Urogynaecology

Urogynecology is a sub-specialty of Gynecology, and in some countries is also known as Female Pelvic Medicine and Reconstructive Surgery. From our clinic Urogynaecology specialist in Pune we manage clinical problems associated with dysfunction of the pelvic floor and bladder. Pelvic floor disorders affect the bladder, reproductive organs, and bowels.

• Urinary Stress Incontinence Sling : is a vaginal procedure that uses a thin permanent mesh under the urethra to control urine loss during coughing, sneezing, laughing or any other activity that increases abdominal pressure and causes bladder leaking.

• Urinary Urge Incontinence (OAB) : and/or Fecal Incontinence is the involuntary loss of urine or stool. When other modalities of treatment, such as medications have been unsuccessful, there is another option called InterStim. InterStim therapy is a proven neuromodulation therapy that targets the communication problem between the brain and the nerves that surround the bladder or rectum. Get best prostate surgery in Pune with our clinic. The therapy begins with a simple in-office evaluation.

• Bladder Repair (anterior colporrhaphy) Surgery : Photois the vaginal repair of dropped or prolapsed bladder. The anterior “skin“of the vagina is opened vertically and dissected laterally to reinforce the weakened support under the bladder using either sutures or mesh graft. This is done under general anesthesia or regional (spinal block). There are no external cuts or stitches.

• Vaginal rectal repair or rectocele/enterocele repair (posterior colporrhaphy) : is the vaginal repair of the weakened support that causes bulging into the posterior lower and upper part of the vagina using the same technique as the bladder repair, performed with or without mesh graft augmentation. No external incision.

• Vaginal prolapse repair or vaginal vault suspension : is a vaginal procedure that uses minimally invasive techniques to reattach and anchor the upper vagina (vault) to firm ligaments deep in pelvis using mesh grafts or permanent sutures. This is usually done in conjunction with an anterior (cystocele) repair and posterior (rectocele) repair as part of pelvic reconstruction.

• Suspension of Prolapsed Uterus : is a vaginal technique employing permanent vaginal mesh as part of a prolapse repair that attaches to the lower uterus and helps support and prevent further prolapse of the uterus. In cases of extreme prolapse, it may be best to remove the uterus vaginally (vaginal hysterectomy) and the support or suspend the upper part of the vagina with permanent sutures or mesh graft.