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

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 brings together urological and gynaecological expertise to assess pelvic floor disorders. Symptoms may include urine leakage, urgency, difficulty emptying the bladder and vaginal bulging. Treatment depends on the diagnosis and its effect on daily life.

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.
• Urgency incontinence: Leakage associated with a sudden need to urinate. Overactive bladder can also cause urgency and frequency without 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)

Recurrent infections are assessed using symptoms, urine cultures and relevant risk factors. Further tests are selected when indicated; imaging or urodynamics is not routinely necessary for every woman.

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.

• Sacrocolpopexy: An abdominal, laparoscopic or robotic option for selected prolapse cases. It usually uses mesh; alternatives and risks, including mesh complications, are discussed before surgery.
• Stress incontinence surgery: Options may include a mid-urethral sling, colposuspension or an autologous fascial sling. A sling is different from transvaginal mesh used for prolapse. Mesh is a permanent implant with specific risks and alternatives.

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 botulinum toxin: An option for selected persistent overactive bladder symptoms. Counselling includes UTI risk and possible temporary difficulty emptying the bladder, which may require intermittent catheterization.
• Intra-Vesical Therapy: Instilling specialized medications directly into the bladder to treat chronic inflammation or pain.

Why Choose Dr. Sreeharsha Harinatha?

Dr. Sreeharsha Harinatha has 17+ years of experience and a Diploma in Urogynecology from UKSH, Germany. Care at Apollo Hospitals, Bannerghatta Road and Jayanagar, Bengaluru, is planned around your diagnosis, preferences and recovery needs.