Great surgery for you

Damaged bones, joints and cartilage cause discomfort and limitations when damaged. There are many treatment options, conservative therapy, arthroscopic repairs or joint replacement for hip, knee or shoulder. Such surgery will relieve you from pain and limitations, and will significantly restore your quality of life. Germany is one of the leading countries in prosthetics, all these surgical procedures are done on a high level. More than 220.000 hip joints are replaced every year. About 300 hip replacements are made for every 100,000 people in Germany. Similar figures exist for artificial knee joints. Also the shoulder is possible.

In general, joint replacement surgery is a safe procedure. It can relieve pain, remove movement restrictions and bring relief and comfort. As with all types of surgery, the decision should still be made in a balanced manner, and especially for younger patients, it makes sense to consider other treatment options as well.

Minimally invasive endoscopic surgery is the gold standard in a number of medical fields such as urology, gynecology, laparoscopy, otolaryngology, neurosurgery, vascular surgery, etc. Endoscopy uses natural pathways (orifices) or very small incisions instead of open surgery, In a laparoscopy special instruments are inserted with a small camera (endoscope). As a result the surgical treatment itself is more gentle than traditional open surgery.  The patient’s body experiences less trauma, less pain the risk of infection is reduced.

To perform endoscopic surgery, the surgeon and the entire team assisting, must have special skills and extensive practice. Still endoscopic surgery is a standard approach in Germany due to the great benefits for the patients. After this kind of surgery, patients are discharged from the clinic earlier.

Urology clinics in Germany provide comprehensive examination and treatment across all diseases of the urogenital tract. Problems related to the prostate (hyperplasia, inflammation, suspected cancer), stone and cancer treatment are often the reason for seeking help from a urologist. Minimal invasive techniques are used to preserve the quality of life of patients and avoid unwanted consequences as incontinence or erectile dysfunction. 

Cystoscopy and ureteroscopy are performed to examine the urethra and bladder, e.g. for cancerous cells, as well as procedures to remove stones from the urethra, kidney or bladder. The technique for such surgeries requires excellent equipment of the clinic, high qualification of the staff and mastery of the latest techniques whether it is a traditional transurethral resection, laser enucleation of the prostate or a robotic prostatectomy. It is also worth noting the highest level of laboratory diagnostics in German clinics; blood and urine tests include the most up-to-date biomarkers for diagnosing cancer or other serious pathologies. There are also non-surgical treatment methods for benign prostatic hyperplasia (BPH), which enable the patient to be completely cured at an early stage. It is strongly recommended to contact specialists as early as possible if you have problems with urination.

In otorhinolaryngology many different diseases in the ear, nose, throat but also head and neck are treated. The specialty has a wide scope of treatments, from life saving procedures (e.g. cancer) to quality of life improving procedures like functional and aesthetic surgery.

The anatomy is very delicate in otorhinolaryngology. E.g. The ear has the smallest bone and muscles of the human body, which may need replacement to protect hearing. Procedure on the vocal cords may impact the voice. One of the most common applications in this field is the removal of the tonsils. Another common treatment which is sinus surgery, e.g. the removal of polyps. We recommend conservative treatment options and surgical procedures with visual inspection when treatments are done with surgical cameras like high-performance microscopes or endoscopes to minimize risk and pains while shortening the recovery process.

It is a common misconception that Bariatric surgery is an aesthetic intervention. Severe obesity is a serious health risk and increased risk of developing other diseases such as type 2 diabetes, sleep apnea, joint issues, cardiovascular diseases and even cancer. A BMI (Body-Mass-Index) of 40-45 kg/m2  leads in average to a reduced lifespan of eight to ten years. 
Another misconception is that with efforts and willpower overweight always can be battled. While often overweight can be effectively treated under professional supervision with dieting and sports, people with severe obesity are unlikely to return to a normal weight just with conventional therapies. Severe obesity may also change metabolism pathways which affects appetite and rewards signaling and increases susceptibility for diabetes. 
In this case surgical intervention can be effective for combating chronic obesity. According to the SOS studies it also reduces incidences of diabetes by 87 percent.

Bariatric surgery procedures limit the amount of food the stomach can take in and hold, and consequently, weight loss occurs. Procedures include, gastric bypass, sleeve gastric resection, adjustable gastric banding and others. These are minimally invasive laparoscopic procedures with distinct advantages for the patient. These interventions promis a 60-80% loss of excess weight. So Bariatric surgery can be an important part of obesity therapy. It should be always combined with behavioral and lifestyle changes to sustain long-term weight loss.
We can recommend you the leading physicians for bariatric surgery and obesity treatment in Germany. 

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788713/
2. https://pubmed.ncbi.nlm.nih.gov/23163728/
3. https://www.nejm.org/doi/full/10.1056/NEJMoa1614362#t=references
4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5401682/
5. https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/overweight-cancers-infographic
6. https://asmbs.org/patients/bariatric-surgery-procedure