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Best Urogynecologist

Found 2 Urogynecologist


Dr. Miriam Waligora Lages

Dr. Miriam Waligora Lages

Gynecologist and Obstetrician in Barueri

Gynecologist

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Languages: English, Portuguese, French
Languages: English, Portuguese, French

Mouth Avenue, 706, Alphaville - Barueri, Sao Paulo

Languages: English, Portuguese

Avenida Dom Pedro II, 620 - Room 72, Jardim, Santo Andre, 09080-000

General information on medical treatment

What does a urogynecologist do?

A urogynecologist is a physician specialized in treating conditions that affect the female urinary system and pelvic floor organs, such as the bladder, urethra, uterus, and vagina. They are dedicated to diagnosing and treating disorders that involve urinary and reproductive functions. If you face problems such as urinary incontinence, pelvic organ prolapse, pelvic floor dysfunctions, or complications after childbirth or gynecological surgeries, this specialist is the right person to help you.

Urogynecology combines knowledge of gynecology and urology, offering a holistic and integrated treatment. The urogynecologist's focus is not only on physical issues but also on improving your quality of life, offering solutions that promote general health and well-being of the patient.

When should I seek a urogynecologist?

If you are experiencing problems such as urinary incontinence, difficulty controlling your bladder, a feeling of heaviness in the pelvic region, pain during sexual intercourse, or difficulties urinating, it's time to seek a urogynecologist. These conditions are signs that something may not be functioning correctly in your urinary system or pelvic floor.

Additionally, women who have gone through complicated deliveries, had gynecological surgeries, or have a history of pelvic organ prolapse should consult this specialist for an evaluation. Pelvic floor disorders, such as loss of bladder or bowel control, are common, especially after menopause or vaginal deliveries. If these problems worsen, pelvic organ prolapse can occur, which requires specialized treatment to restore function and comfort.

Warning signs - when consultation with a urogynecologist is urgent

There are situations where seeking a urogynecologist becomes urgent and should not be delayed. Symptoms such as persistent intense pain in the pelvic region, abnormal bleeding associated with urinary problems, or sudden and severe incontinence may indicate more serious conditions that require immediate attention.

When these symptoms appear together with fever, malaise, or extreme difficulty urinating, it is essential to seek specialized help quickly. Early diagnosis can prevent more serious complications and ensure more effective treatment.

Urogynecological diagnosis: How does the specialist evaluate your condition?

A urogynecologist's diagnosis begins with a detailed analysis of your medical history and a thorough conversation about the symptoms you are experiencing. The doctor will understand the conditions that affect your quality of life, such as the frequency and intensity of symptoms, and the possible associated causes.

Additionally, the urogynecologist will perform clinical examinations, which may include pelvic examination, assessment of the pelvic floor muscles and vagina. These exams help identify any changes in the structure or function of these organs.

For a more precise evaluation, the doctor may request complementary tests, such as ultrasound, cystoscopy (to observe the bladder), or urodynamics (to examine the functioning of the bladder and urethra). These tests are essential to confirm the diagnosis and help the doctor define the best treatment, which may range from conservative measures, such as physical therapy, to more advanced options, such as surgery, depending on the severity of the case.

New technologies in urogynecological diagnosis

Urogynecological medicine has advanced significantly with new diagnostic technologies that offer more precise and less invasive results. Exams such as 3D/4D ultrasound and functional magnetic resonance imaging allow for detailed visualization of pelvic structures and their functioning in real-time.

Pelvic floor mapping systems with biofeedback have also gained space, allowing the patient to visualize muscle activity during specific exercises. These innovations enable more accurate diagnoses and personalized treatments, increasing the chances of therapeutic success.

Main conditions treated by the urogynecologist

The urogynecologist specializes in treating various conditions that affect the urinary system and female pelvic organs. They deal with a variety of disorders that impact patients' quality of life, the most common being:

Urinary incontinence

The involuntary loss of urine, which can occur in stress situations, such as when coughing or sneezing, or due to urgency, when there is a sudden and intense need to urinate.

Pelvic organ prolapse

When internal organs such as the bladder, uterus, or rectum descend from their normal position, causing pain, a feeling of heaviness in the pelvic region, and, in some cases, urinary incontinence.

Pelvic floor dysfunction

This condition affects the muscles and ligaments responsible for supporting the pelvic organs, resulting in symptoms such as urinary incontinence, pain, and discomfort in the pelvic region.

Interstitial cystitis

A chronic bladder condition that causes constant pelvic pain, increased urinary frequency, and an urgent and intense sensation to urinate.

Sexual dysfunctions

Such as pain during sexual intercourse, which can be caused by problems in the pelvic floor or other gynecological conditions, directly affecting the patient's sex life.

These conditions are treated in a personalized manner, with approaches that can range from conservative treatments to more complex interventions, always aiming to restore the patient's health and well-being.

Overactive bladder - a growing challenge in modern life

Overactive bladder is an increasingly common condition that affects millions of women, characterized by involuntary bladder contractions that cause urinary urgency and excessive urinary frequency. Stress, anxiety, and modern life habits can aggravate this condition.

Current treatments include behavioral modifications, relaxation techniques, specific medications, and, in more resistant cases, innovative therapies such as sacral neuromodulation. The urogynecologist can develop a personalized strategy that takes into account the patient's lifestyle.

Treatments offered by the urogynecologist

The treatments proposed by the urogynecologist depend on the condition and its severity. For problems such as urinary incontinence, lifestyle changes, such as weight loss and pelvic floor exercises (like Kegel exercises), are recommended. Medications can also be used to strengthen bladder muscles.

Other approaches include physical therapy to strengthen the pelvic muscles and the use of pessaries, internal devices that support the pelvic organs. In severe cases, when conservative treatments do not resolve the issue, surgery may be necessary, especially to correct prolapses or more complex dysfunctions.

Minimally invasive therapies: The future of urogynecological treatment

Urogynecological medicine has increasingly incorporated minimally invasive procedures that offer excellent results with shorter recovery time. Techniques such as botulinum toxin injection for overactive bladder, vaginal laser for atrophy, and endoscopic procedures for prolapse correction are revolutionizing the field.

The advantages include less post-operative pain, smaller or non-existent scars, and a quicker return to daily activities. Ask your urogynecologist about the availability of these options for your specific case.

The importance of continuous follow-up

Continuous follow-up with a urogynecologist is crucial for the success of the treatment, especially in chronic cases or after surgeries. It allows for adjustments in the treatment as the condition evolves, ensuring a complete recovery and the maintenance of long-term quality of life.

Additionally, regular follow-up helps detect complications or relapses early, allowing for quick intervention. This is essential in conditions such as prolapses or urinary incontinence, where symptoms can worsen slowly. Continuous follow-up offers the patient the necessary support for a safe and effective recovery.

Pelvic health in the elderly: Challenges and solutions

With increasing life expectancy, pelvic health in the elderly has become an important concern. Hormonal changes of menopause, such as reduced estrogen, can lead to vaginal atrophy, incontinence, and more frequent prolapses.

Modern treatments include local hormone therapy, specialized physical therapy, and regenerative procedures. The urogynecologist can propose a care plan that respects the particularities of advanced age, aiming not only to treat symptoms but also to preserve the patient's autonomy and dignity.

How to choose the ideal urogynecologist for you?

Choosing the right urogynecologist is essential to ensure effective treatment that meets your needs. It is important that the doctor has experience in the specific area you need, whether in urinary incontinence, prolapses, or post-partum care. Also check the professional's training and history of successful treatments, as these factors reflect the quality of care.

Additionally, seeking recommendations from other patients is fundamental. Platforms such as AvaliaMed offer patient evaluations, providing a clear view of the quality of care. With AvaliaMed, you can schedule appointments in a practical and quick manner, facilitating access to the ideal specialist for your case.

Urogynecology and intimate health - an integrated approach

Female intimate health goes beyond purely physical aspects, also involving emotional and sexual well-being. The modern urogynecologist works with a holistic vision that considers sexuality, self-esteem, and quality of life in their treatments.

The multidisciplinary approach, involving specialized physical therapists, psychologists, and sexologists, has presented the best results. Conditions such as dyspareunia (pain during sexual intercourse) or anorgasmia related to pelvic floor problems can be effectively treated with this integration of specialties.

How to care for urogynecological health in daily life

Prevention of urogynecological problems begins with healthy daily habits that protect the health of the pelvic floor. Maintaining an appropriate weight, avoiding smoking, and practicing regular exercises are fundamental steps to prevent conditions such as incontinence and prolapses.

Adequate hydration, a fiber-rich diet, and regular practice of specific exercises for the pelvic floor complete the preventive package. Even young women, without current symptoms, can benefit from these measures to maintain pelvic health throughout life.

Why choose AvaliaMed to consult a urogynecologist?

Choosing the right urogynecologist is fundamental to ensure adequate treatment and improve your quality of life. AvaliaMed facilitates this process by offering real patient evaluations, allowing you to make informed decisions about the doctor to be consulted, based on their experience and specialization.

Additionally, the platform offers the convenience of scheduling appointments quickly and practically, without complications. Doctors register directly on AvaliaMed, ensuring access to a list of qualified specialists with good references. With AvaliaMed, you find the necessary support in a reliable way, ensuring that your health receives the appropriate care.

Frequently Asked Questions

What is the difference between a regular gynecologist and a urogynecologist?
A gynecologist addresses general women's health issues, including routine exams, pregnancy, and menopause. A urogynecologist is a specialist with additional specific training to treat pelvic floor problems and the female urinary system, such as incontinence, prolapse, and complex dysfunctions that simultaneously affect the reproductive and urinary systems.
Is surgery always necessary to treat urogynecological problems?
No, many urogynecological conditions can be treated with non-surgical approaches. Treatment usually begins with conservative options such as pelvic physical therapy, medications, behavioral changes, and specific exercises. Surgery is generally considered only when conservative treatments do not yield satisfactory results.
Are urinary incontinence treatments permanent?
The effectiveness of treatments varies according to the type and cause of incontinence. Some interventions, such as pelvic floor strengthening exercises, need to be maintained regularly for lasting results. Surgical treatments may offer more permanent solutions, but even these may need adjustments over time, especially with aging.
How do pregnancy and childbirth affect urogynecological health?
Pregnancy and childbirth can cause significant stress on the muscles and tissues of the pelvic floor. The weight of the baby during pregnancy and the effort during vaginal delivery can weaken these muscles, increasing the risk of urinary incontinence and prolapse. Cesarean section does not completely eliminate these risks, as pregnancy itself already exerts considerable pressure on these structures.
Is it possible to prevent urogynecological problems before they occur?
Yes, there are effective preventive measures to reduce the risk of developing urogynecological problems. Regular practice of Kegel exercises, maintaining a healthy weight, and avoiding chronic constipation are fundamental. Non-smoking, preventive physical therapy during and after pregnancy, and proper techniques when lifting weights also contribute significantly to pelvic floor health.
How do hormonal problems affect urogynecological health?
Hormonal changes, especially during menopause, significantly impact urogynecological health. The decrease in estrogen causes thinning of vaginal and urethral tissues, reducing their elasticity and increasing susceptibility to irritation and infection. This can trigger painful bladder syndrome, urinary urgency, and incontinence. Local or systemic hormonal treatments can be effective in managing these symptoms.
What specific tests are performed during a urogynecological evaluation?
A complete urogynecological evaluation includes specialized tests such as the pad test to quantify urinary loss and a voiding diary to assess urination patterns. The evaluation may also include electroneuromyography, flow-pressure study to analyze urinary flow dynamics, and stress testing to observe leakage during specific maneuvers.
How do recurrent urinary infections relate to urogynecological problems?
Recurrent urinary infections are often associated with anatomical or functional alterations of the female urinary tract. Conditions such as prolapse can create areas of urinary retention that favor bacterial growth. Proper treatment of underlying urogynecological conditions by a specialist can significantly reduce the recurrence of these infections.
What are the psychological impacts of urogynecological problems and how are they addressed?
Conditions such as urinary incontinence and prolapse often cause profound psychological impacts, affecting women's self-esteem and social life. Many patients experience isolation, anxiety, and depression due to these problems. Modern urogynecologists incorporate psychological support into treatment, working together with psychologists and support groups to address both the physical and emotional aspects of these conditions.
How can intense physical exercises influence pelvic floor health?
High-impact exercises or excessive weight lifting can increase pressure on the pelvic floor, potentially contributing to problems such as stress incontinence or prolapse in predisposed individuals. Urogynecologists can provide guidance on adaptations in sports practice, including proper breathing techniques during efforts and specific strengthening of this musculature before intense activities.
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