At the Institute for Incontinence and Vaginal Reconstruction, we specialize in treating women’s health and female urological issues. A specialized area of urology, female urology requires special attention to various aspects of a woman’s urological issues. If you would like to schedule an appointment with an expert urology doctor in Beverly Hills, please contact us today!
Treatments Provided by our Women’s Health Specialists
The female urology specialists at the Institute for Incontinence and Vaginal Reconstruction are experts in providing a wide range of treatments for various urological issues. Some of the conditions treated at our center include the following:
Urinary Tract Infection Treatment
Urinary tract infections are the most common bacterial infections in the United States. Although far less common, UTI may also be caused by yeast or viruses. Symptoms typically consist of frequency urge to urinate, discomfort with voiding, lower abdominal pressure, and occasionally visible blood in urine.The bacteria E. coli is responsible for approximately 85% of urinary infections that occur outside the hospital setting.
In women, urinary infections are often associated with sexual activity, urinary incontinence, dehydration, or menopausal changes. Urinary infections can also be more common in women with other medical issues, such as diabetes and spinal cord injury. With simple infections, a physical exam, urine culture and antibiotic therapy are usually sufficient for treatment.
When infections occur frequently, more attention is needed to help assure there are not other underlying problems. Our women’s health specialists provide treatment that includes imaging, urine flow studies, cystoscopy, or specialized urinary cultures. Often times, our female urology experts will prescribe preventative measures to help minimize the recurrence of infection, including over the counter supplements, low dose preventative antibiotics, or vaginal estrogen cream. Find out how our female urology experts can help you by contacting our women’s health center today.
Click here to learn more about UTIs from WebMD.com.
Pelvic Prolapse Treatment
Prolapse of pelvic organs is not an uncommon condition in female urology. Pelvic prolapse is commonly referred to as a “dropped” bladder, uterus, or rectum. Although most often patients have no symptoms, a prolapsed pelvis may be quite distressing and require treatment from our women’s health specialists.
Symptomatic patients with pelvic prolapse frequently complain of a bulge at the opening of the vagina, generalized discomfort or irritation, or a full sensation in the vagina. A pelvic prolapse can also negatively affect the ability to evacuate the bowel or bladder. A pelvic prolapse can lead to secondary issues such as urinary urgency, frequency, inability to empty the bladder, incontinence as well as urinary tract infections.
Common causes of pelvic prolapse include pregnancy and childbirth, age (post-menopausal), genetic predisposition, prior hysterectomy or pelvic surgery, and obesity. Correction of these issues may be achieved through non-surgical and surgical options from a women’s health specialist at the Institute for Incontinence and Vaginal Reconstruction.
Urethral Diverticulum Treatment
A urethral diverticulum is an uncommon but problematic female urological condition. Most develop from the small glands surrounding the urethra leading to a cyst that connects to the urethra and can sometimes surround the urethra. It is almost never seen in pre-pubertal girls, and does not seem to be related to trauma or childbirth.
The most common symptoms of urethral diverticulum include vaginal discomfort or pain, especially with intercourse, a bulge in the vaginal area, and urethral discharge. Not all patients with diverticulum are symptomatic. Diagnosis includes a thorough history, physical exam, imaging with MRI and cystoscopy. Other diagnostic imaging studies may also be used. Diverticulum correction can only be achieved through surgical intervention from a specialist in female urology. On rare occasions, cancerous tissue is found within the diverticulum.
Pelvic Fistula Treatment
A fistula refers to an abnormal connection between two hollow organs or a hollow organ and the skin. These may include the bladder, bowel, uterus and vaginal. These are rare occurrences. Fistulae may be caused by a complication from pelvic surgery, radiation therapy, pelvic trauma, vaginal childbirth, bowel diverticulum, or cancer of the bowel, bladder, uterus, or other organ.
When treating pelvic fistulas (as well as other female urology conditions), our women’s health specialists utilize physical exams, pelvic imaging, cystoscopy, colonoscopy, and vaginoscopy. Patients are frequently managed initially with conservative therapy such as a urinary catheter. If this approach fails, then surgical correction is needed. Many times, several different physicians or surgeons will be involved in the care of a fistula. To learn more about pelvic fistulas, please contact our female urology center in Los Angeles today.
Interstitial Cystitis (IC)
The diagnosis of interstitial cystitis is difficult and is reached through the exclusion of other female urology issues, such as urinary infection, bladder cancer, or endometriosis. IC is also known as painful bladder syndrome. The syndrome is best characterized by pain on bladder filling relieved with voiding, decreased bladder capacity and elasticity, pelvic and lower abdominal pain, and pain with intercourse. Hunner’s ulcers are the only condition associated with IC which automatically diagnoses the condition, however, only a very small percentage of patients actually have these lesions. There is no one test that can diagnose IC.
Aside from eliminating issues that may mimic IC, diagnosis is also aided by urodynamic testing, cystoscopy, and validated questionnaires. None of these tools, individually, provide an accurate diagnosis. For female urology experts, treatment can be as difficult as diagnosing the issue. Therapy is typically a combination of options, including behavioral modification, dietary restrictions, oral medication, pelvic floor physical therapy, bladder instillations, and pain management. Many times therapy requires coordination between the patient and many providers.
Treatment for Urinary Incontinence
Although the concept is simple in itself, female incontinence may be caused by several different issues in women. One of the most important tools in diagnosis is a full patient history to best understand when and how leakage occurs. Physical exams and urodynamic testing are also helpful additions that are utilized by our women’s health specialists. For many patients, there is a combination of factors that can only be discovered through discussion of the patient’s symptoms. Leakage can be caused by poor sphincteric strength, overactive bladder muscles, incomplete bladder emptying with overflow of urine, dropped bladder (cystocele), or vaginal fistulae. A combination of factors can also occur leading to many different symptoms. Treatment may include behavioral modification, pelvic floor physical therapy, oral medications, nerve stimulation, and pelvic surgery.
Contact our Women’s Health Facility Today
At our female urology center in Beverly Hills, we provide our patients with treatment for a variety of urological conditions. To schedule a consultation with one of our expert women’s health doctors and urologists, please contact us today.
Next, learn about a hysterectomy and stress incontinence from our female urology experts in Los Angeles.