Female Urology

The subspecialty of Female Urology is concerned with the diagnosis and treatment of those urinary tract disorders most prevalent in females.

WHAT IS FEMALE UROLOGY?

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. 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 tract. Additional bladder studies such as cystoscopy may be necessary.

WHAT IS INCONTINENCE?

Incontinence is an involuntary loss of urine. It is further defined by type as either stress (leakage with straining, coughing or 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 medication 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, tumour, 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  urination. Treatment may consist of oral medication or local oestrogen replacement therapy. Urethral syndrome may exist as a component of interstitial cystitis.

WHAT IS INTERSTITIAL CYSTITIS?

Interstitial cystitis (IC) is a urologic syndrome characterised by excessive urinary urgency, frequency, nocturia (night time 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.

Drugs with calming effects on the bladder may be helpful. Bladder instillations with dimethyl sulfoxide (DMSO) have achieved variable success. Hydrodistention of the bladder under anaesthesia is a common therapeutic and diagnostic procedure. In the most severe cases, surgery including denervation (resection of nerves of the bladder), urinary diversion (removing the bladder) and augmentation cytoplasty (bladder enlargement) may be performed.

Appointments

Coming To The Urology Hospital

How We Are Doing Our Part In The Fight Against COVID-19

The Urology Hospital is a surgical hospital specializing in the treatment of urological and related conditions. As we are not a respiratory related facility, we will not be actively treating COVID-19 patients. This allows us to continue providing surgical treatment to all our urology related patients and we will gladly accommodate you in this regard.

The safety of our patients and colleagues is our number one priority. Your healthcare is important to us and we are actively working with and following guidance from the National Department of Health and the NICD (National Institute for Communicable Diseases).

Kindly note the hospital has set up a Covid-19 task team and contingency plan and we are preparing for all eventualities.

Please confirm with your Doctor if you are still able to come for your consultation. However, if you have any of the following signs and symptoms then please cancel your appointment, self-isolate and contact the centralised helpline on 0800 029 999:
• Fever
• Cough
• Sore Throat
• Shortness of Breath
• Headache
• Fatigue/Malaise
• Diarrhoea
• Loss of smell and taste

To support screening for COVID-19, before entering the hospital, all prospective patients will adhere to the following:
• Complete a Travel History form
• Undergo temperature screening

Should any of the following signs or symptoms be found, you will be requested to go home, self-isolate and contact the centralised helpline on 0800 029 999:
• Flu-like symptoms (sore throat, cough or chills)
• Fever of 37.7 or above

NB: Please notify the person doing your Travel History if you’re:
• Over 70
• Have any underlying health conditions
• Are pregnant

To protect our patients and staff from the potential risk of COVID-19, we are currently restricting visiting of patients to exceptional circumstances only.

In an effort to limit the number of patients visiting The Urology Hospital Pharmacy due to the COVID-19 pandemic, we will only assist our regular retail patients.  If you have a valid repeat script at The Urology Hospital Pharmacy, please call us in advance on 012 423 4036 to make arrangements to obtain your repeat prescription. We will then prepare it for you in advance. When collecting your script bring your purple script copy or previous medicine containers with you to gain access to the hospital.

Should you need to re-arrange an appointment at the Urology Hospital please call: 012 423 4000 or your Doctor’s rooms.

We appreciate your understanding and co-operation.

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