Associate Prof. Dr Günter K. Noé: MIS Specialist

PD Dr Günter K. Noé
Medical Director and Chief Physician
Specialist in Urogynaecology
Dormagen, Germany

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Treatment Focus

  • Urinary Incontinence
  • Problems Involving Urgent Need to Urinate
  • Pelvic Floor Weakness (Sinking/Descensus)
  • Vaginal Prolapse
  • Bladder Prolapse

Medical Range

Range of Diagnostic Services

  • Urodynamic measurement: procedure for measuring the bladder and urethra
  • Metrological representation of the degree of incontinence
  • Measurement of the urethra's ability to close

 

Range of Therapeutic Services

  • Uterine and vaginal prolapse, pectopexy
  • Endoscopic prolapse surgery
  • Endoscopic pelvic floor fixation
  • Removal of so-called lateral defects (lateral repair)
  • Endoscopic incontinence surgery using the Burch method
  • Therapy of urinary incontinence
  • Remedying of stress incontinence: laparoscopic colposuspension
  • Hysterectomy (partial or complete)
  • Endometriosis surgery
  • Myoma removal
  • Cancer surgery

About

PD Dr Günter K. Noé is a specialist in urogynaecology and Chief Physician of the gynaecology department at Dormagen District Hospital and Grevenbroich St Elisabeth District Hospital.

Due to his research activities in the field of urogynaecology, Associate Prof. Dr Noé treats vaginal hernias and incontinence with the latest methods, for which he has received national and international awards. The endoscopic specialisation results in a highly effective and gentle treatment at the same time.

Specialist in Minimally Invasive Gynaecological Surgery

Director and Associate Professor Dr Günter K. Noé is a specialist in minimally invasive gynaecological surgery and has received several national and international awards for his work in research and development. At the Dormagen and Grevenbroich locations, Associate Prof. Dr Noé offers almost the entire spectrum of gynaecological operations endoscopically.

Professor Noé’s special focus is on endoscopic treatment of vaginal or bladder prolapses at the Pelvic Floor Centre in Grevenbroich and the urogynaecology department in Dormagen. Urinary incontinence can also be treated with endoscopic surgery at the same success rate as ligament operations which is widely used these days. Endoscopic cancer surgery for cervical and uterine cancer which can only be performed by a few German clinics, is another of Dr Noé's special capabilities.

If you would like to clarify whether an endoscopic surgical procedure is also suitable for you, you simply need a referral to speak to Chief Physician Dr Günter Noé and the clinic's senior physicians.

Minimally Invasive Urinary Incontinence Operations

Urinary incontinence is the unintentional loss of urine. A distinction is made between urge and stress incontinence. If incontinence cannot be corrected by either drug therapy or pelvic floor training, it can be treated surgically by experienced specialists. If stress related incontinence is diagnosed, the surgeons use laparoscopic colposuspension. This is a minimally invasive procedure performed using camera technology (endoscope) without foreign tissue.

Endoscopic Incontinence Surgery Applying the Burch Method

If endoscopic operations at the abdominal cavity are performed simultaneously, lateral bladder elevation (Burch colposuspension) is applied. This technique is minimally invasive as well and does not require the insertion of a plastic band.

With Burch colposuspension, doctors create an artificially filled air space between the pubic bone and the bladder. With the aid of camera optics, the surgeon has a direct view of the bladder and the surrounding vaginal roof.

In order to restore the pressure of the bladder and thus its ability to close, the vaginal roof is slightly raised by means of non-dissolvable threads next to the urethra. This procedure is also minimally invasive, and patients are able to leave the clinic after a few days if there are no complications.

Correction of a Vaginal Prolapse

A lateral defect can lead to a protrusion of the bladder into the anterior vaginal wall (cystocele) which is usually asymptomatic at first, but can then onset in form of recurrent urinary tract infections, urinary retention or urinary incontinence. Detailed gynaecological diagnostics are used to determine the exact disorder and then a plan for an optimal therapy is put in place.

In the case of a so-called pulsion cystocele, where the defect occurs in the area below the bladder, anterior vaginoplasty is performed.

The specialists in Dormagen are also able to treat this bladder deficiency without opening the vaginal skin. The thinned tissue is tightened from the abdominal cavity and a stronger layer below the bladder is thus constructed. The specialists have developed a special endoscopic access procedure to correct lateral deformity without using foreign material, eliminating the need for an abdominal incision. 

Endoscopic Prolapse Surgery

Due to an additional lack of suspension of the pelvic floor as a whole, not only can a cystocele occur, but also a prolapse of the entire vagina along with the uterus can be a result. In order to counteract this downward prolapse, the so-called sacropexy and pectopexy methods are performed, generating a pull upwards. Here, experienced surgeons attach a plastic band to the sacrum or to the side of the pelvis and attach the pelvic floor to it.

This operation is performed laparoscopically and spares tissue, so the vaginal axis is not distorted. These specially applied techniques make it possible to correct prolapse without scarring the vagina and thus provide excellent treatment results. Since pectopexy has advantages over classical sacropexy, this is the procedure now predominantly used in hospitals.

Further information is available at the website of Dormagen District Hospital and the website of Grevenbroich District Hospital.

 

Curriculum Vitae

University Education

1985–1991 Human Medicine at the Medical Faculty of the University of Cologne
10/1991–10/1992 Practical year at St Elisabeth Hospital Cologne (Surgical Department, Department of Internal Medicine, Department of Gynaecology and Obstetrics)
02.11.1992 State examination in Medicine
01.12.1992 Licence to practise as a physician
02.1998 Doctorate (Aachen), grade: magna cum laude
04.2017 Habilitation in the field of gynaecology at the University of Witten-Herdecke

Professional Career

12/1992–01/1998 Specialist physician training at the St Elisabeth Hospital Cologne, Department of Gynaecology and Obstetrics; Head: Professor Dr F.K. Klöck
01/1998–09/1998 Specialist in gynaecology and obstetrics at the St Elisabeth Hospital Cologne, Department of Gynaecology and Obstetrics; Head: Professor Dr F.K. Klöck
10/1998–12/2000 Senior Physician at the Municipal Clinics, Mönchengladbach Perinatal Centre, Level I.
01/2001–01/2005 Specialist training at the St Elisabeth Hospital Cologne, Department of Gynaecology and Obstetrics; Head: Professor Dr F.K. Klöck – As of 1/2005 Professor Dr Marc Possover
02/2005–present Chief Physician of the Clinic for Gynaecology and Obstetrics at Dormagen District Hospital
02/2005–present Lectureship at the University of Cologne: elective training at the clinic – practical and usually in the form of lectures and seminars.
1–2/year, certification of the 3rd state examination.
Block lessons in the University of Cologne's "Skills LAB" for 9–10 semesters
04/2008 Additional qualification: Focus on gynaecological oncology
2008 "Minimally Invasive Surgery III" certificate from the Gynaecological Endoscopy Working Group (AGE)
2013–present Lectureship at the University of Witten/Herdecke
08/2013 Head of the AGE training centre for minimally invasive surgery at Dormagen District Hospital
01/2013 Medical Director of Dormagen District Hospital
2014–present Chief Physician of the Rhein Kreis Neuss Women's Clinic
12/2014 Head of the Endometriosis Centre at Dormagen District Hospital

 

Medical Team

  • Dr Michael Anapolsk
    Executive Senior Physician
  • Dr Dimitrios Panayotopoulos
    Senior Physician
  • Dr Anna Lehmann
    Senior Physician
  • Dr Alexander Gut
    Senior Physician – Grevenbroich site
  • Dr Katharina Ties
    Senior Physician – Grevenbroich site

Location

Dormagen Railway Station  4 km
Düsseldorf Airport    32 km
Cologne/Bonn Airport   37 km

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Contact

PD Dr Günter K. Noé
Medical Director and Chief Physician

Dormagen District Hospital
Gynaecology
Dr-Geldmacher-Straße 20, D-41540 Dormagen

T: +49 2133 66 2601
F: +49 2133 66 2603
E: noe@primomedico.com

Clinic:

Monday, Wednesday, Thursday, Friday
8 am – 4 pm
Tuesday
8 am – 6 pm


Grevenbroich District Hospital
Gynaecology
Von-Werth-Straße 5, D-41515 Grevenbroich

T: +49 2181 600 5600
F: +49 2181 600 5603

Clinic:

By appointment

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