Urogynecology

One of the most common problems facing women is pelvic floor dysfunction, which affects approximately 50 percent of all women.

Urogynecology

Urogynecology & Urinary Incontinence

When muscles and ligaments supporting pelvic organs weaken, the pelvic organs may experience abnormal position. The pelvic organ prolapse worsens your special moment, and you need the surgery to treat such defect. 

Based on the organ or organs involved, pelvic support defects can be defined more specifically as:

  1. Cystocele (the bladder falling or descending from its normal position into the vagina)
  2. Urethrocele (the urethra falling into the vagina)
  3. Uterine prolapse (the uterus falling into the vagina)
  4. Enterocele (bulging of small intestines into the vagina)
  5. Rectocele (the rectum bulges into the vagina)

Symptoms of Pelvic Organ Prolapse:

Symptoms during sexual intercourse: Pain, No gratification nor orgasm , Infrequent sexual intercourse , Urinary incontinence

Bowel symptoms :Chronic constipation , Pressure on the vagina , Frequent bladder infection , Frequent urination and constantly being impelled to urinate , Difficulty in completely emptying the bladder and bowel , Urinary incontinence while coughing, sneezing or heavy lifting

There are 3 methods of the vaginal wall prolapse as follows.

  • A-P Vaginal Repair : is a surgery for Pelvic Organ Prolapse that tightens the front (anterior) and the back (posterior) wall of the vagina. On the other hand, it entails the surgical removal of the excessive vaginal tissues, as well as the treatment for the cystocele and rectocele, thereby correcting the prolapse at the same time, tightening the vagina.
  • Posterior Vaginal Repair is a procedure indicated for the treatment of posterior vaginal wall prolapse to narrow some parts of the vagina, which does, however, not work well for the patient with widened vagina caused by multiple delivery.
  • Kegel Exercise is the safest method, which needs a correct way for at least 6 months to be effective. The result has limitations.

Urinary Incontinence

About four million women around the world are affected by Urinary Incontinence. Coughing, sneezing, laughing, exercise or heavy lifting is often accompanied by involuntary leakage of urine. It is commonly associated with aging but can also affect women of all ages.

However, it is important to know that these are common treatable conditions and you don’t have to live with it. There are many treatment options that can help you gain control over this condition.

Types of Incontinence

1) Stress Urinary Incontinence

  • Stress Urinary Incontinence is the unintentional passage of urine prompted by a physical movement during normal everyday activities.
  • Stress incontinence is much more common in women and affects women of any age. It most often caused by weakness of the pelvic floor which results from multiple child births, pelvic surgery, obesity or menopause.
  • In this regard, the A-P Repair is not the permanent treatment of the urinary incontinence. The patient may experience such symptom in 5 years after the surgery.

2) Urge Urinary Incontinence

  • Urinary incontinence is having an urge to urinate that’s so sudden and strong that you don’t get to the toilet in time. Urge urinary incontinence is caused by over active bladder.

3) Mixed urinary Incontinence

  • Some women may experience both Stress and Urge Urinary Incontinence.

4) Overflow Urinary Incontinence

  • Women experience involuntary urine leakage which results from an overfilled bladder without feeling the need or urge to void.

Incontinence may make you feel embarrassed. You tend to isolate yourself, or limit your work and social life, especially exercise and leisure activities. With proper treatment, you are expected be able to manage stress incontinence and improve your overall well-being.

Urinary Incontinence affects your day-to-day activities, please don’t hesitate to see your doctor. In most cases, simple lifestyle changes or medical treatment can ease your discomfort or stop urinary incontinence.

How Do I Know If I Have Incontinence?

To determine if you may be living with incontinence ask yourself these questions:

  • Do you leak urine continuously?
  • Do you leak urine unexpectedly?
  • Do you have trouble holding your urine as you hurry to the bathroom?
  • Has this urine loss caused you to change your lifestyle?
  • Do you currently wear pads or liners to protect against unplanned leaks?
  • Does the urine loss occur during coughing, sneezing, laughing, bending, exercising or lifting?
  • When planning a trip or outing, does the availability of restroom facilities affect your decision?

If you answered “Yes” to any of these questions, take the next step and talk with a doctor or other healthcare professional.

 

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