Urogynae Talk

1. What Women Want?
Urogynae prospective
Dato’ Dr ARUKU NAIDU
MD(UKM), FRCOG(UK), CU(JCU), AM(MAL)
Consultant Urogynaecologist &
Pelvic Reconstructive Surgeon
Hospital RPB Ipoh
www.aruku.naidu.blogspot.com

2. What women wants?
In Reality

3. What women gets with aging
 1 in 4 women in Australia suffer from
urinary incontinence
 There is a 1 in 9 chance of having an
operation for genital prolapses or
incontinence in a lifetime
 There is a 1 in 3 chance of having a
REPEAT operation in the above group
Olsen et al
Dr Aruku Naidu 21/4/2017

6. Various vulva-vaginal
problems/sexual problems

7. What they want?: Cosmetic surgery To
look good
LOT’S MONEY IS SPEND ON
SKIN CARE, COSMATIC SURGERY
& WEIGHT REDUCTION

8. Dr.Aruku Naidu 21.4.2017
To look good down stairs too???

9. What Women Want: Prefect bottom
Is this really beautiful ?/!

10. Why do cosmetic/plastic surgery ?
For down below……..
 Discomfort when wearing clothing,
performing exercises, or during
sex.
 Abnormal appearance and
uncomfortable with their vulva
shape. Decrease self-esteem and
confidence.
 Sexual complaint (wide or stenosed
or absent vagina, redundant or
stenosed prepuce, enlarged clitoris)
 Ambiguous vulva ( Hermaphroditism )
 Psychological (Transsexual Surgery )
 For good & enjoyable sex

11. Cosmetic Vaginal Surgeries? What is it!
Was it our so call:
 Traditional Posterior
Colporrhaphy/Defect
Specific Repair (DSR)
 Perineorrhaphy
 Combination

12. Thick pubic fat pad
Mons pubis
Redundant prepuce
Stenosed prepuce
Chronic Inflammation of
prepuce
Prepuce of
clitoris
Clitoromegaly
Enlarged glans
Clitoris
Enlarged Labia
Small Labia
fused labia
Labia minora
Enlarged Labia
-Small Labia
Labia majora
Imperforate Hymen
Rigid Hymen
Torn Hymen
Hymen
Absent Vagina
Dilated Vaginal Orifice
Stenosed Vaginal Orifice
Vagina
Relaxed or aging perineum or
torn perineum
Episiotomy scars
Perineum
APPLICATION OF COSMETIC/PLASTIC SURGERY

13. Labioplasty

14. Combine labioplasty &
vaginoplasty
Combine cliteroplasty, labioplasty & vaginoplasty
Combine surgeries

15. Methods for sexual
gratification improvement
I. Vaginal tightening operation LVR/ Intravaginal
autologous fat transfer, improve sexual contact
II. Labioplasty by Laser improve self esteem
III. Laser Clitoral OP for clitorial orgasm potentiation
1V. O-spot enhancement with growth factors
Dr.Aruku Naidu 21/4/2017
(Vaginal Relaxation Syndrom)

16. Vaginal IVFT

17. Dr Aruku Naidu 21/4/2017 17
Minimally invasive treatment method
Laser Vaginal Tightening (LVT)
Thermal non-ablative irradiation of vaginal wall

18. Dr Aruku Naidu 21/4/2017 18
Laser irradiation of urethra and sphincter surrounding
Non-ablative thermally processed mucosa causing
collagen remodeling and neocollagenesis
Laser SUI Therapy/ LVT

19. Conclusion
 Urinary incontinence/prolapses is a natural
part of aging
 Shy & shame, lead to ignorance
 Nothing can be done about it or Surgery is
the only solution
 Knowledge limits both the patients & care
givers
 Age with grace & control of yourself
 Need Quality of Life

20. SUM UP OF WHAT WOMEN
WANT? MW----------QOL

21. What women want?
Start Family: Dr Tham

22. What women want?
Prefect Family & kids: DrJaparaj

23. Women want age & die gracefully
& good QOL: Dr Aruku

24. Take Home Massage
 All the O & G care is as a result of human
wanting to procreate
 Wanted to have a child, healty & prefect
child
 Ends with pelvic floor damage as a result of
child birth & wanting to age gracely, with good QOL