Stress urinary incontinence is a distressing condition in which women leak urine on coughing, straining or even on minimal activity such as getting up from bed. The condition is common and can be diagnosed by a clinical evaluation combined with ultrasonography. In most patients, a urodynamics test (test for bladder function) is recommended prior to any surgical intervention. In women who opt for surgical correction, placement of a synthetic tape is the procedure of choice. Such tapes can be placed by a minimally invasive approach either through the lower part of the abdomen (retropubic tapes such as TVT or Sparc) or from below (by a transobturator approach). In some women, one may opt for an autologous rectus fascia sling fashioned out of the woman’s own tissues. This may be preferable in women with very poor urethral function or those with prior failed procedures with an unhealthy vagina.
Dr Rooma Sinha has extensive exerience in performing these surgeries for last 14 years. Has given multiple lectures on this subject. Some are
- Complications of Synthetic tapes for SUI- What the books don’t tell. Master Class on Urogynecology in Mumbai 2009
- Ambulatory Management of Stress Incontinence- at Dakshin 2002, Hyderabad
- Stress Incontinence- Surgical concepts at South zone YUVA FOGSI 2002 , Mysore, Shan Ratnam CME, January, 2004 & Trivandrum July 2004
Contibuted the following chapters
- Sinha S, Sinha R. Incontinence in the girl child- Dignosis and Treatment: Usha B Saraiya & Shyam V Desai in 'Gynecological Urology’. Orient Longman , 2001; 115-127.
- Sinha R, Sinha S. Surgical concepts in SUI surgery; Jaypee Brothers 2009
Dr Rooma Sinha along with , Dr Sanjay Sinha Urologist has extensive experience in the management of such patients. These patients get the best of combined urological and gynecological management.
Was invited to operate at Raipur Medical College at the FOGSI North Zone Yuva Congress. Dr Rooma Sinha demonstrated urogynecological surgeries for the delegates and later also gave lecture on setting standards for caesarean Section.