Neurourology
Neurourology focuses on the diagnosis and treatment of functional urological disorders caused by diseases or injuries of the nervous system. These conditions, known as neurogenic lower urinary tract dysfunctions (NLUTD), can significantly impair a patient’s quality of life.
Common Neurogenic Urinary Disorders
- urinary incontinence
- difficulty or incomplete bladder emptying (dysuria)
- chronic urinary retention and other voiding dysfunctions
Such disorders often develop in the context of:
- multiple sclerosis (MS)
- Parkinson’s disease
- consequences of stroke
- spinal cord injury or spinal diseases
Impaired neural regulation of the bladder leads to dysfunction that requires a comprehensive, interdisciplinary, and individualized approach to diagnostics and therapy.
Diagnostic methods
At our clinic, we offer advanced diagnostic procedures tailored to the specific needs of patients with neurogenic bladder dysfunction:
- Urodynamic Testing – assesses bladder and urethral function and identifies the type of voiding dysfunction
- Video Urodynamics – a combined imaging and functional test allowing real-time visualization of bladder and urethral activity
- Ultrasound of the Bladder and Kidneys – detects structural abnormalities and evaluates post-void residual volume
- Electromyography (EMG) – analyzes pelvic floor muscle activity
Through comprehensive and highly precise diagnostics, we develop personalized therapeutic strategies aimed at improving bladder control and improving patients’ quality of life.
Treatment Options
Our interdisciplinary team, including urologists, neurologists, and specially trained nursing staff, works closely together to provide holistic, patient-centered care.
Treatment is selected based on the nature and severity of the dysfunction and may include:
- Pharmacological Therapy – to control detrusor overactivity and reduce urgency and frequency
- Intermittent Self-Catheterization (ISC) – for impaired bladder emptying
- Botulinum Toxin Injections into the bladder wall – to decrease involuntary contractions
- Sacral Neuromodulation (SNM) – an innovative method that stimulates sacral nerves responsible for bladder and pelvic floor function
Prevention and Follow-Up Care
- Individual counseling programs aimed at improving lifestyle factors and preventing urinary tract infections
- Patient and caregiver education on self-catheterization techniques and self-care for neuro-urological conditions
- Regular follow-up examinations to evaluate treatment effectiveness and adjust therapy when needed
- Interdisciplinary collaboration with physiotherapists and occupational therapists to support rehabilitation, restore function, and improve long-term quality of life
Appointment and Contact
📞 Phone: +49 761 270 21310
📧 E-mail: info-international@uniklinik-freiburg.de
🌐 Online request