Urogynecology in Turkey: Restoring Confidence and Quality of Life
What is Urogynecology? Discover personalized solutions for urinary incontinence, pelvic organ prolapse (uterus/bladder), and genital aesthetics (vaginoplasty, labiaplasty) with Dr. Cengiz Andan in Istanbul.
Reclaim Your Confidence and Comfort
A woman’s body undergoes significant changes over time due to pregnancy, difficult childbirths, menopause, and gravity. These changes can lead to socially restrictive issues like urinary incontinence, anatomical problems like organ prolapse, or a loss of self-confidence due to genital aesthetic concerns.
Urogynecology is a specialized field at the intersection of gynecology (women’s health) and urology (urinary tract), focusing on pelvic floor health. At Dr. Cengiz Andan’s Clinic, our approach is to show that these issues, often dismissed as “fate” or “signs of aging,” can be resolved quickly with modern medical methods.
We offer painless and permanent solutions for problems you may be too embarrassed to discuss, helping you restore your social life and intimacy with the utmost privacy.
- Genital Aesthetic Procedures: Both Aesthetic and Functional Improvement
Genital aesthetic surgeries are not just a cosmetic trend; they are a necessity for a woman to make peace with her body and improve her comfort. Dr. Cengiz Andan treats genital aesthetics holistically. The goal is not just a “good-looking” organ, but a structure that functions healthily without loss of sensation.
- Labiaplasty (Inner Lip Aesthetics)
Correction of the inner lips (labia minora) that are sagging, large, or asymmetrical.
- Why is it done? Sagging lips cause friction in tight clothes, pain during sports, and frequent infections due to a moist environment.
- The Procedure: Performed under local anesthesia or sedation. Excess tissue is removed, and aesthetic sutures are used, leaving no scars.
- Vaginoplasty (Vaginal Tightening)
Treatment for vaginal widening caused by difficult births or age-related muscle relaxation. It eliminates the “loose feeling” and restores sexual pleasure.
- Surgical Tightening: Excess tissue is removed from the back wall of the vagina, and muscles are tightened. The results are permanent.
- Laser Tightening: Provides non-surgical tightening through tissue rejuvenation for mild laxity.
- Perineoplasty (Birth Scar Repair)
Correction of sunken or painful scars at the vaginal entrance resulting from poor healing of birth stitches (episiotomy).
Frequently Asked Questions (Genital Aesthetics)
- Will I lose sensation? No. The nerves responsible for pleasure are in the clitoris area; the procedure is only performed on the sagging skin.
- How long is the recovery? You can return to daily life within 3-4 days. Sexual intercourse should be avoided for 4-6 weeks.
- Urinary Incontinence Treatment: End the “Social Cancer”
Urinary Incontinence is a condition that restricts women’s lives but is treatable. Dr. Andan determines the most appropriate treatment based on the type of problem.
- Types of Incontinence
- Stress Type: Leaking when coughing, sneezing, laughing, jumping, or lifting heavy objects. (This is a mechanical problem).
- Urge Type: Leaking due to a sudden, uncontrollable urge to urinate. (This is a bladder muscle problem).
- Mixed Type: A combination of both.
- Treatment Methods
- Surgical Solution (TOT/TVT): The definitive cure for stress incontinence (leaking when coughing). The urethra is supported like a hammock with a 15-minute vaginal “Sling Surgery.” Patients go home the same day.
- Laser Treatment: Provides support by increasing tissue collagen in mild cases.
- Medication: Used to relax bladder muscles in urge incontinence.
Frequently Asked Questions (Incontinence)
- How long does the surgery take? Approximately 15-20 minutes, and it is painless.
- Does it work immediately? Yes, the effect starts immediately after surgery.
- Pelvic Organ Prolapse Treatment: Anatomical Repair
The sensation that “something is falling out” is caused by the uterus, bladder, or bowel herniating out of the vagina. Dr. Andan aims to repair the anatomy by suspending the organs back to their original positions, rather than just removing them.
- Types of Prolapse
- Cystocele (Bladder Prolapse): The bladder sags through the front wall of the vagina. Causes difficulty urinating.
- Rectocele (Bowel Prolapse): The bowel sags through the back wall of the vagina. Causes constipation.
- Uterine Prolapse: The uterus descends down the vaginal canal.
- Treatment Methods
- Vaginal Repair: Removing excess sagging tissue and stitching the underlying tissues through the vagina (Anterior-Posterior Repair).
- Laparoscopic Sacrocolpopexy (Gold Standard): The most effective method for uterine or vaginal vault prolapse. Through keyhole surgery, the prolapsed organs are suspended to the tailbone using a synthetic “mesh.” It has the lowest recurrence risk.
- Vaginal Hysterectomy: In necessary cases (e.g., advanced age), the uterus can be removed vaginally without abdominal incisions.
Frequently Asked Questions (Organ Prolapse)
- Does my uterus have to be removed? No. With uterus-sparing surgery (Hysteropexy), the uterus can be suspended without removal.
- Does heavy lifting cause prolapse? Yes, conditions that increase abdominal pressure (heavy lifting, chronic cough) are the biggest causes of prolapse.
- Does it recur? The recurrence risk in laparoscopic sling surgeries is less than 5%.
Dr. Cengiz Andan commits to improving your quality of life with modern surgery, taking your urogynecological problems out of the realm of “fate.”
