Female Urology Treatment in Jaipur

• Stress urinary incontinence: leakage on coughing, sneezing or exercise. See female urinary incontinence.
• Overactive bladder: urgency and frequency. See overactive bladder treatment.
• Recurrent UTIs: three or more infections a year. See recurrent UTI.
• Interstitial cystitis: bladder pain. See interstitial cystitis vs UTI.
• UTI in pregnancy. See safe treatment in pregnancy.

Most women improve with simple measures first: pelvic floor exercises, bladder training, fluid and caffeine adjustments, treating infections and constipation, and medicines for an overactive bladder. Procedures such as a sling operation are considered only when these do not help enough. Dr. Negi has presented research on sexual function after the tension-free tape procedure for stress incontinence.

1. Lifestyle: steady fluid intake, less tea, coffee and fizzy drinks, avoid constipation, weight loss.
2. Bladder training: gradually stretching the time between visits to the toilet.
3. Pelvic floor exercises to help hold on during urges.
4. Medicines that calm the bladder muscle, chosen to suit your age and other conditions.
5. Further options for persistent symptoms, such as bladder Botox injections, discussed with your urologist.

Read the overactive bladder guide.

Two or more infections in six months, or three in a year, deserve a urologist’s review. Evaluation looks for stones, incomplete bladder emptying, a narrow urethra, diabetes and, after menopause, low oestrogen. Prevention can include fluids, timed voiding, avoiding constipation, vaginal oestrogen after menopause, and sometimes preventive antibiotics. Each infection should be confirmed with a urine culture so the right antibiotic is used. See kidney stones and UTI.

Urodynamics measures how the bladder fills, stores and empties. Fine catheters record bladder pressure while it is filled with sterile fluid and while you pass urine. The test is not painful, takes about 30–45 minutes and is usually advised before incontinence surgery, or when symptoms are mixed or treatment has not worked. It helps choose the right treatment instead of guessing.

• Urethral stricture in women: uncommon but causes a slow stream and infections; treated with dilatation or urethroplasty. See urethral stricture.
• Kidney stones in women, including during pregnancy.
• Bladder pain syndrome (interstitial cystitis).
• Blood in the urine, which always needs evaluation. See haematuria.
• Urinary problems after childbirth or pelvic surgery.

Bring a list of your symptoms and medicines, and if possible a three-day bladder diary (times you pass urine, leaks and drinks). The consultation is private. Tests usually include a urine test, ultrasound with post-void residual, and sometimes uroflowmetry or urodynamics. You are welcome to bring a family member with you.

1. Find the muscles: imagine stopping the flow of urine and holding in wind at the same time. Do not actually stop urine regularly.
2. Slow squeezes: tighten and lift, hold for up to 10 seconds, then relax fully for 10 seconds. Repeat up to 10 times.
3. Quick squeezes: tighten and release quickly 10 times.
4. Three sets a day, lying, sitting and standing.
5. Keep breathing and avoid squeezing your buttocks, thighs or tummy.

Improvement usually shows after 8–12 weeks of regular practice. A physiotherapist can confirm you are using the right muscles.

When pelvic floor training has not helped enough, surgery can be very effective for stress leakage. Options include mid-urethral sling (tape) procedures and other techniques that support the urethra. Urodynamic testing beforehand confirms the type of leakage. Dr. Negi has presented research on sexual function after the tension-free tape procedure for stress incontinence (SZUSICON 2013), and discusses benefits, risks and recovery in detail before any operation.

Weakening of the pelvic floor after childbirth and with age can let the bladder or womb drop (prolapse), causing a dragging feeling, a bulge, difficulty emptying the bladder, or recurrent infections. Mild prolapse is managed with pelvic floor exercises and pessaries; more significant prolapse is treated surgically, often together with a gynaecologist. A urologist assesses how the prolapse affects bladder emptying and the kidneys.

Falling oestrogen after menopause thins the tissues of the urethra and vagina. This can cause urgency, frequency, burning without infection, recurrent UTIs and leakage. Local (vaginal) oestrogen, prescribed and monitored by a doctor, can help significantly and is different from hormone replacement tablets. Fluids, bladder training and treating constipation also help.

Bladder pain syndrome causes pain or pressure as the bladder fills, with frequency and urgency, but urine cultures are negative. Treatment combines avoiding trigger foods and drinks, bladder training, physiotherapy, medicines and, in some patients, bladder instillations or cystoscopy with hydrodistension. Read interstitial cystitis vs UTI.

Blood in the urine is sometimes put down to periods or infection, but it should always be checked when it is not clearly menstrual. A urine test, ultrasound or CT and sometimes cystoscopy look for stones, infection, and less commonly bladder or kidney tumours. See haematuria.

Many women live with leakage, frequent urination or repeated infections for years, assuming it is part of ageing or childbirth. A urologist can find the actual cause with targeted tests such as urine culture, ultrasound with residual urine, uroflowmetry, urodynamics and cystoscopy, and offer the full range of treatments, from exercises and medicines to minimally invasive procedures, under one specialist.

• Drink steadily through the day; reduce fluids two hours before bed if night trips bother you
• Limit tea, coffee, colas and alcohol, which irritate the bladder
• Do not “just in case” urinate too often; it trains the bladder to hold less
• Take your time to empty fully; leaning forward helps
• Prevent constipation with fibre and fluids
• Keep up pelvic floor exercises, especially after childbirth and menopause