Urogynaecology is a subspecialty of gynaecology. It is also referred to as Female Pelvic Medicine and Reconstructive Surgery. It is that branch of medicine which deals with female incontinence and the pelvic floor disorders.
You would be assessed in the clinic. Investigations and treatment regarding incontinence, recurrent urinary tract infections or vaginal prolapse would be conducted. Bladder pain and pelvic floor injury after childbirth are also addressed, including faecal incontinence.
Who is a urogynecologist?
A medical professional who has been trained in the speciality of urogynaecology - a combination of both gynaecology and urology is known as urogynaecologist or urogyn. He or she would deal with problems of the female reproductive system and those of the female urinary tract. They receive special training and are equipped to treat women, especially those who are suffering from pelvic floor disorders.
In the case of men, both reproductive and urinary problems can be dealt with by a urologist.
How do urogynaecologists help?
The pelvic floor disorders affect the reproductive organs, the bowels, and the bladder. The urogynaecologist would manage the clinical problems associated with the dysfunction of the pelvic floor and the bladder. They are increasingly becoming responsible for the care of women who experience trauma to the perineum in the process of childbirth.
Though the primary care physician, urologist or the obstetrician and gynaecologist offers knowledge about such problems, a urogynecologist can offer sound expertise. You should talk to your doctor if you need a referral to an urogyn. You can even consult an urogyn if you find it difficult in emptying the rectum or bladder, have fistulas or are suffering from a bladder or pelvic pain. They can even offer treatment to women with rectovaginal or vesicovaginal fistulae with specialist training and along with other specialities.
The urogyns assess the problems by studying the history of the patient and physical examination. This includes the assessment of sexual function or the assessment of prolapse using validated systems. Many physicians request the use of a bladder diary to quantify the fluid intake of the individual. It can help him to find out the volume the bladder can hold on a daily basis.Authored by Dr. Radhika Meka
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