Conditions

Conditions and Treatments

Our goal is to provide comprehensive diagnostic and treatment services for people who suffer from disorders associated with the pelvic floor. Though most of the pelvic floor disorders are specific to women, some also affect men.

We understand the sensitive nature of these problems and prioritize our patients’ comfort and privacy. Our program provides outstanding, individualized care based on your specific needs in a confidential environment.

The Integrated Pelvic Health Program provides comprehensive services and treatment in all areas of pelvic floor care including:

Conditions

Pelvic organ prolapse
Stress urinary incontinence
Overactive bladder
Anal/fecal incontinence
Difficulty with bladder or bowel emptying
Fistulas
Painful Bladder Syndrome

Pelvic floor dysfunctions
Congenital and Müellerian anomalies
Postpartum pelvic floor issues
Neurourologic disorders
Latrogenic ureteral injuries
Microscopic hematuria

Treatments

Minimally invasive surgery

o   Robotic surgery
o   Laparoscopic surgery
o   Vaginal surgery

Manometry
Behavioral and physical therapy
Anal ultrasound

Causes
Pelvic health disorders can develop in any number of ways. In females, the predominant risk factors are:

Prior hysterectomy
Prior vaginal surgery
Childbirth (particularly complicated childbirth)

In males, risk factors include problems that often occur at the same time, such as enlarged prostate and/or prior prostate surgery. In all patients, the following can also play a role in developing pelvic health disorders:

Obesity
Lung disease
Cardiovascular disease
Smoking
Chronic constipation
Evacuation problems

Structural defects can also lead to problems with the bladder, bowel and genital tract. In the most complex cases, a history of neurological injury or a history of major pelvic cancer surgery and history of radiation can lead to significant genitourinary and pelvic dysfunction.

Symptoms
If you have a pelvic floor condition, you may have one or more of the following symptoms.

Protrusion of a tissue through the vagina or rectum (prolapse)
Pelvic pressure
Urinary incontinence/loss of urine
Urinary urgency/frequency
Fecal incontinence/involuntary loss of stool
Difficulty in passing urine or stool
Painful urination

Because there is a perceived stigma related to the symptoms of pelvic floor disorders, many people are reluctant or embarrassed to discuss them, even with their doctors. You do not need to suffer in silence. There are a number of treatments, both non-surgical and surgical, that can improve or completely correct the problem that is causing your symptoms.