Information About Prof. Dr Roman Ganzer, FEBU

Prof. Dr Roman Ganzer, FEBU
Head Physician
Specialist in Urology / Robot-Assisted Surgery and 3D Laparoscopy in the Urogenital Field, Focal Therapy of Prostate Carcinoma
Bad Tölz, Germany

Asklepios Municipal Clinic Bad Tölz Urology - Logo

Treatment Focus

  • Robot-assisted prostate operations (radical prostatectomy (including nerve conservation and extended lymphadenectomy), extraperitoneal radical prostatectomy (including nerve conservation))
  • Robot-assisted partial kidney resection
  • Robot-assisted pyeloplasty (surgery of the renal pelvis)
  • Robot-assisted urethra reconstruction using psoas hitch surgery or Boari plastic surgery
  • Robot-assisted radical cystectomy (removal of the bladder).
  • Robot-assisted nephro-urethrectomy + removal of the bladder sleeve + lymphadenectomy (removal of the renal-urinary tract complex, including draining lymph nodes)

Medical Range

Range of Diagnostic Services

  • Urological ultrasound diagnosis
  • MRT/TRUS fusion biopsy of the prostate (transrectal and perineal)
  • Systematic transrectal biopsy of the prostate
  • Intrasurgical ultrasound for DaVinci surgery
  • Urinalysis
  • Bladder examination (cystoscopy)
  • Bladder pressure measurement, urinal dynamics, urinal flow


Range of Therapeutic Services

  • Benign prostate hyperplasia (TUR prostate = transurethral resection, laparoscopic adenomectomy)
  • Prostate cancer (robot-assisted radical prostatectomy = removal of the prostate), focal therapy
  • Oncological day clinic (care of the chemotherapy treatment for urological tumours, e.g. prostate cancer, bladder cancer)
  • Urinary stones: Uretherorenoscopy (URS, rigid and flexible), mini PNL, ESWL (lithotripsy), laparoscopic uretherolithotomy,
  • Kidneys: Robot-assisted partial renal resection, laparoscopic nephrectomy, laparoscopic renal cyst removal
  • Bladder: Bladder cancer (open radical cystectomy with neobladder, ileal conduit, nerve-saving; robot-assisted radical cystectomy with intracorporal ileal conduit primordium)
  • Urinary tract: Robot-assisted pyeloplasty, psoas-hitch plastic surgery, Boari plastic surgery
  • Congenital disorders of the urinary tract (e.g. double primordium of the kidney primordium, megaureter)
  • Incontinence (TOT band, male incontinence surgery)
  • Erectile dysfunction (penis prosthesis)

About Prof. Dr Roman Ganzer, FEBU

Prof Dr med. Roman Ganzer has been Head Physician of Urology at the Asklepios Clinic Bad Tölz since July 2017. He is an acknowledged specialist in robot-assisted surgical techniques in the urogenital field through DaVinci. The entire spectrum of urology is covered in the Asklepios Municipal Clinic Bad Tölz. At the clinic, both conservative and surgical procedures are offered and carried out with a high degree of expertise on a daily basis. The department focuses on performing minimally invasive operations using the DaVinci system and 3D laparoscopy.

Faster rehabilitation thanks to DaVinci

Surgery with the DaVinci system is a state-of-the-art, continually developing technical advance that increases the precision of interventions to the highest degree possible. Using robot-assisted interventions that are primarily used in the urogenital field worldwide, the console operator uses hand and foot pedals to guide the arm of a "robot" which processes its movements precisely and jitter-free. The advantages of this technique lie in its outstanding imaging of the operating area through three-dimensional vision and the precise transmission of hand movements to the surgical instruments through seven degrees of freedom. This makes it easier to precisely prepare anatomical structures while not harming surrounding tissue. The operator's years of experience, therefore, lead to excellent results for the patient.

Minimally invasive interventions in the urogenital tract using DaVinci result in smaller cuts, reduced tissue trauma and generally low loss of blood, meaning that patients recover more quickly, require fewer painkillers and develop fewer complications.

Prostate - THE male gland

The prostate is an exocrine gland that produces part of a man's seminal fluid, and thus plays a part in a man's reproductive capability.

Changes to the prostate, whether malignant or benign, become increasingly frequent with age. Prostate cancer is the most common form of cancer in men. This form of cancer is often discovered early through preventive checks and responds well to treatment in its early stages.

Prof Dr Ganzer focuses on robot-assisted radical prostatectomy (complete removal of the prostate) using the DaVinci system. The procedure endeavours to preserve nerves (retain erectile nerves) whenever possible. Depending on the findings, the pelvic lymph nodes are extensively removed.

Focal therapy offers an alternative to surgery and radiotherapy when tumours of the prostate are detected very early and are well delineated. Focal therapy uses a variety of techniques to treat only the tumour, thereby protecting the surrounding tissue as much as possible. Following this procedure incontinence generally does not occur and potency is preserved. Focal therapy is still at the experimental stage and should therefore only be performed as part of studies. Prof Ganzer is an acknowledged expert in the field of focal therapy through high-intensity ultrasound. Prof Ganzer is the head of a nationwide study and a member of the German Urology Society's working group for focal therapy.

Organ-saving surgery in the event of renal tumours

Renal cell carcinoma (renal cancer) is the third most common urological tumour in men and the most common in women. If the tumour is discovered in time, patients generally benefit from an organ-saving procedure in which the tumour is removed at a safe distance while preserving the healthy portion of the kidney. Here, DaVinci surgery offers the advantage of the excellent delineation of the tumour from healthy tissue, as well as the option of keeping the ischaemia period (temporary interruption of blood supply to the kidney) short. Additionally, the entry trauma is significantly reduced as opposed to open surgery, and the patient experiences less pain and can be discharged relatively quickly. If a tumour is located very centrally within the kidney, it is often difficult to delineate it and only a partial removal (partial renal resection) is possible. In such cases, Prof Ganzer uses intra-operative ultrasound to aid delineation of the tumour.

Remedial action for changes in the lower urinary tract

Tumours of the bladder which, in their advanced stage, may necessitate removal of the bladder (cystectomy), can, in selected cases, be treated surgically using robot-assisted technology.

Congenital or acquired changes in the urinary tract (urethra) can lead to the defective discharge of urine from the kidneys. Affected patients often suffer from flank pains, as well as cumulative, severe and highly complicated urinary tract infections involving the kidneys. In order to prevent long-term damage to the kidneys, the patient must receive appropriate and timely assistance. Prof Ganzer routinely performs reconstructions of the urinary tracts (renal pelvis surgery, reconstruction of the urinary tract through psoas hitch and Boari plastic surgery) with the aid of DaVinci.

See here for the website of Prof Dr med. Roman Ganzer, come here.

Curriculum Vitae

10/2004 - 12/2010

Assistant Physician
Clinic and Polyclinic for Urology of the University of Regensburg at the St. Josef Caritas Hospital


PhD thesis
University of Leipzig: "Muscular systems of the lower urinary tract in the male Rhesus macaque (Macaca mulatta): Histomorphology and 3D reconstruction“
Title: summa cum laude


Postdoctoral qualification
University of Regensburg: "Studies of the anatomy of the lower urinary tract of model animals and humans for the optimisation of functional and oncological results following radical prostatectomy in the treatment of prostate carcinoma"


Additional title: "Medicinal tumour therapy"

01/2011 - 12/2013

Senior Physician
Clinic and Polyclinic for Urology of the University of Regensburg at the St. Josef Caritas Hospital


Fellow of the European Board of Urology (FEBU)

01/2014 - 06/2017

Deputy Clinic Director
Clinic and Polyclinic for Urology of the University of Leipzig


Extraordinary Professor
University of Leipzig: Appointment as extraordinary professor (APL)

Medical Team

  • Dr A. Ahmed, FEBU, FECSM
    Chief Senior Physician
  • Dr W. Wiebusch
    Senior Physician
  • Dr H. Mangold
    Senior Physician
  • Dr Wolfgang Brummeisl
    Senior Physician
  • Panagiotis Koutrafouris
    Specialist Physician
  • Angelika Geilhaupt
  • Fiona-Sofia Siokou
  • Rubina Noltensmeier
  • Evgeni Gavrilov
  • Fawwaz Saleh


Roman Ganzer - Hemiablation (Focal Therapy)

Video, Länge 1:00:59

Roman Ganzer - Hemiablation (Focal Therapy) Challenges in Laparoscopy and Robotics 2018, Leipzig, Germany


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Prof. Dr Roman Ganzer, FEBU
Head Physician

Asklepios Municipal Clinic Bad Tölz
Schützenstrasse 15, D-83646 Bad Tölz

T: +49 8041 446 46 11


Monday 12 p.m. - 3 p.m.

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