About Pelvic Medicine and Urogynecology Center
At the Pelvic Medicine & Urogynecology Center, your comfort is first and foremost. We understand your unique and personal healthcare needs. Caring specialists will work side by side with you in developing a treatment plan that is uniquely yours, based on your individual lifestyle and needs.
Correct diagnosis of the type of incontinence and its cause are key to developing an effective treatment plan that's just right for you. Our expert staff consists of physicians who specialize in Urogynecology, Colorectal Disorders, Pelvic and Colorectal surgery. Nurse Urodynamic Specialists are available with special training in diagnostic techniques for incontinence A Physical Therapist with advanced training and experience in women's health is also on site offering biofeedback therapy. The Center offers state-of-the-art technology to accurately diagnose the cause and source of incontinence, and choose the most effective treatment based on your specific needs.
Treatment Options that Work
We offer a full spectrum of proven treatment options to help you gain control of your bladder and bowel function. After a private consultation with a specialist at the Center, your treatment plan may include:
- Multichannel Urodynamics – an outpatient procedure that uses a small catheter inserted into the bladder to electronically measure the function of the bladder, urethra and pelvic floor muscles during filling, leakage and urination.
- Behavioral Strategies – to help you learn urination and toileting patters that may improve control of your bladder and bowels.
- Diet Modification - to identify potential issues with fluid or food intake that may alter your bladder and bowel function or habits.
- Pelvic Floor Therapy - for women who have problems with urinary and fecal incontinence, pelvic pain, urinary frequency and urgency, post-partum difficulties with episiotomy pain and tightness. Treatments may include internal and/or external soft tissue mobilization, ultrasound and electrical stimulation, therapeutic exercise, neuromuscular re-education and biofeedback.
- Biofeedback Training – including massage, exercise, water therapy and ultrasound to identify and help correct musculoskeletal problems that contribute to pelvic pain or incontinence.
- Medications – There are numerous medications available to help reduce bowel and bladder incontinence. Certain drugs that decrease bladder spasm, tighten the urinary sphincter or alleviate irritation are available for use. Medications that aid in adjusting stool consistency and motility are often useful to those with fecal incontinence.
- Surgical Procedures – including collagen injections, tension free vaginal tape (TVT), prolapse repair and nerve stimulation implants are options for bladder control.
- Anorectal Manometry – an outpatient procedure that provides the physician with information on the pressures generated in the rectum and anal canal.
- Pudendal Nerve Testing – an outpatient procedure that measures motor response time of the pudendal nerve which controls bowel and bladder function in both females and males. This test is useful in diagnosing bowel and bladder conditions involving the nervous system.
- Defecography – This outpatient fluoroscopic procedure performed with rectal contrast is to study the anatomy and function of the anorectum and pelvic floor during defecation.
The Center also specializes in pelvic pain syndromes, including painful bladder syndrome and Interstitial Cystitis. For fecal incontinence, procedures such as Sphincteroplasty, Labatoplasty or other surgical interventions are available based on individual need.