Uregynecology deals with the diagnosis and treatment of medical conditions such as active bladder, genital area deformities, pelvic organ sagging, loss of genital function and incontinence, which are included in the field of obstetrics and gynecology. The pelvis refers to the pelvis in anatomy. Urinary incontinence is an extremely common disease among women. Two out of every woman who goes through the menopause experience this disorder.
Urekinology surgeries are surgical procedures performed to solve these problems experienced by women. The details of the operation to be performed taking into account the patient's complaints and the condition of the disease are determined by the gynecologist.
What is Ureajinecology?
Uregynecology is the area that deals with medical problems that occur in the pelvic floor organs. The pelvic region refers anatomically to the area under the abdomen. Here are the ligaments, nerves and muscles that support the rectum from the bottom, bladder (bladder), vagina, large intestine, ovary and uterus (uterus). The pelvic floor has a complex intertwined structure, so that it does not only support organs, but also allows the organs in the region to perform their functions.
Therefore, any problems with the pelvic floor cause problems with many questions from impaired intestinal or bladder control to feces or incontinence. Urinary incontinence is known in the medical literature as urinary incontinence and can occur for a variety of reasons, especially coughing or sneezing. At the same time, pelvic floor problems, difficulty urinating and pelvic pains, as well as sexual problems are experienced.
What Field Is Ureajinecology Looking at?
Uregynecology is diagnosed and treated by obstetricians and gynecologists in hospitals because it relates to the genital area and the organs located in the pelvis. Gynecologists who specialize in this field can perform medication or surgery depending on the complaints. Gynecologists can work with neurology, urology, psychiatry, radiology, physical therapy and rehabilitation if necessary.
The obstetrician and gynecologist aims to solve incontinence, uterine sagging, bladder sagging, vaginal sagging or enlargement, large ablution & gas leaks, as well as sexual problems. It primarily treats the type of the disorder by taking into account factors such as chronic diseases of the patient (diabetes, blood pressure, heart disease, lung problems, etc.), the age of the patient and the condition of menopause. If the treatment methods do not work, surgeries are applied.
What are urogynecology surgeries?
In women, if the pelvic support is impaired, bowel control with the bladder is also impaired. Urinary incontinence is a more common disorder in women than previously thought. Bladder exercises, synthetic material injections, planned toilet exercises, botox application to the muscle layer of the bladder, electrical stimulation, pelvic floor muscle exercises or farmocological (drug) treatment are applied to treat urinary incontinence, also known as urinary incontinence, before applying to surgery.
The most common of the urekinology surgeries are as follows:
- Incontinence operations (hanger surgeries)
- Bladder sagging (systocetic) robotics & open surgery (sacrocopopexy) & Laparoscopic (closed surgery)
- Vaginal (genital) aesthetics
The causes of problems requiring urogynecology surgeries include ageing, childbirth & difficulty in childbirth, large infant birth, chronic systemic diseases and sometimes the effects of advanced stress.
How to Perform Urogynecology Surgeries?
TOT (Trans Obturator Tape)
The most common type of urinary incontinence is stress urinary incontinension. It refers to incontinence when exercising, laughing, sneezing or coughing. Surgical methods known as TOT (trans obturator tape) are used in the treatment of the disease. It is one of the bladder neck suspension surgeries with the lowest risk of complications and the highest success rate. It is also preferred due to its reliability.
Spinal or general anesthesia is applied to the patient in TOT operation. The surgeon first cuts into the anterior wall of the vagina and inserts the permanent synthetic substance in the patch (ostition) to support the urethra bottom. Small incisions are made on the two inner sides of the groin in order to place the patch smoothly. Hooks are attached to the incisions so that they can be inserted into the vagina. The hanger lifts the bladder up.
Bladder Sagging (Systocetic)
Bladder sagging (systocetic) surgery is performed under general or spinal anesthesia. Anesthesia is given vaginally. Saggy and excess vagens on the bladder are liberalized. The vesiko vaginal fascia tear is repaired, thus ensuring the integrity of the vaginal mucosal tissue. The operation time is approximately 20 minutes. The patient could be under observation overnight. The stitches will melt, so they don't have to be removed.
Vaginal (Genital) Aesthetics
Vaginal aesthetic surgeries are becoming increasingly popular around the world. In the female reproductive organ, the aesthetics of the inner lips are called labioplasty and the aesthetics of the outer lips are called majoraplasty. However, clitoris aesthetics (clitorohudoplasty), perinee correction (perineoplasty), vaginal narrowing (vaginoplasty) and outer lip plumping (labia majora ogmentation) are also frequently preferred.
Women who are uncomfortable with the appearance of the genital area can resort to plastic surgery to end their self-esteem problems and at the same time relieve their sexual reluctance. Sagging or dilation in the area may prevent orgasm. Before the operation, the physician listens to the patient's wishes and designs how the surgery will be performed and its results after the physical examination.
A specialist doctor who has mastered the functions and anatomy of the genital area helps patients to meet expectations. Vaginal (genital) aesthetics are highly functional as it improves the area psychologically as well as making the patient feel better. Therefore, it proceeds to be among the most frequently performed operations.
What are the Advantages of Urogynecology Surgeries?
Urogynecology surgeries correct problems in the pelvic area of the patient. Solving these problems physiologically prevents other disorders that may occur in the future. Incontinence in particular negatively affects daily life in women. Involuntary incontinence during sports, coughing and even laughing ends with surgery.
Urogynecology surgeries aimed at improving the appearance of the vagina for aesthetic purposes allow the patient to feel better psychologically. In general, all operations have a positive effect on improving self-esteem. There is also a significant increase in the pleasure taken from sexuality, the patient's shame and fear of his partner will decrease, as well as the discomforts that will cause pain in the region will be eliminated.
Process After Urogynecology Surgeries
After urogynecology surgeries, the process works differently depending on the type of operation performed and the methods used. As with any surgery, hygiene should be taken care of in order to prevent infection in the area. The patient should also be careful not to lift heavy. Attention should be paid to toilet cleaning, it should be noted that it is inconvenient to wipe from the back to the front. Medicines or creams given by the physician should be applied as recommended in full and the controls should not be disrupted.
It is necessary not to come into contact with hot water for the first few days after operations. However, the bathtub and jacuzzi are banned for 1 month. The area may need to be protected from water when showering. It is necessary to stay away from the sea for approximately 1 month, as well as public areas such as pools, hammams and spas. Sexual intercourse is inconvenient until the physician allows it. It is perfectly normal to have mild bleeding for the first few weeks, only medications prescribed by the physician should be used and tampons should not be preferred during this time.