UROGYNECOLOGY INDIA

The life expectancy for women has almost doubled through the 20th century and around one third of all women suffer with these problems, at least once in their lifetime. These conditions are more common than commonly known disorders like hypertension, depression, or diabetes. World Statistics denotes that in 2003, around 34 million women worldwide were estimated to have Prolapse and about 50% of postmenopausal women had some degree of prolapse. SimilarIy Urinary Tract Infections affects 40% of females in their life time and incidence increases from 1-2 % to 20% as they grow old. Incidence of urinary incontinence also increases from 10-25% to 15-40% beyond age 60.

Urogynaecology is a sub-speciality, which deals with conservative, medical and surgical management of women with urinary or faecal incontinence, persistent genitourinary complaints, and disorders of pelvic floor supports. The details can be explored in different sections of this site.

A dedicated Urogynecology clinic provides complete one stop care to patients, helping them avoid too many visits to other specialists like gynecologists, urologists and colorectal surgeons for treatments.

Please don’t suffer in silence, consult us at early stage to have best results.

Our practice offers the most thorough, up-to-date and accurate evaluation and the latest, least invasive treatments for these conditions including da Vinci robotic surgery. We provide integrated care and offer patients evaluation and management strategies for the following disorders affecting the female pelvic floor. 

Conditions treated:

Urinary Incontinence

• Stress urinary incontinence
• Urge urinary incontinence
• Overactive bladder

Pelvic Organ Prolapse

• Uterine prolapse
• Anterior vaginal wall prolapsed (cystocele /bladder prolapse)
• Apical vaginal prolapsed (enterocele/vaginal vault prolapse)
• Posterior wall prolapse (rectocele)

Fistulas

• Vesicovaginal (bladder/vagina)
• Vesicouterine (bladder/uterus)
• Vesicocutaneous (bladder/abdominal wall)
• Rectovaginal (rectum/vagina)
• Urethral (fistula/diverticulum)

Congenital Anomalies

• Vaginal agenesis
• Imperforate hymen
• Vaginal septum

Vaginal and Vulvar malformations

• Labial hypertrophy
• Post birth perineal scarring
• Postsurgical vaginal scarring

Others

• Bladder Pain Syndrome/Interstitial cystitis
• Female Sexual dysfunctions

Treatments Options:

Conservative treatments like

• Biofeedback
• Urge suppression drill
• Electric stimulation of pelvic floor
• Pelvic floor rehabilitation (Relaxation techniques)

Medical treatments for

• Overactive bladder syndrome
• Stress urinary incontinence
• Bladder pain syndrome (eg. Bladder instillations)

Specific Diagnostic Procedures

• Complex urodynamic testing
• Micturating Cystourethrogram
• Cystourethroscopy/ Hysteroscopy
• Transperineal ultrasound
• Dynamic MRI pelvis

Minor procedures like

• Vulval/ vaginal/cervical biopsy
• Bladder biopsy
•. Hydrodistension of bladder
• Steroid / Botulinum toxin injections
• Urethral dilatation/ bladder neck incision
• Other Cystoscopic procedures

Reconstructive surgeries (Vaginal/abdominal/Laparoscopic/robotic)

• Simple fascial repair of cystocele/rectocele/enterocele (vaginal) 
• Vaginal fixation of apical prolapse
   – Sacrospinous ligament fixation
   – Uterosacral Ligament fixation
• Vaginal mesh augmented repair of prolapse 
• Lefort’s Colpoclesis
• McCall’s culdoplasty
• Burch Colposuspension
• Fistula repair (vaginal/abdominal/robotic/laparoscopic)
• Sacrocolpopexy (abdominal/robotic/laparoscopic)
• Midurethral/ Pubovaginal slings
• Fascial grafts

Dr Amita Jain is Senior Consultant Urogynaecologist at Institute of Urology & Robotic Surgery, Medanta – The Medicity Hospital, Gurogram, Haryana. She has done her M.B.B.S. from King George Medical College, Lucknow and her masters in Obstetrics & Gynaecology from Sarojini Naidu Medical college, Agra. She has received training in endoscopic surgeries from BEAMS, Mumbai and has done her fellowship in Urogynaecology from James Cook University, Queensland, Australia.

At present she is the General Secretary of  SAFUG (South Asian Federation of Urogynaecology) and Executive Committee Member of GIBS (Global IC and Bladder Pain Syndrome Society). Also she was the Chairperson of Urogynaecology Subcomittee AOGD ( Association of Obstetricians & Gynaecologists of Delhi)  2017-2019.

She has received many prestigious awards including International Continence Society Travel Award and Appreciation Award from Association of Obstetricians and Gynaecologists of Delhi for her valuable contribution.

Besides this, Dr. Jain has written and published extensively on this upcoming field and has several publications in peer reviewed national and international journals including book chapters, to her credit.

She has also organized or been invited for many educational CMEs & workshops, group activities and patient awareness sessions at both national and international forums and involved in many national projects like formation of guidelines, fellowship programmes and research. Recently she was also honoured for being nominated for the post of Southern Asia Representative of International Advisory Board at International Urogynaecological Association.

With a vast experience of having performed all named surgeries in urogynaecological field vaginal or abdominal (open/ laparoscopic / robotic), Dr. Amita has pioneered several advanced procedures in the country including dynamic MRI pelvis and 2D/3D transperineal USG as diagnostic modalities and first TVT- Abbrevo placement and robotic burch colposuspension for stress urinary incontinence. Her endeavors are focused towards providing her patients the most advanced facilities and techniques available only at leading international institutions.