Urogynecology

Pelvic floor disorders are actually very common

One in three adult women suffer from incontinence or prolapse

A urogynecologist or female pelvic medicine and reconstructive surgery physician is a surgeon who can provide women comprehensive management of pelvic floor disorders, including urinary incontinence, fecal incontinence, lower urinary tract disorders, pelvic organ prolapse, pelvic floor dysfunction, and childbirth-related injuries

Disorders of the pelvic floor can occur when the pelvic floor muscles are weakened or injured. This can be related to genetics, tobacco use, excessive strain due to repeated strenuous activity, childbirth, changes related to menopause, prior surgeries or some chronic illnesses.

Organs like the bladder, uterus, vagina and rectum reside in the pelvis. The pelvic floor is composed of a group of muscles that serve as the foundation. These muscles act as the support structure and work to keep everything in place within your body. Your pelvic floor muscles add support to several of your organs and vagina by wrapping around your pelvic bone. Some of these muscles add more stability by forming a sling around the rectum or urethra.

The pelvic organs include:

  • The bladder (the organ that holds your urine) and urethra (tube that carries the urine out)
  • The uterus and vagina
  • The rectum (the area at the end of the intestine that stores solid waste)

Treatment and Services

Common problems that occur from a weakened pelvic floor

For more information on these you can visit this website:

https://www.voicesforpfd.org or https://www.yourpelvicfloor.org/leaflets/

  • What we Treat: 
    • Pelvic organ prolapse
    • Overactive bladder
    • Urge incontinence
    • Stress urinary incontinence
    • Fecal incontinence
    • Mesh related complications
    • Bladder pain Syndrome/Interstitial cystitis
    • Urethral diverticulum
    • Fistula
    • Pelvic floor dysfunction
    • Urinary retention
    • Recurrent UTI
    • Cystocele, Rectocele
  • Services Offered:
    • Robotic surgery
    • Laparoscopic surgery
    • Vaginal hysterectomy
    • Vaginal reconstructive surgery
    • Urethral Bulking
    • Pessary fitting/placement
    • Botulinum toxin (BOTOX) injection
    • Sacral Neuromodulation
    • Percutaneous tibial nerve stimulation
    • Bladder instillations
    • Midurethral slings
    • Urodynamic testing