Women’s Urology Care
Urology deals with disorders of the urinary tract and the related organs—the kidneys, ureters, bladder and urethra. For women, the focus is on diagnosis and treatment of urinary tract disorders most prevalent in females, including:
Incontinence is an involuntary loss of urine. Treatment depends on the type of incontinence—stress (leakage with straining, coughing, sneezing), urge, mixed, overflow, functional or reflex incontinence. Current therapies may include dietary changes, scheduled urination, bladder retraining, pelvic muscle exercises, biofeedback, electrical stimulation therapy, medication, collagen implants and minimally invasive surgery.
Pelvic floor prolapse
This condition involves the sagging or slipping of the uterus or other pelvic organs from their normal position into the vaginal area caused by weakened supporting muscles and ligaments. These conditions are common in women who’ve had one or more vaginal births but they can also be caused by natural aging, obesity and other factors. Treatment can range from lifestyle changes to vaginal pessaries to surgery.
Voiding or urination 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 and may involve medications or pelvic floor relaxation exercises.
Urinary tract infection
A recurrent urinary tract infection (UTI) is generally defined as three or more infections within one year. UTIs may be related to a urologic disorder such as stones, tumor, reflux (urine flows backwards toward the kidney) or ineffective bladder emptying or they may have no obvious cause. Treatment is usually aimed at identifying the cause and prescribing antibiotic therapy to break the cycle of recurrent infection.
Urethral syndrome is a condition involving pain and swelling of the urethra, the tube that carries urine from the body. The condition can have a number of causes and may or may not coincide with urination. Treatment may consist of oral medication or local estrogen replacement therapy. Urethral syndrome may exist as a component of interstitial cystitis.
Ureteropelvic junction obstruction
This condition results from a blockage between the kidney and the ureters, impeding the flow of urine to the bladder and causing other side effects. Surgery such as pyelopasty, is often required to correct the blockage.
On average, a healthy adult woman urinates no more than seven times a day and seldom needs to get up at night to use the bathroom. Someone with a severe case of interstitial cystitis (IC), on the other hand, may urinate as frequently as 60 times in 24 hours, including multiple nighttime trips to the bathroom. IC is a chronic inflammation of the bladder that causes chronic pain and discomfort. Symptoms often include a sense of urgency and increased frequency of urination. The pain tends to worsen during menstruation. Women may also experience painful intercourse because of IC. The condition generally develops in middle age, and many people with IC also have other pain-related conditions, such as irritable bowel syndrome or fibromyalgia. Treatment may include medication, bladder training, physical therapy and surgery.
Learn more about these and other women’s urological conditions and their treatment from the Women’s Center at our online Health Encyclopedia.
Compassionate Urology Care for Women
The skilled urologists affiliated with North Kansas City Hospital and their professional staff are known for their personal and confidential approach to helping women deal with uncomfortable conditions. We’ll work with you to find the treatment option that best fits your needs.