fragments. These fragments can then either be immediately aspirated or later excreted naturally.
Advantages of laser treatment
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MINIMALINVASIV
No large incisions or scars, which leads to a faster recovery.
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HIGH PRECISION
The laser can be aimed specifically at the stone without damaging the surrounding tissue.
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High success rate
Most stones can be completely removed in a single session.
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Less pain
The treatment is generally less painful than other methods and requires shorter hospital stays.
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Quick recovery
Patients can often go home the same day or the next day and return to their normal activities more quickly.
Our commitment to your health
At our stone centre, we attach great importance to individual and comprehensive care. We take the time to understand your specific needs and concerns and work with you to develop the best treatment plan. With our expertise and state-of-the-art technology, we strive to provide you with a safe, effective and comfortable solution for your kidney and ureteral stones.
Our centre specialises in the treatment of acute complaints (e.g. colic) as well as the planned removal of splints.
We look forward to helping you!
Dr. Bob Djavan
›We offer modern and minimally invasive technologies for resection of the prostate or bladder.‹
UNIV. PROF. DR. MED. BOB DJAVAN
HEAD OF UROLOGY, SPECIALIST IN UROLOGY AND ANDROLOGY
Personalised medicine for kidneys, prostate bladder
Urology is the field of medicine that deals with diseases of the urinary-forming and urinary tract organs as well as the male reproductive organs.
In our urological outpatient clinic we carry out
the following medical services:
- INITIAL CONSULTATION AND ANAMNESIS
- DEVELOPMENT OF A TREATMENT PLAN
- SURGERY PREPARATION AND CLARIFICATION
- SURGICAL PLANNING AND SURGERY
- Follow-up examinations and further treatment planning
Our services
- Cystoscopy
- Prostate biopsy
- Circumcision
- TUR-P
- TUR-B
- removal of kidney and ureteral stones
- Treatment of kidney colics and urinary tract infections
- Infusion therapies
Operative Gold Standard
A benignly enlarged prostate with treatment-requiring lower urinary tract symptoms – benign prostatic hyperplasia – is one of the most common benign diseases in men.
A bladder tumor is the fourth most common type of cancer in men and affects women as well. Bladder tumors that are detected and treated early have a relatively favorable course of the disease. Currently, bipolar transurethral resection of the prostate and bladder (TUR-P/TUR-B) is the operative gold standard for these treatments.
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SURGERY
At ATOMOS Klinik Währing, we can offer you the TUR-P or the TUR-B using endoscopic surgery through the urethra without an external cut – both for benign prostate enlargement and bladder tumor or bladder neck constriction with the most modern, gentle, and minimally invasive technology, the bipolar transurethral video resection.
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Procedure of a TUR
The bipolar TUR can be performed under general anesthesia or spinal anesthesia. During the procedure, an optical instrument (resectoscope) and an electrical loop are inserted through the urethra. With the loop, the enlarged tissue inside the prostate (or the bladder tumor) is removed, and the outflow from the bladder is restored. Bleeding from opened vessels is controlled with electrical current. After the procedure, a permanent catheter with a rinse solution for bladder irrigation is inserted and left in for a few days. Once the catheter has been removed, bladder emptying is possible again without interruption and with a good urine flow.
The technology used for this enables the greatest possible protection for the urethral sphincter. Additional advantages of the bipolar video resection technique are the preserved function of the erection, low blood loss and shorter convalescence due to the shorter operation time.
You can usually leave the hospital the day after the procedure.