Non-surgical urinary incontinence, dyspareunia, vaginismus treatments

Genital aesthetic and functional disorders can affect women’s social and private lives, as well as their daily lives and working conditions. Problems arising from the genital and urinary systems can reach psychological distress and/or psychiatric dimensions.
What are the genital aesthetic and functional reasons that make women peaceful? What could happen? How much can it affect? Is there a cure or any solution? Do they need to be corrected? How much can these disorders affect their lives?
The treatment of genital aesthetic disorders or deformities has come to the fore today as women start to know their bodies better and their sexual life becomes more important. Women have started to apply to physicians for the correction of anatomical structures that they do not like in their genital areas.
In the group we call genital aesthetic operations; Labiaplasty, which is an operation to correct or reduce the anatomically larger labia minora (labium minor), and vaginoplasty (vaginal tightening) operations, in which the enlargement of the anterior and posterior walls of the vagina are corrected, usually after delivery. Hymenoplasty (repair of the hymen) is a small surgical operation that can be applied to eliminate social problems that may occur in our country.
In cases such as difficult deliveries, chronic constipation with increased intra-abdominal pressure, sagging of the anterior and posterior walls of the vagina may occur. Urinary incontinence can also be added to these sagging. Some of these problems are treated with drugs, some are treated by contracting the genital area muscles, which we call kegel exercises, or electrical stimulation with biofeedback physical therapy devices, and more advanced cases are treated with surgery.
Non-surgical urinary incontinence treatment, dyspareunia (painful sexual intercourse), vaginismus (inability to have sexual intercourse or very painful), vaginal tightening treatments give good results in the right cases, and success can be achieved without the need for surgery.
Non-surgical urinary incontinence treatment; It can be achieved by working the genital area muscles by contracting in a planned-programmed way as an exercise, and by giving medical support to this with electrical stimulation. In cases where the anatomical structure is not excessively distorted, vaginal sagging, bladder sagging is not exaggerated, and urinary incontinence is mild, these complaints are seriously reduced or completely disappeared with biofeedback electrical stimulation therapy.
Dyspareunia and vaginismus include both psychological and physical components. Even starting to tell your gynecologist about your complaints about these issues can be a very big step in treatment… In both cases, with practice exercises where the area can be touched and Kegel exercises in which the genital area muscles are worked (contraction and relaxation are provided), first with your doctor in certain sessions and then by yourself. You can find solutions and treatments. Dyspareunia and vaginismus can be treated with biofeedback therapy by giving electrical stimulation to the vulva (external genital area) and into the vagina within certain programs, as an adjunct to Kegel exercises or in medical-physical therapy.
In some countries abroad, kegel exercises are performed with electrical stimulation in order to gain the strength of the postpartum muscles, to prevent vaginal sagging, and to prevent urinary incontinence in the future. Thus, vaginal tightness can be achieved by providing tone of the vaginal muscles in the early period, and the onset of problems such as sexual reluctance can be prevented.
Vaginal electrical stimulation is done with the help of a small vaginal probe. There are two types of probes available. In the first step of the treatment, electrical stimulation is given in different programs for the contraction and stimulation of the muscles, and in the second step, vaginal tightness is tried to be achieved with biofeedback therapy.
In our clinic, the level of urinary incontinence, vaginal anterior and/or posterior wall sagging is determined by gynecological examination, medical treatment, non-surgical biofeedback treatment with electrical stimulation and surgical treatment are planned individually. The treatment of dyspareunia and vaginismus is performed by providing relaxation of the muscles with biofeedback therapy, electrical stimulation may not be needed.

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