Urogynecology in Mumbai – Urogynecologist & Pelvic Floor Care

Urogynecology is a specialised area of women's healthcare that focuses on pelvic floor disorders, bladder problems and lower urinary tract conditions.

It covers conditions affecting the bladder, urethra, vagina, uterus, rectum and the muscles and tissues supporting the pelvic organs.

Depending on the diagnosis, treatment may include pelvic floor rehabilitation, lifestyle changes, medicines, non-surgical treatment or surgery.

Common urogynecological conditions include:

• Urinary incontinence and urine leakage
• Stress urinary incontinence
• Overactive bladder
• Urinary urgency and frequency
• Pelvic organ prolapse
• Vaginal prolapse
• Pelvic floor dysfunction
• Difficulty emptying the bladder
• Fistulae involving the urinary or reproductive tract
• Bowel control problems
• Pelvic floor problems after childbirth or pelvic surgery

A urogynecologist evaluates women's urinary and pelvic floor symptoms to identify the underlying condition and determine an appropriate treatment plan.

Depending on your symptoms, assessment may include:

• Medical, menstrual and obstetric history
• Previous pregnancy and delivery history
• Pelvic examination
• Urine testing
• Assessment of bladder emptying
• Bladder diary or symptom questionnaires
• Pelvic ultrasound or other imaging
• Urodynamic testing in selected patients
• Cystoscopy when clinically indicated

Not every patient needs every test. Investigations are selected according to your symptoms and suspected condition.

Consider a urogynecology consultation if urinary, bowel or pelvic floor symptoms are persistent, worsening or affecting your daily activities.

Common reasons to seek an evaluation include:

• Urine leakage while coughing, sneezing, or exercising
• Sudden urinary urgency
• Frequent urination or frequent nighttime urination
• Difficulty emptying the bladder
• Pelvic pressure or heaviness
• A vaginal bulge or feeling that something is coming down
• Pelvic pain
• Pain during sexual intercourse
• Difficulty controlling bowel movements
• Difficulty emptying the bowel
• Urinary or pelvic problems after childbirth or pelvic surgery

You do not need to wait until symptoms become severe before seeking an evaluation.

Need an evaluation for urinary leakage or pelvic floor symptoms? Book a consultation with Dr Jay Mehta at Shree IVF Clinic. Call: 1800-268-4000

A urologist treats conditions affecting the urinary system in men and women and also manages male reproductive conditions.

A urogynecologist focuses on women's pelvic floor and lower urinary tract problems, including urinary incontinence, overactive bladder, pelvic organ prolapse, and other female pelvic health conditions.

For women with urinary or pelvic floor symptoms, the appropriate specialist depends on the symptoms, diagnosis, and complexity of the condition.

Urogynecology treatment covers several conditions involving the bladder, pelvic floor, and pelvic organs.

• Urinary Incontinence

Urinary incontinence is the involuntary leakage of urine. It may occur while coughing, sneezing, laughing, exercising, or lifting, or with a sudden urge to urinate.

Treatment for urinary incontinence depends on the type and cause of leakage. Options may include bladder training, pelvic floor exercises, medicines, and selected surgical procedures.

Women experiencing persistent urine leakage can be evaluated for urinary incontinence treatment in Mumbai.

• Overactive Bladder

Overactive bladder can cause a sudden, difficult-to-control urge to urinate, frequent urination, and waking during the night to pass urine. Some women may also experience urgency urinary incontinence.

Treatment depends on symptom severity and the underlying cause.

• Pelvic Organ Prolapse

Pelvic organ prolapse occurs when the tissues supporting the pelvic organs become weakened. The bladder, uterus, rectum, or vaginal walls may bulge into or outside the vagina.

Symptoms can include pelvic pressure, vaginal bulging, difficulty emptying the bladder or bowel, and discomfort during daily activities.

Treatment may include pelvic floor rehabilitation, a vaginal pessary, or pelvic organ prolapse surgery, depending on the type and severity of prolapse.

• Pelvic Floor Dysfunction

Pelvic floor dysfunction can affect the muscles and supporting tissues involved in bladder, bowel and sexual function.

Symptoms may include urinary leakage, pelvic pressure, pelvic pain, difficulty emptying the bladder or bowel, and discomfort during sexual activity.

• Fistula

A pelvic fistula is an abnormal connection between organs or tissues. Some urinary or reproductive tract fistulae can develop after childbirth, surgery, injury or certain medical conditions.

These conditions may require specialist assessment and, in selected cases, reconstructive surgery.

• Bowel Control Problems

Pelvic floor disorders can also affect bowel control and defecation.

Symptoms may include accidental bowel leakage, difficulty passing stool, or a feeling of incomplete bowel emptying. Treatment depends on the underlying pelvic floor or bowel condition.

Diagnosis begins with a detailed discussion about your symptoms, medical history, previous pregnancies and deliveries, pelvic surgeries, and treatments you have already tried.

Depending on the suspected condition, investigations may include:

• Urine tests
• Bladder scan to check residual urine
• Pelvic ultrasound
• Urodynamic testing
• Cystoscopy
• MRI or other imaging in selected cases

Some women may also need specialised pelvic floor imaging when evaluating complex prolapse or urinary problems.

Your doctor will recommend tests based on your symptoms and clinical findings rather than performing every investigation routinely.

Some women may need specialised pelvic floor imaging in addition to a routine pelvic ultrasound.

The type of imaging depends on the symptoms and suspected condition. Detailed assessment may be useful in selected women with pelvic organ prolapse, urinary problems or complex pelvic floor conditions.

Your doctor can advise whether a specialised ultrasound, MRI or another investigation is appropriate

Your first consultation usually begins with a discussion about your symptoms and medical history.

Your doctor may also ask about:

• How often you pass urine
• Urgency or urine leakage
• Night-time urination
• Difficulty emptying your bladder
• Bowel movements and bowel control
• Pelvic pressure or vaginal bulging
• Previous childbirth
• Previous pelvic surgery
• Previous investigations and treatments

A pelvic examination may be performed when appropriate. If additional investigations are needed, your doctor will explain why they are recommended.

Previous ultrasound, MRI, urine tests, urodynamic reports, surgical records and medication details can be useful during the consultation.

If you experience frequent urination, urgency or leakage, keeping a bladder diary before your appointment may also help your doctor understand your symptoms..

Previous medical records can help your doctor understand your symptoms and treatment history.

Bring:

• Previous ultrasound or MRI reports
• Urodynamic study reports, if performed
• Previous urine test reports
  Surgical records
• Current medication details
• Previous pelvic or urinary treatment records
• Relevant pregnancy and delivery history

If you experience urinary frequency, urgency or leakage, maintaining a bladder diary before your appointment can also be useful. You can record when you pass urine, episodes of leakage, urgency and fluid intake.

Treatment depends on the diagnosis, severity of symptoms, overall health, and individual treatment goals.

• Lifestyle and Behavioural Changes

Fluid management, bladder training and other behavioural approaches may help some women with bladder symptoms.

• Pelvic Floor Rehabilitation

Pelvic floor exercises and specialised pelvic floor physiotherapy may be recommended for selected women with urinary leakage or pelvic floor dysfunction.

• Medicines

Medicines may be prescribed for certain bladder and urinary symptoms when appropriate.

• Non-Surgical Treatment

Some women with pelvic organ prolapse may be suitable for non-surgical treatment, including the use of a vaginal pessary.

• Surgery

Surgery may be considered when symptoms are significant, conservative treatment has not provided sufficient improvement, or the condition requires surgical correction.

Treatment is selected according to the diagnosis rather than the presence of a symptom alone.

Urogynecology Procedures

Depending on the condition, urogynecological procedures may include:

• Pelvic organ prolapse repair
• Cystocele repair
• Rectocele repair
• Sacrospinous ligament fixation
• Sacrocolpopexy
• Paravaginal repair
• Posterior repair
• Surgery for stress urinary incontinence
• Cystoscopy
• Fistula repair
• Selected reconstructive pelvic procedures

Not every procedure is suitable for every patient. Your doctor will discuss the expected benefits, risks, and alternatives before treatment.

Pelvic organ prolapse surgery aims to restore support to the affected pelvic organs and relieve symptoms such as vaginal pressure, a visible or felt bulge, and difficulty with bladder or bowel function.

The type of prolapse surgery depends on:

• The type and extent of prolapse
• Which pelvic organs are affected
• Previous pelvic surgery
  General health
• Whether uterine preservation is desired
• Individual treatment preferences

Women with symptoms of pelvic organ prolapse in Mumbai can undergo an assessment to determine whether conservative treatment or surgery is appropriate.

Yes. Some types of urinary incontinence can improve with non-surgical treatment.

Depending on the cause, treatment may include:

• Bladder training
• Pelvic floor exercises
• Lifestyle measures
• Medicines
• Other non-surgical approaches

Surgery is considered only for selected patients when appropriate. The first step is identifying the type and cause of urinary incontinence.

Yes. Urinary leakage, pelvic organ prolapse, urinary urgency, pelvic pain and bowel symptoms can affect exercise, sleep, work, daily activities, relationships and confidence.

These symptoms can be treated in different ways depending on their cause. A proper pelvic floor assessment can help identify suitable treatment options.