CONTACT

Sunnybank: 07 3345 3387
Carina: 07 3395 1082

Urogynaecology

Urogynaecology is the area of Gynaecology and Female Urology that involves the assessment and treatment of lower urinary tract (bladder and urethra) and pelvic floor problems including uterine and vaginal prolapse.

The prevalence of urogynaecological problems overall is high; 30-40%  of Australian women suffer urinary incontinence and uterovaginal prolapse. One third of these women will have severe symptoms.

Common Urogynaecological conditions That Dr Musa Manages :

Anterior and posterior vaginal prolapse

    • The usual complaint is a dragging discomfort, heaviness or fullness in the lower vaginal area.
    • If the prolapse is more advanced, women will feel a bulge or a lump sitting at the entrance to the vagina or even outside the vaginal entrance.
    • There may be incomplete bladder and bowel emptying and constipation and urinary incontinence

 Although not life-threatening, it has a significant impact on the quality of life and is associated with significant functional disturbances including bladder, bowel and sexual function.

Uterine prolapse occurs when there is weakening or damaged pelvic floor muscles and ligaments.

Common causes include pregnancy, childbirth, hormonal changes after menopause, obesity, severe coughing and straining on the toilet.

Treatment options include

    • Lifestyle modification
    • Pelvic Floor Exercises
    • Vaginal Pessaries
    • Vaginal surgery – Repair of Prolapse with or without Hysterectomy depending on the degree of prolapse.

Dr Musa will assess the degree of prolapse, order investigation to rule out other causes and then discuss either surgical or non-surgical treatment. If required, surgery will be performed by Dr Musa at either Greenslopes or Sunnybank Private Hospitals.

Urinary Incontinence

Bladder and bowel control problems are common.

Although Urinary incontinence have a considerable impact on a person’s quality of life, many people do not seek help. Embarrassment often prevents people talking about their bladder and bowel problems. Some people restrict going out and have little social contact outside their home.

There is no need to become a recluse. The good news is that for most people, these problems can either be cured or at least better managed. You can lead a normal life without needing to plan your activities around the toilet.

Incontinence and continence problems affect people of all ages, gender, cultures and backgrounds. Despite popular beliefs, older people are not the only ones affected.

There are different types of incontinence

Stress Incontinence:

Involuntary loss of urine with coughing, running, jumping, sneezing and other exercise activities.

Urge incontinence:

Involuntary loss of urine associated with a compelling desire to void which is difficult to defer (urgency).

Frequency: More than 7 episodes of passing urine a day may be excessive. This comment depends on fluid intake to a degree.

Nocturia:

Getting up to pass urine more than once per night is probably excessive. Excess fluids before bed may contribute.
Urgency: A compelling desire to void which is difficult to defer.

Stress Incontinence

This is commonly due to is a lack of support to the bladder neck (urethral hypermobility), causing urinary leakage.

Possible risk factors for stress incontinence

Urinary stress incontinence has many possible causes including:

Age

Generally believed the prevalence of incontinence increases with age but others believe stress incontinence may be most common in women in the 40’s.

Childbirth

Stress incontinence is seen more frequently in women who have had children than in those who have not. Increasing number of children and larger birth weight of children may be a risk factor.

Menopause

Is not thought to be a significant risk factor for urinary stress incontinence. Some studies suggest incontinence is greater in premenopausal than in postmenopausal women.

Obesity

Is more common in incontinent women than continent women. The surgical correction of incontinence is difficult and the long-term efficacy of surgery may be reduced in obese women

Smoking

Women who smoked are 2-3 times more likely to develop stress incontinence than nonsmokers.

Connective tissue

 

Women with stress incontinence have increased number of enzymes that break down the connective tissue. The common enzymes that are increased include collagenases and elastases. They may be related to increased incidence of “stretch marks”, hernias and increased joint flexibility seen in women with pelvic floor dysfunction.

 

Medications

 

Many medications may affect the bladder. Best researched are fluid tablets (diuretics) and some bladder pressure medications such as Minipress.

For appointments call Carina 07 3395 1082 or Sunnybank 07 3345 3387