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  LUC Centre
 

Female Urinary Incontinence (FUI) is often experienced by women in their menopausal years. Surveys have found that as many as 47% of women in this stage of life experience urinary incontinence problems of one kind or another.   Although the condition is not life threatening, there are many negative impacts from inconstancy and it does affect an individual’s quality of life in the long term.  This is particularly true from a social and working standpoint and can lead to low self-confidence and personality disorders.  Urinary Incontinence in the elderly, who need love and attention, can annoy family members and discourage them from caring, causing the elderly to feel depressed and isolated.

Many people believe FUI is only experienced by elderly women and that it cannot be treated and cured.  This is not the case.  Diagnosis and treatment by specialists in Urogynaecology (Female Urology) in collaboration with other  medical experts such as Obstetricians and Gyneyecologists, Urological Surgeons,  Colon and Rectum Surgeons, General Doctors and Physiatrists can provide comprehensive care for patients and help them to have a much better quality of life.
 

Symptoms

Urinary Incontinence
Inability to hold urine long enough to reach the bathroom. (Urgency)
Urinate when coughing, sneezing or other movements (Stress Urinary Incontinence)
Urinate more than 1 time at night  (Nocturia)
Urinate more frequently (more than 8 times within 24 hours) (Increased Daytime Frequency)

Painful Urination

Continuous Incontinence
Urinary Retention with overflow

Diagnosis

The doctor will ask about the symptoms and medical history, and carry out a comprehensive physical examination including internal and a neurological check-up.
Daily recording of the amount and time of every void ( Voiding diary)

Urine analysis and culture

Specialized examinations

  - Cystourethroscopy
  - Uroflowmetry
  - Urodynamics
  - Bladder Scan to examine urinary retention without inserting thin tube in the urethra (painless, quick examination and accurate results) 

Comprehensive Treatments

Phramacological Therapy

Behavioral Therapy

Surgical Therapy
  - Pubovaginal Sling Surgery : TVT (Transion free Vaginal Tape), TOT  (Trans-Obturator Tape) small wound, quick recovery
  - Needle suspension Surgery
  - Pubovaginal Sling injection
  - Bulging agent  injection
  - Colposuspension Surgery : Burch, Laparoscopy
  - Vaginal hysterectomy
  - Anterior and posterior repairs with mesh
  - Abdominal sacrocolpopexy, sacrohysteropexy
  - Sacrospinous ligament fixation
  - Fistula repair
A team of highly renowned specialists

Professor Wachira Kochakarn, M.D., FACS
Urosurgery
MD - Prince of Songkla University

Diplomate Thai Board Of Urology

Fellowship in Female urology, Neuro-urology, University of Tennessee (MEMPHIS), USA.
Fellowship in Neuro-urology, University Hospital, Netherland

Fellow of the American College of Surgeon.


Associate Professor Suvit Bunyavejchevin,M.D., MHS.
Obstetrics&Gynecology : Urogynecology, Endoscopic Surgery, Reproductive Medicine
MD - Chulalongkorn University

Diplomate Thai Board of Obstetrics & Gynecology

Master Degree in Health Science in Reproductive Health, Johns Hopkins University, USA.

European Diploma in Advance Gynecologic Endoscopy and Urogynecology, Clermont  Ferrand University, France


Assistant Professor Apirak Santingamkun, M.D.
Urosurgery
MD - Chulalongkorn University

Diplomate Thai Board of General Surgery

Diplomate Thai Board of Urology

Fellowship in Urology, Osaka University, Japan


Vorachai Chuenchompoonut, M.D.
Obstetrics&Gynecology

MD - Chulalongkorn University

Diplomate Thai Board of Obstetrics & Gynecology


Lily Chaisompong, M.D.
Internal Medicine & Geriatrics

MB BS, Charing Cross and Westminster Medical School, University of London

MRCP, University of London

Certificate in Geriatrics, Ramathibodi Hospital, Mahidol University

   

Ketchai Suavansri, M.D.
Medicine, Psychiatry

MD - Samathibodi Hospital, Mahidol University

Diplomate Thai Board of Neurology


BNH LUC CENTRE (Lady Urinary Care)

Tel. 02-686-2700 ext. 4455-6 www.BNHhospital.com, info@bnhhospital.com

 
                                                  

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