Surgery in Germany vs US
Hello everyone,
i week and a half ago I did my RARP at the Martini Klinik, part of the University Clinic Eppendorf in Hamburg, Germany.
The Martini Klinik is also known as the Prostate Clinic, as this is ALL they do there, and NOTHING ELSE.
I am a US citizen but i have been living in Germany for 9 years now.
I am going to describe my experience.
Day1 (the day before the surgery):
-check in at 0900. The reception area is quite big and can rival with the reception of many hotels.
-Brief discussion with a nurse, taking vitals, urine and blood analysis. Here you get your bar coded wrist band that you will have for the entire stay.
- Discussion with an urologist, during which there is a finger rectal exam and an ultrasound rectal exam, and an ultrasound of the bladder and the kidneys.
-1200 you are sent to your assigned floor (i will explain this later). There you find another reception area (which is actually the nurses stations) and then they send you to the lounge area to wait for room assignment. Here there is free water, coffee, cookies and snacks, and various teas.
-12:30 one of the nurses greets you and begins your orientation of the Station where you will spend the next 7 days (YES in Germany they do not discharge you with a catheter a they make sure everything is ok before leaving home)
-12:15 you are in your room that will be shared with one other guy (if you opt for the private room there is a 150 Euro/day extra). The room has two beds a table and 2 chairs, two closets and a toilet WC with Toilet, shower, sink mirror, and small cubbies for each of the occupants)
-13:00 they served me lunch for a relatively large menu (over 20 options) I had fish with steamed vegetables and some souce.
-14:00 I as called downstairs for a discussion with the anesthesiologist and then one brief discussion with the psychologist
the rest of the fist day was open, just hanging around with the other patients, most of which have already gone through the surgery the days before.
-17:30 dinner was served which consists of a rolling buffet stopping by each room. you are given choices of bread, deli meats, cheese assortment, yougurt/pudding, fruits, teas, and nuts.
Then off to bed
Day 2 (surgery day):
-07:00 we were accompanied to the surgery floor (both my roommate and I check in the same day and we went into surgery in parallel) .
Surgery rooms: they have 7 fully equipped, fully staffed surgery rooms, and the operate everyday (M-F) in two shifts, sometimes if they have a lot of patients they may add a third shift. So they are operating at least 14 patients/DAY. This adds up to over 3000 surgeries/year. I have googled this information and I could not find any other Center of Excellence in US or Europe that "pumps" so many patients per year.
Some of you may be concerned, but trust me the conditions there were excellent from all perspectives.
They have 15 permanent surgeon Professor Doctors on staff and a probably about 15 additional surgeons on permanent staff. This is on top of the Urologists, Psychologists and Nurses that are constantly present on the floor.
Going down with the elevator and getting to the surgery floor felt like i was an astronaut going to the lunch pad. there are sliding doors with green/red lights.
In the first prep room there is a surgery rolling bed, equipped with a heated air mattress that feels really awesome. then the cover you with a heated blanket and they roll you down a hallway to the second prep room. Here they insert several IV in both hands/arms scan your wrist band, ask you couple of questions and within 3 minutes the oxygen mask is on your face and all I remember is counting to 1,2,3,4.....then lights out.
To Be Continued in the first comment......
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Thanks for sharing; very interesting. I was particularly impressed with their RARP results (at 1 year 90% continent (all men) and 82% sexual capability (men over 66))
on their website: https://www.martini-klinik.de/en/klinik/outcomes/continence-and-potency
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