Women’s health in urology is the subspecialty which is concerned with the diagnosis and treatment of those genitourinary disorders that most prevalent in women. These include urinary leakage (incontinence), pelvic floor prolapse, overactive bladder, recurrent urinary tract infections, interstitial cystitis and voiding dysfunction. Urology Associates Ltd, offers a comprehensive evaluation and treatment plan for these conditions. Additional studies such as cystoscopy, urodynamic evaluation and radiologic studies can be required to fully evaluate the genitourinary tract.
The freedom and self-confidence to enjoy an active social life are sometimes denied to those who experience the worry of involuntary urine loss. If you suffer from urinary incontinence, you are not alone. Millions of women in the United States experience some form of urinary leakage. Urology Associates Ltd is proud to offer the entire spectrum of therapies for urinary incontinence from pelvic muscle exercise, urethral bulking agents to innovative minimally invasive surgical procedures. With these current minimally invasive procedures, such as trans-obturator taping or trans-vaginal taping, many women can be cured or significantly improved. Most importantly, we take the time to decide which procedure, if any, is right for you.
Pelvic support disorders involve a dropping down (prolapse) of bladder, uterus or rectum. This is caused by weakness or injury to the ligaments, connective tissue and muscles in the pelvis. All pelvic floor disorders are essentially hernias, in which tissue protrudes abnormally because another tissue is weakened. Our surgeons individualize your treatment based on the type and severity of the prolapsed. Treatment options include physical therapy, pessary devices, and surgical interventions.
One out of 11 women will need needs surgery for prolapse during her lifetime. You and your urologist may decide that surgery is the best way to treat your cystocele or rectocele. Almost always, these types of prolapse are repaired without making any abdominal incisions. Instead, an opening is made in the vaginal canal that allows the weakened vaginal tissue to be identified and reinforced using a durable mesh material and sutures. In the end, the goal of surgery is to restore natural shape and function to the vaginal canal and prevent the reoccurrence of prolapse.
Recurrent Urinary Infections
A recurrent urinary tract infection (UTI) may be generally defined as three or more infections within one year. Approximately fifty percent of all women will have at least one UTI in her lifetime with many women having several infections throughout their lifetime. These infections can be idiopathic, with no obvious cause, or related to a urologic disorder such as stones, tumor, ineffective bladder emptying, or reflux (where urine flows backwards toward the kidney). Treatment is aimed at identifying the cause and/or proper antibiotic therapy to break the cycle of recurrent infection.
This condition is characterized by the excessive urge to frequently urinate. Symptoms range from having to wake often at night (nocturia) to not being able to make it to the bathroom in time (urge incontinence). Initial evaluation for this condition will include a voiding diary and trial of a medication. If medicines fail, the efficacy of a bladder pacemaker (Interstim) can be evaluated with a simple office test. For more information on Interstim, please visit their website: http://www.medtronic.com/neuro/interstim/