Urogynecology stands as a surgical sub-specialty of urology and gynecology. An Urogynecologist deals with the clinical problems associated with dysfunction of the pelvic floor and bladder. This includes the assessment and treatment of a variety of health conditions affecting women, including cystitis, stress incontinence and pelvic organ prolapse.
We focus on a minimally invasive treatment option to create a stress-free future for you. Introducing the revolutionary ThermiVa present in our armamentarium plays a vital role in our Urogynecology procedures.
Childbirth and natural ageing causes laxity of birth canal & leaking of urine on coughing and sneezing. This is also the result of being overweight, menopause, pregnancy or childbirth. To help women with these issues, we are introducing ThermiVa a novel method invented by Dr. Red M. Alinsod for feminine rejuvenation and Stress Urinary Incontinence. Reducing weight with proper diet and regular pelvic floor exercises, the symptoms can be neutralized.
At Firm Hospitals, the primary counseling will be about your symptoms and lifestyle, followed by a physiotherapy treatment, if required. Post three months, you would witness a positive change, and if not you will be referred for urodynamic or bladder testing. With this, we will investigate your bladder’s functional system and decide the treatment that suits your body condition. If the lifestyle changes, pelvic floor exercises and physiotherapy did not bring a positive change, we may recommend a surgery to stabilize the urethra to reduce the leakages.
Usually, in its normal condition, the bladder can hold 400-500ml of Urine. The urge to pass the urine often happens when the bladder is half-full. However, an overactive bladder fails to give that warning and forces you to visit the restroom without a warning. Alternatively, in some cases, it gives a false alarm, even when the bladder is not full.
At Firm Hospitals, we teach you simple Deferment techniques that help your bladder to hang on. When the urgency develops, these practices help in contracting your pelvic floor muscles, soothing down your bladder without leaking the urine.
In another method, a simple surgical procedure can help fix the problem of the bladder. Laxity of the pelvic organs can be corrected by fixing a telescope to the umbilicus. One end of a mesh is connected to the vault and the other to the sacral promontory thus retaining the position of the bladder. It is a simple day care procedure ensuring the patient gets back to their normal routine the very next day onwards
In this condition, the bladder (urine bag) and the rectum (bowel) falls into the vagina and the uterus, in turn causing it to descend beyond the vaginal introitus. This problem can be rectified by laparoscopy by fixing a mesh thus bringing it back to normalcy. The mesh is attached to the pelvic bone (sacral promontory). This thus avoids removal of the uterus and also helps the bladder and the rectum to be put back to its normal original configuration
Urinary Tract Infection (UTI) becomes yet another most discussed quandary that affects the normal function of the bladder. An infection in the body’s urinary tract is probably formed when germs from outside the body enters the bladder. They multiply, cause an infection and in some extreme cases, it may move out of the bladder and damage the kidneys. The kidneys, ureter (carriers of the urine from the kidney to the bladder), the bladder and urethra (the tube which carries urine from the bladder to the outside of the body), all gets affected with this. In most of the cases, the infection becomes persistent.
The intake of beverages like Coffee, Tea, Soft drinks and fizzy drinks are reduced and we encourage you to drink at least 8-10 glasses of water. This will keep your kidneys active and the tissues healthy. If you reduce the water intake, it may make the urine more concentrated, which in turn irritates and damages the bladder.
Once we discussyour symptoms and history, you will be subjected to a urine test. Depending on the results, you may be referred for a Cystoscopy and an Ultrasound scan, in which the lining of your bladder is examined.
Vaginal Vault Prolapse is a condition that occurs when the upper portion of the vagina drops down into the vaginal canal or outside of the vagina. In some cases, it just loses its normal shape and starts sagging. Depending on the health conditions, this occurs as a standalone condition or just happens along with other significant conditions like prolapse of the bladder (cystocele), urethra (urethrocele), rectum (rectocele), or small bowel (enterocele).
This is the result of the weakness of the pelvic and vaginal tissues and muscles. Researches indicate that this happens mostly in women who have had their uterus removed (hysterectomy).
Treatment depends on the state of your condition, age, as well as your body’s general health. Non-surgical options include exercise, vaginal pessary, and estrogen replacement therapy. The repairing surgery is carried out laparoscopically whereas a mesh is fixed to the top of the vagina and the other end of the mesh is fixed to the sacral promontory, thereby preventing the prolapse of the vault.
This procedure allows the surgeons to operate through smaller incisions, which drastically decreases the blood loss, postoperative pain, thus reducing the hospital stay. This minimally invasive technique allows a faster recovery and faster return to the normal activities.
General anesthesia is usually used for the procedure. After a 1 or 2 days stay, you can return to your normal activities in about 6 weeks. Avoid strenuous activity for the first 6 weeks. In most of the cases, people are able to resume sexual intercourse in this 6 weeks time.
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Going to the gynecologist can be an anxiety provoking experience. I can honestly say that this is not the experience of Dr. Malaraj’s patients. She is friendly, non-judgemental, understanding, and r
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