Urinary incontinence is the involuntary leakage of urine; in simple terms, it means a person urinates when they do not want to. Control over the urinary sphincter is either lost or weakened. Urinary incontinence is a much more common problem than most people realise.
This can be treated by following ways:
- – Medications
- – Bladder training,pelvic floor muscle strengthening,biofeedback
- – Medical devices like Urethral insert, electrical/magnetic stimulation, neuromodulation
- – Urinary catheter
- – Absorbent Pads
- – Surgery
URINARY AND UROGYNECOLOGICAL FISTULA
Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequelae from these fistulas, they often have a profound effect on the patient’s emotional well-being.
Other types of fistulas are the ureterovaginal (communication between ureter and vagina),vesicouterine(communication between uterus and urinarybladder) and colovesical (communication between intestine and urinary ladder) fistulas.
Evaluation and management of such fistulas is done by urologist and these fistulas can be treated by endourologic , minimally invasive or open surgical techniques.
CYSTOCOELE
A cystocele is a medical condition that occurs when the tough fibrous wall between a woman’s bladder and her vagina (the pubocervical fascia) is torn by childbirth, allowing the bladder to herniate into the vagina. Urethroceles often occur with cystoceles.
Treatment options range from no treatment for a mild cystocele to surgery for a symptomatic and larger cystoceles. If a cystocele is not bothersome, the doctor may only recommend avoiding heavy lifting or straining that could cause the cystocele to worsen.Larger cystoceles may require surgery to move the bladder back into a more normal position and keep it there.
