Prof. Dr Günter K. Noé: MIS Specialist

Prof. Dr Günter K. Noé is a specialist in urogynaecology and Chief Physician for gynaecology at the Rhineland Clinics in Dormagen and Grevenbroich.

Due to his research activities in the field of urogynaecology, 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

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, 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 Prof. 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 Prof. 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.