Leading Female Urology Care Hospital in India

URINARY INCONTINENCE

What are the types of incontinence female suffering from?

There are 4 types of urinary incontinence.

• Stress urinary incontinence: - urine leak while coughing, sneezing, laughing or lifting weight is called Stress urinary incontinence.
• Usually, due to weakness of perineal muscles due to multiple pregnancies, virginal deliveries, obstructed labor SUI starts.
• So, many females believe its part of ageing & normal phenomena.
• It can be improved withkegle’s exercise, or medical treatment with Tab. Duloxetine, but the results are suboptimal.
• SUI mainly treated with surgical treatment with either Prolene mesh or autologous tissue.

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OVERACTIVE BLADDER

Overactive bladder, also called OAB, causes a frequent and sudden urge to urinate that may be difficult to control. You may feel like you need to pass urine many times during the day and night, and may also experience involuntary loss of urine (urgency incontinence).

Symptoms

• Feel a sudden urge to urinate that's difficult to control
• Urinate frequently, usually eight or more times in 24 hours
• Wake up more than two times in the night to urinate (nocturia)
• Along with above symptoms pt may have urine leak.

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RECURRENT URINARY TRACT INFECTIONS

What is RECURRENT UTI?
Recurrences of uncomplicated and or complicated UTIs, with a frequency of at least three UTIs/year or two UTIs in the last six months.

Uncomplicated UTIs
An uncomplicated UTI is one that occurs in a healthy host in the absence of structural or functional abnormalities of the urinary tract. Recurrent uncomplicated UTI may be defined as 3 or more uncomplicated UTIs in 12 months.

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GENERAL UROLOGICAL WOMEN PROBLEMS

Women suffer same problem as men, like

Symptoms

• Cancers (adrenal, kidney, bladder & urethra)
• Urinary stones
• Trauma to kidneys, ureter, bladder or urethra
• Voiding Dysfunction
• Evaluation & management is same as men.
• Some common urological problems in female are:
• Recurrent urinary tract infections
• Urinary incontinence
• Voiding dysfunction
• Interstitial cystitis

UROLOGICAL PROBLEMS IN PREGNANCY

During pregnancy many changes occur in body, including kidneys – functioning & filtering of the blood, & blood pressure status changed with pregnancy. Most common problems in pregnant female occurs urine tract infections. This results in low birthweight babies, intrauterine growth retardation or sudden death of fetus. If it spreads to the kidneys pt has to admitteted and started on antibiotics.

Another problem is kidney &ureteric stones. This may lead to acute kidney infections. These problems treated with medications or may requires stenting.

Urinary incontinence is also major problem during pregnancy. because of the weight if fetus pregnant lady may feel urine leak while coughing , sneezing & laughing this is called stress urinary incontinence and may continue in post partum life also. They have frequent urination & urinary leak in urgency.

GENITOURINARY FISTULAS

Genitourinary fistula are the most common complication of gynecological & obstetric procedures. Its incidence is 1-3 per 1000 deliveries. It is more commoner in females with early-age pregnancy, cephalopelvic disproportion and poor antenatal care, obstructed labour

Hysterectomy also has bladder injuries (2.9%), ureteric injuries (1.8%) and followed by fistula formation. Pelvic malignancy, pelvic irradiation, trauma, and foreign body erosions are other common factors.

esicovaginal fistulas are more common, followed by ureterovaginal fistula, vesicouterine fistulas.