Neurourology

• Urine leakage
• Bladder function disorder
• Urinary tract infections
• Pain in the lesser pelvis
• Sexual function disorder/fertility issues

• Neurogenic and non-neurogenic bladder function disorder
• Urge, stress and mixed incontinence
• Unclear/idiopathic bladder function disorder
• “Pelvic pain syndrome”
• Diseases of the outer genital area
• Benign prostatic hyperplasia (BPH), voiding disorder, residual urine problems

• Female and male incontinence
• Bladder function disorder arising from all neurological diseases such as multiple sclerosis, Parkinson’s disease, or spinal cord injury
• Unclear bladder function disorder
• Bladder voiding disorder with residual urine
• Urinary tract infections
• Pain conditions in the lesser pelvis
• Sexual function disorder
• Erectile dysfunction
• Fertility disorders

• Complete imaging of the upper and lower urinary tract (sonography and conventional radiology)
• Video urodynamics
• Endoscopy of the urinary organs (flexible cytoscopy, ureteroscopy and ureterorenoscopy)
• Transrectal ultrasound and prostate biopsy
• Fertility assessment including semen analysis, TESE, MESA
• Anorectal manometry
• Radiological examinations, MRI and CT in collaboration with Radiology
• Neurological (including neurophysiological) assessment in collaboration with Neurology
• Diagnosis of pelvic pain in collaboration with Pain Therapy
• Homeopathy in collaboration with SHI House, Zug

Nonsurgical therapy:

• Pelvic floor training/biofeedback
• Non-surgical medical therapy
• Behaviour training/urotherapy
• TENS (percutaneous electrical stimulation)

Minimally invasive therapy:

• Installation therapy (EMDA)
• Botox injections (bladder, sphincter muscle)

Surgical therapy:

• Outer genital area: Circumcision, hydrocele spermatocele resection, vasectomy, testicle removal in the event of malignant diseases
• Transurethral: TUR bladder, TUR prostate, bladder neck incision, sphincterotomy, uretrotomia interna, stent insertion, bladder stent lithotripsy, ureterorenoscopy, insertion of DJ tubes, reflux treatment
• Sacral neuromodulation
• Artificial sphincter (bulbar, bladder neck), penile prostheses
• Urethra surgery (reconstruction with buccal mucosa, end-to-end anastomosis)
• Incontinence surgery: transobturator and vaginal tapes, plastic surgery to create a fascial sling
• Ileum augmentation of the bladder, ileum conduit, bladder augmentation with continent stoma
• Bladder stimulator including sacral nerve deafferentation (Brindley

• Instructing intermittent self- or external catheterisation for patients, relatives and nursing specialists (Spitex)
• Urotherapy, pelvic floor training and biofeedback training
• Advice on how to use aids, urinal condom advice, catheter advice, stoma advice, stoma therapist
• Sexual advice, fertility assessments (in collaboration with KWZ Baden)
• Fertility diagnosis, sperm analysis

• Coordinated research with the Clinical Trial Unit
• Multi-centre research projects
• Research objective: Improving bladder function and quality of life for patients

• Prof. Dr. med. Jürgen Pannek, Head of Neurourology
• Dirk-Henner Leuth, Senior Consultant in Neurourology
• Dr. med. Jens Wöllner, Speciality Registrar in Neurourology
• Jens Roleff, Speciality Registrar in Neurourology
• Walter Holzschuh, Head of Neurourology
• Rebecca Birrer, Med. Neurourologie Practice Assistant
• Barbara Boog, Diagnostic Specialist for Neurourology
• Luzia Bühler, Diagnostic Specialist for Neurourology
• Diagnostic Specialist for Neurourology
• Manuela Giorgetta, Diagnostic Specialist for Neurourology
• Julie Gosswiler, Med. Neurourology Practice Assistant
• Andrea Gunziger, Urotherapist for Neurourology
• Tanja Meister, Diagnostic Specialist for Neurourology
• Angela Rohrhirs, Secretary to the head of Neurourology
• Yves Saxer, Neurourology Nursing Expert
• Claudia Schaller, Diagnostic Specialist for Neurourology