OVERACTIVE BLADDER/ URGE INCONTINENCE
Urinary frequency , urgency, inability to hold urine before reaching toilet are the symptoms of OAB spectrum. Mind you this is not normal part of ageing.
This could be cured or improved by simple life style modifications or medications.
In refractory cases (not amenable to medications) advanced therapies like BOTOX injections and Sacral Neuro Modulation(SNM) might be required.
STRESS URINARY INCONTINENCE (SUI)
Leakage of urine while coughing, laughing, sneezing and in severe cases even with change of posture, is called SUI.
It happens due to weak pelvic floor muscle support. Pregnancy and childbirth, Obesity could be important pre disposing factors.
Pelvic floor physiotherapy/ exercises could cure mild cases of SUI.
In bothersome cases Mid urethral slings like Trans obturator tape (TOT)/ Retropubic slings(TVT) could be the treatment of choice.
Mid urethral slings are minimally invasive treatment options for SUI.
⦁ Day care surgery
⦁ No cuts on belly
⦁ Minimal complications
⦁ Effective treatment
MIXED URINARY INCONTINENCE
It’s a combination of urgency and stress incontinence.
Drugs for OAB followed by surgical treatment for SUI could relieve the symptoms.
PELVIC ORGAN PROLAPSE
Pelvic organs like bladder, uterus/ vaginal vault, rectum protruding through the vaginal orifice is called Prolapse.
Treatment depends on the severity/ degrees of prolapse.
Pelvic floor exercises help in mild degrees of prolapse.
Pessary is a non surgical treatment option for prolapse correction in elderly, frail women unfit for surgery.
Surgeries like Vaginal hysterectomy with pelvic floor repair and reconstruction, sacrocolpopexy, sacrohysteropexy , obliterative surgeries like colpocleisis or colpectomy can be chosen for prolapse correction depending on the patient’s clinical condition.
Prolapse surgeries are specialized procedures to be performed with due diligence and expertise to prevent recurrences.
RECURRENT URINARY TRACT INFECTIONS(UTI)
Most of the women would have experienced atleast 1 episode of UTI in their life time. Unfortunately in some women it happens recurring too frequently and refered to as recurrent UTI.
We need to identify the causes of recurrence and need to address it accordingly in order to treat this condition. This is not a condition to blame one self about their intimate hygiene or something like that , it’s just that some women are more prone for it.
Seek Urogynecologist help if you are one of those.
CHRONIC PEVIC PAIN
If you have pain in your lower tummy and genital region lasting longer than 6 months, it’s called Chronic Pelvic Pain (CPP). Pain anywhere in the body is very incapacitating and more so in your pelvic area.
As a Urogynecologist we can provide a holistic care to this problem and help you in alleviating the pain or coping with it.
INTERSTITIAL CYSTITIS(IC)/ BLADDER PAIN SYNDROME(BPS)
If you have long standing bladder irritation without having an active urinary infection, like pain/ pressure in your bladder area along ⦁ with urgency and frequency you could be suffering from IC/BPS.
⦁ As the cause of IC/BPS is so enigmatic, so is the diagnosis.
⦁ Its also important to understand that not all pain is infection and antibiotics are not the solution for IC/BPS.
⦁ There are specialized treatment options available for IC/BPS and the key is seeking timely and appropriate help.
FEMALE LOWER URINARY TRACT SYMPTOMS (LUTS)
LUTS in women can include
⦁ Problems with storage of urine – urgency, frequency, incontinence
⦁ Problems with voiding of urine – slow stream , hesitancy, incomplete emptying, straining to void
Sometimes it can be a combination of both the above symptoms.
Though these are not life threatening they can affect your quality of life. Be aware of the treatment options for these problems and lead a better productive life.