Urogynecology (basics)

Quick self‑check (5 questions)

• Do you leak urine when coughing/sneezing?
• Do you often have a strong urge to urinate?
• Do you feel/see a prolapse or downward pressure?
• Do symptoms affect daily life/sport/sleep?
• Have you already tried pelvic floor training or a pessary?

If you answer “Yes” to some questions, an evaluation is worthwhile.

Indications

• Stress/urge incontinence, mixed forms
• Pelvic floor weakness, prolapse symptoms
• Recurrent urinary tract infections

Process

• Medical history, fluid/voiding diary, basic examination
• Urine test, possibly ultrasound/post‑void residual
• Treatment: pelvic floor physiotherapy, bladder training, pessaries, medication
• Cooperation: urology/pelvic floor center if needed

Preparation

• 2–3 day fluid/voiding diary (if possible)
• Note current medications and symptoms

Aftercare

• Follow‑up after 6–12 weeks
• Adjust pessaries/training as needed

FAQ

Does pelvic floor training really help?

Yes – properly guided training often has good effects. We can connect you with specialized physiotherapy.

What is a pessary?

A medical device that can support prolapse or incontinence. Fitting is done at our practice.