Pelvic floor & incontinence

  • Urogynecology

Pelvic floor weakness and incontinence – what is it?

Urinary incontinence and pelvic floor weakness are a widespread problem. Seven to eight million people in Germany alone suffer from it. The involuntary and uncontrolled leakage of urine significantly reduces the quality of life.

Urogynecology is an area of gynaecology that deals with prolapse problems and incontinence. Muscle weakness, pelvic organ prolapse, a lack of estrogen, childbirth and heavy physical labor can all lead to functional disorders such as urinary and faecal incontinence.

Types of urinary incontinence

There are different forms of incontinence. One of the most common forms is stress-induced urinary incontinence when coughing, sneezing, laughing and exercising. Another common form is urge incontinence. The main symptom here is a frequent urge to urinate that is almost impossible to control. Both forms of bladder dysfunction can also occur together. Precise diagnosis is a prerequisite for the best possible treatment.

Urinary incontinence and pelvic floor weaknesses should no longer be taboo subjects.

Therapy options

Depending on the severity of the pelvic floor problems and the individual circumstances of those affected, different treatment concepts are put together.

Electrostimulation therapy with biofeedback:

An effective form of therapy

Pessary therapy:

There are various shapes and sizes available.

Medicamentous therapy:

Treatment with medication is limited in time.

Local hormonal therapy (estrogenization):

With creams and suppositories.

Pelvic floor training

Physiotherapeutic and apparatus-based.

Surgical therapy options

After exhausting all conservative treatment options using individual and gentle procedures.

The focus is always on your satisfaction, so that you do not have to accept any reduction in your quality of life in everyday life as a result of the issue.

Procedure for the first examination

During your appointment in our urogynaecology consultation, a detailed medical history will first be taken. At the same time, the information you provide in the questionnaire will be discussed with you. The following examinations will also be carried out if necessary:

  • Pelvic floor assessment by means of a gynecological examination
  • Electromyographic measurement of the activity of the pelvic floor muscles
  • Bladder pressure measurement (also known as urodynamics or cystotonometry)
  • Ultrasound examination of the pelvic floor and vaginal entrance (vaginal and introitus sonography)
  • Residual urine control
  • Urinary cystoscopy (cystoscopy)
  • Various radiological examinations (CT and MRI)

What you bring along

  • A referral from your gynecologist
  • The completed questionnaire
  • The health insurance card