We treat pelvic floor and bladder conditions in women, helping restore comfort, confidence, and quality of life.
There is no reason to suffer in silence from a pelvic or bladder condition. Nearly 85 to 90 percent of urogynecologic conditions can be diagnosed and successfully treated through minor lifestyle changes, medications, or surgical procedures.
Urogynecology focuses on the management of clinical problems associated with dysfunction of the pelvic floor and bladder. These conditions can significantly affect quality of life but are highly treatable.
Pelvic floor disorders affect the bladder, reproductive organs, and bowels. Common conditions include urinary incontinence, pelvic organ prolapse, fecal incontinence, and trauma to the perineum (the area between the vagina and anus) often caused during childbirth.
Urinary stress incontinence occurs when a woman leaks urine during physical activities such as coughing, sneezing, laughing, or exercising. This usually happens because the pelvic floor muscles and surrounding tissues have weakened or been damaged.
The pelvic floor acts like a sling stretching from the pubic bone in the front to the base of the spine at the back. It supports the urethra, which carries urine from the bladder to the outside of the body. When the pelvic floor is healthy and strong, it holds the urethra in place and helps form a tight seal to prevent leakage.
If the pelvic floor becomes weakened or injured, it fails to properly support the urethra. As a result, when pressure is applied (e.g., during movement), the urethra can shift, breaking the seal and allowing urine to leak out unintentionally.
The Transobturator Tape (TOT) procedure is a surgical treatment specifically designed for urinary stress incontinence. It is typically performed under general or spinal anesthesia.
During the surgery, a small incision is made in the wall of the vagina. A permanent mesh tape is inserted through the vagina and positioned underneath the urethra to provide support. The tape is placed using special needles, which pass through small incisions made on both sides of the upper inner thigh.
The tape remains in the body permanently and acts as a sling, supporting the urethra during activities that increase abdominal pressure. It helps restore continence with minimal invasion and relatively short recovery time.
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Transvaginal Tape (TVT) repair is a minimally invasive surgical technique to treat female stress incontinence. It involves placing a synthetic mesh tape to support the urethra and restore bladder control.
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Unlike older sling procedures that apply constant tension, the TVT method provides support only when necessary. The tape forms a new "hammock" under the urethra, offering firm support without excessive pressure.
The procedure usually takes 30 to 45 minutes. A small incision is made in the vagina, and the tape is woven through the pelvic tissues. It is guided out through two tiny skin incisions above the pubic bone. As it passes through various tissue layers, friction initially holds the tape in place, much like Velcro.
TVT offers excellent outcomes with shorter hospital stays, less pain, and a quicker return to normal activity. It has become one of the most widely used and trusted procedures for female incontinence globally.
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