Urogynecology is a specialized field of gynecology and obstetrics that deals with female pelvic medicine and reconstructive surgery. High-level treatment of health problems in this area requires comprehensive care. At Wáberer Medical Center we have all the tools that are necessary to provide decent care in line with the complexity of the area. Which means that an experienced specialist, diagnostic imaging, equipment for alternative and surgical treatments, pre-operative treatments, rehabilitation programs or physiotherapists cannot be missing from these.
As the bladder slowly fills with urine, the bladder wall muscles relax and expand to accommodate an increasing amount. When it reaches the limit of its expansion, we feel the urge to urinate. The brain instructs the bladder muscle to contract than the sphincter in the urethra relaxes. Thus, the urine can be emptied completely and unhindered. With sufficient fluid intake, the bladder must be emptied 5-7 times a day, and urinating once or twice at night is also considered normal.
The base of the urethra and the bladder is formed by the pelvic floor muscles, which tighten in response to an increase in abdominal pressure (movement, coughing – any activity when the abdominal muscles are tense) and thus help prevent involuntary urine loss. Weakness of these muscles or damage to the structures providing bladder neck suspension leads to involuntary loss of urine and stress incontinence.
When visiting Dr Géza Abkarovics OB/GYN and urogynecologist you get a diagnosis and a personalized treatment plan for your issue.
Examination methods:
*It is recommended to come to the urogynecologist with empty bladder
After receiving and analyzing the results the doctor can recommend an accurate treatment plan.
As an abnormal condition, urinary loss can be cured according to its specific types and stages. There are several alternative methods for alleviating and eliminating the issues, but it is good to know that most of the time stress incontinence it treated with surgical procedure which can bring a satisfactory quality change. Your doctor will recommend the most optimal therapy for you.
First of all, a general change in lifestyle is recommended: drinking an adequate amount of water (1.5-2 l per day), reducing body weight in case of obesity, permanently quitting smoking. In case of constipation, the use of stool softeners can also help a lot.
In case of urinary loss issues, it is always recommended to strengthen the pelvic floor muscles with pelvic floor exercises. This can improve your urinary loss complaints if you do the exercises regularly, for at least 3-6 months. In order to increase the effectiveness of the exercise, it is recommended to visit a physiotherapist or physiotherapist, who is also available at Wáberer Medical Center.
There are tools available, which can help with the issues. There are some that need to be inserted only before physical activity, and some (such as vaginal pessaries) that can be worn constantly.
Injecting collagen/fat can also be a well-used treatment method.
However, in many cases the most effective method is surgery using a band implantation under the urethra (made of synthetic or, less often, autologous material).
