Female Urology

What is Female Urology

Commonly, most of the urological conditions occur in women rather than a man. Ever thought about what the reason behind these statistics is? One of the reasons behind this is the urinary tract is much closer to the genital area in women than in men. Pregnancy, childbirth, and sexual intimating are also the reasons for female urology problems affecting women. His surgical prowess, precision, and consistently outstanding results rank him as one of the renowned Best Urologist in Jaipur.

Some of the conditions women commonly face are genital urinary tract infections, incontinence, fistula, kidney infection or kidney stone.

Do You Want The Best Female Urology Treatment In Jaipur?

Dr Sandeep Nunia is the best urologist in Jaipur, Rajasthan. Rendering treatment to all urological problems of men and women both, with a modern approach and top-notch technology to minimize the pain, cuts and provide the best and everlasting solution to all-female urology problems. A friendly and understanding personality with whom patients find it easy to express themselves ultimately helps understand and treat the problem faster & better.

Female Urological Conditions

Some of the common urological conditions women experiences are as follows:

Urinary tract infections (UTI)

Urinary tract infection (UTI) involves the organs that help our body to carry out the urine. This structure includes the kidney, ureters (tube-like structure connecting the kidney and the bladder), urethra, and bladder. In medical terminology, urinary tract infections (UTI) are of two types that are as follows

1. Lower tract infections —

Infection in the bladder is known as cystitis (bladder infection). Bacteria, usually found in the intestine, are the main cause of lower urinary tract infection. These bacteria start spreading through the anus to the urethra and bladder, where they grow, tries to intrude the tissue and cause infection.

2. Upper tract infections —

These involve the ureters and kidneys. These infections are known as pyelonephritis or kidney infections. Upper urinary tract infections usually occur because bacteria travel from the bladder into the kidney. Sometimes, they occur when bacteria travel from other body areas through the bloodstream and settle in the kidney.

Women are likely to get affected much more often than men because women have short urethras that allow easy passage of bacteria into the bladder. Sexual intercourse may cause bacteria to spread upward into the bladder. Also, the use of contraceptive diaphragms and spermicides may change the normal bacterial environment around the urethra and make infection more likely.

In pregnant women, temporary changes in the physiology and anatomy of the urinary tract make expectant mothers prime candidates for cystitis and pyelonephritis. Kidney and bladder infections can be a severe risk to pregnant women and their unborn child, because there is high risk of premature contractions or delivery and sometimes death of the fetus or newborn infant.

Urine Incontinence

Urine incontinence is highly prevalent in women that affect the whole lifestyle of women, considerably private and societal. According to the National Association for Continence, about 25 million adults experience temporary or chronic urinary incontinence. UI can occur at any age, but it is commonly seen among women over 50.

Urinary incontinence happens due to the loss of bladder control, or leaking urine.

The kidneys make urine as it filters the blood and waste, then finally stores it in the bladder. The bladder consists of muscles that tighten when you need to urinate. When the bladder muscles get tighten, urine is forced out of your bladder through a tube called the urethra. On the other hand, sphincter muscles around the urethra relax to let the urine out of your body.

Incontinence may happen when the bladder muscles suddenly start getting tighten, and the sphincter muscles are not strong enough to keep the urethra shut, in the short bladder gets overactive. Overactive bladder causes a sudden and strong urge to urinate that doesn’t let you control. When women laugh, sneeze, or exercise, this causes urine leakage as the bladder cannot tolerate the pressure. Urinary incontinence may occur due to the nerves that help control the bladder muscles and urethra. Urinary incontinence can make you leak in a small amount of urine or release a lot of urine all at once.

Pelvic organ prolapse

Pelvic organ prolapse is one of the most uncomfortable and awkward conditions that troubles women in pelvic organ prolapse. Normally, the pelvic organs include the bladder, uterus, vagina, and rectum. These are at their designated place supported by a group of muscles and tissues called the pelvic floor. When these muscles weaken over time, the pelvic organs can drop down and bulge out of the vagina or at an uncertain place inside somewhere.

You may have the sensation of feeling an uncomfortable bulge in the vagina, and you can experience symptoms as follows

There are different organs that can be affected in prolapse, such as

Cystocele is when the bladder bulge into the vagina. This is the most common form of prolapse.
Rectocele is when the rectum bulges into the back wall of the vagina.
Uterine prolapse is when the uterus dropping into the vagina.

Most of the time, pelvic organ prolapse happens when women vaginally deliver children, weakening the pelvic floor. During the birth, the baby’s head goes through the vaginal canal, which stretches the connective tissues.

Getting older, being overweight, and having conditions that involve frequent coughing (which increases pressure in the abdomen and pelvis) make a woman vulnerable to prolapse.

Urinary Fistula

A urinary fistula can be an abnormal opening between urinary tract organs that are indulged in the process of carrying out the urine from the body, for example, kidneys, ureter tubes, bladder, and urethra. Urinary fistulas may also form an abnormal connection between a urinary tract organ and another nearby organ, such as the vagina or colon. Vagina or urinary organ connections are often called vaginal fistulas.

A fistula is a hole in the bladder, vagina or another organ that allows urine, stool or other matter to pass from the area where it should not exist. This results in urine leakage from the vagina due to that abnormal connection.

Various types of fistula are possible such as

A vesicovaginal fistula opens between the vagina and the bladder. This is the most common kind of urinary fistula in women. This may occur because of a previous hysterectomy, or sometimes difficult labour can cause a vesicovaginal fistula.
An enterovesical fistula opens between the bladder and bowel. This is another type of the most common urinary fistulas.
A vesicouterine fistula opens between the bladder and the uterus.
A ureterovaginal fistula opens between the vagina and the ureter (the tube that carries urine between the kidneys and bladder). Most of the ureterovaginal fistulas occur due to prior hysterectomy or other pelvic surgery.
A urethrovaginal fistula opens between the vagina and the urethra (the tube that takes urine out of the body).
A colovesical fistula opens between the bladder and the colon.
A rectovaginal fistula opens between the vagina and the rectum. Fistulas are more common in females; vaginal fistulas are much more common in developing regions without adequate healthcare. Complicated childbirth can create tissue damage that sometimes causes fistulas to open.

Voiding dysfunction

Going to the bathroom may seem like a simple thing, but this is not the case with every individual. There are series of complicated signals that shows the bladder does exactly what the brain is telling it to do. If any of these signals get out of sync, one can have difficulties holding their urine (urinary incontinence). If a person is suffering from urinary incontinence and urologists cannot identify a specific anatomical or neurological cause, they may diagnose the patient with voiding dysfunction.

Nobody knows what causes voiding dysfunction, but this can impact physically, socially and psychologically. If this is left untreated, some voiding dysfunction can cause vesicoureteral reflux (VUR) and long term kidney damage. If you are looking for a urologist that treats voiding dysfunction, Dr Sandeep Nunia is the best urologist offering many medical and behavioural therapies that can help women or girls successfully regain control of their bladder.

Daytime urinary incontinence is more common in girls/women than in boys/men. Individual suffering voiding dysfunction may also experience bedwetting and other bowel accidents. There is also a strong connection between functional constipation and voiding dysfunction.

There are different types of Voiding Dysfunction some are as follows:

Overactive Bladder (OAB) :

Patients with OAB feel an urgent need to urinate even when the bladder may not be full, and they may use the bathroom more than 10 times per day or maybe about every hour. Most of the individual with OAB may have urinary incontinence and urinary tract infections (UTIs), and sometimes these symptoms may continue even after the UTI is treated.

Dysfunctional Voiding :

In this type of dysfunction, the muscles that control urine flow out of the body don’t relax completely, and the bladder never fully empties. This causes symptoms such as daytime wetting, night wetting, and a feeling that the bladder is always full and feels an urgency to urinate. Urgency. In severe dysfunctional voiding cases, women may develop symptoms similar to those of a neurogenic bladder (a bladder that doesn’t function due to some neurological cause) and reach risky complications such as kidney infection and disease.

Underactive Bladder :

The underactive bladder will urinate less than 3 times a day or be able to go for more than 12 hours without urinating. Patients have to strain to urinate because the bladder muscles are already weakened and can’t respond to the brain’s signal that it is the time to go. Accidental wetting in the underactive bladder is caused by the bladder becoming too full and resultantly overflowing.

Treatment

Diagnostic procedures in female urology procedures include urethroscopy, urodynamics with cystometry, urethral closure pressure profiles, uroflowmetry, electromyography of the pelvic floor musculature, and radiologic procedures. These all are designed to provide a dynamic assessment of the functional capabilities of the lower urinary tract. Many of these procedures are complex and require advanced equipment to provide accurate measurements; Dr Sandeep Nunia suggests the best possible way to diagnose accurately and provide the best and suitable treatment to female urology problem/condition.

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