Urogynecology is a subspecialty of urology, which deals with overactive bladder, pelvic organ prolapse and incontinence complaints.
The pelvic floor is the whole of the muscles, ligaments, faeces, and nerves that support the organs, uterus, vagina and rectum, which are settled in the pelvis. This intertwined complex structure of the pelvic floor plays an essential role in fulfilling their duties besides supporting only their organs in place. If the intricate nesting of the pelvic floor is disturbed, the bladder or intestine
the normal structure of their activities may result in problems with urinary or fecal incontinence, sagging in pelvic organs, difficulty in labor, pelvic pain, and related sex experiences.
Female pelvic floor anatomy and urogynecology physiology of women’s diseases and urological examinations are required for diagnosis and treatment of the disorders entered into this area. According to the different causes that can occur in each individual, the cure should be regulated as medical or surgical, in particular.
Urinary incontinence (urinary abduction) treatment is regulated by the type and severity of the incontinence. there are various medical and surgical treatments and the treatment should be arranged according to the patient.
In most patients, physical and behavioral therapies are first tried. In the following steps, if severe anatomic problems are detected, or if severe incontinence, surgical and combined treatments are preferred.
Treatment methods for urinary incontinence patients are as follows:
- Bladder exercises,
- planned toilet exercises,
- pelvic floor muscle exercises,
- electrical stimulation,
- various medical instruments and devices,
- pharmacological treatment,
- synthetic material injections,
- applying botox to muscle layer of mesanine
- surgical treatment.
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