Interdisciplinary Centre for Continence and Pelvic Floor Disorders

The causes of pelvic floor diseases and descending symptoms are diversified, e.g. vaginal births, adiposity (overweight), pre/post-menopausal oestrogen deficiency, significant predisposition, previous surgeries, senile degeneration and many more. The resulting clinical picture is thus variform. Due to the great number of causations and the resulting clinical pictures, it is necessary to call on various medical disciplines as well as the diagnostic and therapy departments in order to provide for the optimum treatment. Therefore, the experts of the EuromedClinic have established a Continence and Pelvic Floor Centre for private and state-insured patients. It is comprised of the operative departments of gynaecology (Prof. Dr. Kleine-Gunk), surgery Prof. Dr. Böttger and urology (Prof. Dr. Schmitz-Dräger, Prof. Dr. Ebert) in cooperation with the physiotherapeutic, psychosomatic, psychotherapeutic (Chief Physician Dr. Sprenger) and radiological (Dr. Eisenkolb) departments.

The patients’ quality of life, sexuality and ability to work is often extremely limited and leads to social conflicts, depressive syndromes and social isolation. In many cases, however, the complaints can be treated or at least alleviated and - an especially important aspect - the quality of life improved again. Do not hesitate to get in touch with us so that we can help you.

Where and how can we help you?

All types of pelvic floor diseases and descending symptoms can be diagnosed and treated in the EuromedClinic.

• Weakness of the pelvic floor in connection with organ position changes
• Rectal or intestinal prolapse
• Urinary incontinence
• Faecal incontinence
• Defecation disorders
• Simple and complicated micturation disorders
• Urogenital fistulas
• Intestinal and anal fistulas
• Cohabitation complaints (pain during sexual intercourse)
• Sexual problems

We have advanced examination techniques at our disposal. In addition to general diagnostics, such as e.g. laboratory blood and urine analyses, standard physical, gynaecological, urological and surgical examinations as well as sonography, these also include the anorectal endosonography, cystoscopy and cystomanometry as well as, in case of complex pelvic floor diseases, the dynamic magnetic resonance imaging (dynamic pelvic floor MRI).

The range of treatment methods of the Continence and Pelvic Floor Centre includes all preventive, conservative (pharmacological or physiotherapeutic), minimally invasive, laparoscopic and open surgical treatment methods.

Preventive, therapy-accompanying, conservative measures:

• Pelvic floor exercises, faradotherapy, biofeedback, conditioning, toilet training
• Psychosomatic care
• Nutritional advice

Surgical options:

Whenever possible, we apply well-tolerated, so-called minimally invasive surgical methods (referred to as MIC or keyhole surgery) or vaginal procedures:

• Surgery of haemorrhoids with stapler
• STARR surgery (transanal rectal resection with stapler/Contour Transtar)
• Laparoscopic rectum/sigma resection, laparoscopic rectoplexy
• All standard gynaecological surgeries, such as e.g. anterior and posterior colporrhaphy (vaginoplasty), vaginal hysterectomy
• Anterior and posterior vaginal pelvic floor reconstruction with mesh implantation and vaginal tapes
• Combined interdisciplinary pelvic floor reconstruction
• Vaginal, abdominal and laparoscopic colposacropexy, if necessary, with mesh implantation
• Urinary incontinence surgery such as TVT, TOT, OP following a hernia
• Injection of the urethral sphincter
• Treatment of neurogenic micturation disorders with botulinal toxin
• Electrostimulation procedure with sacral nerve stimulation in case of micturation and defecation disorders
• All types of bladder augmentations
• Surgical fistula closure (flap grafts, anal fistula plug)

Contact:
Phone +49 911 9714-686

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