Prof. - Axel Heidenreich - Urology -

Prof. Dr. med. Dr. h.c. Axel Heidenreich

Specialist for uro-oncology in Cologne

Prof. - Axel Heidenreich - Urology -
Prof. Heidenreich is considered an absolute luminary in all areas of urology - from urological oncology to reconstructive surgery. He has attracted attention internationally mainly through his scientific activities.

Special Clinical Focus

  • Robot-assisted radical prostatectomy
  • Organ-preserving kidney tumour surgery, kidney tumour enucleation
  • Radical cystectomy and orthotopic neobladder
  • Retroperitoneal lymphadenectomy (after chemotherapy)
  • Chemotherapy for bladder, testicular, kidney and prostate cancer
  • Reconstructive surgery on the ureter and urethra
  • Surgical andrology

About us Prof. Dr. med. Dr. h.c. Axel Heidenreich

If a clinic covers the entire spectrum of urology services and makes a name for itself with innovative surgical methods, it is an indication of top-class management. In fact, the Clinic for Urology, Uro-Oncology, Special Urological and Robot-Assisted Surgery is headed by a specialist who has an international reputation that only a few other specialists in his discipline can boast of. This applies to expertise in diagnostic procedures as well as specialised treatment methods and its outstanding position in academic research and teaching: Prof. Dr. med. Dr. h.c. Heidenreich covers all areas of the versatile field of urology at university level.

When it comes to progress in modern medicine, the University Hospital of Cologne with its science-oriented approach is one of the leading university hospitals in the German-speaking world. With "cutting-edge medicine for the people of Cologne and its surrounding region", this modern hospital offering maximum-care also takes on social tasks in research, teaching and patient care - with around 370,000 patients a year.

All the clinics and centres of the University Hospital Cologne - but especially the urology department - stand for this way of thinking. To be more precise, this is the Clinic for Urology, Uro-Oncology and the Special Urological and Robot-Assisted Surgery. It is headed by an internationally renowned specialist who, with his high level of expertise and as clinic director and head of the Uro-Oncology Centre, presides over a motivated and competent team whose joint activities have a charisma that extends far beyond the Cologne-Bonn region.

Complete range of services: Urology in all its facets

Asked by a magazine what he specialised in, Prof Heidenreich replied: "retroperitoneal lymphadectomy, retroperitoneal residual tumour resection, systemic chemotherapy, high-

dose chemotherapy, personalised therapy and organ-preserving testicular tumour enucleation." His Wikipedia entry puts it in more general terms: "His clinical focus is on radical tumour surgery of the prostate, urinary bladder, kidney and testis, medicated uro-oncology, salvage surgery of advanced urological tumours and reconstructive urological surgery."

In any case, his range of services suggests that Prof. Dr. med. Dr. h.c. Heidenreich dedicated himself with full commitment to all aspects of urology already at an early stage. Urology is one of the most versatile medical disciplines of all; it includes diseases of the kidneys, bladder, ureters and urethra - in men as well as in women and children. In men, there are also other diseases; the testicles and epididymis, vas deferens, seminal vesicles, penis and prostate are also the subject of urological activities.

Special expertise: Tumours of the urogenital tract

He is also known nationwide for his extensive experience in the treatment of prostate cancer, testicular tumours and penile carcinomas.

Therefore, Prof. Dr. med. Dr. h.c. Heidenreich is the right specialist for all matters of urology - also because he can rely on a team that works hand in hand at all times, from diagnostics to innovative therapy approaches to individual follow-up treatment, and stays up to date through constant further training. Whether it is bladder cancer or urothelial carcinoma of the upper urinary tract, kidney or ureteral stones, narrowing of the urethra or ureter, or incontinence, Prof. Heidenreich and the team at the Department of Urology, Uro-Oncology, Special Urological and Robot-Assisted Surgery always have a university-level solution ready.

Prof. Heidenreich has written that the renowned clinic in Cologne has special expertise in the treatment of tumours of the urogenital tract - because the clinic has been certified several times. After a thorough examination, the German Cancer Society classified the Integrated Centre for Integrated Oncology (CIO) as an oncological centre, and the umbrella organisation of prostate centres confirmed that the clinic meets all the criteria to be recognised as a "Certified Prostate Centre in the DVPZ e.V.". In addition, the Urology Clinic is one of the few institutions in Germany to be certified by the German Cancer Society as a national and international kidney, bladder and prostate cancer centre. The clinic has been certified as a testicular tumour centre by the European Board of Urology. It is also accredited as a "second opinion centre for testicular tumours" by the German Cancer Society and the German Society for Urology - i.e. for the therapy of testicular germ cell tumours.

Drug-based tumour therapy includes all facets of hormone, immuno-oncological and chemotherapy treatment, including a large number of clinical trials. This department is led by PD Dr. med. Paffenholz, Prof. Dr. Heidenreich and Prof. Dr. Pfister.

The Continence and Pelvic Floor Centre Cologne, where five departments jointly treat all forms of urinary and faecal incontinence, is also headed by the Department of Urology. This department is headed by Dr. med. Karapanos, who has a high level of surgical expertise and also performs complex surgical procedures such as sacrocolpopexy and fistula surgery on a

regular basis.

Reconstructive surgical urology of the upper and lower urinary tract is routinely performed with a high number of cases annually. For example, the Department of Urology is one of the few in Germany that regularly performs ureteral replacement every year using a small bowel interposition device. Reconstruction of the urethra using native or artificially grown oral mucosa is also one of the typical surgical procedures in Cologne.

One topic that is particularly close to Prof. Heidenreich's heart is robot-assisted surgery. He established the section for robotic surgery right away when he took over as head in Cologne in 2016 - by then he was already considered a pioneer of this innovative method, which is becoming increasingly important in urology in particular. No wonder, then, that the Cologne clinic has the latest generation of equipment with the "Xi" version - and the case numbers are constantly rising.

Prof. Dr. med. Dr. h.c. Heidenreich, who received his honorary doctorate from the Carol Davila University in the Romanian capital Bucharest, is very well networked as a member of numerous professional societies. He is a member of the board of the Urological Oncology Working Group and the Interdisciplinary Testicular Tumour Group of the German Cancer Society; he is also a member of the board of the European Germ Cell Cancer Consensus Group and a member of the Guidelines Commission on Prostate Cancer of the German Society of Urology and the Guidelines Commission on Testicular Tumours of the European Society of Urology. In an advisory capacity, he supports uro-oncology societies in several countries - and he is part of the "Task Force for the Testicular Tumour Group" of the French Cancer Society.

Diagnostic Services

  • Transrectal histo scanning ultrasound for prostate cancer
  • Endo-rectal MRI and MR spectroscopy
  • MR-guided prostate biopsy
  • Fluorescent cystoscopy with hexaminolevulinate

Therapeutic Services

Outpatient Clinic

The inter-disciplinary continence center is an integral part of the Outpatient Clinic.
Diagnosis and conservative treatment for stress and urge urinary incontinence in children and adults is offered. Systemic chemotherapy, molecular rargeted therapy and intravesical instillation therapy is performed in the interdisciplinary outpatient oncological clinic.
Along with standard therapy, a variety of clinical trials are carried out on metastatic urological tumors.

Urological Surgery
The Department of Urology has three operating theaters in the University Hospital, aswell as an inter-disciplinary theater for intra operative radiation.

Surgical procedures
Urological oncology

  • Radical nerve-sparing prostatectomy ± laparoscopic pelvic lympadenectomy
  • Radical salvage prostatectomy after radiation treatment
  • Brachytherapy for carcinomas of the prostate
  • High-Intensity Focused Ultrasound (HIFU)
  • Radical nerve-preserving cystectomy in both men and women
  • Radical prostate-preserving cystectomy
  • Urinary bladder replacement (ileal conduit, pouch, neobladder)
  • Radical tumor nephrectomy
  • Organ-sparing enucleation resection of kidney tumors
  • Resection of kidney tumors with vena cava thrombosis
  • Retroperitoneal post-chemotherapy lymphadenectomy for testicular
  • tumors
  • Organ-sparing tumor nucleation for testicular tumors
  • Laparoscopic and retroperitoneoscopic surgery
  • Systemic chemotherapy, molecular treatment of metastasising urological tumors

Reconstructive urology

  • Plastic rebuild of the penis
  • Pediatric urological operations
  • Urethral surgery buccal mucosa grafts
  • Ureteral-Ileal-replacement, ureteral prosthesis
  • Penile implants for erectile dysfunction, artificial sphincter for incontinence
  • Micro-surgery
  • Kidney transplantation
  • a-v stunt surgery and CAPD catheter implants

Endoscopic therapy

  • Transurethral bipolar plasma vaporization of the prostate
  • Transurethral laser ablation of the prostate
  • Endoscopic stone lithotripsy using laser (URS, PCNL)
  • External shock waves (lithotripsy)

Medical spectrum




Special Offers / Arrangements / Rooms

  • Single and double rooms
  • LCD television screen
  • Internet access



Universitätsklinikum Köln (AöR)

Kerpener Str. 62
50937 Cologne

Call now: +49 221 46704108
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