Treatments and Services

TREATMENTS

PROCEDURES WE PERFORM

In our Center of Urogynecology, we offer the most national and internationally advanced procedures in this field. Each case is assessed individually, together with the patient, and the most adequate and less invasive treatment is chosen for her, achieving excellent results.

These are some of the procedures we perform:

AT CLINICAL OFFICE:

  • Assessment at clinical office and medical treatment of the urogynecological conditions (hyperactive bladder, urogenital atrophy, interstitial cystitis, recurrent urinary infections, among others).
  • Complex multichannel urodynamic
  • Uroflowmetry
  • Vaginoscopy
  • Hysteroscopy
  • Cystourethroscopy
  • Transurethral injection of Bulking agent
  • Botox injection on bladder
  • Rehabilitation treatment for pelvic pain
  • Peripheral neuromodulation, posterior tibial nerve stimulation (PTNS) for the treatment of overactive bladder
  • Management of pessary for the treatment of genital prolapse
  • Neurophysiological testing for pelvic floor (EMG for sphincters with needle and surface electrodes, bulbocavernosus and  clitoro-anal reflex
  • Evoked potentials for pudendal nerve

PHYSIOTHERAPY

  • Biofeedback (for pain, incontinence, hypertonia of the pelvic floor, constipation)
  • Electrostimulation
  • Neuromuscular reeducation
  • Electrostimulation of the posterior tibial nerve, transcutaneous and percutaneous PTNS
  • Trigger point massage

SURGICAL TREATMENTS

  • Minimally invasive surgery for the treatment of genital prolapse, including vaginal and laparoscopic procedures such as sacrocolpopexy
  • Minimally invasive surgical management of urinary incontinence
  • Treatment for complications of the vaginal tape including erosions, among others.
  • Treatment of fistulas
  • Diverticulectomy
  • Others

SERVICES

UROGYNECOLOGY

  • Urinary Incontinence
  • Stress urinary incontinence (Urine Loss when coughing, laughing, sneezing or making any exercise or activity)
  • Urge urinary incontinence (Urine loss after an intense and urgent feeling of urinating)
  • Urinary urgency without urine loss
  • Increase in urinary frequency (patient urinates more often than the usual)
  • Overactive bladder (feeling a urinary urgency, with an increase in urinary frequency and presence or not of nocturia, waking up in the middle of the night to urinate)
  • Urinary retention
  • Bladder dysfunction (problems or difficulty to empty the bladder)
  • Prolapse of genital organs
  • Cystocele (bladder descent or herniation through the vagina)
  • Uterine prolapse (Uterus descent to the vagina)
  • Prolapse of vaginal vault (descent of the upper part of the vagina)
  • Rectocele (rectum descent or hernia through the vagina)
  • Enterocele (descent or herniation of the small bowel to the vagina)
  • Recurrent urinary tract infections
  • Pain during sexual intercourse
  • Chronic pelvic pain
  • Interstitial cystitis (swelling of the bladder)
  • Fistula (abnormal connection between the vagina and the bladder, urethra or rectum)
  • Urethral diverticulum (abnormal mass in the urethra)
  • Defecatory dysfunction
  • Constipation
  • Incomplete evacuation
  • Fecal incontinence (loss of evacuation control)
  • Others

GENERAL GYNECOLOGY

  • General gynecology control
  • PAP
  • Pelvic and transvaginal ultrasound
  • Treatment for menopause (hormone replacement therapy)
  • Abnormal uterine bleedings
  • Uterine fibromatosis
  • Birth control