Urogynecology

Urogynecology is a subspecialty of gynecology dealing with the diagnosis and treatment of pelvic floor disorders, urinary incontinence, and pelvic organ prolapse in women.

What is Urogynecology?

Urogynecology is a specialty area dealing with the diagnosis and treatment of pelvic floor functional disorders in women. The pelvic floor muscles and connective tissue support the uterus, bladder, and rectum. Childbirth, aging, menopause, and genetic factors can cause pelvic floor weakness.

Assoc. Prof. Erkan Elçi provides treatment with minimally invasive surgical methods in the field of urogynecology.

Urogynecological Conditions

Common urogynecological problems:

- Stress incontinence: Urine leakage during coughing, sneezing, laughing

Urge incontinence: Leakage with sudden and strong urge to urinate

Mixed incontinence: Both types occurring together

Pelvic organ prolapse: Uterine prolapse, bladder descent (cystocele), rectal descent (rectocele)

Overactive bladder: Frequent urination, nighttime urination

Recurrent urinary tract infections

Treatment Methods

Urogynecological treatment options:

- Pelvic floor exercises (Kegel): First-line treatment

Behavioral therapies: Bladder training, fluid management

Medication: Anticholinergic drugs, beta-3 agonists

Pessary application: Vaginal support device

TOT/TVT surgery: Urinary incontinence surgery

Sacrocolpopexy: Robotic/laparoscopic prolapse repair

Anterior/posterior colporrhaphy: Vaginal prolapse repair

Laser therapy: For mild incontinence and vaginal atrophy

Frequently Asked Questions

Can urinary incontinence be treated?+

Yes, urinary incontinence is a problem that can be effectively treated in modern medicine. Exercise, medication, or surgical methods are applied depending on the type and severity.

Is surgery necessary for uterine prolapse?+

Conservative methods such as pelvic floor exercises and pessary may be sufficient for mild cases. Surgical treatment may be necessary for advanced prolapse.

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