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Entrevista al Dr. Pedro Sánchez de la Muela – Diario ABC

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Interview to Dr Pedro Sánchez de la Muela Naverac, Urology Specialist.

Head of the Urology Department of Nuestra Señora del Rosario Hospital in Madrid.

What is UroFem?

UroFem is a newly-created Female Functional Urology Unit within the Urology Department of Nuestra Señora del Rosario Hospital in Madrid. And this means that we now have two different urology units – one for women (UroFem) and the other for men (Urology and Andrology Unit).

What is the purpose of UroFem?

The purpose of UroFem is to study and treat disorders of the female lower urinary tract, pelvic floor and its associated conditions. The pelvic floor is the structure that is responsible for supporting the bladder, rectum and female genital tract. The lower urinary tract and pelvic floor are closely related. Both structures actually form a morpho-functional unit to such an extent that any abnormality in either of them will inevitably cause, directly or indirectly, a dysfunction in the other.

How did UroFem come about?

Basically as a result of an increased demand for medical care. We should remember that more than half of women over the age of 40 suffer from some kind of disorder of this nature. In fact, according to the American Urogynecologic Society, by 2050, 1 in 3 women will have a disorder related to pelvic floor dysfunction which requires treatment. Until a few decades ago, women would not usually go to the doctor for these kinds of conditions because they were considered to be part and parcel of being a woman. Fortunately, this situation has changed and women today are not willing to allow their personal, professional and love lives to be affected by these kinds of disorder.

What factors contribute to the onset of these symptoms and disorders?

The most significant is age. These disorders mainly affect women over the age of 40. But there are others, such as factors that are closely associated with the changing role of women in today’s society, which often results in the appearance of symptoms in younger women. Women today are playing a more active role in society and the world of work. And this is often combined with busy family and personal lives. Other significant factors that contribute to early onset and increase frequency, intensity and severity of occurrence include stress, multiple child birth, the menopause, excess weight and intense physical exercise. All of these factors can cause women to suffer from a gradual increase in these disorders which severely interfere with their day-to-day activities and quality of life.

What are the most common symptoms and disorders?

The most common disorders are those associated with the urinary dynamic, such as urinary incontinence and the symptoms of urinary urgency/frequency. Another type of process is pelvic floor myalgia (muscle soreness). All of them significantly affect the day-to-day activities and quality of life of women.

Are treatments available for these disorders?

Of course. Treatment depends on the condition and its severity. We now have state-of-the-art non-invasive treatments like the laser, which is rapid, simple, highly effective, and can be performed on an outpatient basis. Other non-invasive treatments include botulinum toxin, hyaluronic acid and perineal biofeedback. For more advanced cases, we usually have to resort to more invasive prolapse and reconstructive surgery. We at UroFem are fully convinced that the best way to offer the most appropriate and definitive solution to our patients is through a comprehensive approach. And to achieve this, we boast a multidisciplinary team of health professionals (urologists, gastroenterologists, gynaecologists and plastic surgeons), not to mention the most advanced techniques and the most appropriate diagnostic and therapeutic procedures.

Dr Pedro Sánchez de la Muela Naverac  Tel: (+34) 91 781 66 29 – 91 435 91 00 www.unidaddeurologia.es


11-04-2016