Common Female Urological Problems
- Dr. Punit Bansal, Ludhiana
- April 20, 2024
Common Female Urological Problems
Women suffer from urological problems very frequently which makes their quality of life poor due to reluctance in consulting urologists and social taboos. Moreover, improper referral and treatment makes the problem more complex. Common problems women suffer are infections, urinary leakage, difficulty in urination and pelvic floor dysfunction.
Urinary tract infections
Infection in women is common in all ages but is more prevalent in postmenopausal females. Proper history and examinations are important. Painful foul-smelling urine accompanied by urgency or frequency may be present. The dosage and duration of antibiotics is very important. Injudicious use of antibiotics cause long term problems. Fluid intake is important along with bowel management. If infections are recurrent consult a urologist to rule out any organic cause.
Urethral stricture
Stricture causes difficulty in urination and a thin stream of urine. They may also present as recurrent UTI. It is commonly treated by urethral dilation. If patient needs repeated dilations, then urethroplasty offers a long-term solution with good results. Urethroplasty in women needs proper evaluation and treatment by experienced urologist.
Urinary incontinence
Having to pee at all hours and with little warning can be a nuisance. Cause may be age related or due to lifestyle and drinking habits. It is treatable with lifestyle modification and medications. Botox may be needed in a few patients. Another problem may be leakage with cough, sneezing or even lifting weights. Cause may be weakened pelvic muscles or may be hormone related. In a few patients sling surgery may be a treatment of choice.
Talking about urgency leakage, slow urinary stream might be uncomfortable but it’s the first step towards treatment. Often women do not know how common and treatable they are which keeps them from seeking proper urological care.