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Treatment of urinary incontinence in pelvic organ prolapse with da Vinci robot (675987) | Vivantes Am Urban Hospital Berlin - BookingHealth
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Treatment of urinary incontinence in pelvic organ prolapse with da Vinci robot in Vivantes Am Urban Hospital Berlin

Vivantes Am Urban Hospital Berlin

Berlin, Germany
Program id # 675987
Doctor photo
Dr. Gerhard Nohe
Department of Gynecology and Obstetrics
Specialized in: gynecology, obstetrics

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation of indicators (CRP, ESR)
    • indicators of blood coagulation
  • gynecological examination
  • ultrasound scan: pelvis, abdomen
  • preoperative care
  • da Vinci treatment
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs. Based on the results of the examination, the physician will choose the surgical technique and the type of anesthesia.

Surgery with the da Vinci robot starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which the manipulators of the da Vinci robot and a video camera are inserted into the pelvic cavity. With the help of manipulators, the surgeon fixes the prolapsed pelvic organs in the physiological position, and the video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.

To fix the pelvic organs, the surgeon can use own muscles and ligaments of the vagina, uterus, rectum and other organs, or mesh prostheses. The use of mesh implants improves the functional outcomes of the operation and reduces the risk of recurrence.

After the completion of the operation, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • Pelvic ultrasoud (if available)
  • Pelvic MRI/CT scan (if available)

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About the department

The Department of Gynecology and Obstetrics offers a full range of medical services for treatment of gynecological diseases, both conservative and surgical treatment methods, also in the field of obstetrics. The head of the department is  Dr. Gerhard Nohe.

The department specializes in the treatment of uterus malformations, as well as tumors of the female genital organs. In addition, the department provides medical care for urinary incontinence problems and pelvic floor prolapse. Surgeries on the lower abdomen are carried out mainly in a minimally invasive way. 

Every day, 4-5 babies are born in the department. Doctors and medical staff of the department do everything possible to ensure that the delivery of each baby is individual and that the parents of the newborn feel safe.

The department is equipped in accordance with the latest medical standards and has at its disposal modern equipment of the newest generation.

The spectrum of medical services of the Department of Gynecology and Obstetrics:

Outpatient Surgery

  • Abortion (vacuum method)
  • Diseases of the Bartholin gland
  • Laser treatment of genital warts
  • Bleeding (hysteroscopy and scraping)
  • "Small" gynecological examination with a mirror (for the desire to have children,  desire to be sterilized or unknown pain in the pelvic region)

Urinary incontinence and weakness of the pelvic floor

  • Supporting device the vagina (free synthetic loop and similar methods)
  • Supporting the urethra by introducing artificial materials into it
  • Surgery for narrowing the vagina
  • Fixation of the vagina in the pelvic region (sacrospinal fixation by Amreich-Richter)

Benign fibroids

  • If possible, minimally invasive treatment

Minimally invasive surgery (laparoscopy)

  • Removal of cysts and ovarian tumors, preferably with preservation of the organ
  • Removal of fibroids with preservation of the uterus
  • Removal of the cervix with preservation of the uterus and pelvic floor
  • Removal of the uterus (if necessary, complete removal)
  • Termination of ectopic pregnancy (if possible with preservation of the organ)
  • Unfulfilled desire to have a baby and blowing the fallopian tubes
  • Treatment of adhesions
  • Diagnosis of the nature of pelvic pain

Hysteroscopy

  • Removal of uterine fibroids and polyps
  • Removal or sanitation of the endometrium during bleeding
  • Correction of malformations of the uterus (anomaly of the uterus development)

Uterus removal (hysterectomy)

  • Minimally invasive hysterectomy
  • Total laparoscopic hysterectomy
  • Vaginal hysterectomy
  • Abdominal hysterectomy

Treatment of oncological diseases

  • Oncological diseases of the cervix, uterine cavity, ovaries, vagina and external genital organs

Childbirth, prenatal and postnatal care

Photo of the doctor: (с) Vivantes - Netzwerk für Gesundheit GmbH


About hospital

The Vivantes Am Urban Hospital, in Berlin-Kreuzberg, is an academic clinic at Charité University Hospital.  About 220 physicians and 360 medical personnel in 12 specialized departments conduct their high-quality work here. The hospital is equipped with 620 beds. Annually it treats about 65,000 patients. Each year 1500 children are born here.

The hospital also includes the Breast Center, the Tumor Center with the specialization "Gastrointestinal oncology" and the Berlin Center for Cardiac Rhythm Disorders.

The Vivantes Am Urban Hospital was opened in 1890. It immediately established itself as a scientific and educational medical institution with great potential.

Many departments of the hospital are honored for their outstanding medical and patient care services.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

Patients of the hospital are offered a comfortable stay in the hospital for the entire period of treatment.

1 or 2-bed modern cozy rooms are equipped with everything patients need. The rooms have a bed with electric drive for convenient changing of the bed position, bedside table, wardrobe, safe, shower and bathroom.

In addition, the patient can use wireless Internet (Wi-Fi) for free.

Meals and Menus

All types of food are offered at the restaurant of the hospital. If desired, the patients can order food to their room.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV

Accompanying person

Upon request, the accompanying person can be placed in the patient's room.