Urogynecology & Urology

Millions of women would rather suffer through bladder or prolapse issues than talk about them.

But when you don’t talk, we can’t help.

Please know that —you and your concerns—are safe with us.

Here, you’ll find a comfortable environment to explore issues involving the bladder and the state of your “female parts.” We offer state-of-the-art evaluation, and the latest diagnostic techniques, along with extensive patient education and a wide range of treatment options.

We can help with post-baby challenges, too. During delivery, your perineum—the region between your vagina and anus—may be stretched and bruised. It should return to its “new normal” within four to six weeks. If it doesn’t, our pelvic team is here to help.

Don’t let incontinence, pelvic organ prolapse or any other issue keep you from living a full life. Let us help.

HOW WE CARE FOR YOU

There are four different types of urinary incontinence.

Stress Incontinence

When the simplest cough, sneeze or laugh causes leakage, you may be experiencing stress incontinence. The muscles surrounding the bladder and urethra (the tube through which urine comes) have weakened, or there’s been damage to the urethra that causes it to remain open.

Urge Incontinence

With this type of incontinence, you have little or no warning that the bladder is full and you may not get to the bathroom in time. Urge incontinence is influenced by many things, including dietary habits and neurological and behavioral characteristics.

Mixed Incontinence

This is a combination of stress and urge incontinence.

Overflow Incontinence

Diabetes and neurological diseases often contribute to this involuntary loss of urine that occurs when the bladder fails to empty any significant amount and continues to fill and overflow.

To better understand your health challenges, we’ll take a thorough history and perform a physical exam that MAY include:

  • Urinalysis and urine culture
  • Post-void residual urine, measured after urination
  • Cystoscopy, using a small telescope that looks into the bladder
  • Urodynamics – a series of tests to determine the characteristics of storing and emptying fluid

Millions suffer from IC in the U.S. today. Ninety percent of them are women.

IC—a neuro-inflammatory condition of the bladder wall— is also called trigonitis, urethral syndrome, chronic pelvic pain syndrome (CPPS), bladder pain syndrome (BPS) and painful bladder syndrome (PBS).

The average age of onset is 40, with a quarter of those diagnosed under the age of 30.

Symptoms of IC can range from mild to severa and differ from patient to patient. And might include:

  • Increased urination – Daytime or nighttime urination occurring up to 30 times a day. In early or very mild cases, frequency may be the only symptom.
  • Pain in the lower abdominal, urethral or vaginal area. Pain may also be present during sexual intercourse.
  • Many times patients think they have a urinary tract infection or “cystitis.” Sometimes—early in the diagnosis phase—some doctors may also think this. However, when urine cultures are negative, it’s clear that it is not an infection. There’s more going on.

Why is interstitial cystitis so challenging to diagnose?

The cause of IC is unknown, and there’s no test that can definitively diagnose IC beyond a doubt. It’s often diagnosed after ruling out other problems, which often takes five to seven years. IC can have a devastating impact on a woman’s life and finances.

What is pelvic organ prolapse?

Pelvic organ prolapse occurs when the connective tissue of the pelvic floor muscle weakens, allowing one or more of the organs in the pelvis to drop down. In some women, this can result in the protrusion of the vagina or uterus.

Pelvic organ prolapse affects approximately half of the women who delivered their babies vaginally. Advancing age, obesity, a hysterectomy, chronic straining and abnormalities of the connective tissue also contribute to prolapse.

If you experience any of these symptoms, let us know:

  • A sense of pressure or heaviness in the vagina
  • Sensation of or seeing a bulge or protrusion in the vagina
  • Urinary incontinence
  • Pain, pressure or constipation
  • Pain during sexual intercourse

Treatments

  • Urethral Bulking
  • InterStim
  • Medications (including Botox)
  • Bladder Installations
  • Physical Therapy
  • Dietary Management
  • Bladder & Bowel Retraining
  • Biofeedback Therapy
  • InTone® Device
  • Surgical Interventions

 

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“Always a pleasant experience. I no longer dread my annual check-ups after being a patient at this practice.”