Urogynaecology | Dr Rama Sofat Hoapital

It is a subspecialty of gynaecology which is associated with pelvic floor disorders & urological problems in women. this sub-speciality lab with overactive bladder, calling imbalance, prolapse of pelvic organs.

      These causes are more common in older age

• More commonly seen in women after multiple childbirths and also seen more commonly in women with diabetes and obesity
• Prolapse is defined as herniation of the pelvic organs into or outside the vaginal canal.
• When the bladder reemate it called reetocoole when it utoeusheencelts it is called uterine prolapse.
• Feeling of something coming out of vagina.
• Backache
• Difficulty in passing urine
• Increased frequency of micturition.
• Painful orange of urine.
• Difficulty in panage of stools

                                          TREATMENT

• EXPECTARS TREATMENT IN FIRST OF KEGELS EXERURES
• NON-SURGICAL TREATMENT ON FORM OF PRENARIES
• SURGICAL TREATMENT IS POSSIBLE FOR PROLAPSE LAPROSUPRALLY IN VIA OPEN SURGERY Urinary incontinence is defined as spontaneous leakage of urine in women.
• It can be stress urinary incontinence, urge urinary incontinence, mixed incontinence.

Treatment of this man kindly linbarussry condition included

• Medical treatment ie treatment with medicines. Which aim of increase the tone of sphincter.
• Surgical treatment includes barch retropubic colpo suspension ie suspension of bladder neck to goofier ligament & has a success rate of over 80% about 5 years.

SUBURETHRAL SLINGS

They are rainless day care procedure whereby the sling is placed suburethral at the level of the bladder neck.two type slings are available in the market

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• Tension-free vaginal tape (TVT)
• Tension-free trans-obturator tape (TOT)
• The procedure are highly successful in giving relief to patient of urinary incontinence.
• Urethral bulky agents injection is also available but with a lower success rate as compare to slings also Burch procedure.