Urogynaecology

Urogynaecology is the diagnosis, treatment and management of a wide range of pelvic floor disorders and urinary incontinence in women. At New Victoria Hospital, we pride ourselves on providing comprehensive care and personalised treatment plans to improve patients' quality of life and help them regain comfort, control and overall well-being. Using the latest technology and techniques our Urogynaecologists treat a broad spectrum of conditions including pelvic pain, pelvic organ prolapse, urinary incontinence and childbirth injury - all with sensitivity, care and compassion.

What is Urogynaecology?

Urogynaecology is a specialised subsection of both urology and gynaecology that is focused on addressing conditions that affect the pelvic organs including the vagina, bladder, uterus and rectum. Common conditions that our consultants diagnose and treat include:

Pelvic organ prolapse

This refers to the movement of the top part of the vagina, womb, bladder, or bowel from its normal position into the vagina, leading to pain and discomfort. While lifestyle changes and pelvic floor exercises may help alleviate a prolapse, surgical intervention may be necessary.

There are several types of pelvic organ prolapse:

Cystocele - the bladder protrudes into the front wall of the vagina.
Rectocele - the rectum bulges into the back wall of the vagina.
Enterocele - the small intestine bulges into the vagina.
Uterus Prolapse - the uterus slides into the vagina
Vault Prolpse- the top of the vagina (after a hysterectomy) slides into the vagina

Childbirth injury

During childbirth it is common for women to experience physical injury or trauma. The injuries can include prolapse and vaginal and perineal tears. This can happen naturally during childbirth or can result from medical interventions, such as an episiotomy—a procedure where the vagina or perineum is cut to make space for the baby.

Lower urinary tract symptoms

These conditions include various difficulties related to urination, such as urinary urgency, frequency, incontinence, cystitis and voiding difficulties - where the bladder never fully empties.

Pelvic pain syndromes

This condition is an ongoing pain in the bladder, urethra, vagina, or perineum. The pain can vary in intensity, from mild to severe, and frequency, from constant to periodic.

Treatment of Urogynaecology conditions at New Victoria Hospital

At New Victoria Hospital our expert Urogynecologists provide a wide range of treatments. Using the latest methods and technology, they help patients suffering from a range of urogynecological conditions, from initial diagnosis to after-care.

When a patient first arrives at our Hospital, they will be invited for a consultation with one of our expert Urogynaecologist to discuss their symptoms and any concerns they may have. Our doctors will then examine a patient to find out the cause of the problem and the best course of treatment, this can be done in several ways which may include:

Flexible Cystoscopy: This is a medical procedure using a flexible tube with a light and camera to examine the inside of the bladder and urethra. It allows doctors to visually assess their condition and diagnose any abnormalities or conditions.
Urodynamic testing: This involves measuring various urinary functions, such as bladder pressure, urine flow rate, and the ability to store and empty urine. Urodynamic testing helps in diagnosing conditions related to the lower urinary tract.

Once our expert Urogynaecologists have diagnosed the condition, depending on its type and severity, they will then recommend the best treatment plan. Our multidisciplinary team may recommend pelvic floor exercises to strengthen the muscles in the pelvic area. They can also prescribe medications to manage symptoms or suggest lifestyle changes such as adjustments to diet.

In some cases, Urogynecologists may perform minimally invasive procedures using specialised tools to help treat certain conditions. These procedures can provide relief with less discomfort and faster recovery than more invasive procedures. If necessary, they may also perform surgeries to repair or correct pelvic organ problems.

Urogynaecology at New Victoria Hospital

Although most urogynaecological conditions are not life-threatening they can greatly impact an individual’s day-to-day life and be very stressful to deal with. Our leading treatments help patients regain normalcy and improve their overall well-being with the best equipment and technology available. We manage every aspect of a patient's care journey, from initial assessment and treatment to follow-up care, with the utmost sensitivity and expertise. Our friendly and compassionate team is dedicated to providing the best in unrivaled, patient-focused care.