Female Urology

Xpert Urology Care

Female Urology

Female urology problems may include stress incontinence, overactive bladder, vesicovaginal and urethrovaginal fistulae, vaginal prolapse and pelvic pain including minimally invasive surgery for stress incontinence and vaginal prolapse
Lower urinary symptoms are quite frequent in adult females but medical attention is not seeked because of social stigma and embarrassment associated with it. Common urinary problems are incontinence (leakage of urine), urgency (going to the toilet frequently) and stress incontinence (leaking of urine with cough and laughing or straining.

Common Causes of Incontinence Urine in Female
  • • Severe UTI
  • • Over active bladder
  • • Uro-Gynaelogical Fistula (VVF)
  • • Pelvic Prolapse

Urinary Tract Infection Urinary tract infection or UTI is a bacterial infection that occurs when bacteria invade the urinary tract system; the bacteria multiply throughout the urinary tract system. While the majority of urinary tract infections or UTIs are not serious, they often cause severe symptoms such as pain and/or burning upon urination. The urinary tract system is the body's filtering system for removal of liquid waste. The urinary tract consists of the kidneys, bladder, ureters and urethra.

Over Active Bladder occurs when the wall between a woman’s bladder and her vagina weakens and allows the bladder to droop into the vagina. This condition may cause discomfort and problems with emptying the bladder. A bladder that has dropped from its normal position may cause two kinds of problems — unwanted urine leakage and incomplete emptying of the bladder. In some women, a fallen bladder stretches the opening into the urethra, causing urine leakage when the woman coughs, sneezes, laughs, or moves in any way that puts pressure on the bladder.

Urinary fistulas present as continuous urinary leakage in women. This chronic incessant leakage causes wetting, bad smell, skin soiling infections and may lead to the woman becoming a social outcast, either by choice or by societal pressure. Female urinary fistulas is a pertinent cause of incontinence or urinary leakage in women. Most women decline treatment because of embarrassment or shame.

Vesico Vaginal Fistula Repair: In a patient with vesicovaginal fistula, surgically bladder is opened and the abnormal connection (fistula) is dissected out. Then vaginal and bladder defect is repaired and both repair is separated by interposing other tissue in between to prevent recurrence. Usually, drainage catheter is left for one to two weeks.

Pelvic Prolapse is usually accompanied by some degree of vaginal vault prolapse. Vaginal vault prolapse occurs when the upper part of the vagina loses its shape and sags into the vaginal canal or outside the vagina. Pelvic prolapse may also involve sagging or slipping of other pelvic organs, including the bladder, the urethra which is the tube next to the vagina that allows urine to leave your body, and rectum.