The Women’s Incontinence and Sexual Health Program provides diagnosis and treatment for a wide range of disorders.
Voiding function disorders
Neurogenic bladder disorders
Genitourinary tract disorders
Pelvic floor disorders
Pelvic organ prolapse
Sexual health issues
Chronic Pelvic Pain
Initial consultation and second opinions
Urodynamic testing to determine how the bladder stores and releases urine
Injection therapy for pelvic pain
Pelvic blood flow and sensory function testing for sexual health issues
Psychological and relationship counseling for sexual health issues (for women alone or with their partners)
Medication may be prescribed for certain patients to treat incontinence, pain, libido issues, dyspareunia (pain during or after sexual intercourse) and other problems.
Physical therapy to treat pelvic floor injuries. Techniques used for incontinence and pelvic floor support include bladder training and pelvic floor rehabilitation (pelvic floor strengthening exercises and biofeedback therapy). A therapy program is tailored for each patient.
Pessary support involves placing a (removable) device in the vagina to support areas of pelvic organ prolapse and to improve incontinence.
Minimally Invasive Therapies
Botox® – injected into various parts of the bladder or pelvic floor to prevent muscle spasms that cause urinary frequency and urgency.
Interstim® implant – a small device that is surgically implanted under the skin. The device sends mild electrical pulses to the sacral nerve (in the lower back), which influences the bladder and surrounding muscles that control urination. The electrical pulses may reduce or eliminate certain bladder control symptoms. It can also be used to treat fecal incontinence
Mid-urethral sling – a minimally invasive surgical procedure to treat stress incontinence. The procedure involves looping special tape around the urethra to provide support.
Periurethral injection therapy – a procedure in which a bulking agent, such as collagen, is injected around the urethra and bladder neck to treat stress incontinence.