UROLOGICAL UROLOGICAL PROBLEMS IN WOMENPROBLEMS IN WOMEN

DR. LALITHADR. LALITHA

CONSULTANT UROLOGIST AND UROGYNECOLOGISTCONSULTANT UROLOGIST AND UROGYNECOLOGIST

DR. LALITHA’S UROGYNECOLOGY CENTREDR. LALITHA’S UROGYNECOLOGY CENTRE

• URINARY INCONTINENCE

• INFECTIONS

• URINARY CALCULI

URINARY INCONTINENCEURINARY INCONTINENCE

• MOST COMMON UROLOGICAL PROBLEM IN WOMEN

STRESS INCONTINENCE

URGE INCONTINENCE

SOCIAL PERSPECTIVESOCIAL PERSPECTIVE

• INCIDENCE

• IMPACT ON QUALITY OF LIFE

• INITIATIVE BY MEDICAL FRATERNITY

INCIDENCEINCIDENCE

• 125 million women in developed countries

• 307-480 million women world wide

ECONOMIC BURDEN

• 15-20 billion dollars per annum in US

IMPACT ON Q.O.L.IMPACT ON Q.O.L.

• SOCIAL

• OCCUPATIONAL

• DOMESTIC

• PHYSICAL / RECREATIONAL

• MARITAL

• SPIRITUAL / RELIGIOUS

• DEVASTATE A WOMAN’S LIFE

INITIATIVEINITIATIVE

• Only 10% seek medical advise

• 60% wait for 1 year

• 15% wait for 5 years

INITIATIVE INITIATIVE

• PATIENT COUNSELLING • COLLECTIVE RESPONSIBILITY OF UROLOGISTS GYNECOLOGISTS FAMILY PHYSICIANS

STRESS INCONTINENCESTRESS INCONTINENCE

• MULTIPAROUS WOMEN

• POST MENOPAUSAL WOMEN

LEAKAGE OF URINE WITH

COUGHING

SNEEZING

BENDING / LIFTING

INCIDENCEINCIDENCE

• 35-40% of women >40 years

• 78% of all cases of UI

• 48% as pure SUI

• 30% as mixed type

URGE INCONTINENCEURGE INCONTINENCE

• FREQUENCY• NOCTURIA• URGENCY / INCONTINENCE CAUSES INFECTION STONE TUMOR OVERACTIVE BLADDER

TREATMENTTREATMENT

• PELVIC FLOOR EXERCISES

• MEDICAL FOR OAB

• MINIMALLY INVASIVE SURGERY

GYNECARE TVT DeviceGYNECARE TVT Device

GYNECARE TVT Tension-freeGYNECARE TVT Tension-freeSupport for Incontinence Support for Incontinence

Description: PROLENE*polypropylene mesh covered by a plastic sheath.

GYNECARE TVT IntroducerGYNECARE TVT Introducer

URINARY INFECTIONSURINARY INFECTIONS

• SYMPTOMS

DYSURIA

FREQUENCY / URGENCY

FEVER WITH CHILLS

HEMATURIA

UTI WHY COMMON IN WOMEN?UTI WHY COMMON IN WOMEN?

• SHORT URETHRA

• PROXIMITY TO VAGINA

• CAUSES OF UTI

YOUNG GIRLS – ANOMALIES

REPRODUCTIVE AGE – SEXUAL

OLD AGE – ESTROGEN DEF:

UTI DURING PREGNANCYUTI DURING PREGNANCY

• NEEDS TREATMENT EVEN IF ASYMPTOMATIC

• INCREASED RISK OF ABORTION

URINARY CALCULIURINARY CALCULI

• COMMON IN MEN – 3:1

• FACTORS INFLUENCING THE INCIDENCE

ENVIRONMENTAL

DIETARY

WATER INTAKE

THANK YOU