Urogynecology Care

• Pelvic Organ Prolapse
• Urinary Incontinence
• Fecal Incontinence
• Overactive Bladder
• Interstitial Cystitis
• Childbirth Injuries
• Mesh Complications
• Pain During Intercourse or Problems with Sexual Function

If you are experiencing problems with incontinence, overactive bladder, emptying disorders, prolapse, pelvic and/or bladder pain or discomfort, or pain during intercourse, then it is time to seek a diagnosis and treatment.

• Incontinence:
  • Stress Incontinence – Small leaks that occur when movement stresses the bladder. These motions may include coughing, sneezing, lifting, bending or laughing.
  • Urge Incontinence – May be part of overactive bladder. There is a strong sense of urgency to urinate associated with an increase in bladder pressure and difficulty holding back a full bladder.
• Emptying disorders: Difficulty starting, maintaining or finishing emptying your bladder or bowels.
• Prolapse: Feeling pressure or seeing a vaginal bulge is typically a sign of prolapse. It occurs when a pelvic organ such as the bladder, rectum, vagina or uterus, slips (prolapses) from its normal place in your lower belly and pushes against the walls of the vagina. This can happen when the muscles that hold your pelvic organs in place get weak or stretched from childbirth or surgery.
• Pelvic or bladder pain: Discomfort, burning or other uncomfortable pelvic symptoms, may include bladder or urethral pain. Problems such as interstitial cystitis commonly present with bladder pain.
• Pain associated with intercourse: Pain may be at onset,during or after sexual intercourse. Pain may be a result of such problems as infection, skin disorders, cysts, endometriosis, adhesive disease or scarring from previous surgery or childbirth.

Our team utilizes a variety of diagnostic and management therapies to assess, relieve or cure symptoms of pelvic floor problems.

• Diagnostic Testing may include physical examination, urodynamic testing, fluoroscopic procedures, pelvic floor ultrasound, anal ultrasound, cystourethroscopy, proctoscopy, percutaneous nerve testing, or 3D Dynamic Pelvic Floor MRI.
• Conservative or non-surgical treatment options include medications, pelvic exercises, behavioral and/ or dietary modifications, weight loss, biofeedback and specialized physical therapy (pelvic floor therapy).
• Surgical options may be recommended based on your specific problems, failed previous treatments or the severity of your condition and overall general health. There are several safe and effective surgical options for treating incontinence and prolapse that your Urogynecologist can discuss with you based on your specific needs. Common surgeries offered include: cystocele and rectocele repairs, mesh removal, robotic surgery, urinary incontinence slings, periurethral injections, Botox and InterStim neuromodulation.

Pelvic Floor Therapy is a type of physical therapy that specializes in pelvic floor disorders of the muscles of the bladder, vagina, rectum and pelvis. Urogynecologists often recommend that patients have pelvic floor therapy evaluations and treatment as part of non-surgical management for problems or to assist and improve surgical outcomes. Our pelvic floor therapist has special pelvic floor therapy training and certifications in biofeedback and electrical stimulation.