Urogynecologist in Hyderabad | Urogynecologist Hospital in Hyderabad
Urogynaecology is linked with urology, gynaecology, obstetrics, and colorectal specialities. Urogynaecology is a subspeciality of gynaecology that deals with the diagnosis and treatment of recurrent urinary tract infections, urinary incontinence, bladder pain, pelvic organ prolapses including the uterus and vaginal prolapse, faecal incontinence and pelvic floor injury after childbirth.
Urinary incontinence (Involuntary urination)
Urine leakage or involuntary urination is of two types:
The first type is related to stress. It happens when a woman sneezes, laughs, coughs or exercises. This type of incontinence is known as stress urinary incontinence.
Stress Urinary Incontinence: This usually happens due to a weak pelvic floor – owing to weakening pelvic floor muscles. When intra-abdominal pressure increases – the weak pelvic floor cannot resist or combat it and thus incontinence happens.
In a woman who has urinary incontinence – either her urethra is hypermobile or her sphincter is intrinsically deficient. When the urethra is hypermobile, UVJ (urethral vesicular junction) is displaced extra-abdominally. In this situation, an increase in intra-abdominal pressure causes uneven distribution of intra-abdominal pressure making the sphincter no longer withstand the pressure and thus urine leaks.
To treat this condition urogynecologist in Hyderabad recommends physiotherapy (pelvic floor exercises). In addition, electrical stimulation and laparoscopic surgery (Burch colposuspension) may also be recommended.
The second type is overactive bladder due to urge incontinence – frequency, urgency and nocturia.
For the treatment of overactive bladder urogynecologists’ prescribe medicines – which will help in improving the symptoms. In addition, they will also recommend pelvic floor exercises and bladder retraining. If the symptoms and condition won’t improve with these measures, then tibial nerve stimulation or botulinum toxin injections may be prescribed after urodynamic investigations.
Voiding difficulties – Women may also suffer from other bladder issues – such as the inability of their bladder to empty properly – which means, the urinary bladder doesn’t empty properly. Urinary tract infections, surgery, vaginal prolapse, fibroids and constipation can cause this type of condition.
Vaginal Prolapse: When the vagina comes out or slips out of its position, it is known as vaginal prolapse. It is common in women who have reached menopause, who are obese or overweight, who smoke or consume alcohol or who have had multiple vaginal deliveries. The risk of developing any type of prolapse increases in women with age. Vaginal prolapse is fairly common in women as more than 30 percent of women suffer from this condition in their lifetime.
The causes of vaginal prolapse include surgery, repeated vaginal deliveries, menopause, heavy weight lifting, obesity, intense physical activity, ageing, genetic and heredity factors.
The factors that can put additional pressure on your abdominal area include obesity, straining to have a bowel movement and chronic cough.
Other types of Prolapse
There are several different types of prolapses. Several organs in the pelvic region can shift out of place and cause prolapse. The following are the types of pelvic organ prolapse.
Cystocele: The bladder drops into the vagina.
Uterine prolapse: Uterus slips or bulges into the vagina. In some extremely severe cases, it comes out of the vaginal opening.
Vaginal vault prolapses: The top area of the vagina – known as the vaginal vault slips or drops into the vaginal canal. This is a common problem in women who have had undergone a hysterectomy (removal of the uterus).
Enterocele: Small intestine bulges against the walls of the vagina.
Vaginal vault prolapse and enterocele often occur together.
Rectocele: The rectum bulges in or out of the vagina.
Urethrocele: Urethra bulges into the vagina. Urethrocele and a cystocele often occur together.
For a woman approaching menopause or around the time of menopause – the symptoms associated with her pelvic organs – pelvic floor symptoms start to manifest. This can mainly be attributed to the decrease in the production of estrogen hormone in the body. Medications and physiotherapy may help in improving her genital health – reducing the chances of prolapse. But in severe cases surgical intervention becomes necessary.
Women initially approach their gynaecologists. Some women seek help from conservative treatments by women’s health physiotherapists. Some women are referred by their general physicians to urogynecologist in Hyderabad for more complex issues and prolapses that have not responded to conservative treatment approaches. It is always better to consult a gynaecologist who specializes in urogynaecology for a better assessment of the condition and further investigation to rule out any hidden cause of their problem.