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Urogynaecology Services

Dr Iruka Kumarage provides comprehensive urogynaecology care with a personalized approach, ensuring the health and wellbeing of women at every stage of life.

Comprehensive Pelvic Health Services

Explore our specialised care for pelvic floor disorders, urinary conditions, chronic pelvic pain, and postnatal recovery. We offer tailored treatments to support your well-being and improve your quality of life.

Pelvic Floor Disorders

Pelvic floor disorders encompass various conditions such as urinary incontinence, pelvic organ prolapse, and fecal incontinence. If you're experiencing symptoms like frequent urination, urine leakage, a feeling of heaviness in the pelvic region, or difficulties with bowel movements, a urogynaecologist can diagnose and offer treatments to address these issues effectively.

Issues related to the bladder, such as recurrent urinary tract infections (UTIs), difficulty emptying the bladder, or a sudden urge to urinate, can significantly impact daily life. A urogynaecologist can evaluate these concerns and recommend appropriate treatments, including behavioral therapies, medications, or surgical interventions if necessary.

Pregnancy and childbirth can often lead to pelvic health issues, such as pelvic floor weakness or urinary incontinence. We offer support during pregnancy and after childbirth, providing guidance on exercises, lifestyle modifications, or treatments to manage and prevent pelvic floor issues.

Detailed Urogynaecology Services

Learn more about our comprehensive urogynaecology services designed to address your specific pelvic health needs.

Pelvic Floor Disorders

Pelvic floor disorders occur when the muscles and tissues that support the pelvic organs become weakened or damaged. Dr Iruka specializes in diagnosing and treating these conditions with a compassionate, patient-centered approach

Common Symptoms

  • Pelvic pressure or discomfort
  • Urinary leakage or urgency
  • Difficulty emptying bladder completely
  • Bowel symptoms (constipation, incontinence)
  • Pain during intercourse
  • Sensation of bulging in the vagina

Benefits

  • Comprehensive pelvic examination
  • Urodynamic testing referrals
  • Cystoscopy
  • Pelvic floor muscle assessment
  • Pelvic ultrasound
  • Bladder diary analysis
  • pelvic floor reconstruction surgery to address vaginal prolapse

Treatment Approach

Dr Iruka takes a comprehensive approach to treating pelvic floor disorders, beginning with the least invasive options and progressing as needed. Treatment plans are personalized to each patient’s specific condition, symptoms, and goals. Options may include pelvic floor physical therapy, biofeedback, lifestyle modifications, medications, or minimally invasive surgical procedures when appropriate.

Urinary Incontinence

Urinary incontinence is the involuntary leakage of urine, which can significantly impact quality of life. Dr Iruka provides comprehensive evaluation and treatment options to help women regain control and confidence.

Types of Urinary Incontinence

  • Stress Incontinence: Leakage during coughing, sneezing, or physical activity
  • Urge Incontinence: Sudden, intense urge to urinate followed by leakage
  • Mixed Incontinence: Combination of stress and urge incontinence
  • Overflow Incontinence: Leakage due to incomplete bladder emptying
  • Functional Incontinence: Leakage due to physical or cognitive limitations

Treatment Options

  • Pelvic floor muscle exercises (Kegels)
  • Bladder training techniques
  • Biofeedback therapy
  • Medications for overactive bladder
  • Minimally invasive procedures (urethral bulking, slings) - arranged through a sub specialist
  • Advanced surgical options when necessary

Dr Iruka's Approach

Dr Iruka understands that discussing urinary incontinence can be difficult for many women. He creates a comfortable, judgment-free environment where patients can openly discuss their symptoms and concerns.

Treatment begins with a thorough evaluation to determine the type and cause of incontinence, followed by a personalized treatment plan that considers the severity of symptoms, impact on quality of life, and patient preferences. Dr Iruka emphasizes conservative approaches first, progressing to more advanced treatments only when necessary.

Overactive Bladder

Overactive bladder (OAB) is characterized by sudden, urgent needs to urinate that are difficult to control. Dr Iruka offers comprehensive management strategies to reduce symptoms and improve quality of life.

Common Symptoms

  • Sudden, strong urge to urinate
  • Frequent urination (8+ times in 24 hours)
  • Nocturia (waking up to urinate at night)
  • Urge incontinence (leakage with urgency)
  • Disruption of daily activities and sleep

Diagnostic Approach

  • Detailed medical history
  • Bladder diary assessment
  • Physical examination
  • Urinalysis to rule out infection
  • Urodynamic testing when indicated
  • Cystoscopy in selected cases

First-Line Treatments

  • Behavioral modifications
  • Bladder training
  • Pelvic floor exercises
  • Dietary modifications
  • Fluid management

Advanced Treatment Options

  • Medications (anticholinergics, beta-3 agonists)
  • Botox bladder injections
  • Percutaneous tibial nerve stimulation
  • Sacral neuromodulation
  • Surgical interventions in selected cases
  • Referral to a sub specialist where necessary

Treatment Success

Most patients with overactive bladder experience significant improvement with proper treatment. Dr Iruka works closely with each patient to find the right combination of therapies, adjusting the approach as needed to achieve optimal results. With appropriate management, many women are able to regain control of their bladder function and return to their normal activities without the constant worry of urgency and frequency.

Pelvic Organ Prolapse

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs (uterus, bladder, rectum) become weakened or damaged, allowing one or more pelvic organs to drop or press into or out of the vagina. Dr Iruka offers comprehensive evaluation and treatment options for this common condition.

Types of Prolapse

  • Cystocele: Bladder prolapse
  • Rectocele: Rectum prolapse
  • Uterine prolapse: Uterus prolapse
  • Vaginal vault prolapse: Top of vagina prolapse (after hysterectomy)
  • Enterocoele: Small intestine prolapse

Treatment Options

  • Sensation of pressure or fullness in the pelvic area
  • Feeling of something "falling out" of the vagina
  • Urinary symptoms (incontinence, frequency, urgency)
  • Difficulty with bowel movements
  • Discomfort or pain during sexual intercourse
  • Lower back pain that eases when lying down

Non-Surgical Management

  • Pelvic floor muscle exercises
  • Pessary fitting and management
  • Lifestyle modifications
  • Weight management
  • Avoiding heavy lifting

Surgical Options

  • Minimally invasive vaginal repairs
  • Laparoscopic procedures
  • Robotic-assisted surgery
  • Reconstructive procedures
  • Mesh procedures (in selected cases)
  • Referral to a sub specialist where necessary

Dr Iruka's Approach

Dr Iruka takes a patient-centered approach to treating pelvic organ prolapse, recognizing that each woman’s experience and needs are unique. He begins with a thorough evaluation to determine the type and severity of prolapse, as well as its impact on quality of life.

Treatment recommendations are based on the severity of symptoms, the degree of prolapse, the patient’s age and overall health, and her personal preferences. Dr Iruka emphasizes starting with conservative approaches when appropriate, reserving surgical interventions for cases where non-surgical options have not provided adequate relief or for more severe prolapse.

Contact Dr Iruka

Dr Iruka Kumarage completed his specialist training in the UK and has 25 years of experience as an Obstetrician & Gynaecologist.

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Location

Empowering Women Obstetric & Gynaecology, 62 Gloucester Avenue, Berwick VIC 3806

Office Hours

Monday to Friday 8.30 am - 5.00 pm
Saturday & Sunday - Closed for Consultations

Phone

Main: +61 3 9769 3223

Email

reception@ewobgyn.com.au

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