Female urinary disorders and pelvic floor dysfunction

  Female urinary disorders including overactive bladder, stress urinary incontinence, female pelvic organ prolapse, female interstitial cystitis, female voiding disorders, vesicovaginal fistula, female urethral disorders, and female sexual dysfunction have become one of the five most common chronic diseases threatening women’s health. These diseases are not life-threatening, but they seriously affect the quality of life. The existence of international academic organizations such as the International Society of Urological Control, the International Society of Gynecologic Urology, and the Society of Urodynamics and Female Urology fully illustrate the importance attached to female urological diseases in developed countries in Europe and the United States.  Unfortunately, Chinese female patients have poor knowledge of the disease, consider it as an inevitable manifestation of old age, or have a low consultation rate due to shyness and other reasons. Most urologists pay too much attention to “big” diseases such as tumors, stones and prostate diseases, and too little attention to “functional diseases” in women. As a result, most female urological patients are not professionally evaluated and do not receive professional treatment, and are even “unavailable” for treatment.  The Department of Urology at Daping Hospital has established a specialized group for “female urinary disorders and pelvic floor dysfunction”, which is headed by a specialized physician from the Urology Control Group to provide international advanced medical services for female urinary patients. The scope of treatment includes female stress urinary incontinence, female pelvic organ prolapse, overactive bladder, interstitial cystitis/chronic bladder pain syndrome, genital urethral fistula, female urethral diseases (urethral polyp, urethral caruncle, urethral cyst), female urinary difficulties, urethral stricture, etc.  Tension-free suspension of the mid-urethra for stress urinary incontinence is based on the modern “theory of female mid-urethral urinary control”, which uses advanced Sing surgery to implant a small “sling” under the urethra by puncture to support the mid-urethra. This restores urinary control in women. The surgery is less invasive, shorter hospital stay, reliable and has a success rate of over 95%.  Technical feature two: pelvic floor reconstruction for female pelvic organ prolapse According to modern “pelvic floor holistic theory” and “three chambers theory”, advanced Mesh reconstruction surgery is adopted to achieve anatomical maintenance (Restain), structural reconstruction (Reconstruction) and tissue replacement (Reconstruction). Reconstruction”, “Replacement” and “Restoration” with a success rate of over 90%. The surgical procedures include “anterior pelvic reconstruction”, “posterior pelvic reconstruction” for rectal prolapse, “laparoscopic uterosacral fixation” for uterine prolapse, and “total pelvic reconstruction” for total pelvic prolapse. “Total Pelvic Reconstruction” for total pelvic prolapse.  Technical feature 3: bladder water dilatation for interstitial cystitis/bladder pain syndrome Interstitial cystitis (IC) presents with urinary frequency, urinary urgency, and bladder or pelvic floor pain. The etiology and mechanism are unclear and treatment is difficult. Bladder water dilatation combined with sodium hyaluronate infusion for IC has an efficiency of 80-90%, which can significantly relieve symptoms and improve quality of life.  Technical feature 4: forced urinary muscle injection for female overactive bladder Overactive bladder syndrome (OAB) is a syndrome characterized by symptoms of urinary urgency, often accompanied by urinary frequency and nocturia, with or without urge urinary incontinence, and the main urodynamic manifestation is forced urinary muscle overactivity. The technique features  The buccal mucosa is one of the most suitable replacements for the urethral mucosa, with a high density of capillaries, high viability and strong resistance to infection. The use of oral buccal mucosa to replace the defective urethra can greatly improve the cure rate of complex urethral strictures.  Technical feature 6: female intimate plastic surgery Vaginal tightening: scientific evaluation of the type of vaginal laxity, according to the situation, we can choose to treat the vaginal laxity by reconstruction of the anterior vaginal wall, reconstruction of the posterior vaginal wall, reconstruction of the perineal body, suturing of the anal levator muscle and repair of the lateral vaginal side, etc., to truly achieve the reconstruction of appearance and function.  Hymenoplasty: Hymenoplasty for infertile women and hymenoplasty for menstruating women to meet the treatment needs of different types of hymen rupture.  Labiaplasty: for the treatment of hypertrophy of labia majora, we can choose linear method, bilateral mucous membrane excision and wedge excision method according to different conditions.  Before and after vaginal tightening treatment Hymenoplasty