The Female Urology and Urodynamics Clinic services female patients with a multitude of ailments related to the genitourinary system.  All patients undergo a thorough evaluation and diagnostic work-up. The diverse pathologies commonly treated include Urinary Incontinence, Emptying problems and Voiding Dysfunction, painful Bladder Syndrome, Pelvic Organ Prolapse, recurrent Urinary Tract Infections, Urethral Diverticulae and Genitor-Urinary Fistulae.

We run a special clinic in cooperation with the Rehabilitation Center for patients with neuro-urological lesions, such as spinal cord injury, Multiple Sclerosis, post-stroke etc., which comprise a large chunk of the activity of the clinic.

A major component of the diagnostic work-up in our clinic is the Video-Urodynamic Evaluation. Patients are referred to us from all over the country due to the well-known quality and completeness of our urodynamic studies.

Following a meticulous clinical evaluation, patients whose problems are amenable to operative treatment are referred for surgery. For stress urinary incontinence, a multitude of surgical procedures are applied, which are suited to the patient's condition and needs. These include well- established techniques such as Burch Colposuspension and Pubovaginal Fascial Sling, as well as more up-to-date techniques such as TVT and periurethral injections of bulking agents.

Patients with Neurogenic Urinary Incontinence are treated with Bladder Augmentation Cystoplasty, with great success. Surgical corrective measures are also applied to other pathologies such as Pelvic Organ Prolapse, Urethral Diverticulae and Genitor-Urinary Fistulae with very good results.

For patients with urinary incontinence who are not candidates for surgery, a large variety of conservative measures exist, including medications, Bladder Drill, Pelvic Floor Physiotherapy and electrical stimulation. In certain patients a combination of modalities are used with a high cure rate.

The clinic also conducts research.  We are currently involved in the development of a new periurethral-bulking agent for the treatment of stress urinary incontinence. In addition, we pursue new techniques in the Neuro-Urology field, including Pelvic Floor Electrical Stimulation and injection of Botox (botulinum toxin) to the urinary sphincter.

Unit at a Glance
Number of Outpatient Visits per Year - 900
Director - Dr. Jacob Golomb
Address - Outpatient Clinic Building
E-mail - Jacob.Golomb@sheba.health.gov.il
Tel - 972-3-530-2413