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Auckland DHB Women's Health - Gynaecology

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Urogynaecology services

Urodynamics Bladder Test

This is a test to assess female urinary incontinence and lower urinary tract dysfunction. It helps to provide patients and doctors with an accurate diagnosis. After the diagnosis is established the doctor can advise on recommended treatment.

The test is not painful but rather discomforting.

  • Soft, fine tubes are placed into the bladder and back passage to record pressure readings in the bladder throughout the test.
  • The bladder is filled with sterile water.
  • The patient is asked to cough at various stages during the test.
  • At the end of the test the patient is asked to empty her bladder.
  • It takes about 30 minutes to complete the test.

Visit the National Women's website for more information on the urodynamics bladder test.  

Burch Colposuspension

This operation requires a transverse incision below the pubic hairline or 3 small incisions of keyhole surgery.

Permanent stitches are placed near the neck of the bladder and fixed to the back of the pubic bone. This operation takes about 60 minutes to complete.

Most women stay in hospital for 3 days following the Burch colposuspension surgery. Once the woman feels well and can pass urine with no difficulty, she can be discharged.

Visit the National Women's website for more information on colposuspension.  

Anterior Repair (Colporrhaphy)

Anterior repair is the most common surgery used for repair of cystocele, which is when the bladder is dropping down onto the front of the vagina, making a weakness or bulge. The weakness or bulge is called cystocele.
The prolapsed bladder may not empty properly when passing urine and causes an uncomfortable feeling in the vagina. It also gives a feeling of a full bladder at all times.


Visit the National Women's website for more information on anterior repair.  

Posterior Repair

Posterior repair is a surgery used for repair of rectocele. When the rectum is dropping down onto the back of the vagina, making a weakness or bulge, it is called rectocele.

The prolapsed rectum may not empty properly and gives an uncomfortable feeling in the vagina.

 

Visit the National Women's website for more information on posterior repair.  

 

This page was last updated at 3:19PM on November 13, 2019.