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praxis pelviaPelvic floor, explained

Pelvic floor physiotherapy · Düsseldorf-Unterrath

Leaks, pain, pressure — we treat what nobody talks about.

Praxis Pelvia is a physiotherapy practice for one thing only: the pelvic floor. Continence, prolapse, recovery after birth, pain with penetration, rehabilitation after pelvic surgery. One patient at a time, behind a closed door, in plain language.

You do not have to explain yourself on the telephone. Use the anonymous self-check — your answers stay in your browser, and your reason for coming is never put in an email.

Start the anonymous self-checkTreatments & prices

Six questions. Nothing leaves your device.

Anonymous first step

A six-question self-check that runs entirely in your browser. No account, no tracking, no answer sent to us.

One room, one patient

No shared treatment areas, no curtains. Appointments are spaced so that you do not meet the patient before you.

Physio-Pelvica certified

All three therapists hold the Physio-Pelvica certificate for pelvic floor rehabilitation and refresh it every two years.

Prescription or self-pay

We treat on a Heilmittelverordnung from your doctor and as a self-pay patient. We tell you which applies before you book.

A treatment room at Praxis Pelvia: a linen-covered couch with a folded blanket beside a curtained window.
The roomsA ground-floor practice in a 1920s building on Kalkumer Straße. Two treatment rooms with solid doors, one movement room, and a waiting corner that seats two people — because it rarely needs to seat more.

01What we treat

Everybody has a pelvic floor

The pelvic floor is a layered sheet of muscle, fascia and connective tissue slung across the base of the pelvis. It holds the bladder, bowel and — where present — the uterus or the prostate in place, it opens and closes the urethra and the anus, it takes part in sexual function, and it works with the diaphragm and the deep abdominal muscles every time you breathe or lift.

Roughly one adult in four will have a pelvic floor problem at some point. It is not a women's condition, and it is not an age. We treat women, men, and trans and non-binary patients, including after gender-affirming surgery.

  • We ask about your anatomy, your history and your symptoms — not about your gender identity, and we never assume one from the other.
  • Your name and pronouns in our records are the ones you give us, independently of what is on your insurance card.
  • Every examination is explained first, is optional, and can be stopped at any point without giving a reason.

The eight reasons people most often come to us. Every one of them is common, none of them is your fault, and all of them respond to treatment more often than people expect.

02Self-check

Not sure whether this is for you?

Six questions about bladder, bowel, pressure, pain and recent surgery. At the end you get a plain-language orientation, the treatments that usually fit, and a booking reference — without naming your symptoms to anybody.

Start the anonymous self-check
  • Runs entirely in your browser — no data is sent to the practice
  • Takes about two minutes
  • Ends in a booking request that carries a reference code, never a reason

03Treatment & biofeedback

Treatment & biofeedback

Prices are the practice's self-pay rates. With a valid prescription your statutory insurer covers the treatment and you pay only the statutory co-payment.

Prescription, statutory, private, self-pay

Pelvic floor physiotherapy is usually prescribed by a gynaecologist, urologist, proctologist or GP on a Heilmittelverordnung. Some of what we do — EMG biofeedback in particular — is not in the Heilmittelkatalog and is billed as a self-pay service. We work this out with you before the first appointment, not on the invoice.

Insurance, prescriptions and what you pay →

04The practice

Therapists

Three therapists, all with the Physio-Pelvica certificate. You keep the same therapist for the whole course of treatment unless you ask to change.

  • MO

    Marlene Ostwald

    Physiotherapist · practice owner

    Prolapse, post-partum rehabilitation, pelvic pain

    German, English

  • DK

    Deniz Kaymak

    Physiotherapist

    Pain with penetration, trans and non-binary pelvic health, urgency

    German, Turkish, English

  • JR

    Jonas Reinke

    Physiotherapist

    Continence after prostate surgery, bowel symptoms, athletes

    German, English

The practice →

05jameda

What patients say

  • ★★★★★

    „I had put this off for nine years. The first appointment was one hour of somebody explaining my own anatomy to me with a model, and nothing else. By the fourth session I could run for a bus again.“

    Verified patient · jameda · March 2026

  • ★★★★★

    „Came in after my prostatectomy with two pads a day and no idea what I was doing. The biofeedback screen was the moment it clicked — I had been squeezing the entirely wrong thing for six weeks.“

    Verified patient · jameda · January 2026

  • ★★★★★

    „Asked me at every single step whether it was alright to continue. Nobody has ever done that. Waiting time for the first appointment was five weeks, which is the only reason this is not longer.“

    Verified patient · jameda · November 2025

Extracts from patient reviews published on jameda.de. Shortened for length, otherwise unchanged, and reproduced with the reviewers' knowledge. Reviews are anonymous by default on jameda; we do not know who wrote them and we do not ask.

The practice corridor with a closed treatment room door and a drawn linen curtain.

06Video appointment

A video appointment instead

Exercise instruction, bladder and bowel diaries, progress reviews and the whole education part of a treatment work well by video. You will need about a square metre of floor and a door you can close. Video appointments run through a certified German video service; nothing is recorded.

Ask for a video appointment