Woman’s (Female) Urology is the sub-speciality discipline within Urology that specifically deals with female patients who suffer from:
urinary incontinence (both stress and urge incontinence)
pelvic organ prolapse
voiding dysfunction of any origin
recurrent urinary tract infections
bladder pain syndromes
Woman’s Urologists are fellows of the Royal Australasian College of Surgeons who after completing training in urology, have completed additional post fellowship training, along with their substantial experience as pelvic and endoscopic surgeons.
This ideally places them to manage both index and complex presentations of incontinence and pelvic floor dysfunction. Most Woman’s Urologists additionally perform complex assessment through urodynamic studies on patients with both neurological and non neurological conditions and reconstructive procedures centred around ameliorating issues of continence across age and gender. Urologists are also highly trained in systematic evaluation of patients’ symptoms guided by radiological imaging – including fluoroscopic guided Urodynamics, MRI, ultrasound and CT Interpretation.
General practitioners should feel confident sending any patient with incontinence and associated conditions to a Woman’s Urologist for further management and know that a patient and goal directed management plan will be formulated, at the same time excluding any important “red flag” conditions that may significantly affect a patient’s health.
This expertise in management of all abnormalities of the urinary tract including stones and cancer, uniquely positions Woman’s Urologists to manage incontinence. Many Woman’s Urologists are working in large tertiary referral units with close ties to paediatric and geriatric medicine, giving a “cradle to grave” overview and multidisciplinary approach to patient care. Equally they are well versed in the management of active men and women who want effective therapies that allow them to rapidly return to the activities they love and hence enhance their overall well-being.
Other points to mention:
incontinence can be due to other bladder dysfunction (eg underactive bladder, bladder outlet obstruction, high bladder pressures from poor bladder compliance) too and not just stress or urge incontinence. As such bladder dysfunction can occur in both men and women alike, urologists are uniquely able to treat this condition
whole armamentarium of skills to treat all levels of severities of incontinence in women. This is due to our training in managing complex neurogenic bladders. Women with recurrent stress incontinence will not just be offered the same surgery that has failed before. We can offer options that range from peri-urethral bulking agents to synthetic slings, to fascial (non-mesh) slings to artificial urinary sphincters and urinary diversion.