Urogynecology: Services We Provide

Office procedures and evaluations may include:

• Comprehensive pelvic examination
• Cystoscopy
• Cystometry
• Urodynamic studies

Our goal is to restore function and improve quality of life for every woman. To do this we use the most current research and clinical standards to create individualized treatment plans that may include behavioral, medical, non-surgical, and surgical options.

Pelvic floor disorders treatment options include a variety of options ranging from behavioral, medical, non-surgical, and surgical approaches. If your symptoms are severely impacting your life, prohibiting you for completing normal daily activities such as work or exercise, than you may want to discuss pelvic reconstructive surgery with one of our experts.

• Incontinence
  • Non-surgical treatments for incontinence and overactive bladder include:
    • Behavioral modifications, such as changing eating and drinking habits, losing weight, or adding or removing medications may be all that is required to restore function to the pelvic floor.
    • Pelvic floor physical therapy, which uses pelvic exercises and bladder control techniques to help the patient improve muscle control and manage leaks. Biofeedback is often added to assist in retraining key muscles of the urethra, bladder and rectum. Sensors attached to the body send signals to a computerized instrument that records the how well the muscles function. Specialists use the information to determine the appropriate exercises to help strengthen the muscles and possibly reverse or relieve symptoms.
  • There are a number of surgical procedures that can either be performed in the office or require a short outpatient procedure if non-surgical treatments have failed.
    • For stress urinary incontinence (leaking with cough, laugh, and sneeze) these include transurethral bulking or a midurethral sling.
    • For urgency incontinence (leaking with urgency) these include bladder botox and nerve stimulation.
• Pelvic Organ Prolapse
  • Non-Surgical Options treatments for pelvic organ prolapse include:
    • Pelvic floor physical therapy, which uses pelvic exercises and bladder control techniques to help the patient improve muscle control and manage leaks. Biofeedback is often added to assist in retraining key muscles of the urethra, bladder and rectum. Sensors attached to the body send signals to a computerized instrument that records the how well the muscles function. Specialists use the information to determine the appropriate exercises to help strengthen the muscles and possibly reverse or relieve symptoms.
    • Pessaries, which are vaginal inserts used to help support pelvic organs. Patients can manage pessaries by themselves or return to the office for care. When properly fitted, they should be comfortable and allow proper bladder and bowel function.
    • For more severe cases, our specialists use the latest treatments and full array of surgical procedures.
  • Minimally Invasive Surgical Options
    • When surgery is required, specialists offer minimally invasive vaginal, laparoscopic and robotic surgical techniques that use small incisions, typically less than one inch long, to perform advanced surgery.
    • Compared with traditional surgery, vaginal and laparoscopic procedures offer the advantages of a faster recovery with less pain and discomfort. laparoscopic and robotic-assisted sacrocolpopexy, vaginal reconstruction with native tissue repair or mesh implantation, and explanation of vaginal mesh.