• Urinary incontinence
  • Stress incontinence is when you leak urine after coughing, sneezing or laughing, without the urge to go.
  • Urge urinary incontinence is when you have a strong urge to empty your bladder, but you leak before making it to the toilet.
  • Some patients have a combination of both, which is called mixed incontience.
• Bladder pain
• Overactive bladder and urinary urgency
• Pelvic organ prolapse (Can be bladder, uterine or rectal: It is usually experienced as a bulge of tissue protruding from the vagina.)
• Fistula (an abnormal connection that forms between two body parts where a connection should not exist, such as between the bladder or rectum and the vaginal canal)
• Pelvic pain related to pelvic floor dysfunction
• Recurrent urinary tract infections tied to pelvic floor issues
• Pelvic floor dysfunction
• Genitourinary syndrome of menopause, including painful sex (vaginal dryness and irritation)
• Issues with previously placed pelvic mesh, such as erosion or chronic pain

Diagnosing gynecologic conditions and pelvic floor dysfunction includes methods such as:

• Comprehensive pelvic floor exam can evaluate pelvic organ prolapse, which is when pelvic muscles and tissue weaken and the pelvic organs (uterus, rectum, bladder) can protrude toward the vaginal opening or beyond.
• Cystoscopy lets your healthcare provider look at your bladder and urethra, the tube that lets urine flow out of the bladder and out of the body. This can be performed in the office with you awake, or in the operating room under anesthesia. The procedure involves inserting a thin camera through the urethra, similar to the placement of a urinary catheter. This helps your doctor thoroughly examine the inside of your bladder and identify conditions that can cause pain, urinary bleeding, recurrent infections, etc.
• Urodynamics is an office procedure that provides valuable information regarding how much volume the bladder can hold and at what specific pressures leakage occurs. This allows your doctor to formulate a tailored treatment plan to address your urinary issues.
• Imaging, such as ultrasound, MRI or X-ray, can help evaluate the pelvic floor, bladder and surrounding tissue and organs.
• Urinary and vaginal cultures allow your doctor to identify infectious causes of pelvic floor and urinary symptoms

We provide personalized care and treatment plans for you, based on your needs and goals. Treatment ranges from nonsurgical options, including pelvic floor physical therapy, medications, pessaries and lifestyle changes, to minimally invasive surgical procedures such as bladder slings, pelvic floor reconstruction through the use of your natural ligaments (“bladder lift”) or, in some cases, mesh. Neuromodulation is another option to address urinary urge, which involves placing a small stimulator that regulates the bladder nerves.