FEMALE UROLOGY
Female urological problems may include stress incontinence, overactive bladder, vesicovaginal fistulae, urethrovaginal fistulae, vaginal prolapse and painful bladder syndrome. Lower urinary symptoms are quite frequent in adult females but medical attention is not sought because of social stigma and embarrassment associated with it.
Common Causes of Incontinence Urine in Female
- Severe UTI
- Cystocele
- Over active bladder
- Uro-Gynaelogical Fistula
- 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. 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. It may or may not be accompanied by fever.
Cystocele
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
Overactive Bladder
It is condition more commonly found in females where the bladder becomes sensitive and starts contracting at even little filing with urine and also at frequent intervals. You may feel the sudden and uncontrolled desire to pass urine. It may lead to severe detrition in quality of life in affected females. However, it could be easily managed with timely diagnosis and correct medical treatment.
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 fistulae are a pertinent cause of incontinence or urinary leakage in women. Most women decline treatment because of embarrassment or shame.
Vesico Vaginal Fistula Repair
is a relatively common surgery performed in a patient where 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. It can also be performed in a minimally invasive manner by Laparoscopy.
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. It can be surgically corrected by other open or Laparoscopic techniques.
