Urogynecology and Pelvic reconstructive Surgery

Diagnosis and treatment of urinary incontinence

Diagnosis and treatment of pelvic organ prolapse

Surgical treatment available to our patients with various forms of genital prolapse includes:

Specialists of the Gynecology and Oncogynecology Clinic provide assistance to patients with urinary incontinence and pelvic organ prolapse.

Diagnosis and treatment of urinary incontinence

There are several types of urinary incontinence: one of them requires medication, the other requires surgery. It is very important to determine the type of urinary incontinence in each specific case, because improperly prescribed treatment can lead to complications or disease progression.

For mild forms of urinary incontinence, a non—surgical treatment method is often more effective - stimulation of the pelvic floor muscles in order to strengthen them. This method is widely used by doctors of the Gynecology and Oncogynecology Clinic for the treatment of young women of childbearing age, as well as for some rare forms of urinary incontinence (for example, neurogenic bladder). In severe cases, a minimally invasive sling operation is performed, during which a thin mesh implant is inserted into the tissue under the urethra to control urination.

Diagnosis and treatment of pelvic organ prolapse

A history of two or more births, especially those complicated by ruptures of soft tissues (birth injuries), as well as connective tissue features can provoke partial or complete prolapse of the vaginal walls (cystocele, rectocele), cervix, or all gynecological organs.

Often, such loss, in addition to cosmetic defects, is accompanied by disorders of the intestine (constipation) and bladder (incontinence or, conversely, urinary retention). These problems occur in women of any age.

An effective diagnostic method for a number of similar diseases is < span style="color: #790000;">ultrasound examination of the perineal and pelvic floor muscles.

Surgical treatment available to our patients with various forms of genital prolapse includes:

plastic surgery of the anterior vaginal wall (cystocele);
plastic surgery of the posterior vaginal wall (rectocele);
perineal muscle strengthening (levatoroplasty);
a combination of the three above operations (shown to most women with prolapse);
vaginal hysterectomy with plasty of the vaginal walls in case of prolapse of the cervix or uterus;
sacrocolpopexy (sacrouteropexy) is a robot-assisted or laparoscopic operation to attach the vagina (uterus) by means of a mesh implant to the sacrum;
Lefort surgery for prolapse in elderly women with concomitant therapeutic diseases;
sling surgery is performed when prolapse is combined with stress urinary incontinence;
cervical plastic surgery in the presence of previous birth injuries.

All these operations are performed in the EMC with mini-invasive accesses (vaginal and laparoscopic), ensuring the fastest possible recovery after the intervention and minimal cosmetic skin defects. Other problems in the field of urogynecology are dealt with by the Center for Female Urology.