What is Urogynecology Urogynecology is dedicated to the treatment of women with pelvic floor disorders such as urinary or fecal incontinence and prolapse (bulging or falling) of the vagina, bladder and/or the uterus. Urinary incontinence Urinary incontinence (leakage of urine) is a very common condition affecting at least 10-20% of women under age 65 and up to 56% of women over the age of 65. While incontinence also affects men, it occurs much more commonly in women. Prolapse Prolapse simply means displacement from the normal position. When this word is used to describe the female organs, it usually means bulging, sagging or falling. It can occur quickly, but usually happens over the course of many years. Prolapse and incontinence Prolapse and incontinence frequently occur together. Both conditions are believed to result from damage to the pelvic floor after delivering a baby. Other possible factors in the development of prolapse and incontinence are very heavy lifting on a daily basis, chronic coughing, severe constipation and obesity TREATMENT OPTIONS FOR PROLAPSE Women may have different signs or symptoms at menopause. That’s because estrogen is used by many parts of your body. So, as you have less estrogen, you could have various symptoms. Here are the most common changes you might notice at midlife. Some may be part of aging rather than menopause.. Pelvic muscle exercises (PME) This exercise strengthens the support of the pelvic organs, and are most commonly used to treat stress urinary incontinence. PME techniques are also useful in prolapse prevention. Once the symptoms of prolapse are severe, however, these exercises are of little benefit. Pessary It is a device worn in the vagina like a diaphragm. Pessaries are used to support the vagina, bladder, rectum and uterus as necessary. They come in a variety of shapes and sizes, so a doctor or nurse must fit them. Surgery There are a number of surgical procedures to correct prolapse like Total Vaginal Hysterectomy, Uterosacral ligament suspension etc.. the choice of operation depends on several factors. For more information on this contact your gynecologist.
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