Clinic for Urology
International Center for robotic Urology Siegen
Robotics consultation hours
Private consultation hours Dr. med. Mustapha Addali
Wednesdays 9.00 a.m. – 1.00 p.m. | 1.30 p.m. – 5.00 p.m.
Consultation hours Ahmed Gaafar
Wednesdays 9.00 a.m. – 1.00 p.m.
Consultation hours Dr. med. Kristofs Folkmanis
Fridays 9.00 a.m. -1.00 p.m.
Welcome to the International Centre for Robotic Urology Siegen (IRUS)
Thanks to state-of-the-art minimally invasive robotic surgery, our team led by chief physician Dr. med. Mustapha Addali has been offering you conscientious and patient-oriented urological care at the highest level in the IRUS of the Kreisklinikum Siegen since April 2021. With the “da Vinci Xi” from the company “Intuitive Surgical”, our clinic has an ultra-modern surgical system that enables particularly tissue-conserving, precise and safe interventions when performing complex reconstructive operations and tumour interventions.
Our clinic offers all the possibilities of robotic urological surgery – from prostate removal in case of cancer to reconstructive procedures such as bladder reconstructions and continence surgery. Chief physician Mustapha Addali has ten years of experience in robot-assisted surgery and has already performed more than 1,300 operations using the “da Vinci” robot-assisted surgical system. At the European Robotic Institute in Gronau, he established the robot-assisted removal of the urinary bladder with intracorporeal urinary diversion, one of the most complex procedures in urology.
With the help of state-of-the-art robotic surgery, a particularly precise preparation of the tissue is possible. Important fine anatomical structures, such as nerves and vessels, can thus be better protected and tumour margins can be assessed more precisely. In addition, the surgical risk is reduced to a great extent and wound healing is faster.
The state-of-the-art treatment method in the IRUS is also underlined by the ARTEMISTM , a system originating from Switzerland with which particularly precise biopsies can be performed and thus the diagnosis and therapy for prostate carcinoma can be optimised. The 3D semi-robotic prostate fusion biopsy system enables a robot-assisted targeted and gentle biopsy of areas in the prostate suspicious of tumour.
At the International Centre for Robotic Urology Siegen, patients from the region as well as from all over Germany and abroad are treated according to the most modern medical standards and technical possibilities in the field of urology.
Range of services
- Radical prostatectomy (removal of the prostate)
- Adenoma enucleation (partial prostate removal for benign prostate enlargement)
- Radical cystectomy (removal of the urinary bladder) with intracorporeal neobladder
- Partial cystectomy
- Bladder neck reconstruction/bladder neck plasty
- Fistula surgery
- Bladder augmentation (enlargement of the urinary bladder)
- Diverticulectomy (removal of bladder diverticula)
- Artificial sphincter (bladder pacemaker for urinary incontinence)
- Urinary bladder replacement procedures (artificial bladder / neobladder)
- Intracorporeal urinary diversion (conduit, neobladder, pouch, Mitranoff stoma)
- Ureteral reimplantation (for ureteral stenosis in the lower ureteral segment)
- Ureteral reconstruction with oral mucosal plasty
- Partial kidney resection (tumour removal from the kidney, preserving the kidney)
- Nephrectomy (kidney removal for kidney cancer, non-functioning kidney)
- Nephroureterectomy (removal of the kidneys & ureters)
- Pyeloplasty (correction of a narrowing at the renal outlet between the kidney and ureter)
- Kidney cyst removal
- Minimally invasive pelvic floor surgery
Main areas of treatment
If you have been diagnosed with a tumour on the kidney, the tumour-bearing tissue can be precisely detached from the healthy tissue as well as ablated and maximum functionality can be maintained. The ablated pathological tissue is removed at the end of the operation through a small incision without contaminating the healthy tissue. The resulting tissue defect after tumour removal is sutured to stop bleeding. Here, the excellent HD optics (up to 10x magnification) and the high mobility of the robotic arms of the “da Vinci Xi” offer an enormous advantage compared to open surgery.
Even very complicated operations on already advanced kidney tumours with, for example, tumour incursions in the large vessels (tumour cones in the renal vein and / or in the vena cava) are performed safely in our clinic with robot-assisted surgery and with a very short post-operative inpatient stay as well as rapid mobilisation.
of the da Vinci Xi Surgical System
The “da Vinci Xi” surgical system is a surgical platform designed to enable complex operations with a minimally invasive approach. Here, the specially trained and qualified surgeon sits at an ergonomic control console in the operating theatre and looks through a high-performance vision system that displays the surgical field in unique three-dimensional high-resolution HD optics with an image magnified many times. The images from the da Vinci’s camera can be magnified up to 10 times. Among other things, this is an enormous advantage in radical prostate removal. Vessels and nerves are spared and thus the probability of complications is minimised.
Thanks to state-of-the-art technology, the “da Vinci Xi” can scale and filter the surgeon’s hand movements and seamlessly transfer them into precise movements of the surgical instruments attached to the four robotic arms. This not only enables particularly precise surgery, but also reduces blood loss during the operation compared to conventional surgical techniques. The surgical risk is reduced to a large extent and wound healing is faster. Patients experience less pain and can leave the hospital more quickly.
Dr. med. Mustapha Addali
Specialist in Urology and Paediatric Urology
Consultant of the German Continence Society
Kreisklinikum Siegen GmbH
Clinic for Urology
International Centre for Robotic Urology
Prostate Centre Southwest