Your symptoms

• Urinary incontinence
  - Involuntary loss of urine when coughing, laughing, exercising or at rest
  - Strong urge to urinate
• Bladder emptying problems
  Incomplete emptying of the bladder
• Recurrent urinary tract infections
• Faecal incontinence
  Involuntary loss of stool and release of intestinal gases
• Constipation
  Difficulty with or incomplete emptying of the bowel
• In women:
  • Lowering of the uterus and/or vagina, with
  • Lowering of the bladder and/or
  • Descent of the bowel
    - Feeling of pressure or of having a foreign body in the vagina
    - Pulling sensation or pain in the lower abdomen or lower back

Range of services

Diagnostics

We will discuss your problems in a detailed initial consultation. To get to the bottom of the causes, we usually carry out a physical examination.

We have numerous modern methods of diagnosis at our disposal. These include laboratory examinations of blood and urine, ultrasound, radiological and endoscopic examinations as well as functional examinations such as bladder pressure measurement (urodynamics and videoourodynamics).

Therapy

Conservative

In many cases, conservative treatments such as targeted physiotherapy, nutritional advice or drug therapy are able to help those affected. We will also be happy to advise you in the search for suitable aids (e.g. pessaries).

Operative

The Pelvic Floor Centre offers the entire spectrum of surgical therapies. These includes both time-tested surgical techniques as well as minimally invasive procedures and innovative operations with tissue replacement.

• Tension-free vaginal loops
  (DVT, retropubic and transobturatorial bands)
• Vaginal, abdominal and endoscopic prolapse surgery
• Net-supported defect-oriented descensus/prolapse surgery
• Colposuspension
• Correction of prolapses of the rectum
• Sacral nerve modulation
• Botox therapy

The pelvic floor is of crucial importance for the function of the bladder and intestines. Births, connective tissue weakness, operations and chronic overloading can lead to damage to the pelvic floor, with functional disorders of the bladder and bowel. This can result in unwanted leakage of urine (urinary incontinence), problems emptying the bladder, faecal incontinence or defecation disorders. Due to the weakness of the holding apparatus, a woman's uterus, vagina, bladder or intestines may be lowered, which can considerably impair the function of these organs.

As a result, the quality of life of those affected is often significantly reduced already in middle age. Successful treatment of the dysfunction of the pelvic organs (bladder, intestine, vagina and uterus) offers the chance to participate actively once more in life. A prerequisite for this is precise clarification of the cause of the problem. Only then is an individual, promising therapy possible.