Diseases

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.