Urogynaecology

UroGynaecology, a subspecialty within Obstetrics and Gynaecology, is dedicated to the treatment of women with pelvic floor disorders such as incontinence and prolapse. Urinary incontinence, leakage of urine, is a very common condition effecting women. Prolapse simply means a bulging or pressure sensation in the vaginal area caused by displaced or falling female organs such as the bladder, uterus, vagina or rectum. Prolapse and incontinence frequently occur together. These are not a normal part of a woman’s aging. Non-surgical and surgical treatment is available for patients with these uncomfortable symptoms.

Urogynaecological Conditions

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• Stress Incontinence
• Urge Incontinence
• Overactive Bladder (frequent voiding, urgency)
• Pelvic Organ Prolapse
• Interstitial Cystitis/Painful Bladder Syndrome
• Fistula
• Urinary Tract Infections

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Surgical Approaches

Laparoscopy

• Vaginal approach
• Laparotomy

General Procedures

• Hysterectomy
• Oopherectomy [removal of the ovary(s)]

Vaginal Vault Suspension/Uterine prolapse, vaginal vault prolapse

• Sacrocolpopexy
• Uterosacral ligament suspension
• Sacrospinous ligament suspension (with or without mesh augmentation)

Hernia Repair

• Enterocele repair

Bladder suspension/Cystocele repair

• Paravaginal defect repair
• Anterior Colporrhaphy (with or without mesh augmentation)

Rectocele Repair

• Posterior Colporrhaphy (with or without mesh augmentation)

Stress Incontinence

• Retropubic urethropexy
• Sling procedure
• Peri-Urethral bulking agent injection

Overactive Bladder/Urinary Retention

• InterStim Therapy
• Botox Injections

Interstitial Cystitis

• Hydrodistention
• Botox injections
• InterStim Therapy

Other

• Fistula repair
• Urethral diverticulum repair
• Gartner’s duct cyst resection
• Skene’s duct cyst resection
• Perineoplasty/Z-plasty