Dr.Trivedi’s | Total Women’s Health Care Hospital

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If you think this is normal with advancing age, IT IS NOT !!

What is Uro-genital Prolapse ?

Feeling of vaginal looseness, something coming out from vagina
Most commonly in peri or post-menopausal females more than 45 years. Very rarely it can occur even at young age.
It is basically shifting of the uterus and sagging of the vagina through which sometimes urinary bladder, bowel & rectum protrude out.
Occurs due to changes in collagen composition with decreasing levels of female hormone Estrogen.
Muscles and ligaments which support these organs stretch, sag & break causing Prolapse.

Is it Normal to have Prolapse with Advancing Age ?

Some amount of looseness and descent of pelvic organs may occur in all.
If severe DON’T CONSIDER IT A NORMAL PHENOMENON OF AGING.
It can be corrected with Combination of Exercises, some medicines & Surgery

Urine Leak

Prolapse is often associated with Urine Leak.
Frequency of urine more than 8 times a day, waking up more than twice to pass urine at night is NOT NORMAL.
Inability to control the urge to pass urine once desire sets in with urine leakage before reaching bathroom – URGE INCONTINCE
Urine leakage on coughing, sneezing, laughing – STRESS INCONTINENCE
Continuous leakage of urine.

How is it detected & what investigations you may need ?

Usually prolapse & Urine leak is easily detected on clinical examination & simple Sonography
Blood tests are needed only to know some other cause for urinary issues and based on treatment plans
Haemogram CBC, Sugars & Serum Creatinine may be needed
Urine Examination to rule out infections may be needed

What are your treatment options ?

Most that is 70% of urine leakage can be improved by medicines & some form of pelvic muscle exercises known as KEGEL’s Exercises
Only 30% of urine leakage mostly associated with cough, sneeze & laugh – Stress Incontinence needs Surgery
Prolapse if Severe is often only corrected Surgically.
Surgery can be vaginally or laparoscopically depending on nature & severity of it
Hysterectomy & vaginal repairs may be offered but at advanced age & if there is concomitant uterine issues

Vaginal Or Laparoscopic Mesh Surgery

A mesh can be placed which acts as functional ligaments broken or stretched & loosened re-supporting the pelvic organs
Native tissue that is re-strengthening the stretched ligaments may be offered in some cases.
Tran - vaginal Tape insertion (Trivedi’s Trans-Obturator Tape) surgery is extremely effective for Urine Leak.
Trivedi’s Total Health Care specializes in Urine Leak Management & Dr. Trivedi has won many Awards & Accolades for Designing various Tapes for these surgeries followed by the world.

Why Choose Us for Your Urine Leak Issues ?

Dr. Trivedi’s Total Health Care is known all across India for diagnosing & treating Thousands of Women with Urine Leak Issue

Received various awards for designing various urinary leak Tapes like Trivedi’s Stress Urinary Incontinence Tape (T-SUIT) and first of its kind Trivedi’s Adjustable Tape & Needles for performing Urine Leak Surgery

Received Health Ministry Award & Senior Scientist CORION Award for work on Urine Leak

Every Year since the past decade the centre conducts a Free Evaluation Week in June which is known as “Freedom From Incontinence Week” where nearly 300-500 patients are evaluated in a week free of charge