Continence and Pelvic Floor Centre

To the contacts

Maintaining urinary and faecal continence and pelvic floor function are important for a good quality of life. When this is no longer the case, or not at all, there are clearly noticeable limitations. Confidential and competent diagnostics and counselling, as well as successful treatment, are then of particular importance. We offer you this expertise.

At our centre, after a detailed history with a survey of your symptoms and limitations, a physical examination with pelvic floor ultrasound, if necessary using 3D technology, is carried out. Further examinations such as a cystoscopy or urodynamic measurement may also be necessary to make a viable diagnosis. Keeping a micturition diary can also contribute to this.

We treat all forms of disorders of continence and pelvic floor function in women.

The following are certified as cooperation partners and as counselling centres of the Havelhöhe Continence and Pelvic Floor Centre:

  1. Dr Dominique Finas, Senior Physician Gynaecology and Obstetrics, Havelhöhe Community Hospital
  2. Dr Bettina Piche, Deputy Chief Physician Surgery, Havelhöhe Community Hospital
  3. Dr Gesa Schenk, Specialist in General Medicine and Gastroenterology, Endoscopy, MVZ Havelhöhe
  4. Dr Hildegard Schmitt, Doctor of Psychotherapy
  5. Dr Athanasios Apostolidis, Senior Physician Department of Urology, Vivantes Auguste-Viktoria-Klinikum

Based on this expert knowledge and competence, comprehensive counselling and therapy follows efficient diagnostic procedures.

The Continence and Pelvic Floor Centre of the Havelhöhe Community Hospital has been continuously certified by the German Continence Society since 2008.

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  • Counselling in all areas of continence and bladder emptying disorders
  • Counselling for prolapse problems of the internal genitalia (vaginal and uterine prolapse) and the pelvic floor
  • Counselling and treatment after more pronounced perineal tears during or after birth
  • Diagnostic clarification of the causes
  • Surgical, medical, physiotherapy treatments, biofeedback, electrostimulation, provision of aids: vaginal pessary, continence tampon, self-catheterisation of the urinary bladder


Diagnosis of urinary incontinence  

  • Clinical examination with performance of functional tests
  • Urodynamic diagnostics
  • Functional ultrasound of the bladder neck and pelvic floor (introitus sonography)
  • 3D/4D pelvic floor sonography: precise imaging of the pelvic floor structures incl. organs and muscles; functional imaging of the pelvis during movement (pelvic floor sonography)
  • Kidney ultrasound
  • MRI of the pelvic floor and pelvis
  • Fistula diagnostics


Diagnostic procedures for faecal incontinence  

  • Clinical examination with performance of functional tests
  • Anorectal pressure measurement (anorectal manometry)
  • Endosonography of the rectum
  • Endoscopy by recto-sigmoidoscopy
  • Defaecography (dynamic representation of the process during defaecation)
  • MRI of the pelvic floor and pelvis
  • Fistula diagnostics


Conservative therapies  

  • Pelvic floor training
  • Vaginal pessary therapy
  • Vaginal continence tampon
  • Electrostimulation therapy incl. stimulation of the posterior tibial nerve via adhesive electrodes on the skin
  • Biofeedback through self-sensitisation and self-awareness or by means of external probes or a vaginal/rectal probe
  • Psychotherapy (especially in the treatment of irritable bladder symptoms and urgent need to urinate, involuntary loss of urine and urinary frequency)
  • Physiotherapy
  • Bladder training
  • Irrigation therapy
  • Eurythmy therapy
  • Art therapy
  • Drug-based therapy
  • Instillation therapy of the urinary bladder e.g. for interstitial cystitis
  • Prescription of aids, e.g. vaginal continence tampon, self-catheterisation of the urinary bladder
  • Nutritional counselling


Surgical treatment for stress urinary incontinence  

  • TVT (tension-free vaginal tape): conventional TVT, obturator TVT
  • Mini slings
  • Readjustable TVT
  • Bulking agents
  • Burch operation (by laparoscopy)


Surgical treatment of genital prolapse  

  • Conventional vaginal pelvic floor reconstruction by anterior/posterior plastic surgery using a needle-thread technique
  • Mesh-supported vaginal pelvic floor reconstruction
  • Laparoscopic pelvic floor reconstruction: sacrocolpopexy, Burch operation
  • Prolapse surgery for enterocele
  • Lateral repair for vaginal prolapse


Surgical treatment of the different forms of faecal incontinence  

  • Dorsal rectocele correction
  • Sphincter defect correction
  • Anal rectal prolapse reconstruction
  • Haemorrhoid removal
Sandra Gülde

Your Contact for Gynaecology

Ward 4a, Building 11

Sandra Gülde, Andrea Oeltze
Office Assistants

Marion Schiemann

Ward 4a, Building 11

Marion Schiemann
Office Assistants

The Team

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