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Clinical Services at Rush Urogynecology and Female Pelvic Reconstructive Surgery
Program Description

The section of Urogynecology and Pelvic Reconstructive Surgery provides comprehensive urogynecologic care, including consultations and treatments for the following needs:

  • Urinary incontinence
  • Pelvic organ prolapse
  • Uterine prolapse, cystocele, rectocele, enterocele
  • Fecal incontinence
  • Second opinions for gynecologic surgery

The section offers a wide range of nonsurgical therapy, state-of-the-art diagnostic evaluation and comprehensive surgical treatment.

Faculty in the section are also involved in several research projects in various clinical and scientific aspects of pelvic floor dysfunction.

The section is a major participant in the Program for Abdominal and Pelvic Health at Rush.


Services Provided

Services include:

  • Treatment for urinary incontinence: Stress incontinence, or the loss of urine with physical stress such as cough or bounce, can be treated with exercise, devices, in-office injections, in-office radiogrequency therapy or minimally invasive surgery that is performed under local anesthesia in the outpatient setting. Urge incontinence, or the sudden loss of urine associated with an uncomfortable urge, can be treated with behavioral therapy, medications, in-office instillation of medication into the bladder, neuromodulation (by applying electrical stimulation to the ankle), or an implantable neuromodulator that is placed in an outpatient procedure under local anesthesia.
  • Treatment for pelvis organ prolapse, which describes a hernia formed by the uterus, bladder or bowel into or through the vagina. Common terms for prolapse include dropped uterus, dropped bladder, cystocele or rectocele. Prolapse can be treated with pessaries or surgery. Ninety percent of prolapse surgeries performed by the physicians of IULTD are minimally invasive.
  • Minimally invasive gynecologic surgery: This surgery is performed through a "natural orifice," such as the vagina, so that there are no incisions made through the abdominal wall into the abdominal cavity; or laparoscopically, which uses small, less-than-1-inch incisions to guide thin instruments and a telescope into the pelvis to accomplish the repair. In some cases, the da Vinci robot is used to assist in complex surgery. Advantages of minimally invasive surgery are less risk, less pain and less recovery time with equally good or even better results than a large incision. 
  • Treatment for voiding dysfunction, including incomplete bladder emptying, urinary frequency and painful urination. The causes of these symptoms may be a bladder condition or a dysfunction of the nerves and muscles in the pelvis around the bladder. The earlier these problems are treated, the more likely they are to be cured. Left untreated, urinary retention can lead to permanent kidney damage.

 


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