Uro-gynaecology is a specialised branch of gynaecology that treats pelvic floor problems involving the bladder, urethra, uterus, vagina, and bowel. The best uro-gynaecology doctors in Surat help with urine leakage, prolapse, overactive bladder, and bowel control issues. Some common conditions include:
Urinary Incontinence:
This means urine leaks when you don’t intend it to. It can limit exercise, intimacy, work confidence, sleep, and mental well-being. The condition is treatable when the type is identified properly.
Types of urinary incontinence
- Stress incontinence is leaking with coughing, sneezing, laughing, lifting, or exercise, usually because pelvic support around the bladder and urethra has weakened.
- Urge incontinence (overactive bladder) feels like a sudden, hard-to-hold urge, often with frequent urination and nighttime trips to the toilet.
- Mixed incontinence is a combination of both patterns.
- Overflow incontinence is constant dribbling from incomplete bladder emptying and is less common in women.
Why urinary incontinence happens: Pregnancy and vaginal birth, menopause-related tissue changes, ageing, obesity, chronic cough, heavy lifting, prior pelvic surgery, genetics, and some nerve conditions can all play a role in it.
Pelvic Organ Prolapse:
This happens when the pelvic floor muscles and ligaments lose strength, so organs like the bladder, uterus, or rectum start to drop and press into the vagina. Some women notice a soft bulge, a dragging heaviness, or a feeling that something is slipping down, often worse after a long day on their feet.
Types of prolapse
- A cystocele occurs when the bladder pushes into the front vaginal wall and can come with urinary frequency, urgency, or incomplete emptying.
- Uterine prolapse causes pressure, backache, and sometimes a visible descent.
- A rectocele occurs when the rectum bulges into the back vaginal wall, leading to constipation or difficulty clearing bowels.
- After a hysterectomy, the vaginal vault or small bowel (enterocele) can prolapse due to reduced support.
Prolapse is graded by severity: Grade 1 (mild descent), Grade 2 (descent to vaginal opening), Grade 3 (protrusion outside vagina), Grade 4 (complete protrusion).
Symptoms of prolapse: Heaviness, a lump sensation, urine or bowel issues, discomfort during sex, irritation, or discharge.
Why it happens: Childbirth, menopause, ageing, obesity, chronic cough, constipation/straining, heavy lifting, genetics, and prior pelvic surgery can all contribute.
