Urogynecology and Pelvic Floor Surgery

Urogynecology and Pelvic Floor Surgery

Ürojinekoloji Pelvik Taban Cerrahisi

There are current diagnosis and treatment options for women with complex pelvic floor disorders such as urinary incontinence, overactive bladder syndromes, pelvic organ prolapse, voiding and defecation disorders, sexual dysfunction, gas and fecal incontinence, fistulas and congenital absence of the vagina.

The main diseases that are diagnosed, treated and followed up are listed as follows.

Urinary Incontinence (Urinary Incontinence)

Urinary incontinence or involuntary urinary incontinence is a phenomenon that affects many women and makes social life difficult. Although it is generally seen in older women, urinary incontinence is not a natural part of the aging process and is mostly effective.

There are basically two types of urinary incontinence:

Stress incontinence

In this type of urinary incontinence, the person incontinents urine in situations such as coughing, laughing, straining and sometimes walking, when the intra-abdominal pressure increases. The problem here is that the tissues around the bladder become weaker over time. Good results can be obtained with surgical treatment in this type of urinary incontinence.

Urge incontinence

In this type of incontinence, patients describe a urinary incontinence that comes with a sudden urge to urinate. In this type of urinary incontinence, drug therapy may be beneficial. Pelvic Relaxation (Uterine Prolapse)

Pelvic Relaxation (Uterine Prolapse)

A loosening and weakness may occur in the uterus and surrounding connective tissue due to reasons such as advancing age, previous surgeries, vaginal birth. In this case, the uterus and other female organs slide down from the reservoir and displace. Patients often apply to the physician with a feeling of pressure or fullness.

Vaginal Fistulas

Vaginal fistulas are connections between the vagina and other organs that should not normally exist. It can also occur between the vagina and the intestine, bladder and other organs. The treatment of these conditions, which are mostly due to surgeries, radiation therapy or trauma, is surgery.

Vezicovaginal Fistula or Bladder Fistula

Defines the fistula between the bladder and vagina. It manifests itself by the uninterrupted urine coming from the vagina.

Rectovaginal fistula or Intestinal Fistula

It indicates the development of fistula from the intestines to the vagina and the discharge of feces and / or gas from the vagina is the main complaint of the patients.

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