The subspecialty of female urology is concerned with the diagnosis and treatment of those urinary tract disorders most prevalent in females.These include urinary incontinence and pelvic floor prolapse, voiding dysfunction, recurrent urinary tract infection, urethral syndrome and interstitial cystitis.At IURTC, the Department of Urology has a Center of Excellence for the treatment of Incontinence. Our center offers a comprehensive and state of the art diagnostic testing facility, compassionate and carrying nursing and support staff who are proficient in all forms of treatment available for incontinence.
Expert evaluation of these conditions includes a complete history and physical exam. Urodynamics (bladder function test) and imaging studies may be required to fully evaluate the urinary tracts.Additional bladder studies such as cystoscopy may be necessary. Female urology at Labbafinejad hospital offers a comprehensive evaluation and treatment plan for these female urologic disorders.
Our Urology Department physicians have a primary interest in urologic disorders affecting women, including urinary incontinence and voiding dysfunction, pelvic prolapse, urinary tract infection and other bladder disorders.We often deal with pelvic organ and vaginal prolapse conditions often associated with stress incontinence symptoms.
Our treatment for complicated incontinence starts with a thorough uorodynamic evaluation and may include medical therapy or various surgical procedures, from outpatient Urocol injection to sophisticated reconstructive operations. Occasionally, urinary leakage is the result of an abnormal connection or fistula, but our physicians have extensive knowledge and experience in diagnosing and treating this somewhat rare condition.
Farzaneh Sharifi Aghdas, M.D is the Director of female urology.she is experienced in behavioral modifications and other non-operative interventions, as well as state-of-the-art medications available to treat this problem.Dr Sharifi has personally performed over 100 female anti-incontinence surgical procedures with a high success rate. Dr Sharifi is director of female urology branch of Iranian Urology Association
What is incontinence?
Incontinence is an involuntary loss of urine.It is further defined by type as either stress (leakage with straining, coughing, sneezing), urge, mixed, overflow, functional or reflex incontinence. Treatment is dependent on the type of incontinence. Current therapies include dietary changes, scheduled voiding, bladder retraining, pelvic muscle exercises, biofeedback, electrical stimulation therapy, medication, collagen implants and minimally invasive surgery.
What is voiding dysfunction?
Voiding dysfunction can take many forms. The main symptoms are urinary frequency, urgency, painful urination and/or incomplete bladder emptying. Treatment is aimed at decreasing or eliminating symptoms. Treatment may involve medications or pelvic floor relaxation exercises.
What is a recurrent urinary tract infection?
A recurrent urinary tract infection (UTI) may be generally defined as three or more infections within one year. This may be idiopathic (no obvious cause) or related to a urologic disorder such as stones, tumor, reflux (urine flows backwards toward the kidney) or ineffective bladder emptying. Treatment is aimed at identifying the cause and/or proper antibiotic therapy to break the cycle of recurrent infection.
What is urethral syndrome?
Urethral syndrome is a condition involving pain at the urethra that can occur during urination or without regard to urination. Treatment may consist of oral medication or local estrogen replacement therapy. Urethral syndrome may exist as a component of interstitial cystitis.
What is interstitial cystitis?
Interstitial cystitis (IC) is a urologic syndrome characterized by excessive urinary urgency, frequency, nocturia (nighttime urination) and pain in the lower abdomen and/or perineum. It can occur at any age; however, the median age at diagnosis is between 42 and 46 years. The cause of IC is unclear. It is believed to be related to irregularities in the bladder lining and/or an allergic/immune response. IC can severely affect an individual's quality of life. Promising developments in the treatment of IC include medications, such as Elmiron, which works to restore the normal function of the bladder lining. Other drugs with calming effects on the bladder may also be helpful. Bladder instillations with dimethyl sulfoxide (DMSO) have achieved variable success. Hydrodistention of the bladder under anesthesia is a common therapeutic and diagnostic procedure. In the most severe cases, surgery including denervation, urinary diversion and augmentation cytoplasty may be performed.
Address: Shaheed Labbafinejad Hospital, 9th Boostan St, Pasdaran Ave, Tehran, Iran.