Urogynecology - Complications and Treatments

Urogynecology is a subspecialty of medical disciplines urology and gynecology. It deals with the diagnosis and treatment of pelvic floor disorders and urinary inconsistence in women. Pelvic floor disorders happen when prolapse of the small intestine, uterus, bladder, urethra or vagina takes place, possibly due to an injury to connective tissues, muscles, and ligaments. These distortions may be caused by pregnancy, menopause, pelvic surgery, chronic disease or repeated strenuous activity. Urinary inconsistence is a state wherein the ability to control urine becomes wrecked. Doctors state that there are mainly three different types of inconsistence, which are defined below: 

• Stress Inconsistence- It causes urine leakage while coughing, sneezing or other movements which put pressure on the bladder. 
• Urge Inconsistence- It leads to urine loss as soon as the body feels the need to urinate. 
• Mixed Inconsistence- It is a combination of stress inconsistence and urge inconsistence. 

Diagnosis of Urogynecology Problems 

There are millions of American women who suffer from these disorders every year. If you have complains with regard to urinary inconsistence, then your doctor may suggest urodynamic tests to check the following: 

• The working state of the bladder. 
• The amount of urine produced by your body. 
• The volume of urine in your bladder after urination. 
• The amount of urine in your bladder when you feel the urge to urinate. 
• The resistance capacity of your bladder to hold urine when it gets filled up. 

Treatment of Urogynecology Complications 

Urinary inconsistence affects the quality of life, and it worsens with time if left untreated. Doctors use different treatment methods to cure its disorders, which include: 

• Changes in Diet- Reducing the intake of fluids for a short time can prevent sudden leakage and bladder urges. 
• Kegel Exercises- These exercises are suggested mainly for strengthening pelvic muscles which have turned weak possibly by surgery, aging, pregnancy, or overweight. 
• Medical Treatment-Sever inconsistence problems can be treated with the effects of medication. Specific medicines can help in reducing the symptoms or muscle spasm of the condition. 

If these methods do not help much, then your doctor may suggest you undergo one of the following treatments: 

• Sling Surgery- It creates a hammock-like cradle for sagging bladder by using a piece of body tissue or synthetic material. It prevents involuntary urine leakage while sneezing, coughing, and laughing, etc. 
• InterStim- It is a small surgical device which is implanted in the body to control the signals sent to the brain by the bladder to notify about the urinary action.  
• GyneCareTVT- This treatment is a cure to stress urinary inconsistence which uses a ribbon-like fabric to provide support to the urethra and prevent leakages. 

Urogynecology in San Antonio 

If you are suffering from urogynecology problems, then the experienced doctors of Institute for Women's Health are the right choice. They are experts of female pelvic medicines and reconstructive surgery.

What is The Role of Primary Care Physician?

Just as you take care of your personal belonging such as cars, electronics, etc. you also need someone to take preventive care of your health. Just because, you do not feel the need for routine checkup, it does not mean everything's going fine with your body. Your primary care physician will recommend you some blood test and health screening to ensure best indicators of your overall health. A Primary Care Provider (PCP) is your point person for a health tune-up.

general health physicians or nurse practitioners help us take care of the basic health, centering our wellness and prevention when required. They are our primary healthcare partner in case of any emergency. They focus on our overall health, ensuring necessary screenings and risk assessments and also helps find the way you through medical specialists.

Types of primary care physician

There are different types of general practitioner that will be described as a primary care physician - typically Family Practice, Internal Medicine or General Practice. There are also doctors who focus on children, called Pediatricians, who will serve as the primary care physician for your child.

 Family Practice – These doctors are able to treat patients of all ages, from newborns to the elderly.  They are generalists who have completed a family practice residency and are board-certified and eligible to practice. They treat a wide variety of conditions, and often treat ailments you’d usually see a specialist for, such as sports injuries or some women’s health requirements.
 Internists - They provide care for adults of all ages and for a number of different problems.
Pediatricians - Their specialty includes the care includes care of newborns, infants, children, and adolescents.
Nurse practitioners (NPs) - Nurse practitioners or physician assistants (PAs) go through a different training and certification process than doctors. They may be your key contact in some practices as consult with physicians.
Geriatricians –They often provide care for older adults with complex health condition related to aging. They are well-informed in family medicine or internal medication.
Obstetricians / Gynecologists – They serve as primary care providers for women, particularly those of childbearing age.

What does a primary care physician do?

A primary care physician provides a wide range of care. He/she would try developing healthy personal relationship with the patients and their family, facilitating their health and wellness.
It is advisable to visit a primary care physician for regular checkup and preventive screenings and tests that can help the onset of chronic diseases.

Your primary care physician will:

·         Ensure you get suggested medical screenings and health risk tests

·         Offer preventive care and teach healthy lifestyle choices

·         Estimates the urgency of your health problems and directs you to the best place for care.

·         Help you get referrals to medical specialists when necessary

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