Prof. - Roman Ganzer,
FEBU - Urology -

Prof. Roman Ganzer, FEBU

Specialist for urology and prostatic cancer in Bad Tölz

Prof. - Roman Ganzer,
FEBU - Urology -
Prof. Ganzer is regarded as a specialist in questions concerning the prostate, who stands for absolute high-performance medicine at the highest scientific level. The renowned urologist draws attention to himself through innovative surgical methods - for example, he introduced a completely new therapy for prostate cancer in Germany.

Special Clinical Focus

  • Robot-assisted prostate surgery (radical prostatectomy (including nerve preservation and extended lymphadenectomy), extraperitoneal radical prostatectomy (including nerve preservation)
  • Robot-assisted partial nephrectomy
  • Robot-assisted pyeloplasty (reconstruction of the renal pelvis)
  • Robot-assisted ureteral reconstruction by means of psoas hitch plasty or Boari’s flap plasty
  • Robot-assisted radical cystectomy (surgical removal of the bladder)
  • Robot-assisted nephro-ureterectomy + excision of the bladder cuff + lymphadenectomy (excision of the renal-ureter complex, together with the efferent lymph nodes)

About us

Prof. Roman Ganzer, Fellow of the European Board of Urology (FEBU), is the Senior Consultant of the Center of Excellence Urology of the Asklepios City Hospital in Bad Toelz. In 2004, Prof. Ganzer completed his specialist training in the Department of Urology of the University of Regensburg and presented his post-doctoral thesis in 2010. From 2014 until June 2017, he was the Deputy Clinical Director of the Clinic and Polyclinic for Urology at the University of Leipzig. Since 2017, he has also been an Adjunct Professor of Urology.

Prof. Ganzer was appointed as the new Senior Consultant of the Department of Urology at the Asklepios City Hospital in Bad Toelz on 1 July 2017. In Prof. Ganzer, the Center of Excellence Urology of the Asklepios City Hospital in Bad Toelz has a Senior Consultant who attaches great importance to state-of-the-art and future-orientated techniques. Using his knowledge of advanced techniques and the high-tech facilities of the hospital, Prof. Ganzer, together with his team, has established the Department of Urology as a nation-wide centre of excellence in urology. As one of the largest hospital operators in Germany and Europe, Asklepios has a special responsibility to ensure the highest standards of patient care. In order to further improve quality, Asklepios is setting up high-performance medical centers throughout Germany. "The "Asklepios Centers of Excellence" are characterized by a special reputation and experience of doctors and nursing staff as well as a high quality of results and patient demand, often combined with a specialization in the treatment of certain diseases. The Center of Excellence Urology of the Asklepios City Hospital Bad Tölz fulfils these requirements.

The emphases of Senior Consultant Prof. Dr. med. Roman Ganzer and his team include robot-assisted (da Vinci) surgery, laparoscopic 3-D surgery, the focal treatment of carcinoma of the prostate and MRI / ultrasound fusion biopsy of the prostate.

Focal therapy of prostate cancer is a novel, promising form of treatment that can be applied to certain forms of prostate cancer. It is a treatment that can be considered between radical prostate removal and active monitoring of carcinoma growth in slow tumor forms. It is a minimally invasive robotic-assisted procedure in which an ultrasound probe is inserted through the rectum and from there destroys the cancerous tissue in the prostate.

The advantage of focal therapy is the fast and simple feasibility of the procedure. In addition, radical prostatectomy with its often associated disadvantages in terms of continence and potency can be avoided in some cases. Focal therapy is currently still in the experimental stage and is therefore only carried out as part of studies. Prof. Ganzer leads the German HEMI study, in which specialists investigate the results of focal therapy in more detail.

The “da Vinci” surgical robot system was designed to support the surgeon during procedures. “Da Vinci” is not actually a surgical robot, but is a system, which only does what is specified by the medical practitioners. The expertise of the surgeon and long-standing experience are crucial requirements. Only a well-trained and experienced surgeon has the necessary experience to undertake a broad spectrum of special procedures using the “da Vinci” system. Prof. Ganzer is an established specialist in the field of robot-assisted surgical techniques using “da Vinci”.

Da Vinci surgery can be performed with a high degree of precision and as gently as possible for the patient. Inter alia, “da Vinci” is employed in the excision of the prostate gland for prostatic cancer (radical prostatectomy), in renal tumours and in carcinoma of the urinary bladder.

Numerous reconstructive procedures such as pyeloplasty and ureteral re-implantation are also within the range of this system. Thanks to the smaller incision, a lower level of tissue trauma and the generally lower blood loss, the patients are more rapidly fit again, require less analgesia and develop complications less often following “da Vinci” procedures than with open procedures.

Diagnostic Services

  • Ultrasound urological diagnostics
  • MRI/TRUS fusion biopsy of the prostate (transrectal and perineal)
  • Transrectal systematic biopsy of the prostate
  • Intra-operative ultrasound during da Vinci surgery
  • Urine examination
  • Bladder inspection (cystoscopy)
  • Video urodynamics
  • Radiological urology diagnostics

Therapeutic Services

  • Benign prostatic hyperplasia (TUR prostate = transurethral resection, laparoscopic adenomectomy)
  • Carcinoma of the prostate (robot-assisted radical prostatectomy = excision of the prostate), focal therapy
  • Urinary calculi: ureterorenoscopy (URS, rigid and flexible), mini PNL, ESWL (lithotripsy), laparoscopic ureterolithotomy
  • Kidneys: robot-assisted partial renal resection, laparoscopic nephrectomy, laparoscopic renal cyst ablation, robot-assisted nephroureterectomy
  • Bladder: carcinoma of the bladder (open radical cystectomy with neobladder, ileal conduit, preservation of the nerves; robot-assisted radical cystectomy with insertion of intracorporeal ileal conduit)
  • Ureters: robot-assisted pyeloplasty, psoas hitch plasty, Boari’s flap plasty congenital disorders of the urinary tract (e.g. duplex kidney, megaureter)
  • Incontinence (TOT surgery, male incontinence surgery)
  • Erectile dysfunction (penile prosthesis)

Medical spectrum


  • Bladder cancer
  • Bladder disorder
  • Cystocele
  • Erectile dysfunction
  • Penile cancer
  • Prostate disorder
  • Prostatic cancer
  • Prostatic hyperplasia
  • Renal stones
  • Testicular cancer
  • Urinary calculi
  • Urinary incontinence
  • Urinary tract tumor
  • Varicoceles


  • Andrology
  • Artificial urethral sphincter
  • Bladder suspension
  • Brachytherapy
  • Chemotherapy for prostatic cancer
  • Cystoscopy
  • Da Vinci prostatectomy
  • Focal therapy
  • Laparocopic prostatectomy
  • Orthotopic neobladder
  • Prostatic cancer surgery
  • Radical cystectomy
  • Radical orchi(d)ectomy
  • Radical prostatectomy
  • Reconstructive Urology
  • Robot-assisted radical prostatectomy
  • Seed Implantation for prostatic cancer
  • Transurethral resection of the prostate / TURP
  • Vasectomy


  • Prostate diagnostics
  • PSA test



Asklepios City Hospital, Bad Toelz

Schuetzenstrasse 15
Bad Tölz


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