Urogynecology is a fairly new subspecialty and a fast-growing one, with increasing rates of pelvic floor disorders fueling a high demand for its services. A urogynecologist is a physician who has completed medical school and a four-year residency in obstetrics and gynecology, and then gone on to receive additional, highly specialized training in surgical and non-surgical treatment of pelvic floor disorders. During the training, these physicians become specialists in the evaluation and treatment of health conditions that affect women's pelvic organs, such as the vagina, uterus, rectum and bladder, as well as the pelvic floor, a structure made up of muscles, ligaments, nerves and connective tissues that support pelvic organs and assist in the control of their functions.
There is no reason to suffer in silence from a pelvic or bladder condition because nearly 90 per cent of urogynecologic conditions can be diagnosed and treated successfully through minor lifestyle changes, medications or surgery. Urogynecology treatment begins with a physical examination and urine examination to detect infection, inflammation, blood or other underlying kidney problems. Further, depending upon the condition, a gynecologist will conduct additional tests such as anal manometry, defecography, and ultrasound and pelvic magnetic resonance imagery to evaluate and diagnose the problem. Urogynecology treatment essentially involves conservative treatment, medical treatment and surgical treatment. Bladder prolapse is a common urogynecology condition and factors commonly associated with causing a prolapsed bladder are those that weaken the pelvic floor muscles and ligaments that support the bladder, urethra, uterus and rectum.
The surgeons use advanced techniques and materials such as biologic grafts and synthetic meshes to minimize the chance of recurrence after urogynecology treatment.
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