Urogynecology Services and Specialized Care

The Women’s Incontinence and Sexual Health Program provides diagnosis and treatment for a wide range of disorders.

Services

  • Incontinence
  • Voiding function disorders
  • Neurogenic bladder disorders
  • Urogenital fistulae
  • Genitourinary tract disorders
  • Pelvic floor disorders
  • Pelvic organ prolapse
  • Sexual health issues
  • Chronic Pelvic Pain

Specialized Care

  • Initial consultation and second opinions
  • Urodynamic testing to determine how the bladder stores and releases urine
  • Injection therapy for pelvic pain
  • Cystoscopy
  • 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)

Non-Surgical Treatments

  • 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.

Advanced Surgery

  • Correct pelvic floor prolapse
  • Reconstruct the lower urinary tract
  • Correct a fistula

Learn more about some of our specialized services