Common urology problems in pregnancy
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UROLOGICAL UROLOGICAL PROBLEMS IN WOMENPROBLEMS IN WOMEN
DR. LALITHADR. LALITHA
CONSULTANT UROLOGIST AND UROGYNECOLOGISTCONSULTANT UROLOGIST AND UROGYNECOLOGIST
DR. LALITHA’S UROGYNECOLOGY CENTREDR. LALITHA’S UROGYNECOLOGY CENTRE
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• URINARY INCONTINENCE
• INFECTIONS
• URINARY CALCULI
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URINARY INCONTINENCEURINARY INCONTINENCE
• MOST COMMON UROLOGICAL PROBLEM IN WOMEN
STRESS INCONTINENCE
URGE INCONTINENCE
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SOCIAL PERSPECTIVESOCIAL PERSPECTIVE
• INCIDENCE
• IMPACT ON QUALITY OF LIFE
• INITIATIVE BY MEDICAL FRATERNITY
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INCIDENCEINCIDENCE
• 125 million women in developed countries
• 307-480 million women world wide
ECONOMIC BURDEN
• 15-20 billion dollars per annum in US
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IMPACT ON Q.O.L.IMPACT ON Q.O.L.
• SOCIAL
• OCCUPATIONAL
• DOMESTIC
• PHYSICAL / RECREATIONAL
• MARITAL
• SPIRITUAL / RELIGIOUS
• DEVASTATE A WOMAN’S LIFE
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INITIATIVEINITIATIVE
• Only 10% seek medical advise
• 60% wait for 1 year
• 15% wait for 5 years
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INITIATIVE INITIATIVE
• PATIENT COUNSELLING • COLLECTIVE RESPONSIBILITY OF UROLOGISTS GYNECOLOGISTS FAMILY PHYSICIANS
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STRESS INCONTINENCESTRESS INCONTINENCE
• MULTIPAROUS WOMEN
• POST MENOPAUSAL WOMEN
LEAKAGE OF URINE WITH
COUGHING
SNEEZING
BENDING / LIFTING
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INCIDENCEINCIDENCE
• 35-40% of women >40 years
• 78% of all cases of UI
• 48% as pure SUI
• 30% as mixed type
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URGE INCONTINENCEURGE INCONTINENCE
• FREQUENCY• NOCTURIA• URGENCY / INCONTINENCE CAUSES INFECTION STONE TUMOR OVERACTIVE BLADDER
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TREATMENTTREATMENT
• PELVIC FLOOR EXERCISES
• MEDICAL FOR OAB
• MINIMALLY INVASIVE SURGERY
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GYNECARE TVT DeviceGYNECARE TVT Device
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GYNECARE TVT Tension-freeGYNECARE TVT Tension-freeSupport for Incontinence Support for Incontinence
Description: PROLENE*polypropylene mesh covered by a plastic sheath.
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GYNECARE TVT IntroducerGYNECARE TVT Introducer
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URINARY INFECTIONSURINARY INFECTIONS
• SYMPTOMS
DYSURIA
FREQUENCY / URGENCY
FEVER WITH CHILLS
HEMATURIA
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UTI WHY COMMON IN WOMEN?UTI WHY COMMON IN WOMEN?
• SHORT URETHRA
• PROXIMITY TO VAGINA
• CAUSES OF UTI
YOUNG GIRLS – ANOMALIES
REPRODUCTIVE AGE – SEXUAL
OLD AGE – ESTROGEN DEF:
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UTI DURING PREGNANCYUTI DURING PREGNANCY
• NEEDS TREATMENT EVEN IF ASYMPTOMATIC
• INCREASED RISK OF ABORTION
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URINARY CALCULIURINARY CALCULI
• COMMON IN MEN – 3:1
• FACTORS INFLUENCING THE INCIDENCE
ENVIRONMENTAL
DIETARY
WATER INTAKE
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THANK YOU