Urogynecology

Urogynecology examines pelvic organ prolapses, difficulties in defecation, fistulas or congenital conditions of the vagina. So, urogynecology is the field where pathological conditions of pelvic floor disorders are diagnosed and treated.

Urogynecology encompasses the complaints of active bladder, pelvic organ prolapse and urinary incontinence in women. Urinary incontinence is the most common health problem among elderly patients.

Urinary incontinence is usually observed in 50 percent of postmenopausal women. Other factors leading to urinary incontinence other than menopause:

  • Sagging of genital organs,
  • Advanced age,
  • Difficult birth stories,
  • Chronic and genetic diseases.

All these factors decrease the quality of life along with sexual life. Urinary incontinence is one of the health conditions that significantly reduce the quality of life, however, it is treated quite easily.

What is Urinary Incontinence?

Urinary incontinence refers to involuntary loss of urine. It is a very common health problem all over the world. Its severity varies from patient to patient.

Women with this problem may reflexively experience urinary incontinence in natural situations such as laughing, running, sports, coughing or sneezing.

What Are the Types of Urinary Incontinence?

Stress incontinence: It refers to leakage of urine at times of coughing, sneezing or exercise. This type of urinary incontinence exhibits mild severity.

Urge incontinence: This type refers to incontinence with the sudden urge to go to the bathroom when the bladder is either full or empty. However, urinary incontinence occurs involuntarily before the patient can make it to the bathroom. Compression-type incontinence may particularly occur when the patient consumes cold drinks, hears the sound of water or during sleep.

Mixed incontinence: Conditions of stress and compression type incontinence are considered as mixed incontinence. Other types of incontinence are:

  • Functional incontinence,
  • Overflow incontinence,
  • Temporary incontinence,
  • Continuous incontinence,
  • Psychogenic incontinence,
  • Incontinence during sexual intercourse.

How is Urinary Incontinence Treated?

Urinary incontinence is quite easy to treat. The first and foremost step in the treatment of urinary incontinence, which has a very high success rate, is for the patient to accept his/her condition and apply to a relevant specialist. The sooner urinary incontinence is treated, the sooner the problem will be resolved.

Followingly, the patient’s quality of life will improve. Surgical or medical treatment methods can be applied for urinary incontinence. Surgical treatment methods include:

  • TVT: It is a patch treatment applied vaginally. The treatment is completed with incisions smaller than 1 cm.
  • TOT: It is a vaginal procedure. It is performed by entering through holes called obturator on both sides of the pelvis.
  • Mini-sling is the procedure of placing a patch under the urethra. A short patch is used.
  • Prepubic sling is a vaginal surgical method. The operation is completed through tiny incisions made under the urethra.

The appropriate method is decided based on the patient’s condition and type of urinary incontinence.