Urogynecology & Pelvic Floor Surgery Center

Urogynecological Conditions

Urinary incontinence: Involuntary loss of urine.

Most frequent types:

• Stress Urinary Incontinence: loss of urine when abdominal tension increases, e.g. while coughing, laughing, or exercising.
• Urge Incontinence: loss of urine accompanied by an intense urge to pass urine.
• Other types of incontinence: nocturnal enuresis (bedwetting), continued leakage of urine, loss of urine that is not felt/detected, or that occurs during sexual intercourse.
  

Weakening of the pelvic floor: the prolapse -lowering- of pelvic organs through the pelvic walls.

Types of weakening include: prolapse of the uterus, bladder (cystocele), rectum (rectal prolapse), pouch of Douglas, cervical stump.

Possible accompanying symptoms: a sense of pressure/weight in the vagina, localised irritation or inflammation, dysfunction of the urinary or gastrointestinal system.

Other disorders: recurrent urinary tract infections, irregular urination or bowel movements, chronic pelvic pain, vaginal atrophy, discomfort/pain during intercourse (dyspareunia).

Diagnosis

The diagnostic approach of patients consists of obtaining a detailed medical history, running a full range of clinical tests, imaging (ultrasound, CT, MRI), and lab tests, using cutting-edge technology.

The cornerstone of diagnosis and further treatment of Pelvic Floor Disorders is the full set of Urodynamic Tests (uroflowmetry, filling/emptying cysteomanometry) performed at our centre.

Patients receive detailed feedback on the nature of their disorder and on the treatment options available (conventional, pharmaceutical and/or surgical).

Therapeutic Approach

We provide physical recovery treatment programmes involving pelvic floor exercises, biofeedback, behaviour modification and bladder retraining.

We implement the latest treatment techniques of laser reconstruction for vaginal mucosa.

We also perform a full range of operations - either laparoscopy or open surgery - with view to restoring anatomy and continence, such as:

• Vaginal hysterectomy
• Colporrhaphy
• Colposuspension with or without using mesh
• Transvaginal taping (TVT)
• Botox injections, etc.