Prof. Dr. med. Stephan Roth

Curriculum vitae

Prof. Dr. med. Stephan Roth

In the years from 1976 until 1983, Professor Roth did his medical studies at the RWTH, in Aachen. He worked as an assitant at the University of Paris in the department for urology, until 1985. The following years he assisted at the clinic for urology and child urology, in Düren. In 1989, he received his acknowledgement as a physician for urology. Also in 1989, he worked as a functional head physician in the urological and child urological clinic, in Düren. He continued his career with a research fellowship at the University, in Rennes, France. Starting in 1992, he became head physician at the clinic and policlinic for urology, the Westphalian Wilhelms-University, in Münster. He did his habilitation and received the vena legendi for the subject urology also at the medical faculty of the Westphalian Wilhelms-University, in Münster. In 1993, he was acknowledged to the leading head physician. A year later he worked at the Havard Medical School, in Massachusetts, in the department of urology. Finally, in 1997, he was nominated to the extraordinary chief physician for urology. Since December 1992, Professor Roth is the director of the clinic for urology and child urology, professorship for urology at the University Witten/Herdecke, at the HELIOS Hospital Wuppertal. Professor Roth is co-author and author of several publications and research projects in the field of urology.

Memberships:

  • German association for urology
  • French association for urology
  • American Urological Association (Corresponding membership)
  • Research group of oncology of the DGU: section urine-cytology
  • Research group urological oncology (AUO) of the German Cancer Association ( research group: quality of living)
  • Interstitial Cystitis Association (academic advisor)


Urology


Services

  • Urological oncologic surgery with
  • Radical prostatectomy, radical cystectomy with urinary diversion, kidney tumor surgery including partial kidney resection
  • Testicular tumor surgery with retroperitoneal lymph node clearance
  • Urological stone therapy including ESWL
  • Pediatric urology
  • Neurourology
  • Urogynecology
  • Andrology
  • Urological chemotherapy

 

Specialist areas

  • Operative therapy of prostate carcinoma with microsurgical nerve preservation
  • Reconstructive urological surgery with replacement bladder operations and open urethra reconstructions
  • Ureter replacement operations
  • Endourology with transurethral surgery


Urological diseases 

Benign Prostate Enlargement

Benign enlargement of the prostate, also known as BPH (benign prostatic hyperplasia) is a widespread disease that is increasingly common with age. More than half of all men over 60 are affected by these changes. The problems they present can differ greatly. In addition to a decrease in urinary flow with increased duration of urination, common complaints include increased urination urge and frequent nocturnal urination. The treatment requirements depend on the severity of the disease and, among other factors, the psychological strain of the individual. 1,900 patients underwent operations for this disease at the HELIOS hospitals last year. Many other patients are treated with drugs. Before the treatment starts, a specialist doctor should be consulted and a malign tumor ruled out (including through determination of the PSA level).

Urological Tumors

Prostate Cancer (Prostate Carcinoma)

Prostate cancer is one of the most common tumor diseases in men. Early detection and therapy applied at the right time are therefore particularly important to the survival rate in the event of tumors on the prostate gland. In terms of therapy, there are several options that are geared towards the individual needs of the patient according to the type and stage of the tumor. In the early stage of the disease, recovery is possible through the operative removal of the prostate or different types of radiation treatment (percutaneous, seeds, afterloading).

If the tumor has already spread to other organs, further dissemination can be delayed through more long-term hormone therapy and chemotherapy.

Renal Tumors

The most common malign tumor of the kidneys in adulthood is renal cell carcinoma. Today, this is increasingly detected and treated in the early stage in the context of a routine examination. The main priority in treatment is the operative removal of the tumor. In this case, the kidney can often be retained.

Testicular Tumors

Malign neoformations on the testicle most frequently occur between 18 and 40 years of age. Due to the major advances in operative therapy and chemotherapy, this disease is curable mainly in the early stages in over 80% of cases. Early symptoms are painless or painful testicular swellings, pulling or a feeling of heaviness in a testicle. If such symptoms are noticeable, a urologist should be consulted immediately.

Bladder Tumors

Blood in the urine can be a symptom of a bladder tumor. Immediate clarification is therefore advised. Other symptoms, albeit ones that also occur with other diseases (bladder infections), can be strong urination urge, a burning sensation during urination and pain in the flank area. The diagnosis is generally made through a bladder examination (cystoscopy), an examination of the cells in the washings in the urinary bladder (cytology), as well as a contrast agent x-ray of the lower urinary tract (excretory urography). If a bladder tumor is diagnostically identified, it is generally removed through the urethra with a small electric loop (transurethral bladder tumor resection). As bladder tumors frequently tend to reappear elsewhere, regular checks by a urologist are advised. In severe cases, complete removal of the urinary bladder can also be necessary.