Female Urology and Urogynecology: Comprehensive Care for Women’s Pelvic Health

Advanced Endourology Precision Care for Stones and Prostate (4)

Pelvic health issues are often shrouded in silence, yet they affect millions of women worldwide. Conditions like urinary incontinence, pelvic organ prolapse, and recurrent infections are not “just a part of aging”—they are treatable medical conditions.

Under the leadership of Dr. Sreeharsha Harinatha, a specialist with a Diploma in Urogynecology from UKSH, Germany, our department provides a bridge between urology and gynecology. We combine advanced robotic surgical precision with an empathetic, gender-specific approach to restore your confidence and quality of life.

What is Urogynecology?

Urogynecology is a specialized sub-field of urology that focuses on the diagnosis and treatment of female pelvic floor disorders. The pelvic floor is a complex web of muscles, ligaments, and connective tissue that supports the bladder, uterus, vagina, and rectum. When these structures weaken or sustain damage—often due to childbirth, menopause, or chronic strain—it leads to functional issues that require expert intervention.

Core Conditions We Treat

1. Urinary Incontinence (Bladder Leakage)

We provide targeted treatments for the three primary types of leakage:

  • Stress Incontinence: Leakage during physical activity, coughing, or sneezing.
  • Urge Incontinence (OAB): A sudden, intense need to urinate followed by involuntary leakage.
  • Mixed Incontinence: A combination of both stress and urge symptoms.
2. Pelvic Organ Prolapse (POP)

This occurs when the pelvic organs (bladder, uterus, or bowel) drop from their normal position and bulge into the vaginal canal. Patients often describe a feeling of “heaviness” or a visible bulge.

3. Recurrent Urinary Tract Infections (UTIs)

For women suffering from chronic UTIs, we move beyond simple antibiotics. We investigate underlying anatomical causes, hormonal imbalances, and bladder emptying issues to provide long-term prevention strategies.

4. Voiding Dysfunction

Difficulty emptying the bladder, slow urinary stream, or the feeling of incomplete emptying are often linked to pelvic floor coordination issues or urethral obstructions.

Modern Treatment Modalities

Minimally Invasive & Robotic Solutions

Dr. Sreeharsha Harinatha specializes in Robotic-Assisted Reconstructive Surgery. Using the Da Vinci robotic platform, we can perform complex pelvic floor repairs through tiny incisions.

  • Robotic Sacrocolpopexy: The gold standard for treating severe pelvic organ prolapse, offering higher success rates and faster recovery than traditional open surgery.
  • Vaginal Mesh/Sling Procedures: Minimally invasive “tape” procedures to support the urethra and stop stress incontinence.

Non-Surgical Interventions

Not every condition requires surgery. Our “conservative-first” approach includes:

  • Pelvic Floor Physical Therapy: Specialized exercises to strengthen or relax the pelvic muscles.
  • Pessary Fitting: A removable device inserted into the vagina to support prolapsed organs.
  • Bladder Botox: For refractory Overactive Bladder (OAB) that doesn’t respond to medication.
  • Intra-Vesical Therapy: Instilling specialized medications directly into the bladder to treat chronic inflammation or pain.

Why Choose Dr. Sreeharsha Harinatha?

With a specialized Diploma from Germany and over 15 years of surgical experience, Dr. Sreeharsha brings a global standard of care to Bengaluru. His expertise in Robotic Uro-Oncology also ensures that if pelvic symptoms are related to more complex tumors or cysts, they are managed with oncological precision.

Frequently Asked Questions

No. While it becomes more common with age, it is never "normal." It is a symptom of an underlying issue that can almost always be improved or cured with the right treatment plan.

Common signs include a feeling of sitting on a ball, pelvic pressure that worsens by the end of the day, or difficulty starting urination. A physical exam is the only way to confirm the degree of prolapse.

Most patients undergoing robotic sacrocolpopexy are back to light activities within 1–2 weeks. Because the incisions are small, there is significantly less pain and blood loss compared to traditional surgery.

In some cases, recurrent UTIs can be caused by kidney stones, bladder stones, or incomplete emptying of the bladder. Dr. Sreeharsha uses advanced diagnostics like Urodynamics to find the root cause.

The goal of urogynecological surgery is to restore normal anatomy. In many cases, repairing a prolapse or stopping incontinence actually improves sexual comfort and confidence. Dr. Sreeharsha prioritizes nerve-sparing techniques in every procedure