Diseases of the Pelvic Floor, Incontinence
Diagnostics, conservative treatment concepts and advanced surgical corrections for functional pelvic disorders.
The treatment of incontinence depends on many individual factors such as existing pelvic floor problems, chronic sphincter changes or old injuries.
"Proktologie Prinzregenten 121" in Munich carries out all conservative and surgical procedures, both in-patient and out-patient, such as sphincter reconstruction, implantation of artificial sphincters and supporting systems such as sacral nerve stimulation with an incontinence pacemaker.
In connection with voiding disorders and weakness of the pelvic floor, complaints with a constant feeling of pressure, incomplete voiding, strong intestinal gas development and a feeling of fullness often occur.
A rectal prolapse can be responsible for this. If certain conditions are present, a scar-free intestinal operation performed via the anus will provide relief. In advanced cases, when an operation from the abdominal cavity is unavoidable, it is also carried out using minimally invasive keyhole technique (MIC) (visceral surgery, proctology).
In doing so, we generally do not perform a partial bowel removal, which is still standard in many places, taking into account the individual risk-benefit ratio.
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Below we have provided an information document (in German) as a PDF file.
Urinary & Fecal Incontinence
Incontinence (weakness in stool or urine retention) often massively affects the quality of life of those affected. It is frequently caused by chronic changes in the sphincter, congenital or acquired pelvic floor weaknesses, or injuries (e.g. after child birth). In our practice, we develop an individually adjusted step-by-step plan to restore continence.
Core Treatments & Procedures
- Conservative therapies: Specialized pelvic floor training with biofeedback and electrotherapy for targeted muscle strengthening.
- Sacral nerve stimulation (SNS): Minimally invasive implantation of an incontinence pacemaker for gentle nerve stimulation.
- Sphincter reconstruction: Surgical restoration of the anatomical integrity of the sphincter muscle.
- Artificial sphincter systems: Implantation of state-of-the-art supportive systems in severe cases.
Pelvic Floor Weakness & Emptying Disorders
Relaxation of the pelvic floor often leads to a descent of the inner pelvic organs (bladder, uterus, or rectum). Those affected frequently complain of a constant feeling of pressure or a foreign body sensation in the pelvis, incomplete bowel emptying, flatulence, and a persistent feeling of fullness. Early interdisciplinary evaluation prevents more severe long-term consequences.
Diagnostics & Treatment Path
- Specialized diagnostics: Coordination and arrangement of highly specialized examinations in close cooperation with gynecologists and urologists.
- Pelvic floor training: Individual training plans for strengthening the pelvic floor structures.
- Conservative emptying aids: Optimization of stool consistency and physiological positioning therapy during bowel movements.
- Interdisciplinary cooperation: Collaborative care through a well-established network of medical specialists.
Rectal Prolapse
In a rectal prolapse, the wall of the rectum protrudes outwards through the anus. This often leads to massive pain, mucous discharge, bleeding, and severe fecal incontinence. Thanks to modern surgical techniques, we can treat this condition very gently and scar-free today.
Gentle Surgical Methods
- Surgery via the anus: Scar-free rectal surgery (e.g., Altemeier or Rehn-Delorme procedures), ideal for elderly or pre-ill patients.
- Minimally invasive surgery (MIC): Gentle "keyhole surgery" from the abdominal cavity (rectopexy) for a permanent stabilization of the rectum.
- No unnecessary bowel resection: We refrain from removing healthy bowel tissue during rectopexy in favor of patient safety.
- Sphincter muscle protection: Maximum preservation and protection of the natural continence organ in all procedures.
Do you need personal advice?
Pelvic floor weakness or incontinence issues can be treated very discretely and effectively today. Please contact us in confidence.
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