Urogynecology

Care for the pelvic floor and intimate health

Perhaps you already know where the nearest toilet is on every trip. Perhaps you avoid running because you leak urine when you do. Or perhaps since giving birth you’ve been troubled by pressure in the vagina, a painful scar or changes during intercourse. These problems can affect your life far more than meets the eye.

At G‑Innova, we look at them in context. Urogynecology brings together care for the bladder, vagina, uterus and pelvic floor. We’re interested not only in what the examination shows, but also in what keeps you from feeling well and what you would like to change.

What you can come to us with

• Urine leakage, a frequent urge to urinate or difficulty emptying your bladder.
• A feeling of pressure, bulging or descent in the vagina.
• Recurrent urinary tract infections.
• Involuntary leakage of stool or gas.
• Pain, itching or recurring small tears in the intimate area.
• A painful scar and other consequences of a childbirth injury.
• Changes during intercourse, or a wish to have your pelvic floor checked after childbirth.

These things may not be easy to start talking about. It’s enough to tell us what happens on an ordinary day. You don’t need to know the medical term or work out the cause yourself.

What the examination involves

First, we’ll talk about your symptoms, previous births, past operations and the medications you take. A short record of what you drink, when you urinate and the situations in which leakage occurs can also help.

Depending on your needs, this is followed by a gentle gynecological examination, a urine test or an ultrasound. In some cases, we add urodynamic testing, which uses thin catheters to measure how the bladder behaves as it fills and empties. It isn’t necessary for every woman; we’ll explain its purpose based on your specific findings. We choose other tests in the same way, for example examining the bladder with a thin scope, known as cystoscopy.

Who will take care of you

At G‑Innova, urogynecological care is provided by Assoc. Prof. Michal Otčenášek and Dr. Marcela Lincová. When needed, we work hand in hand with physiotherapists specializing in the pelvic floor and with other specialists. We’ll discuss the scope of the examination, the treatment options and any payment with you in advance.