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Urogynecological Surgery
Urogynecology

Urogynecological Surgery

Urogynecology is a surgical subspecialty addressing disorders of the female pelvic floor — conditions arising when the muscles, ligaments, and connective tissues supporting the bladder, uterus, and bowel weaken or become damaged. Assist. Prof. Dr. Muzaffer Uçarer offers specialist surgical and conservative management for the full range of urogynecological conditions at UCARER Women’s Health.

Conditions We Treat

Pelvic organ prolapse (bladder, uterine, or rectal descent), urinary stress incontinence (leaking during exercise, coughing, or sneezing), urge incontinence and overactive bladder, recurrent urinary tract infections with structural causes, cystocele and rectocele, and vault prolapse following hysterectomy.

Surgical Approaches

Procedures are performed laparoscopically or with robotic assistance, offering shorter recovery, reduced postoperative pain, and minimal scarring. Techniques include midurethral sling insertion for stress incontinence, laparoscopic sacrocolpopexy for vault or uterine prolapse, and anterior/posterior pelvic floor repair.

Conservative vs Surgical Management

Pelvic floor physiotherapy, bladder training, and lifestyle modification are always explored first. Surgery is recommended when conservative approaches prove insufficient or when the condition significantly affects quality of life.

Contact UCARER Women’s Health to book your consultation with Assist. Prof. Dr. Muzaffer Uçarer. Early assessment leads to better outcomes.

Frequently Asked Questions

Common Questions

Prolapse occurs when the muscles and tissues supporting the pelvic organs weaken, causing one or more organs u2014 bladder, uterus, or rectum u2014 to descend into or beyond the vaginal wall. Symptoms include a feeling of heaviness or a bulge, urinary problems, and discomfort during activity.

Not always. Pelvic floor physiotherapy, lifestyle changes, and pelvic floor exercises are always considered first. Surgery is recommended when conservative management fails or quality of life is significantly affected.

A minimally invasive procedure that restores the normal position of the vaginal vault using a fine mesh secured to the sacrum. It offers excellent long-term results with minimal scarring and a shorter recovery compared to open surgery.

Conservative options include pelvic floor exercises and bladder training. If these are insufficient, a midurethral sling (TVT or TOT) u2014 a short, minimally invasive procedure u2014 provides reliable long-term continence in most patients.

Laparoscopic procedures typically involve 1u20132 nights in hospital and a return to light activities within 2u20133 weeks. Full recovery, including return to strenuous exercise, usually takes 6u20138 weeks.

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