Urogynecological Rehabilitation


“UROGYNECOLOGICAL REHABILITATION” OUTPATIENT CLINIC


Nurten ESKIYURT, MD, Professor (Founder)
Onay YALCIN, MD, Professor, Obstetrics and Gynecology Department (Founder)
Ayse KARAN,MD, Professo
Nalan CAPAN, MD

Purpose of Establishment
Urogynecology unit was established in the Department of Obstetrics and Gynecology in 1995 and urogynecology section has been co-executed with a multidisciplinary approach together with the Department of Physical Medicine and Rehabilitation since 1998. Within the scope of urogynecological rehabilitation, patients with stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence exhibiting both patterns but without any indication for surgery are evaluated and rehabilitation is performed.

What We Do

Patients with urinary incontinence are first examined by gynecologist, then in order to confirm the diagnosis they undergo urine analysis, gynecological ultrasonography and urodynamic evaluation, if needed. Pad test and urinary log are performed by the nurses in charge of this unit. Patients having other pathologies are referred to the relevant departments for further investigation and treatment. Patients diagnosed with urinary incontinence after the preliminary investigations are re-evaluated by one physical therapy lecturer and one specialist in the urogynecology outpatient clinic on Thursdays once in a week.

Pelvic floor muscle strength is examined in patients recommended with physical therapy and rehabilitation in the afternoon on Fridays once in a week. Muscle strength is objectively evaluated in units of cm H2O using pressure-sensitive perinometre and muscle strength is staged with digital palpation. Such measurements are performed by the residents of the Department of Physical Medicine and Rehabilitation under the supervision of the relevant specialist and lecturer. Residents work with 3-month rotations. Passive methods such as electrical stimulation and magnetic chair are performed for the patients found to have muscle strength below 3 in these measurements. Patients with muscle strength above 3 undergo active procedures such as biofeedback, vaginal cone and exercise programs.

Bladder training is given by the nurses in charge to the patients with urge urinary incontinence and patients on medical treatment usually undergo physical therapy, when needed.

Physical therapy applications are conducted by the unit nurses under the supervision of physical therapy specialist according to the treatment schema prepared by the physical therapy specialist. Physical therapy is usually planned for the 3 days of the week and as to continue for 6-8 weeks. Patients showing no progress are re-evaluated in the urogynecology outpatient clinic. Patients with an improvement are followed with exercise and clinical evaluations and follow-up are performed with certain intervals.


       


Physical Therapy Modalities Utilized in Urogynecological Rehabilitation


Working Days

The clinic located at the 9th floor of monoblock surgery building serves every Thursday between 9:00-12:00.

How to Apply?

You must schedule an appointment from outpatient clinic of Obstetrics and Gynecology Department of Istanbul Faculty of Medicine in order to apply for the urogynecology outpatient clinic. Patients diagnosed with urinary incontinence after the preliminary investigations are re-evaluated by one physical therapy lecturer and one specialist in the urogynecology outpatient clinic every week on Thursday. Regular follow-up of the patients are also performed by the same outpatient clinic.