Urogynecology Care
Services: Urogynecology
Urogynecology Care
Urogynecology is a subspecialty within Obstetrics and Gynecology and is dedicated to the study and treatment of pelvic floor disorders in women. Our Urogynecology services are here to guide you through your women’s healthcare needs.
Whether it’s a few drops of leaking urine or complete emptying of the bladder, incontinence is a bladder control issue that women are twice as likely to have as men. And by the time a woman has made an appointment to talk about what she’s dealing with, she has had enough.
We understand that problems of urinary and gynecological systems are often complex and intimately related and offer expertise in both female urology and gynecology.
Common Urinary Issues
- Interstitial Cystitis
Vulvodynia most commonly is described as burning, stinging, irritation, and rawness. Aching, soreness, throbbing, and swelling also may be felt. The entire vulva may be painful, or pain may be centered in a specific area. Symptoms of vulvodynia may be constant, or they may come and go. Symptoms can start and stop without warning, or they may occur only when the area is touched.
- Pelvic Pain
Chronic pelvic pain is a pain in the pelvic area that lasts for six months or longer. Chronic pain can come and go, or it can be constant. Sometimes chronic pelvic pain follows a regular cycle. For example, it may occur during menstruation. It also can occur only at certain times, such as before or after eating, while urinating, or during sex.
- Repair and Surgery
Surgery may be an option for women who have not found relief with non-surgical treatments. There are two types of surgery: 1) surgery to repair the pelvic floor and 2) surgery to shorten, narrow, or close off the vagina.
Treatment options may include:
- Laparoscopy
Colporrhaphy
Sacrocolpopexy
Sacrohysteropexy
Surgery using vaginally placed mesh
- Stress Urinary Incontinence
Stress urinary incontinence (SUI) is urine leakage with physical activity, such as exercise, or when coughing, laughing, or sneezing. It is a common problem in women. SUI can be treated with both non-surgical and surgical treatment methods.
- Pelvic Prolapse
Pelvic Organ Prolapse (POP) happens when one or more pelvic organs (the vagina, uterus, bladder, urethra, small intestine, and rectum) drop from their normal position. It’s caused by a weak pelvic floor, the collection of muscles, ligaments, and connective tissues that hold these organs in place.
When a pelvic organ drops, it may bulge into another organ. In some cases, the organ may protrude out of the vagina. Women may accidentally leak urine or bowel contents (stool), or their vagina may make noises during exercise or sex. These symptoms and others can be isolating. Some women don’t seek treatment until they start having severe bladder, bowel, or sexual function problems.
- Urinary Tract Infections (UTIs)
Urinary tract infections (UTIs) are common infections. Many women get them at some point in their lives. Some women have repeat infections and may have them often. But most UTIs are not serious. These infections can be treated with antibiotics, and symptoms can usually be relieved quickly.
Urogynecological Problems: Incontinence and Weakend Pelvic Floor Muscles
Whether it’s a few drops of leaking urine or complete emptying of the bladder, incontinence is a bladder control issue that women are twice as likely to have as men. And by the time a woman has made an appointment to talk about what she’s dealing with, she has had enough.
Incontinence can be embarrassing, super annoying, and costly. But you don’t have to suffer in silence – there are many treatment options available.
The two most common types are stress incontinence and urgency incontinence.
Stress incontinence is triggered by a cough, sneeze, or physical exercise, and the result is leaking urine. Urgency incontinence is leaking after a sudden, strong urge to urinate that you cannot stop. If the patient has a combination of the two, we first target the one bothering her the most.
What are the surgical treatments for SUI?
Surgery improves SUI symptoms in most women. There are different types of surgery for SUI:
- Injections
- Urethral sling
- Colposuspension
Urethral slings and colposuspension can be done through an incision (cut) in the abdomen, through the vagina, or with laparoscopy.
Injections into the tissues around the urethra do not need an incision. This may be an option for women who do not want a more invasive procedure. It is a minor procedure that can be done in an office.
If necessary, surgical procedures can be combined to give the best results. For example, an SUI procedure and a pelvic support procedure may be done to decrease the risk of developing SUI after the surgery.
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What Our Patients Say
What an exceptional experience! I have never been to a nicer medical office. Ever! I was let called in after a second of completing my check in and everyone was so very nice. I wish i knew the name of the assistant that answered all our questions, she was very nice and informative. Don’t hesitate ladies!
The staff and everyone I met on the care team were extremely warm, kind, and knowledgeable. Although visit times are short, they made sure to explain everything thoroughly and made sure I understood. Even though they spoke quickly (lots of info to share in a short 15 minute slot) I never felt rushed or dismissed. I highly recommend this location and especially Dawn.
