Urogynecological issues can be uncomfortable, but our team of specialized providers creates a supportive, respectful environment where you can feel at ease. Here, we offer individualized care for a full range of urogynecology needs, including:

• Accidental bowel leakage
• Overactive bladder syndrome
• Painful bowel movements
• Painful intercourse
• Pelvic floor dysfunction (PFD)
• Pelvic organ prolapse
• Pelvic prolapse
• Recurrent bladder infections
• Urinary incontinence

We look at ourselves not just as doctors, but as partners with the women in our community. With a multidisciplinary care team, and equally diverse approach to care, our goal is to use advanced practices to help reduce both the mental and physical discomfort that can accompany urogynecological complications.

Pelvic floor dysfunction

Your pelvic floor is a muscle that holds your reproductive organs, bladder and rectum. Pelvic floor dysfunction is an umbrella term for a number of conditions and symptoms that occur when your pelvic floor is weakened.

Risk factors for pelvic floor dysfunction

Risk factors that can affect the pelvic floor and cause difficulties include:

• Chronic constipation from straining
• Chronic coughing or sneezing from asthma or hay fever
• Gynecological or pelvic surgery
• History of back pain
• Menopause or postmenopause
• Obesity
• Pelvic injury
• Pregnancy and childbirth, especially multiple vaginal births
• Regular heavy lifting at work or the gym
• Smoking

Symptoms of pelvic floor dysfunction

You may need to see one of our urogynecologists if you're experiencing any of the following symptoms:

• Acute or chronic pelvic pain
• Feeling as though something is falling down or out of your vagina
• Needing to get into different positions or press on your vagina to successfully have a bowel movement
• New, uncomfortable bulge or fullness in your vagina
• Pelvic muscular tightness, weakness or lack of coordination

Treatments for pelvic floor dysfunction

Whenever possible, we use leading-edge minimally invasive surgery to treat pelvic floor and urogynecological conditions. These techniques are designed to reduce pain, minimize scarring, shorten recovery time and help you more quickly return to daily activities.

We offer a wide range of procedures and management options for weakened or dysfunctional pelvic muscles, including:

• Bladder botulinum toxin injections, commonly known as "Botox" — Injections to reduce overactive bladder symptoms
• Bladder suspension surgery — Treatment for cystocele (prolapsed or fallen bladder)
• Disposable or reusable pessaries — Device inserted into the vagina to support your pelvic organs and help with leakage
• Medical management — The use of medications and pelvic floor exercises to manage urge incontinence and overactive bladder syndrome
• Midurethral sling — Surgical procedure for stress incontinence, where a mesh strip is placed to support the urethra and prevent leakage during strenuous activity
• Pelvic floor physical therapy — Exercises and lifestyle modifications to help improve pelvic floor issues
• Percutaneous tibial nerve stimulation (PTNS) — Nonsurgical bladder control therapy
• Sacral neuromodulation — Implant to regulate bladder function
• Urethral bulking — Injections to improve the closure of the urethra
• Urodynamic testing and cystoscopy — Diagnostic assessment of bladder and urethra function

Pelvic organ and vaginal prolapse care

Pelvic prolapse, also known as pelvic organ prolapse, happens when one or more organs in your pelvic area fall into your vagina. This condition affects many women, and often occurs following childbirth, menopause or a hysterectomy.

Symptoms of pelvic prolapse

Many women seek the care of a pelvic floor specialist because of new or worsening sensations. By seeing a gynecologist who focuses on urogynecology, and understands the complex ways symptoms relate to each other, you can quickly get the answers you're looking for.

If you're experiencing a pelvic prolapse, you may have one or more of the following symptoms:

• Acute or chronic pelvic pain
• Discomfort with urination, defecation or sexual intercourse
• Feeling as though something is falling down or out of your vagina
• Low abdominal pain
• Low back pain
• Lump or bulge visible from your vaginal opening
• Needing to get into different positions or press on your vagina to successfully have a bowel movement
• New, uncomfortable bulge or fullness in your vagina
• Pelvic muscular tightness, weakness or lack of coordination
• Urinary, bowel or sexual dysfunction

Treatments for pelvic prolapse

We provide advanced options to correct prolapse and minimize discomfort. These include:

• Cystocele repair — Repair of fallen bladder
• Rectocele repair — Repair of weakened rectal wall
• Robot-assisted sacrocolpopexy, or sling procedure
• Sacrospinous ligament suspension — Surgical correction of vaginal prolapse
• Uterosacral ligament suspension — Support procedure for prolapse repair
• Vaginal hysterectomy —Typically minimally invasive removal of the uterus when prolapse is significant

Urinary incontinence management

Urinary incontinence is the involuntary leakage of urine. This condition can occur alone or alongside prolapse, and may be caused by stress incontinence, urge incontinence, or a combination of both. Our team addresses all types of urinary incontinence through personalized treatments, such as:

• Bladder Botox
• Midurethral slings
• Pelvic floor physical therapy
• PTNS therapy
• Sacral neuromodulation
• Urethral bulking injections