Urogynecology and Pelvic Medicine
The Urogynecology and Pelvic Medicine of Chi-Mei medical center provides diagnosis and treatment for female urinary symptoms (such as urinary incontinence, urinary frequency, urgency) and pelvic organ prolapse (including uterine prolapse, cystocele, and rectocele).
1.Surgical treatment for stress incontinence
2.Midurethral sling surgery is the mainstream of operation to treat stress incontinence. Use a tension-free vaginal tape (TVT/TOT/TVT-O), the operation consists of the character of minimal invasiveness, fast recovery, less pain, and cosmetic wound. The long term successful rate is 90~95%.
3. Pelvic floor reconstruction surgery
4.Use tension-free vaginal mesh, TVM, the pelvic floor reconstruction surgery achieved minimal invasive operation and provide additional support to pelvic organ. This is current main-strain treatment to treat pelvic organ prolapse.
5. Urodynamics
6.Urodynamics is a examination that provide precise diagnosis of urinary storage symptoms (such as urinary frequency, urgency, incontinence and nocturia) and urinary voiding symptoms (such as difficulty in urination, dysuria). It also helps to evaluate urinary symptoms before and after operation of anti-continence surgery, pelvic organ prolapsed, and radical hysterectomy.
7. Pelvic floor exercises (ie, Kegel exercises)
Kegel exercises have been shown to improve the strength and tones of the muscles of the pelvic floor (ie, the levator ani, and particularly the pubococcygeus) and to prevent and treat mild stress incontinence.
8.Biofeedback
Biofeedback for pelvic floor muscle retraining is a treatment to help patients learn to strengthen or relax their pelvic floor muscles. These devices allow the patient to receive immediate visual feedback on the activity of the pelvic floor muscles, thereby providing incentive and confirmation of proper performance of the muscle contractions. According to current studies, 60~80% of the patients with urinary incontinence benefit from biofeedback therapy. The suggested rehabilitation course is twice a week for 3 months.
9.Electrical stimulation
This treatment involves stimulation of levator ani muscles using painless electric currents. According to current studies, 50~70% of the patients with urinary incontinence benefit from electrical stimulation. The suggested rehabilitation course is twice a week for 3 months.