What to expect from a urogynecologic evaluation
At the time of your initial evaluation, you can expect that your provider will take a comprehensive medical history and perform a detailed examination, which will include a vaginal examination. A urine specimen is typically collected and, if necessary, sent to a lab for analysis. It's also common for the provider to evaluate the amount of residual urine left inside the bladder, either through catheterization or by ultrasound, in some cases.
Additional diagnostic testing, such as bladder testing (aka urodynamics) or cystoscopy, may be recommended and are typically performed in the office.
Once your specific symptoms and conditions have been addressed, they'll provide a detailed treatment plan to meet your individual needs.
Benefits of reconstructive vaginal surgery typically include restoration of vaginal and bladder support, improvement in bladder emptying, reduced incontinence and an improvement in sexual function.
Risks of reconstructive pelvic surgery can include:
- Bleeding
- Surgical site infection
- Organ injury
- Urinary retention
- Urinary leakage
- Complications related to sling surgery or vaginal exposure of mesh used to re-support the vagina