Female Urogyneacology
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Vesico Vaginal Fistula
VVF is an abnormal communication between vagina and urinary bladder leading to continuous leakage of urine.

 

Overactive Bladder
It implies frequency, and urgency of urination with or without urinary leakage. Treated mostly by medications- Anticholinergics. Cystodistension and Intradetrusor BOTOX injection is given for resistant OAB.

 

Interstitial Cystitis
Bladder inflammation leading to persistent lower abdominal and pelvic pain.

 

Urinary Tract Infections
Blood in urine, Burning urination, Smelly urine, Repeated infections.

 

Painful Bladder Syndrome
Interstitial cystitis/bladder pain syndrome(IC/BPS)is a group of symptoms, including mild to severe bladder pain and an urgent and/or frequent need to urinate. The disorder can affect women and men but is more common in women. It can be difficult to diagnose and treat because the underlying cause is not well understood.

 

Neurogenic Bladder
The bladder is a hollow organ located in the pelvis, or lower abdomen. The bladder has two important functions:

  • It helps to store urine until it is full.
  • When the bladder becomes full, there is an urge to urinate, and the bladder empties completely without any leakage.

Urination can be abnormal if the bladder is unable to empty itself fully or empties itself before one reaches the bathroom. There can also be leakage before or after urination due to problems with bladder control.

When the conditions of the nervous system affect the bladder, it is called “neurogenic bladder.” Conditions like stroke, Parkinson’s disease, multiple sclerosis, disk herniation, and other nervous system abnormalities can result in neurogenic bladder.

There are two major types of bladder control problems that are associated with a neurogenic bladder. Depending on the nerves involved and nature of the damage, the bladder becomes either overactive (spastic or hyper-reflexive) or underactive (flaccid or hypotonic).

  • People with overactive bladders have little to no control urinating. If the bladder is overactive, a person might feel a sudden urge to urinate or might go to the bathroom more often than necessary. An overactive bladder may result in incontinence (the involuntary or accidental release of urine).
  • Neurogenic underactive bladders behave in the opposite way. The bladder loses its ability to empty properly and fills beyond the normal capacity. At a certain point, the pressure of urine in the bladder overcomes the sphincter muscle’s ability to retain it, and urine leaks out. Underactive bladders fail to empty completely and hold on to urine.
 
 
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Female Urogyneacology
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