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Gastroenterology
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Continence Center Krefeld

Continence Center Krefeld

If you are unable to retain your bladder or bowel contents sufficiently, you are in good company: in Germany alone, around six million people suffer from urinary or faecal incontinence. The frequency of the disease increases significantly with increasing life expectancy. Many people affected suffer for years - and there are effective treatment options.

As the Continence and Pelvic Floor Center Krefeld (KonKref) we are specialized in the diagnosis, consultation and therapy of all forms of incontinence and are certified by the German Continence Society. In terms of an interdisciplinary approach, we work closely together for you in a team of specialists in gynaecology, urology, general and visceral surgery, neurology, gastroenterology and other therapists. Our services focus on the clarification and treatment of complex pelvic floor, bladder and intestinal dysfunctions.

By bundling our medical expertise and equipment, we can guarantee comprehensive diagnostic and therapeutic clarification within short distances. Incontinence can have various muscular, neurogenic or sensory causes. Depending on your personal symptoms and medical history, we will put together an individual examination program to derive a customized treatment concept from the findings.

Depending on the clinical picture, a wide range of treatment methods are available today. These range from physiotherapeutic exercises and minimally invasive methods to sacral nerve stimulation, a kind of pacemaker for the bladder.

Our cooperation partners and their range of service

  • Ano-rectal manometry
  • Anal surface EMG
  • Anal endosonography
  • Proctoscopy and functional proctoscopy
  • Defaecography
  • Hinton test (determination of the oro-anal passage time)
  • H2 breath test
  • Pelvic floor training/ biofeedback/ electrostimulation
  • Nutritional analysis and advice

 

  • Urodynamic measuring setup for the examination of bladder function and urethra
  • Drug treatment
  • Surgical treatment options such as loop operations or pelvic floor reconstruction using the patient's own tissue or foreign tissue (nets)
  • Surgical correction of descensus complain
  • Physical examination, ultrasound of the urinary organs
  • Bladder and urethra function test, pelvic floor EMG, urinary stream measurement (urodynamics)
  • Conservative medical and physical measures (e.g. pelvic floor training)
  • Implantation of tension-free ligaments (DVT, TOT) in women and men
  • Injection ( underpadding ) of the sphincter muscle
  • Injection of botulinum toxin into the bladder
  • Open surgery (e.g. bladder lifting after hernia)

The surgical and coloproctological focus of the Continence Center is on diseases of the colon, proctum and anus with their entities incontinence and prolapse. After interdisciplinary diagnostics, the following diseases are treated by modern surgical procedures - also interdisciplinary with the urologists and gynaecologists:

  • Haemorrhoids to anal prolapse, the most severe form of haemorrhoids
  • Mucosprolapse syndromes
  • Rectal prolapse
  • Anal fistula (also in Crohn's disease patients
  • Anal sphincter damage
  • Dolichocolon
  • Enteroceles
  • Clarification with regard to neurogenic damage
  • e.g. anal sphincter EMG

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