Urogynecology Services: Treatment Options
Restoring Comfort and Confidence
Once a precise diagnosis is established through our Urogynecology Evaluation, we move to developing a personalized treatment plan aimed at restoring your pelvic health, comfort, and confidence. Our approach is phased, starting with conservative management before considering definitive surgical solutions.
Dr. Milind Colvalcar specializes in advanced Urogynecology, ensuring that whether your treatment involves physiotherapy or complex surgical reconstruction, you receive the highest standard of care available in Goa.
Phase I: Conservative and Non-Surgical Solutions
For many patients, especially those with mild to moderate symptoms, non-surgical approaches can provide significant relief and are always our first consideration.
Pelvic Floor Muscle Training (Physiotherapy): Focused exercises, often guided by a specialist physiotherapist, to strengthen the muscles supporting the bladder, uterus, and bowel. Effective for mild Stress Urinary Incontinence (SUI).
Pessaries (Insertable Devices for Support): Custom-fitted, removable devices inserted into the vagina to provide mechanical support to prolapsed organs, effectively managing symptoms of Pelvic Organ Prolapse (POP) without surgery.
Lifestyle Modification: Guidance on weight management (directly related to abdominal pressure), fluid management, and dietary changes to reduce bladder irritation.
Phase II: Advanced Surgical Treatment Options
When conservative treatments are ineffective or the condition is severe, expert surgical intervention is required. Our surgical options are categorized by the type of problem they solve.
Minimally Invasive Procedures for Urinary Incontinence (SUI)
These keyhole procedures are highly effective for SUI, offering minimal hospital stay and rapid recovery.
Tension-free Vaginal Tape (TVT) / Transobturator Tape (TOT): Standard, highly successful Minimally Invasive Procedures that use a small synthetic sling to support the urethra and prevent leakage during physical activity.
Fascia Lata Sling Procedure: Utilizes the patient's own tissue for urethral support, an alternative often considered in complex cases or prior surgical failures.
Surgical Repair for Pelvic Organ Prolapse (POP)
These procedures reconstruct and reinforce the weakened pelvic floor to restore organs to their correct anatomical position.
Colporrhaphy (Vaginal Wall Repair): Surgical repair of the vaginal walls to correct prolapse of the bladder (cystocele) or rectum (rectocele).
Sacrospinous Ligament Suspension: A technique to suspend and support a prolapsed uterus or vaginal vault using the strong ligaments of the pelvis.
Abdominal or Vaginal Sacrocolpopexy (Uterine Suspension): Advanced procedures to permanently suspend the vaginal vault or uterus, often using grafts or mesh, to provide long-term support for POP.
Vaginal Hernia Repair: Surgical correction of intestinal hernias that may occur in conjunction with POP.
Clinical Authority: Why Choose Our Urogynecology Specialist?
The success of complex reconstructive surgery hinges entirely on the surgeon's specialized training and experience.
Dr. Colvalcar’s Expertise: Dr. Colvalcar has the necessary surgical authority in both Gynaecological Procedures and dedicated Urogynecology techniques. He is expertly qualified to select and execute the specific surgical procedure that offers the highest probability of cure for your unique pelvic floor anatomy.
Stop living with pelvic discomfort and leakage. Discover your personalized path to complete pelvic health.
Schedule Your Treatment Planning Consultation with our Urogynecology Specialist Today.
