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Urinary incontinence and fecal incontinence remain major taboo topics in society. Yet more and more people are suffering from them as the population continues to age.
Comprehensive incontinence treatment includes not only therapy but also consultation with an interdisciplinary team consisting of:
- urogynecologists
- Urologists
- Coloproctologists, and
- Neurologists
In addition, there are physical therapists, nutritionists, and sex therapists.
When it comes to incontinence, medical professionals primarily distinguish between two forms:
- Fecal and
- urinary incontinence
In some cases, incontinence is a result of surgery, such as treatment for prostate cancer, colorectal cancer, or similar conditions.
In other cases, it occurs naturally due to pelvic floor weakness or sphincter weakness.
Urinary incontinence describes the involuntary loss of urine, in which those affected have little to no control over their bladder @ Henrie /AdobeStock
Treatment Options at a Pelvic Floor Center
Depending on the severity, treatment at a pelvic floor center initially takes a conservative approach, involving physical therapy and nutritional medicine.
Pelvic floor exercises help with incontinence and pelvic floor weakness @ auremar /AdobeStock
However, surgical treatments are also available at an interdisciplinary pelvic floor center. Experts typically use minimally invasive surgical techniques to treat incontinence.
A key focus of every pelvic floor center is providing patients with comprehensive continence counseling. During consultations, doctors and patients decide together on treatment options and procedures. Only once all questions have been addressed is a surgery date scheduled.
To build trust, the specialist who conducted the consultation usually performs the surgery as well.
The follow-up examination is usually performed on an outpatient basis, approximately two to three months after the procedure.
During the subsequent follow-up consultation, patients have the opportunity to discuss their subjective experience of the surgical outcome. In some cases, further follow-up treatments are necessary.
Follow-up care should take place at all continence centers, as they serve as an important means of quality assurance.
It is also important that the pelvic floor center has experience in managing recurrences. This means that specialists are familiar with recurring symptoms of urinary or fecal incontinence and are able to perform follow-up surgeries.
What Sets Specialists at a Pelvic Floor Center Apart
Pelvic floor disorders, as well as pelvic floor weakness and incontinence, involve many medical specialties—from gynecology to urology to proctology.
In addition, nutritionists, neurologists, surgeons, and physical therapists are also part of an interdisciplinary pelvic floor team.
Patients receive personalized treatment here. The doctor and patient work together to decide on a treatment plan and implement it.
Specialists at the Pelvic Floor Center have the necessary qualifications, experience, and scientific expertise to guarantee high-quality treatment.
At the Pelvic Floor and Incontinence Center, incontinence is not a taboo subject. A multidisciplinary team ensures that patients achieve and maintain the best possible quality of life given their situation.
About the medical author
Prof. Dr. Ulrich Baumgartner
Medical Editor · Chief Physician
Prof. Dr. med. Ulrich Baumgartner – author: Explore expert medical articles in the Leading Medicine Guide.
Sources
- Deutsche Kontinenz Gesellschaft e.V.
