Urogynecology

Urogynecology deals with the field of obstetrics and gynaecology. Urogynecology specializes in medicine and reconstructive surgery for problems related to women's pelvic floor such as pelvic organ prolapse or a weak bladder. The pelvic floor consists of body parts like the reproductive system, bladder and rectum.

Urogynecology is a new addition to the field of medicine and surgery. Earlier, you had to visit different doctors to get your urogynecology problems treated. Now you can go to a urogynecologist for all problems related to the pelvic floor.

About Urogynecology

Issues with your pelvic floor can cause faeces or urine leakage, pain and bloating. They can be embarrassing as well as lead to health complications. Therefore, you must visit a urologist for women as soon as you experience problems with your pelvic floor. Common urology problems females face that require treatment from a urogynecologist are:

  • Pain or fullness in your vagina that worsens during a bowel movement or at night.
  • Trouble or pain in emptying your bladder.
  • Faeces or urine leakage
  • Frequent urination
  • Vaginal bulging
  • Frequent infections in the urinary tract.
  • Pelvic pain
  • Pain during sexual intercourse

Your family physician might refer you to a urogynecologist when you experience the above symptoms. 

Who Qualifies for Urogynecology?

A urogynecologist treats various female urological as well as gynaecological problems. Many female urological and gynaecological problems might happen because of heavy lifting, trauma during childbirth and other strenuous activities. You qualify for urogynecology medication and surgeries if you experience the following conditions:

  • Overactive bladder
  • Urge incontinence
  • Interstitial cystitis
  • Rectum and bladder incontinence
  • Fistulas
  • Frequent infections of the urinary tract (UTI)
  • Bladder, uterus or cervix prolapse

Why are Urogynecology procedures conducted?

Urogynecology procedures (both surgical and non-surgical) are conducted to treat a wide number of female urological problems such as faecal incontinence, urethral diverticulum, vesicovaginal fistulas, rectovaginal fistulas, overactive bladder syndrome, congenital anomalies of the reproductive system, post-hysterectomy prolapse, and pelvic floor prolapse.

Different Types of Urogynecology Surgical Procedures

A urogynecologist might perform non-surgical or surgical procedures depending on the type of pelvic floor conditions you are suffering from. If you are experiencing female urological problems, make an appointment with a female urologist near you because you might be more comfortable discussing your problems with a female urologist near you.

Some of the non-surgical urogynecology procedures are:

  1. Cystoscopy: A cystoscopy will help your doctors check the inside of your bladder for urogynecology problems.
  2. Pelvic floor physical therapy: Pelvic floor physical therapy enables you to strengthen your pelvic muscles.
  3. Urodynamic testing: This non-surgical procedure is conducted to check how your vagina reacts to being filled and then emptied.
  4. Vaginal pessary: In this procedure, a silicone device is used for the treatment of incontinence and prolapse without surgical intervention.
  5. Posterior tibial nerve stimulation: In this non-surgical procedure, the nerves that regulate the function of the bladder and pelvic floor are stimulated.

Some of the surgical urogynecology procedures are:

  1. Vaginal vault suspension: This is a surgical procedure where the vaginal wall is stitched to the vital pelvis ligaments using stitches.
  2. Colpocleisis: This procedure is mostly conducted on elderly women who are not sexually active. The surgical procedure is conducted to treat pelvic prolapse.
  3. Robotic Sacrocolpopexy: This surgical procedure is conducted to treat vaginal vault prolapse.

Benefits of Urogynecology Procedures

Being a woman, you will find the benefits of urogynecology procedures particularly welcome. You will go through several changes in your body during pregnancy, menstrual cycles and the ageing process. Your pelvic floor is the most affected because of these natural processes. Owing to several causes your pelvic muscles might become weak and there might be a shift of organs in your pelvic floor, resulting in symptoms such as urine and faecal leakage, incontinence and vaginal prolapse.

A urogynecologist diagnoses all your symptoms and finds the root cause of your pelvic floor problems. Through urogynecology procedures, your doctor can treat these conditions to give you a healthy life. Moreover, gynaecology procedures are safe and can be both surgical and non-surgical.

Risks of Urogynecology Procedures

Although most urogynecology procedures are safe, surgical procedures might include risks such as haemorrhage, injury to surrounding organs, or infection.

Conclusion

Urogynecology helps to treat many pelvic floor problems such as urine leakage and vaginal prolapse that were left untreated even a few years back. Urogynecology includes both surgical and non-surgical procedures like cystoscopy, vaginal pessary, robotic sacrocolpopexy and vaginal vault suspension. You should book an appointment with a urogynecologist as soon as you experience any of the problems related to the pelvic floor.

Request an appointment at Apollo Cradle, Amritsar - Abadi Court Road. Call 1860-500-4424 to book an appointment.

1. What is the pelvic floor?

The pelvic floor consists of the ligaments, muscles, nerves and connective tissues that provide support to your uterus, bladder, vagina and rectum. The pelvic floor helps the mentioned organs to function properly.

2. What is urinary incontinence?

Urinary incontinence or urinary leakage is the inability to control your urine. It can affect your quality of life as you might urinate with little abdominal pressure caused by sneezing, laughing, coughing or exercising.

3. What causes the bladder to drop?

The pelvic floor muscles and vaginal walls might become weak because of childbirth, heavy weight lifting, repetitive straining and old age. These factors lead to the prolapse or drop of the bladder.

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