Clinic for Urology and Paediatric Urology
‘Treatments of urological diseases are becoming more and more specialised; the routes of access are growing increasingly minimal, while demographic trends mean the patients are also growing older and more ill. Their well-being and satisfaction are our utmost goals at all times.’
(Chief Physicians Dr. med. Manfred Wachter and Dr. med. Rolf Bächle)
Urology is concerned with the prevention, treatment and follow-up of all diseases of the urinary tract (kidney, ureters, bladder and urethra) in women, men and children as well as of the male genitals (penis, testes, prostate).
The Clinic for Urology treats all infections and tumour diseases of these organs, all forms of urinary calculi as well as congenital and acquired changes of the urogenital tract among adults and children. It also treats urinary incontinence in women and men as well as potency, hormonal and fertility disorders.
The treatment of problems and complaints associated with prolapse in women is carried out in an interdisciplinary manner and in close collaboration with the Clinic for Gynaecology and Obstetrics.
Whenever possible, surgical treatment is performed openly in laparoscopic and endoscop (minimally invasive) form.
Range of services
Older people are not the only patients of the Clinic for Urology. Newborns and infants can also receive treatment, for instance in cases of malformations of the genitals and urinary tract, in close consultation with the Clinic for Paediatrics and Adolescent Medicine.
In the interest of properly functioning cooperation among all of the medical disciplines, Gynaecology, Surgery and Internal Medicine at the Municipal Hospital of Pirmasens all avail themselves of expertise in urology. Our concept of urological therapy with short distances also comprises close collaboration with colleagues in private practice and the Medical Care Centre [MVZ – Medizinisches Versorgungszentrum] of the Municipal Hospital of Pirmasens.
The range of services includes nearly all endoscopic and open operations in adult and paediatric urology. Among other things, this includes the entire gamut of tumour surgery, in particular the radical removal of the prostate in cases of prostate cancer (protecting nerve tissue in selected cases); for patients with bladder cancer, this also includes all forms of urinary diversion, including bladder insert and pouch.
Also established are:
- Laparoscopic/endoscopic surgical technique for both benign and malignant diseases
- Interventional therapy
- Anti-incontinence treatment
- Urological prosthetics
- Treatments for urinary calculi including laser lithotripsy
The entire range of tumour surgery is offered in the context of areas of special care in urological oncology. This includes the (in some case potency-preserving) radical conventional or laparoscopic removal of the prostate in cases of prostate cancer (EERPE) or bladder replacement in cases of bladder cancer in both sexes.Added to this is kidney-preserving tumour surgery and drug-based tumour therapy.
In the area of urinary incontinence and urogynaecology, thorough assessment is performed using the urodynamic measuring device. Therapeutically, depending on the findings, treatment might include use of TVT (tension-free vaginal tape), TOT (transobturator tape), minislings, botox and open surgery.
In urological andrology, including prosthetics, the focus is on a differentiated diagnostics and treatment, including topics such as sphincter prosthesis and penile prosthesis.
Working in partnership with the Clinic for Paediatrics and Adolescent Medicine, Paediatric Urology treats the most common congenital or acquired diseases of the genitalia or urinary tract.
Chief Physician Dr. med. Rolf Bächle
Physician for Urology, Drug-Based Tumour Therapy and Andrology
Authorisation to provide advanced training:
- 54 months Urology
Chief Physician Dr. med. Manfred Wachter
Physician for Urology and Drug-Based Tumour Therapy
Authorisation to provide advanced training:
- 54 months Urology
Treatment of urinary calculi
Urinary calculi are crystalline deposits that form in the kidney. They can be found throughout the urinary tract, namely as renal, ureteral or bladder stones. While renal and ureteral stones are usually the result of dietary habits or metabolic disorders, bladder stones generally occur due to disorders of the bladder emptying and can be effectively treated.
Improper diet, overweight and not enough fluids, urinary tract infections and metabolic disorders, disorders preventing the urinary tract from draining, or congenital disorders: there may be different reasons for the formation of urinary calculi. Sometimes, supportive medication and adequate hydration are all it takes to pass urinary calculi. Other therapy options range from using drugs to break up the calculi (chemolitholysis) to breaking them up from the outside through concentrated energy waves (extracorporeal shock wave lithotripsy), or endoscopically (ureterorenoscopy/URS) or percutaneous nephrolitholapaxy. This procedure involves laying a thin channel to the kidney from outside of the body through which the urinary calculi in the kidney can be crushed and removed.
As a classic domain of andrologists, andrology treats diseases specific to a man’s sexual functions. These include fertility problems as well as erectile dysfunction (impotence) or other sexual disorders. Added to this are hormonal disorders experienced by ageing men, sterilisation along with the reversal of sterilisation (known as ‘refertilisation’) and, where, indicated, the implantation of a penile prosthesis.
Paediatric urology concerns the diagnosis and treatment of relevant problems that occur in children between the time of birth and adulthood. Areas of focus include, among other things, the treatment of congenital diseases such as undescended testicles and various forms of a urinary flow disorders, as well as corrective surgery for hypospadia, penile straightening, foreskin corrections or correction of constriction of the urethral opening. Added to this is a wide array of functional or neurogenic disorders of the emptying of the bladder.
Continence therapy is offered in conservative (non-surgical) form, and as operative interventions. For women, this can take the form of open as well as vaginal operations, such as TVT (tension-free vaginal tape), TOT (transobturator tape) and mini slings as well as pelvic floor reconstruction (with and without extraneous material) to relieve complaints due to prolapse and complications; these procedures are carried out in close cooperation with the Clinic for Gynaecology and Obstetrics. Adequate band implantations as well as sphincter prostheses may be used for male patients; and for patients of both sexes, surgical botox therapy of the bladder.
Contact the doctors
Dr. med. Manfred Wachter (l.)
Dr. med. Rolf Bächle (r.)
Contact the clinic
Contact the Urology Practice in the Medical Care Centre:
Outpatient treatment appointments