PD Dr Arsov: Urology & Prostate Cancer Specialist in Mönchengladbach (North Rhine-Westphalia)
- Oncological-urological surgery with a focus on robot-assisted (da Vinci) surgery
- Prostate cancer therapy (prostate carcinoma): minimally invasive nerve-sparing prostatectomy (robot-assisted) with da Vinci surgical robot; MRI-assisted "active surveillance," drug-based prostate cancer therapy with "new hormonal agents" / chemotherapy/radionuclide therapy / PARP inhibitors; in cooperation radiotherapy and LDR brachytherapy
- Bladder cancer (bladder carcinoma): minimally invasive nerve-sparing radical cystectomy with the placement of ileum conduit, ileum neobladder (robot-assisted with da Vinci surgical robot)
- Kidney cancer (renal carcinoma): minimally invasive partial kidney resection with preservation of the kidney with tumor removal alone (robot-assisted with da Vinci surgical robot)
- Stone therapy: flexible ureterorenoscopy, mini-PNL
- Benign prostate syndrome: HoLEP
Range of Diagnostic Services
- Multiparametric resonance tomography of the prostate
- MRI-guided prostate biopsy (3D fusion biopsy) from the perineum (perineal) and rectum (transrectal) without general anesthesia; biopsy in MRI device ("in-bore" MRI biopsy)
- CT/MRI for all urological diseases
- PET, PSMA-PET
- Fine needle biopsy (CT-guided)
- Bone scintigraphy
- Renal scintigraphy
Range of Therapeutic Services
- Comprehensive uro-oncology (prostate carcinoma, bladder carcinoma, kidney carcinoma, testicular carcinoma, penile carcinoma)
- Conservative and surgical treatment of benign prostate enlargement (TUR prostate mono/bipolar, holmium laser enucleation resection (HoLEP))
- Surgical urology, mostly robot-assisted, open-surgical expertise also available
- Drug therapy (chemotherapy, immunotherapy, radionuclide therapy, hormone therapy) for metastatic urological tumors
- Stone therapy
- Incontinence surgery
About PD Dr Christian Arsov
PD Dr Christian Arsov is a specialist in prostate cancer and head of the Urology Department and Prostate Center at the Elisabeth-Krankenhaus Rheydt in Mönchengladbach.
The Prostate Center in Mönchengladbach is dedicated to the interdisciplinary diagnosis and excellent surgical treatment of prostate diseases at the highest level. The cooperation of urologists and radiologists at the center allows each patient to receive exact diagnostics and individualized wide-ranging therapy.
Specialist for prostate cancer – Extensive Treatment Spectrum
The prostate, also known as the prostate gland, is found in the male below the urinary bladder. As an accessory sex gland, it produces part of the ejaculatory fluid. In older age, about half of all men suffer from a benign enlargement of the normally chestnut-sized organ. However, malignant prostate cancer is also considered the most common cancer in men.
As a urologist with the additional designation of medical tumor therapy, PD Dr Christian Arsov specializes in treating malignant prostate neoplasms.
At the Elisabeth-Krankenhaus in Mönchengladbach, not only surgical therapy options are available, but also various non-invasive options.
Radiation therapy from the outside and brachytherapy can be an alternative to surgery as a local radiation method. In addition, the entire range of medicinal system therapy for all urological tumors is also available in the department. Furthermore, PD Dr Arsov is also very experienced in hormonal therapy with the new androgen antagonists ("new hormonal agents").
Multiparametric Prostate MRI
This combination of three radiological imaging methods enables an extremely precise diagnosis of suspected prostate carcinoma cases. If the tissue has degenerated, the tumor can be localized in the organ with millimeter precision using multiparametric MRI; in addition, statements can already be made about the extent and aggressiveness of the tumor.
Tumor tissue shows abnormally high cell densities due to the uncontrolled cell division rate; the increased blood flow within the mass can be detected in an examination with a contrast agent. Thanks to these parameters, a tumorous process within the prostate can be diagnosed reliably.
If, on the other hand, the multiparametric prostate MRI does not provide any suspicious findings, a malignant process can be excluded with a high degree of probability.
3D Fusion Biopsy: State-of-the-art Diagnostics for Suspected Prostate Cancer
Three-dimensional fusion biopsy is also used to clarify a suspected prostate carcinoma. In this method, multiparametric MRI images of the prostate suspected of having cancer are taken as a first step. Then, suppose the suspicion of cancer is confirmed. In that case, the digital MRI images are fused on the screen in real time during an ultrasound examination to make the suspicious areas visible. This way, the urologists around PD Dr Arsov benefit from precise ultrasound navigation to take a punch biopsy. This can be done both from the rectum and through the perineum.
Prostate Cancer under Observation: Watchful Waiting & Active Surveillance
Since prostate carcinomas usually grow very slowly, watchful waiting is often advisable without taking direct therapeutic action.
Watchful waiting is a gentle therapeutic approach that focuses on quality of life in men of advanced age or in patients whose life expectancy has already been significantly reduced by other diseases. Only when a displacing tumor growth leads to symptoms, such as difficult urination, is therapeutic intervention carried out to maintain the quality of life.
A distinction must be made between this and active surveillance, in which younger patients with an average life expectancy undergo close-meshed monitoring, leading to radical therapy as soon as tumor growth exceeds a critical limit or symptoms occur.
High Level of Expertise in the Therapy of Prostate Cancer
Suppose the decision is made to take further steps within the framework of active surveillance. In that case, the team led by PD Dr Arsov at the Elisabeth Krankenhaus in Mönchengladbach offers a broad spectrum of all therapeutic options.
Surgical removal of the tumor is not always necessary. Treatment with androgen antagonists, a group of drugs that can block receptors for male sex hormones, can also inhibit tumor growth and melt down the tumor mass.
In addition to classic cancer therapy methods, such as radiation and chemotherapy, brachytherapy is also used for prostate cancer. This is a unique form of local radiation in which small radiation sources (seeds) are implanted into the prostate tissue under ultrasound control and irradiate the tumor from within.
Special Department for Prostate Cancer Surgery in Mönchengladbach, Germany
Patients with prostate cancer with a real chance of complete removal and cure should undergo a radical prostatectomy, i.e., total prostate and vesicular gland removal. This procedure focuses on preserving function as the second important treatment goal. The aim is to spare those nerve cords necessary to control urination and erectile function. Due to the high number of cases and the associated clinical routine, PD Dr Christian Arsov and his team are particularly sensitized to the functional preservation of these important pathways when performing this operation.
- Prof. Dr Dirk Blondin
Head Physician of Radiology, Specialist in Diagnostic Radiology & Neuroradiology
|Mönchengladbach Main Station
Information About Mönchengladbach
The independent German city of Mönchengladbach is located west of North Rhine-Westphalia. Mönchengladbach is well-connected and easily accessible by public transportation. With more than 271,000 inhabitants, it ranks as the largest city in the left Lower Rhine region. A colorful mixture of historic buildings and modern architecture can be admired in the various districts. In the district of Rheydt, a charming central meeting place in the form of the market square is located, which also serves as a venue for many significant events. In addition to many opportunities to pursue a passion for sports, Mönchengladbach also offers an impressive sports stadium - Borussia Park.
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PD Dr Christian Arsov
Head Physician of Urology, Head of the Center for Prostate Diseases
Städtische Kliniken Mönchengladbach – Elisabeth-Krankenhaus Rheydt
Hubertusstraße 100, D-41239 Mönchengladbach
T: +49 2166 274 3878 (only private patients and self-payers)
F: +49 2166 394 2728
For Private Patients and Self-Payers