Uro-Gynaecology

Pelvic floor disorders, incontinence and prolapse care with urodynamics and evidence-led pathways

Book Uro-Gynaecology Consultation

70–85%

Leak reduction with PFMT

Supervised pelvic floor muscle training at 8–12 weeks

90–95%

Sling success

Objective cure/improvement in stress incontinence (carefully selected)

24–48 hrs

Typical discharge

Day-care or short-stay minimally invasive procedures

When to Consult

•Urine leakage with cough/sneeze, walking or lifting (stress incontinence)
•Sudden urge to pass urine with or without leakage (urge/overactive bladder)
•Vaginal bulge, pressure or pelvic heaviness (possible prolapse)
•Frequent UTIs, burning urination or nocturia
•Painful intercourse, vaginal dryness or postmenopausal GSM symptoms
•After childbirth or surgery with new pelvic floor symptoms

Understanding Uro-Gynaecology in the Indian Context

In Hyderabad and across Telangana, women often delay care for leakage or prolapse due to embarrassment and busy routines. Childbirth injuries, heavy work, chronic cough and menopause contribute to pelvic floor weakness. With structured rehab, objective testing and minimally invasive options, most women regain control and confidence.

When to Consult Our Uro-Gynae Specialists

✓ Leaks with coughing, sneezing, laughing or lifting
✓ Sudden urges with or without leakage; frequent night urination
✓ Vaginal bulge/pressure or backache after standing
✓ Burning urination, recurrent UTIs or foul-smelling discharge
✓ Postmenopausal dryness, pain or urgency
✓ New symptoms after delivery or pelvic surgery

Our Diagnostic Approach

Clinical Assessment & Diary

History, exam, cough stress test and a 3-day bladder diary.

Labs & Imaging

Urine analysis/culture, ultrasound pelvis and post-void residual.

Uroflowmetry & Urodynamics

Differentiate stress vs urge vs mixed incontinence; identify retention/outlet issues.

Endoscopy & Staging (If Needed)

Cystoscopy, POP-Q staging and decision for pessary, rehab or surgery.

Treatment Pathways

Rehab and bladder training are first-line, paired with lifestyle changes. Overactive bladder responds to medicines; stress incontinence may need a sling when PFMT is inadequate. Prolapse care ranges from pessary to native tissue or laparoscopic repairs, with uterus-sparing options. Recurrent UTI protocols reduce infections without overuse of antibiotics.

What to Expect: Your Care Journey

First visit covers diary review, tests and a starter rehab plan. By 6–8 weeks, most see fewer leaks/urges. If surgery is chosen, ERAS protocols enable quick discharge and recovery. Tele/WhatsApp follow-ups track exercises, medicines and red flags.

Technology & Innovation

Urodynamics clarifies the diagnosis; biofeedback speeds pelvic floor learning. Ultrasound and cystoscopy guide targeted treatment. EMR dashboards keep reminders and outcomes visible for you and your care team.

Preventing Complications

We strengthen pelvic floor, manage cough/constipation, address GSM and track sugars in diabetes. Early repair prevents worsening prolapse, UTIs and skin issues.

Why Ajuda for Uro-Gynaecology?

🧪 Urodynamics-led precision

🧘 Physiotherapy with biofeedback

🔧 Minimally invasive day-care options

Take the First Step

Leakage and prolapse are treatable. Call 9010550550 or message on WhatsApp to plan your personalised pelvic floor care.

Diagnosis Approach

Clinical assessment & bladder diary

History (triggers, pad use), exam, cough stress test; 3-day intake/output and symptom tracking.

Basic tests & ultrasound

Urine analysis/culture, post-void residual, ultrasound pelvis; rule out infection or retention.

Uroflowmetry & Urodynamic study

Flow curves, cystometry and pressure-flow to classify stress vs urge vs mixed incontinence.

Cystoscopy / prolapse staging (when indicated)

Endoscopic check for lesions; POP-Q staging to plan pessary vs surgery.

Treatment Options

Pelvic Floor Rehabilitation (PFMT)

Physiotherapy-led Kegels, biofeedback and bladder training; weight, cough/constipation control.

70–85% symptom reduction by 8–12 weeks with adherence.

6–12 weeks with home program

Medication for Overactive Bladder

Antimuscarinics or beta-3 agonists with fluids/caffeine strategy; side-effect counselling.

Cuts urgency episodes and nocturia; improves quality of life.

6–12 weeks then reassess

Pessary & GSM Care

Vaginal pessary fitting for prolapse; local oestrogen and moisturisers for GSM.

Immediate mechanical support; improves dryness and comfort.

Device checks every 3–6 months

Mid-Urethral Sling (TVT/TOT)

Minimally invasive day-care solution for stress incontinence in selected patients.

High cure/improvement rates with quick recovery.

OT ~30–45 mins; routine in 24 hrs

Prolapse Surgery (Native Tissue/Laparoscopic)

Vaginal repairs or laparoscopic sacrocolpopexy; uterus-sparing options when suitable.

Durable anatomical and symptom correction.

Short stay (24–48 hrs) with ERAS

Recurrent UTI Pathway

Culture-guided therapy, hydration/behavioural measures, vaginal oestrogen (postmenopause) and prophylaxis when indicated.

Reduces recurrence and antibiotic use.

3–6 months with monitoring

Expected Outcomes

Treatment Timeline

2–4 Weeks

PFMT technique mastered; urgency triggers identified; medication titrated.

6–8 Weeks

Leak episodes and nocturia reduced; pessary comfort confirmed.

3–6 Months

Sling/prolapse repair recovery complete; sustained continence gains.

1 Year+

Relapse prevention plan with annual pelvic floor review.

Success Metrics

Pad test reduction (24 hr)
Incontinence episodes/week
Patient-reported quality of life scores

Regain Confidence with Pelvic Floor Care

Emergency

9010550550

contact@ajudahospitals.in

Related Services

Menopause Care

GSM and postmenopausal incontinence often overlap.

Gynaecological Infections & STDs

Recurrent UTIs and vaginal health assessments are linked.