Urogynecology is a distinct area of specialization in gynecology dedicated to common problems that cause women to suffer, regardless of age. These are problems related to the structure and function of the pelvic floor, including:
· Pelvic organ prolapse.
· Problems controlling sphincters (various types of urinary incontinence, fecal incontinence and gas).
· Irritable bladder syndrome (frequency and urgency of urination).
· Bladder pain syndromes, urinary retention and more.
The unit is the fourth official professional unit in Israel specialized in urogynecology and pelvic floor rehabilitation surgery. It operates as part of the Gynecology and Obstetrics Department
The unit runs a clinic that treats issues related to the pelvic floor, and performs urodynamic testing for women with urinary incontinence or retention issues using a new system.
The unit offers a wide range of solutions - from medication therapy and various innovative surgical methods, including sacral nerve stimulation, minimally invasive nonsurgical treatments such as injections of botox into the bladder and more.
As part of the unit's activity, a multidisciplinary professional forum meets regularly to discuss complex pelvic floor issues, including urologists, gastroenterologists, colorectal surgeons and Pain Clinic to discuss and treat complex conditions that require this type of collaboration.
Additionally, the unit trains gynecology and obstetrics residents in urogynecology as well as specialists who are interested in gaining knowledge and expertise in the field.
The unit provides the following tests and treatments:
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Examination of the pelvic floor - vaginal compartment support, pelvic organ prolapse
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Assessment of urinary incontinence mechanisms
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Examination of sensation of vaginal pain - assessment of pelvic floor muscle contraction
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Adjusting medication therapy
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Planning surgery to correct pelvic organ prolapse
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TVT surgery to correct stress urinary incontinence
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Pessary fitting Injecting
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Botox into the bladder - to treat an overactive bladder, “irritable bladder”
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Urodynamics testing
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Education and follow-up by a nurse
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Teaching performance of self-catheterization
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Pelvic floor physical therapy |