Dr. R. Lalitha is a Consultant Obstetrician & Gynaecologist, and HOD of the Department with over 43 years of experience who specialises in the field of routine obstetric care, high-risk obstetric care and obstetric critical care.
Stress Urinary
Incontinence Treatment
in Coimbatore
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What are the various Urogynaecological problems?
Women generally face a lot of urogynaecology problems in their young or old age. Some major problems include,
Stress Urine Incontinence:
Certain activities that exert pressure on the abdomen might cause uncontrolled urine leak in mostly women who have stress urinary incontinence. Coughing, laughing, sneezing, and exercising are examples of these activities. The bladder neck moves downward due to the weakening of the pelvic muscles and tissues. Factors such as pregnancy, delivery, and aging can cause the pelvic muscles to stretch or weaken, just as they can in pelvic organ prolapse.
Uterine Prolapse:
Uterine prolapse occurs when the pelvic floor muscles and ligaments stretch and weaken, no longer supporting the uterus adequately. As a result, the uterus enters or protrudes from the vagina. Uterine prolapse can develop at any age in women.
Bladder Prolapse:
When these tissues become strained and weakened, the bladder can sink and protrude through this layer and into the vagina. Cystocele is another term for bladder prolapse. In women, bladder prolapse is prevalent.
Vault Prolapse:
When the top of the vagina weakens and collapses into the vaginal canal, this is referred to as vaginal prolapse. The apex of the vagina may bulge outside the vaginal opening in more severe cases of vaginal prolapse.
Treatment is based on the cause for incontinence. Some women can be treated with medications and pelvic floor exercises.
Those who fail medical treatment may need surgical treatment with mesh.
Pelvic Organ Prolapse:
The pelvic organs may migrate downhill and bulge out of the vaginal opening in pelvic organ prolapse. This happens when the pelvic floor muscles and tissue aren't strong enough to keep the organs in place. The bladder, uterus, rectum, vagina, and urethra are all organs in the pelvis that can prolapse. Pregnancy, childbirth, and age are all factors that can raise the risk of POP in women. In most cases of pelvic organ prolapse, the bladder is involved. Cystocele is the medical term referred to for bladder prolapse.
Pelvic Organ Prolapse:
- Uterus Prolapse can be treated surgically with mesh without removing the uterus by laparoscopy in young women.
- Removal of the uterus and repair of bladder and rectal prolapse may be needed in older age women.
- Some women may have recurrence of prolapse after the uterus removal (vault prolapse). It can be treated surgically by vaginal approach without using mesh, along by laparoscopic method using mesh.
What is a surgical mesh?
- Surgical mesh is a screen-like material used as a tissue or bone reinforcement. It can be made from synthetic polymers or biopolymers.
- Non-absorbable synthetic polypropylene is used to make the majority of surgical mesh devices used in female pelvic reconstructive surgery.
- Mesh is kept under the urethra to give support to the weakened muscles to prevent urine leakage.
How is mesh surgery used to treat SUI and pelvic organ prolapse?
For POP repair or SUI repair, surgical mesh can be permanently inserted to reinforce the vaginal wall or support the urethra or bladder. Surgical mesh is used in three different surgical procedures:
Mesh is inserted transvaginally for pop treatment.
Mesh is inserted transabdominally to treat POP.
SUI mesh sling : A multi-incision sling method with three incisions (cuts) can be used for treatment of stress urinary incontinence. Two very small incisions are made above the pubic bone, and a third incision is made in the vagina in the retropubic operation. In the transobturator operation, two extremely small incisions are made in the groin and thigh and one is made in the vagina.
FAQ
Questions? Answered!
The positioning and anchoring of the mesh to be safe, and it has not been linked to any serious issues. The patient's own tissue is used to elevate the prolapsed organs and reestablish the pelvic organ support in transvaginal prolapse repair utilizing native tissue.
Non-absorbable mesh is considered a permanent implant because it will remain in the body indefinitely. It's utilized to give the repaired area some long-term support. Over time, absorbable mesh will erode and lose strength
The graft is usually attached to the pelvic floor muscles. In most cases, this procedure is painless. You can feel like you've been 'riding a horse.' You will experience some discomfort and pain, so take pain medicine as needed.
The surgery takes roughly an hour to an hour and a half on average. The majority of people who have mesh removed will require general anesthesia, and others will require at least one day in the hospital. Depending on the scope of the procedure, recovery could take weeks or months.
The whole mesh is removed through a combination of a vaginal incision where the tape is mobilized between the pubic bones and 6-7 cm incisions in the groin. This operation is easier if the obturator tape has not been partially removed earlier.
What Our Patients Are Saying
I started to lose my control over the flow of urine and tried many exercises and treatments but nothing seemed to show any improvement. I visited Sri Ramakrishna Hospital after seeing many reviews. After examining my condition, the doctor suggested that I undergo mesh surgery, I was clearly explained about the procedure and after the procedure now I am completely fine. Thank you Sri Ramakrishna hospital for your swift response and treatment.
Anjali
Coimbatore
I suffered from severe pain in the back, and visited many hospitals to find a cure. But nothing worked, so I searched for a good hospital that could help me out of the situation. Upon the research I found Sri Ramakrishna Hospital and visited the hospital. My doctor suggested that I undergo mesh surgery. It's been 3 months since the surgery and I am completely free of pain. Thank you Sri Ramakrishna Hospital for helping me get rid of the pain.
Mahitha
Coimbatore
Our Department’s Experience
Our Department of Obstetrics and Gynaecology has treated over 20,000+ patients with stress
incontinence treatment over the last 48 years. Our highly experienced Gynecologists will ensure you
receive the best stress incontinence treatment in Coimbatore.
Why Choose Sri Ramakrishna Hospital?
Over 48+ Years of
Medical Service
Highly Experienced
Gynecologists
Best in Class Medical
Infrastructure
Latest and Safest
Treatment Methods
Our Doctors and their Experience
Our highly experienced Gynecologists have immense experience in providing stress
incontinence treatment in Coimbatore.
Dr. R. LALITHA
MBBS, DGO. Consultant Obstetrician & Gynaecologist - HOD
Dr. M. BANUMATHI
MBBS, DGO, DNB, FICOG Consultant Obstetrician & Gynaecologist - HOD (Academic)
Dr. M. Kanmani
MBBS, MD, DNB(OG), Fellowship in EndogynecologyConsultant Obstetrician & Gynaecologist
Dr. D. Saradha Jaganathan
MD, DNB, and FNB, Consultant Obstetrician and GynecologistAwards & Achievements
