What is Urogynecology?
The sub-specialty of gynecology is- urogynecology. In many countries, it is also known as Female Pelvic Medicine & Reconstructive Surgery. Clinical problems such as dysfunction of the bladder and pelvic floor are managed by a urogynecologist. Doctors who receive special treatment to treat & diagnose women with pelvic floor disorders are known as gynecologists or urogyns as well. If you are experiencing matters related to pelvic organs such as uterine prolapse, overactive bladder, bowel incontinence, urinary incontinence, & other frustrating pelvic problems, you may find relief by visiting a Urogynecologists.
What is a urogynecologist?
Doctors who receive special treatment to treat and diagnose women with pelvic floor disorders are known as urogynecologist or urogyns as well. They complete a residency or medical school in Urology or Gynecology or Obstetrics.
Urogynecologists are specialists who have additional training and experience to treat the conditions that affect the female pelvic organs. These conditions can be along with the connective tissue and muscles that support the female pelvic organs.
Not all urogynecologists complete formal fellowship. It mainly deals with the surgical and non-surgical treatments of problems that are non-cancerous. Some of the common problems treated by urogynecologist are:
- Pelvic organ prolapsed
- Urinary incontinence or leakage
- Overactive bladder
What does a urogynecologist do?
After completing the studies and securing a degree in gynecology, the aspiring candidates undertake a fellowship. It lasts for at least three years. Treatments for incontinence, surgical procedures for restoring and reconstructing the pelvic floor, and other matters that have relation to pelvic organs are performed as well.
Urogynecologists are specialists who treat only women. Various conditions of the pelvic organs along with the surrounding muscles and tissues are getting diagnosis and treatment by a urogynecologist. Prolapse and incontinence of the pelvic organs also get treatment by urogynecologist.
About 1 in 4 women is suffering from pelvic health conditions such as:
- Pelvic organ prolapsed – Loss of the normal support of the vagina causes the dropping of the pelvic organs- pelvic organ prolapse.
- Urinary incontinence – Leakage of urine when you laugh, sneeze, or cough
- Bowel control disorders – These includes fecal incontinence, bowel leakage, and constipation.
- Overactive bladder – A sudden urge to urinate happens by leakage. This is due to the spasms of the bladder.
What can you expect from a urogynecologist?
During the first visit to a urogynecologist in Mumbai, doctors will ask about the experiences that you face. Depending on the nature of the problem, a physical exam will also happen. Physical exams will help the urogynecologist to understand your problem better. They will be providing the best treatment option for you as well.
When should you see a urogynecologist?
If you are experiencing matters related to pelvic organs such as uterine prolapse, overactive bladder, bowel incontinence, urinary incontinence, and other frustrating pelvic problems, you may find relief by visiting an urogynecologist in Mumbai for a consultation.
They are experts who treat the female pelvic organs and the pelvic floor, such as:
- Connective tissue
- Nerves responsible for controlling and supporting the function of the rectum, bladder, uterus, and vagina.
Why do women need urogynecologist?
Some women may want to see a urogynecologist because they are gynecologists with special training. They treat bladder control problems and various other conditions, which involve the urinary tract and female reproductive system, such as:
- Urine leakage
- Bloody urine
- Sudden and frequent urges to urinate
- Pain in the sides or back
- Burning sensation during urination
Women see a gynecologist after facing these symptoms as well. The above-mentioned symptoms can be a reason for:
- Urinary tract infections
- Fallen bladder
- Bladder control problems
- Urinary stones
- Painful bladder syndrome
Treatment Options For Urogynecology
When the supportive tissues covering a part of the body weaken or stretch, there occurs a bulge, dropping the organ down.
The urgent and frequent need for urination is referred to as urine incontinence.
Pelvic reconstruction is one of the surgical procedures which helps to restore the integrity and strength of the pelvic floor.
Cystoscopy is a process that allows a Urologist to inspect the underlining of the bladder and the urethra.
What are the symptoms of pelvic floor dysfunction?
Read the following symptoms given below to enhance your knowledge about pelvic floor dysfunction:
- Severe pelvic pain (groin, back, abdomen)
- Pain during menstrual period
- Sudden and frequent urge to urinate
- Pain during sexual intercourse
- Burning sensation during urination
- Vaginal burning
- Urinary incontinence
What is stage 3 pelvic organ prolapse?
Let us first categorize the four stages of pelvic organ prolapse:
- 1 – The uterus will be in the upper half of the vagina
- 2 – It will also descend to the opening of the vagina
- 3 – It pokes out of the vagina
- 4 – It will come out of the vagina completely
Stage 3 pelvic organ prolapse occurs when the ligaments and muscles of the pelvic floors stretch and weaken. They can no longer provide the required support to the uterus. Therefore, the uterus slips down or comes completely out of the vagina. It can occur in women of any age.
There is no reason for you to suffer from a pelvic or a bladder condition silently as well. Urogynecologists can diagnose and treat the disorders through minor lifestyle changes, surgery, or even medication. The urogynecology procedure also includes:
- Burch procedure
- Cystocele and rectocele repair
- Marsupialization or excision of Bartholin’s Gland
- Paravaginal repair
- Posterior repair
- Sacral colpopexy
- Sacrospinous ligament fixation
- Trans-obturator tape (TOT)
- Tension-free vaginal tape
What treatments option urogynecologist offer?
Treatment options usually depend upon the condition of the patient. Doctors take the decision after performing several physical exams also. The following are the treatment options urogynecologist offers:
- Diagnosis and evaluation
- Behavioral therapy
You have to see a urogynecologist as soon as you face the symptoms of it. Do not be shy and face incontinence and prolapse of pelvic organs silently.
Dr. Jay Mehta
MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)
Dr. Jay Mehta is a renowned IVF specialist and fertility preserving surgeon in Mumbai, India. He is the Scientific Director of Shree IVF and Endometriosis Clinic, as well as the director of Uterine Transplant, Advanced Endometriosis and Gynac Cancer at Global Hospitals, Mumbai.
He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc.
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For people who have endometriosis, this is the person to go to.
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The best doctor for endometriosis in India and Mumbai.
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B S KHAN
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All blood tests are done in hospital only so no running around to laboratory again and again. There are many good food joints around for out of Mumbai patients to eat good food. Thank you staff for kind guidance.
I was suffering from severe endometriosis since years. We have had previous 3 surgeries. The pain was excruciating.
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Thoroughly impressed by your direct and honest approach.
The best doctor in India for Endometriosis. I am actually honored to be treated by Jay sir.
I had come to him 3 years ago when he told me about surgery, but I got misguided by many other doctors and I took a leupride of 11 injections. Unhappy with the result and pain, I come back to Jay Mehta sir.
He scolded me but then operated on me too. I thank you him, for being so an honest and genuine doctor.
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Surgical Treatment Options Minimally invasive procedures, such as laparoscopic or robotic-assisted surgeries, have revolutionized the treatment of pelvic prolapse.
Pelvic prolapse can manifest in various forms, each affecting different organs within the pelvic region. We will discuss the most common types of pelvic prolapse, namely:
Urge incontinence primarily stems from a weakened internal sphincter, which is essentially a muscular valve that controls the release of urine from the bladder
Urge incontinence is extremely amenable to treatment when treated correctly. There are a lot of medical management options available in order to treat urge incontinence.