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Urogynecological Treatment

Uterine Prolapse : This is a condition when the uterus slips down from its position and comes down into vagina or outside vagina.
Vault prolapse/ post-hysterectomy prolapse : After removal of uterus when vaginal wall slips down or outside,it is called vault prolpase.
Cystocele: Laxity of anterior vaginal wall which leads to slipping of bladder along the vaginal wall into or out of the vagina.
Rectocele/ Enterocele: Laxity of posterior vaginal wall which leads to slipping of rectum or intestines along the vaginal wall into or out of the vagina.
Urine incontinence: Involuntary leak of urine.
Overactive bladder: A common condition where a woman experiences frequency, urgency, or urgency leak of urine and frequent nighttime urination.
Stress Urinary Incontinence: Leakage of urine on sneezing, coughing, lifting weights.
Voiding dysfunction: When a woman is not able to empty her bladder fully or needs to strain to pass urine and complains of urine retention.
Recurrent UTI: One of the most common problems faced by women visiting a urogynaecology opd.
Interstitial cystitis/Bladder Pain Syndrome: A distressing condition with pain or discomfort in the bladder region associated with bladder filling, in absence of urine infection.
Stool incontinence: Involuntary leak of stool, commonly associated with Obstetric Anal Sphincter Injury.
Vulvodynia: A chronic painful condition of the vulva characterized by burning stinging, pain, or itching without a known cause.
Chronic Pelvic Pain: pain in the lower abdomen or pelvis that lasts for six months or longer, and can be intermittent or constant, not exclusively related to menstruation.
Dyspareunia: Pain during sex Can be associated with dryness, infection of vagina or any painful pelvic disease.
Vesico-Vaginal Fistula: an abnormal opening formed between the bladder and the vaginal wall, causing urine leakage into the vagina, and can be caused by childbirth, surgery, injury, or infection.

Gynaecological & Obstetric Treatment

Fibroid: A non-cancerous growth on the walls of the uterus that can cause heavy menstrual flow, pressure symptoms, or infertility.
Adenomyosis: A condition where the lining of the uterus grows into the muscular wall of the uterus. It can cause heavy or painful menstrual bleeding, and pelvic pain during intercourse.
Recurrent vulvovaginal infections: Infections of the vulva and vagina, with symptoms like itching, burning, and abnormal discharge, caused by bacteria, yeast, or parasites.
PID (Pelvic Inflammatory Disease): an infection of the female reproductive organs. It can affect the uterus, fallopian tubes, and ovaries.
Post-Menopausal Bleeding: vaginal bleeding after a year without a menstrual period, is abnormal and requires medical evaluation, as it can indicate various conditions, including benign ones and, in some cases, cancer.
Irregular/Inter-menstrual bleeding: vaginal bleeding occurring between periods or at irregular intervals, can be caused by hormonal imbalances, infections, or underlying medical conditions
Polyps(Uterine or Cervical): an abnormal growth of tissue that protrudes from a mucous membrane. Most are benign, some can become cancerous or precancerous. They can occur in various locations, including uterus, and cervix.
PCOS: a syndrome of hormonal disturbance presenting with irregular, heavy periods, weight gain, excessive facial and body hair, infertility, and if untreated can lead to gestational diabetes Diabetes, endometrial cancer.
Ovarian cysts: are fluid-filled pockets on the ovaries that can grow to a very large size. They are usually harmless but can develop into cancer in rare cases.
Genito-urinary syndrome of menopause: a chronic, progressive condition characterized by vulvovaginal, sexual, and lower urinary tract symptoms due to decreased estrogen levels after menopause.

Surgical Management

Vaginal Hysterectomy (Scarless)
Cystocele Repair
Rectocele/Enterocele Repair
Post-Hysterectomy Vaginal Prolapse Repair (HUSL, SSLF)
Midurethral Sling (TOT, TVT), Burch
Colpectomy, Colpocleisis
Hysterectomy (Abdominal, Laparoscopic)
Anal Sphincter Repair
Perineal Body Reconstruction
Vesicovaginal Fistula Repair
Rectovaginal Fistula Repair
Urethral Diverticulum Surgery
Sacrospinous Hysteropexy
Vaginoplasty (Tightening)
Hymenoplasty
Bladder Botox Injection

Nonsurgical Management

Urodynamic Study
Uro-flowmetry
Bladder Instillation
Cysto-uretheroscopy
Medications
Pessaries
Pelvic Floor Rehabilitation
Biofeedback
Electrical Stimulation (PTNS)
Urge Suppression, Bladder Drill/ Retraining
Behavioral and Medical Management
Antenatal & Post-Pregnancy Care
PCOD Management
Contraceptive Advice
Cu-T & Mirena Insertion
Cervical Cancer Screening
HPV Vaccine
Symptoms

Symptoms To Look For Services Available

Leaking urine on coughing/sneezing/laughing/running
Leaking urine before reaching the toilet
Frequent bathroom visits (Day & night)
Unable to fully empty bladder, poor urine stream
Recurrent Urinary infection
Pain/burning/heaviness with bladder fullness- painful urination
Mass coming out Vagina (prolapse/cystocele/rectocele)
Heaviness/fullness in the vagina, unexplained low backache
Vaginal prolapse after Hysterectomy
Vaginal dryness, Pain with sex
Vaginal Laxity
Chronic pelvic pain (Pain in pelvis/genitals/rectum)
Recurrent Vulvovaginal infection/Ulcers/pain/itching
Leak of gas/stool on bending, lifting weights, constipation
Anal Sphincter injury after Vaginal Delivery (Stool/flatus leak)
Pelvic muscle tightness, Constipation
Menstrual complaints (heavy flow, painful cycles, irregular periods)
PCOD
Vaginitis (Discharge)
Facilities
Uroflowmetry
Urodynamic study
Biofeedback
Electrical stimulation(PTNS)
Bladder rehabilitation
Intravesical therapy
Pessaries
Myofascial release
Cervical Cancer Screening
Contraception
HPV Vaccination
Antenatal Care
Postnatal Care
Mirena & Cu-T insertion

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