Urogynecology

Within our interdisciplinary center, Urogynecology acts as the link betweenthe individual departments. After the initial diagnostic assessment,the interdisciplinary picture is defined and thejoint therapy developed with individual colleagues andtherapists.The physicians and therapists in the Urogynecologydepartment lead their field in training, diagnostics andtherapy. The highest technical quality is ensured bycontinual interdisciplinary exchange between differentdepartments and a cooperative working partnershipwith a number of prominent European hospitals. All becausesatisfied patients is the driving force behind allour efforts.

Key urogynecology diagnostic and therapeutic procedures:

1. Urinary and fecal incontinence

Conservative treatments

  • Nutritional medicine, pelvic floor therapy, EMDA therapy, instillation, drug therapy, gastroenterological workups

Surgical procedures

  • Laparoscopic artificial sphincter implants for urinary and fecal incontinence, sphincter reconstruction for postpartum fecal incontinence, peripheral and central neuromodulation for fecal incontinence, overactive bladder and interstitial cystitis, subcutaneous injections (incl. anal), sling implants, colposuspension, Botox injections, augmentation, stem cell treatments

2. Sexual dsyfunctions

Conservative treatments

  • Individual and couple therapy
  • Real Life Experience process for gender identity disorders

Surgical procedures

  • Neovagina construction with mesh-graft techniques (post-Wertheim procedure or previous operations, vaginal aplasia, malformations)
  • Vaginal introitus reconstructions
  • Genitoplasty for both sexes

3. Small pelvis organ repositioning for urinary and fecal obstipation, sexual intercourse discomforts

Conservative treatments

  • Pelvic floor therapy, diaphragm insertions, nutritional medicine, gastroenterological workups for malnutrition and food intolerances

Surgical procedures

  • Vaginal, abdominal and total laparoscopic hysterectomy, laparoscopic hysterosacropexy, vaginal mesh implants, abdominal and laparoscopic sacropexy, Amreich/Richter vaginal fixation procedure, vaginal reconstructive surgery, transanal procedures, laparoscopic sigmoidectomy

4. Urogenital and intestinal fistula

Surgical procedures

  • All known procedures (vaginal and abdominal) for diagnosing and occluding fistula

5. Neurological disorders

  • Specific tests (needle EMG analysis of pelvic floor muscles and full neurological workups) enable reliably diagnosing MS, Parkinson’s, Spina bifida and other central and peripheral neurological disorders, on the basis of which appropriate treatments can then be discussed together with consulting specialists.

In addition to professional medical coordination, the Urogynecology department has also established a number of social projects. One of these is integrating the nursing home into the diagnostic assessment and treatment of urinary and fecal incontinence in the elderly. The department oversees the interdisciplinary structuring of Diagnosis Related Groups (DRGs) and is instrumental in formulating recommendations and guidelines.

The center is currently running two preventative projects:

  • Educating children and teenagers about pelvic disorders and nutritional and sexual behavior
  • Promoting the sport of golf to prevent pelvic floor ailments and to stabilize senior fitness levels. Because golf is much more than just a game. Golf is a philosophy of life that we wholly embrace and encourage from the medical perspective.

 

 

PD Dr. med. Michal Otcenasek
Senior Physician, Department of Urogynecology

 

 

My guiding principle here at the Center is based on Henry Ford’s motto: Coming together is a beginning. Keeping together is progress. Working together is success.

Dr. med. habil. Annett Gauruder-Burmester
Gynecologist; Additional qualifications: Sexual Medicine and Proctology