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Prof. Dr. med. Ruth Kirschner-Hermanns image

Department of neuro-urology

Prof. Dr. med. Ruth Kirschner-Hermanns
neurourology, neurological rehabilitation, neuro-urology

About the department

The department of neuro-urology at the Neurological Rehabilitation Center Godeshohe Bonn deals with diagnosing and treating functional disorders of the urological organs after damage to the nerves that control them. Neurourology is a relatively young field of medicine that has emerged due to the urological rehabilitation of paraplegic patients in recent decades. However, the department can already offer a vast increase in knowledge and significant advances in treatment. For example, nine out of ten patients with bladder dysfunction are successfully treated. The department has excellent diagnostic capabilities based on various urodynamic procedures allowing measuring and visualising functional processes. In addition to urodynamic studies using video systems, the department conducts comprehensive examinations for urinary incontinence, urine tests, urological X-ray diagnostics and endoscopy.

The clinical activity of the department is aimed at the treatment of urinary incontinence and rehabilitation in case of bladder dysfunction in patients with spinal injuries, multiple sclerosis, Parkinson's disease, traumatic brain injuries and other pathologies of the nervous system. With a differentiated diagnosis and individualistic treatment of neurogenic and complicated bladder dysfunctions, the department strives for the maximum possible independence and voluntary control of the autonomic-functional deficiency of patients. The department specialists prefer a tailored, comprehensive approach to treatment, which guarantees an excellent result.

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Treatment and diagnostic focus of the department

Diagnosis: 

  • Multiple sclerosis
  • Spinal injury
  • Parkinson's disease
  • Traumatic brain injury
  • Stroke
  • Dementia
  • Interstitial cystitis (painful bladder syndrome)
  • Urinary incontinence after spinal and intervertebral disc surgery
  • Urinary incontinence after prostate surgery
  • Urinary incontinence in older adults 

Diagnostic: 

  • Anamnesis 
  • Physical examination 
  • Laboratory and biochemical tests 
  • Urine examinations
  • Ultrasound scan 
  • Video urodynamic scanning
  • X-ray diagnostics
  • Endoscopy of urology organs
  • Sonography of the urinary tract, genital organs
  • Neuro urological neurophysiological examinations

Treatment: 

  • Medical treatment
  • Pain therapy
  • Strengthening the pelvic floor muscles
  • Biofeedback
  • Insertion of drugs into the bladder
  • Botulinum toxin injections for urinary incontinence
  • Physiotherapy
  • Magnetic stimulation therapy
  • Functional electrical stimulation of the pelvic floor
  • Neuromodulation and neurostimulation
  • Other treatment services 
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