urogynecology

What is Urogynecology? And how are the Urogynecology Diagnostic Tests Helpful?

The world is aware of the gynecologists and urologists but little do people know about urogynecologists and the question yet remain unresolved, “what is urogynecology”!

In this blog, we’ll briefly discuss the important aspects of urogynecology and that how Urogynecology Diagnostic Tests can be helpful towards patients suffering from diseases associated with this specific branch of medicine.

Overview

Urogynecologists are specialized physicians who provide additional expertise to diagnose and treat women of pelvic floor disorders (PFDs). They are specialized into providing therapies or reconstructive surgery for issues such as prolapse and incontinence. They treat the pelvic floor which comprises of numerous muscles, nerves and ligaments that back up the female urogenital system (vagina, uterus, bladder and rectum).

You may consult or ask your general physician to refer a reputable urogynecologist since they are trained to render specialized diagnosis and treatment. After completing their MBBS, urogynecologists specialize in the subjects of Obstetrics and Gynecology or Urology.

Women undergoing prolapse issues, constipation, incontinence or other pelvic conditions that may cause problems into urinating, defecating, or enjoying sexual activity should definitely consult their physician to refer them to a reliable urogyn to get such issues resolved promptly.

Urogynecologists are trained and specialized to provide therapeutic and reconstructive surgery. And are not responsible to treat cancer, kidney stones or other kidney related abnormalities and diseases. They may be only recommended when you are suffering from post-partum muscle damages and other childbirth related problems.

There may be other reasons as well that may call for an immediate consultation from your urogynecologist. And they are listed below:

  • Incontinence
  • Bladder and urethral pain
  • Constipation
  • Overactive bladder
  • Intercourse pain
  • Prolapsed bladder
  • Anal incontinence

What is PFD?

Pelvic Floor Disorder is the inability to control the muscles and ligaments of your pelvic floor which comprises of a number of organs including the bladder, rectum, and uterus. Contracting and relaxing these muscles help the human body to control bowel movements, urination, and sexual intercourse.

The Pelvic Floor Disorder forces the body to rather just contract the muscles than relax. This in result cause difficulties in bowel movements for women. And may even result in long term colon damage or acute infection if left untreated.

What Develops PFD?

While the exact reasons behind the dysfunction are yet to be researched, there are a number of factors that give rise to PFD in women of all ages. The following conditions may affect the connective tissues or weaken the pelvic muscles to cause PFD:

  • Traumatic injury targeting the pelvic floor
  • Childbirth
  • Obesity
  • Former pelvic surgery
  • Nerve damage

Diagnosis

The urogynecologist will do a thorough case study by assessing your symptoms and medical history. He or she may even perform a number of physical examinations and diagnostic tests to accurately evaluate your condition, and prescribe the best treatment possible. There are a number of diagnostic tests that a Urogyn may recommend you according to the existing condition. Some of those tests may include the following diagnostic tests:

Ultrasound

Sound waves can help identify cancerous growth or kidney stones, and therefore help in eliminating the PFD as a potential threat.

Cystoscopy or Urethroscopy

This is more of an invasive examination that allow to inspect the inside of urethra and the bladder through a small lighted scope.

Urodynamic Testing

These tests help inspect the lower urinary tract function which includes the storing and discharging of urine through the bladder and urethra. The tests are carried out in a professional setting by inserting a small sized catheter in the bladder.

Urine Culture

This help identify whether the person has urinary tract infection (UTI) or not.

Fluoroscopy of the Pelvis

This includes X-rays and the using up of contrast material which is placed in the rectum, vagina and the bladder. The X-rays project an optical representation of the organs on a fluorescent screen, and the contrast material helps to evaluate the degree of prolapse throughout defecation.

Electro-diagnostic testing (EMG)

This type of test helps determine the nerve function of the pelvic floor through the help of small adhesive patches placed on the skin. Muscle responses are evaluated through small electrical impulses subjected through the patches.

Treatment

The treatments focus on relaxing the muscles of the pelvic floor to ease the bowel movements by providing more control. Most probable treatments may include medication and relaxation practices such as yoga or warm baths. In severe cases, your Urogyn may also recommend reconstructive surgery.

Conclusion

It is never advised to misinterpret and assume the initial symptoms. Always seek out professional help from your family physician who can recommend an accomplished urogynecologist. It is never a good idea to delay diagnosis and treatment for PFD just because you feel embarrassed talking about it.