Urogynecology

Urogynecology is a sub-specialty of general gynecology medicine, most commonly referring to female pelvic disorder and reconstructive surgery.

Pelvic floor disorders occur when women have weakened pelvic muscles and/or tears in the connective tissue of the pelvic organs.

We involve the patient throughout their care, including initial consultation to diagnosis, treatment, and rehabilitation.

In many instances, women treated previously for bladder problems come to see us after finding no relief from medications and feeling very frustrated.

Following a consultation, patients may receive advanced urodynamic testing–a real-time evaluation of a woman’s bladder performed in our offices or the hospital. This testing allows us to pinpoint diagnoses, including:

• Urinary incontinence (stress, urge, or mixed)
• Overactive bladder (with or without incontinence)
• Prolapse (bladder, uterine, vaginal, or rectal prolapse)
• Pelvic pain (interstitial cystitis)

After diagnosis, we further consult with the patient before proceeding with a treatment plan, which often includes a period of physical therapy or biofeedback. Other therapy options include conservative management to tension-free vaginal tapes (sling procedures), bladder lifts, and hysterectomy.

Patients requiring advanced treatment may also be candidates for our state-of-the-art, minimally-invasive procedures, including pelvic reconstructive surgery, vaginal prolapse surgery using surgical mesh, or InterStim implants (bladder pacemaker).

Following surgery, patients typically recover quickly, experiencing minimal pain, high success, and low recurrence rates.

Referrals from your primary care physician are often necessary.