Women's Urological Health

Understanding Women's Urology

As KwaZulu-Natal’s only female urologist, Dr. Maharajh brings unique understanding to women’s urological concerns. From recurrent infections to pelvic floor disorders, receive specialised care in a comfortable, empathetic environment.

Women face unique urological challenges due to anatomy, hormonal changes, pregnancy, and menopause. These conditions often significantly impact quality of life but are frequently undertreated due to embarrassment or lack of awareness about treatment options.

Common Conditions

Recurrent UTIs

Affecting up to 40% of women
Post-menopausal increased risk
Prevention strategies available

Pelvic Organ Prolapse

Bladder prolapse (cystocele)
Uterine prolapse
Rectal prolapse (rectocele)
Often follows childbirth

Overactive Bladder

Urgency and frequency
Nocturia (night-time urination)
Urge incontinence

Interstitial Cystitis

Chronic bladder pain
Urgency without infection
Requires specialised management

Post-Pregnancy Issues

Stress incontinence
Pelvic floor dysfunction

Bladder changes

Recognising the Symptoms

CAD symptoms may include:

Angina (Chest Pain)

Pressure, tightness, or squeezing in the chest
Pain radiating to arms, neck, jaw, or back
Often triggered by physical activity or stress

Other Warning Signs:

Shortness of breath
Fatigue with normal activities
Heart palpitations
Dizziness
Nausea during exertion

Some patients, particularly diabetics, may have minimal symptoms despite significant disease.

The Female Advantage

Many women prefer consulting a female urologist for:

Greater comfort discussing intimate issues
Understanding of female-specific concerns
Empathetic approach to examination

Shared perspective on women’s health

Diagnostic Approach

Comprehensive Evaluation

Detailed history including obstetric
Pelvic examination
Bladder diary
Quality of life assessment

Specialised Testing

Urodynamics
Cystoscopy
Pelvic floor assessment
Imaging studies

Treatment Options

Non-Surgical Management

Pelvic floor physiotherapy
Pessary fitting
Bladder training
Hormone therapy

Medical Treatment

Targeted antibiotics
Bladder medications
Vaginal oestrogen
Pain management

Surgical Options

Minimally invasive slings
Prolapse repairs
Bladder injections
Reconstructive surgery

All Services

About Dr Maharajh

FAQs

Quick Answers to Common Questions

Why do women get more UTIs than men?

Women's shorter urethra makes bacterial entry easier. Additional risk factors include sexual activity, certain birth control methods, pregnancy, and menopause. Dr. Maharajh can identify your specific triggers and create a prevention plan including lifestyle changes and possibly prophylactic treatments.

Is prolapse inevitable after childbirth?

No, while childbirth is a risk factor, many women never develop prolapse. Factors include genetics, delivery type, baby size, and subsequent lifestyle. Pelvic floor exercises during and after pregnancy can reduce risk. Even with prolapse, many treatment options exist.

Can I avoid surgery for prolapse?

Often yes. Mild to moderate prolapse can be managed with pelvic floor exercises, pessaries (supportive devices), and lifestyle modifications. Surgery is typically reserved for severe cases or when conservative treatments don't provide adequate relief.

Why do I leak when I cough or sneeze?

This is stress incontinence, caused by weakened pelvic floor muscles often from childbirth, ageing, or weight gain. It's very common but not normal. Treatment options range from pelvic floor exercises to minimally invasive sling procedures with excellent success rates.

Is it normal to urinate frequently during menopause?

Hormonal changes during menopause can cause urinary frequency, urgency, and infections. While common, it's not something you have to accept. Vaginal oestrogen, bladder medications, and other treatments can significantly improve symptoms.