Privatklinik Ritzensee ⚕️ Spitzenmedizin im Salzburger Land

As a specialist in urology and andrology, it is a given for me to address each patient’s individual needs while continuously staying informed about the latest research findings. My work focuses on personalized diagnostics and treatment of prostate cancer, kidney tumors, and bladder tumors, as well as robotic-assisted surgery (Intuitive Surgical Da Vinci system), laparoscopy (keyhole surgery), and endo-urology.

Contact

Dr. med. Stephan Hruby
In der Privatklinik Ritzensee
Schmalenbergham 4
5760 Saalfelden
Austria

T: +43 664 4419720
(Monday to Friday from 9:00 AM to 6:00 PM)

M: ordination@stephanhruby.at
H: www.stephanhruby.at

Surgery hours

By appointment only
Inquire

Dr. med. Stephan Hruby

Specialist in Urology, Preventive Care for Men

Treatments

Key Expertise / Procedures / Treatments:

Prostate Cancer

  • Targeted diagnostics using MRI and targeted biopsies (TRUS/MRI fusion biopsy)
  • “Liquid Biopsy” – “Select MDx” urine gene test for prostate cancer risk assessment with elevated PSA levels
  • Personalized, robot-assisted radical prostatectomy (Da Vinci prostatectomy) with individualized nerve sparing
  • Robot-assisted fluorescence-guided lymph node dissection
  • Comprehensive spectrum of drug therapy for advanced prostate cancer, including palliative care

Benign Prostatic Hyperplasia (BPH)

  • Transurethral resection of the prostate (TURP) using a circulation-friendly irrigation solution, optionally preserving ejaculation depending on patient constitution
  • Robot-assisted enucleation for glands over 100 grams using the Da Vinci system for optimal preservation of ureter openings and the urethral sphincter
  • For high-risk patients:
    • Transurethral prostate vaporization with a plasma probe
    • REZUM method: Prostate reduction via steam, avoiding surgical intervention and permanent catheters in many cases

Chronic Prostatitis

  • Comprehensive diagnostics and individualized treatment plans
  • Shockwave therapy for significant symptom improvement in controlled studies
  • Collaboration with psychologists and physiotherapists for holistic care

Kidney Tumors & Cysts

  • Robot-assisted partial nephrectomy with up to 70% organ preservation
  • Robot-assisted or traditional open radical nephrectomy based on tumor characteristics
  • Medication for advanced kidney cancer

Adrenal Tumors

  • Robot-assisted or laparoscopic adrenalectomy
  • Organ-preserving surgery in selected cases

Reconstructive Urology

  • Robot-assisted procedures for ureteral or pelvic obstructions
  • Bladder diverticulum removal and other reconstructive bladder procedures
  • Placement of ureteral stents and palliative urinary diversion

Urinary Stones

  • Endoscopic stone removal using laser or lithoclast
  • Advanced minimally invasive and laparoscopic procedures for complex stones

Bladder Cancer

  • Advanced diagnostics with fluorescence and NBI imaging
  • Minimally invasive tumor resection and radical bladder removal with individualized urinary diversion options

Erectile Dysfunction

  • Comprehensive treatment plans, including PDE-5 inhibitors, shockwave therapy, and penile implants if necessary

Premature Ejaculation

  • Medication and counseling with interdisciplinary support

Penile Curvature

  • Conservative treatments with PDE-5 inhibitors, stretching devices, and shockwave therapy
  • Surgical correction when necessary

Hormonal Imbalances

  • Comprehensive diagnostics and tailored testosterone replacement therapies

This detailed yet individualized approach ensures optimal care tailored to each patient’s specific needs.

Biography

Professional Experience:

My training in open and minimally invasive surgery was under the guidance of Austria’s most renowned urologists, allowing me to offer my patients extensive experience and a wide surgical spectrum. Additionally, I have comprehensive expertise in the treatment of advanced prostate cancer, ranging from traditional hormone therapy and chemotherapy to modern therapeutic options.

Beyond my practical work, numerous study trips, and clinical observations, I have been actively involved in the national and European urological societies since the start of my training. This includes co-founding and organizing the Austrian School of Urology and the Austrian Society of Urology. Nationally and internationally, I follow medical studies, deliver lectures, and author numerous scientific articles.

Privately, I am happily married and a proud father of a daughter. When not caring for my patients’ health and recovery, I enjoy road cycling, skiing, and playing the guitar on rainy days.

Career Path:

  • 1994 – 2001: Medical studies, University of Vienna
  • 2002: Liver & kidney transplant coordinator, University Clinic Vienna, Prof. Ferdinand Mühlbacher
  • 2003 – 2004: Surgical resident, General Surgery, Donauspital Vienna, Prof. Rudolf Schiessel
  • 2005 – 2009: Urology resident, Kaiser-Franz-Josef-Spital Vienna, Prof. Wolfgang Höltl
  • 2009: Passed Austrian and European board certification exams
  • 2009: Co-founded the Austrian School of Urology
  • 2009 – 2011: Chairman of the European Society for Residents in Urology
  • 2010 – 2016: Senior Physician, Deputy Head & Acting Department Chair (from 2014), Leader of the Prostate Cancer Team, University Clinic for Urology, PMU Salzburg, Prof. Günter Janetschek
  • 06/2016 – 04/2017: Acting Department Chair, University Clinic for Urology, PMU Salzburg
  • 02/2016: Habilitation as a private lecturer at PMU Salzburg
  • Since 2015: Examiner for the European Board Certification
  • Since 07/2017: Head of the Urology Clinic at Tauernklinikum Zell am See

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