UROGYNECOLOGY

Specialties

It is common among 40-year-old women to experience some problems, such as prolapse of pelvic organs, urethrocele and cystocele (“fallen” urethra and bladder), and also rectocele (“fallen” rectum), associated or not with urinary incontinence (involuntary loss of urine through coughing, laughing or sneezing).

Noteworthy is the application of the urodynamic study in the patients’ evaluation phase and a revitalization of the urethra’s supporting ligaments, by means of sub urethral sling surgery (a strap embracing and supporting the urethra), which underwent a major revolution after the introduction of the so called minimally invasive techniques (TVT, TOT), such as the macro porous, monofilament prolene screens, used nowadays.

Also, the use of laparoscopic technique associated with the use of specific screens for the vaginal site comes up as a large and recent advance in the surgical treatment of pelvic organ prolapse, making the patient’s recovery, many of them elderly women, easier and faster, with better results as far as functionality and durability, if compared to the classic vaginal correction surgery.

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