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Being one of Hyderabad's foremost healthcare centre, Dr. Sarika H Pandya, has been providing healthcare services to all our loving patients with proper care and full dedication. In order to make our patients and their family members first visit to us comfortable and satisfying, we encourage and suggest you to visit our website and read the answers about the questions you must be looking for. While a lot of things have changed technologically, still a few things haven’t changed i.e. compassionate care, integrity, affordable prices and trustworthy service to all.

Female Urology / Urinary Incontinence FAQ

What can I expect during my first office visit?

During your first visit to our clinic, you will be asked to answer a few questions. Our questionnaire includes a few questions related to your medical problems, your medical history, medications, allergies and social history. Later, this questionnaire will be reviewed by our doctors and physicians. We request you to kindly visit us with a full bladder so that a urine specimen can be analyzed easily. Apart from this, a limited physical and pelvic examination will usually be performed by our doctors. After patient's examination and studying all the reports, further testing may be recommended or a treatment plan will be formulated.

Urinary incontinence is just part of getting older isn’t it?

No, urinary incontinence is not just a part of getting older. It is very common and has many causes. Some are relatively simple while others are for longer period. If not treated well on time, it can affect other aspects of your life, such as finances and psychological well-being.

Is my urinary incontinence bad enough to be treated?

If you have UI, you are not alone. Millions of women have this problem, especially as they get older.
Urinary incontinence(UI), is also known as loss of bladder control or urinary leakage. It happens when urine leaks out before a person can get to a bathroom. But this is not a big problem as many people suffer from this as they get older, consumes alcohol, because of nerves damage etc. Females also face the same problem during pregnancy, childbirth or menopause. But this depends on the individual. Some  woman are severely affected by a relatively small amounts of leakage. Our treatment for urinary incontinence is very nominal. We generally encourage woman to seek the treatment if they are bothered by their bladder symptoms.

Is the surgery for urinary incontinence painful?

Depending upon individual's body, the treatment is performed. Every patient is different. Thus, they recover differently. But in general, surgery for urinary incontinence is less painful and can easily be tolerated.

What is the best treatment for vaginal prolapse?

There is no specific treatment for vaginal prolapse as it depends on the severity of the prolapse and the symptoms associated with it including bladder, bowel, and sexual function. Depending upon the patient's age, patient's expectation, and other medical conditions, we offer both non-surgical and surgical treatments to our patients. Mostly, vaginal prolapse gets worsen and can only be fully corrected with surgery. However, vaginal prolapse depends on the factors such as the cause and severity of the prolapse.

What is urodynamic study/test and why do I need it?

Urodynamic tests for urinary incontinence are performed to evaluate the patient's bladder's function and efficiency. These tests vary from person to person. As a result, some tests can be done in a doctor's office whereas some tests requires sophisticated and advanced instruments and machines to measure the amount of pressure experienced by the bladder and urethra. The test performed by our physicians and doctors helps to accurately diagnose bladder problems.

During the tests, a catheter is placed in the urethra/bladder and rectum. These catheters measure the pressures in the bladder and bowel. Patients may be asked to cough or to urinate during the study. The test is performed keeping the patient awake as it is an interactive test. This test takes less than thirty minutes to complete.

What is a cystoscopy?

Cystoscope is a thin tube with a camera and light attached on the end. During a cystoscopy, this tube is inserted through patients' urethra and into the bladder so that the doctor can visualize the inside of the  bladder. The test is performed with a fiber-optic scope and is well tolerated by almost all the patients.  Once, the patient is positioned the procedure takes less than five minutes.

Will you see a patient for a second opinion?

Having a team of highly professional and experienced physicians and doctors, we are happy to render a second opinion regarding any therapy you are considering.

Do you work with any other physicians in other department?

Our aim is to provide the best treatment to all our valuable patients with the very best care possible, if needed. Thus, we also coordinate with other physicians for patient's best treatment.

What are the warnings I am hearing about concerning the use of vaginal mesh?

Transvaginal mesh is usually made up of plastic called polypropylene, polytetrafluoroethylene, polyester fibers or stainless steel. The term 'transvaginal' refers to the type of surgical technique used to implant the mesh – through the vagina. We have seen that women often hesitate to come to the doctor if they are suffering from problems related to with urinary tract whereas, if men are suffering from any kind of problem, they immediately go to the urologist. We have a team of both male and female experienced urologist who are specialized and have knowledge and skills to deal with the problems of the male and female urinary tract and the male reproductive organs.

Female Urology / Urogynecology

Female urology is a medical specialty within Obstetrics and Gynecology that focuses on the disorders of female pelvic floor such as pelvic organ prolapse (bulging out of the uterus and/or vagina), urinary incontinence, fecal incontinence and constipation. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease or surgery.

Profile

Dr. Sarika H Pandya, a consultant female urologist, is one of the top-notch urologist and has completed
MBBS from Government Medical College Bhavnagar,Gujarat. Dr. Sarika H Pandya, is also awarded DNB (Diplomate of National Board) in Urology from Yashoda Hospital, Hyderabad. Moreover, she has also won 4 gold medals in 10th class & 2 in 12th class.

Female Urology

The female urinary tract is different from that of the male due to the special conditions and problems occurring in women for example bladder control problems during pregnancy, after childbirth, or after hysterectomy.

Female Pelvic Prolapse

Female pelvic prolapse occurs when a pelvic organ-such as bladder-drops from its normal place in lower belly and pushes against the walls of your vagina. This can be really uncomfortable or painful if not treated on time. But it isn't usually a big health problem as it doesn't always get worse. In some women, it can get better with time. There are several types of prolapse such as:

Cystocele often causes stress incontinence or urine leakage while sneezing, coughing or laughing. It occurs when the front wall of the vagina weakens and allows the bladder to droop, causing a bulge.

Rectocele causes a bulge in the vagina which may be more noticeable during bowel movements.

Enterocele which is also known as vaginal vault prolapse that happens when the intestines press down on the top of the vagina, causing it to fall toward the vaginal opening. Enterocele often causes urinary incontinence.

Uterine prolapse occurs when the ligaments that hold the uterus in place weakens, allowing the uterus to slide into the vaginal canal. The problem may occur after a complicated labor or the delivery of a very large baby.