Urogynecology

 

What is a Urogynecologist?


A urogynecologist is a surgeon who has specialized in the care of women with pelvic floor disorders.

The pelvic floor is a set of muscles, ligaments and connective tissue in the lowest part of the pelvis that provides support for a woman’s internal organs, including the bowel, bladder, uterus, vagina and rectum.

A pelvic floor disorder occurs when women have weakened pelvic muscles or tears in the connective tissue due to excessive strain on the pelvis due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Other factors that can weaken the  pelvic floor include repetitive heavy lifting, tobacco use, and genetics.

The following are some problems that arise from damage to the pelvic floor:

  1. Incontinence: loss of bladder or bowel control, leakage of urine or feces.
  2. Prolapse: descent of pelvic organs; a bulge and/or pressure; ‘dropped uterus, bladder, vagina or rectum.’
  3. Emptying Disorders: difficulty urinating or moving bowels.
  4. Pain: discomfort to the lower back, pelvis or bladder and/or urethra.
  5. Overactive Bladder: frequent need to void, bladder pressure, urgency, urge incontinence (difficulty holding back urine when having the urge to urinate)
  6. Fistulas: abnormal hole between the vagina and rectum (rectovaginal), vagina and urethra (urethrovaginal), or vagina and the bladder (vesicovaginal)

 

Conditions treated

Conditions treated include:

  • Pelvic organ prolapse
  • Fecal incontinence
  • Overactive bladder syndrome
  • Urgency urinary incontinence
  • Stress urinary incontinence
  • Vesicovaginal and rectovaginal fistulas
  • Congenital anomalies of the lower reproductive tract (for example, imperforate hymen, vaginal septum, uterine anomalies)

Tests and procedures

Diagnostic tests include:

  • Bladder instillation
  • Complex urodynamic testing
  • Cystourethroscopy
  • Urodynamic testing

Innovative treatment options

Your doctor will talk with you about a full range of effective, innovative treatment options. Mayo Clinic urogynecologists are expert in pelvic floor reconstructive surgery, including laparoscopic, robotic and vaginal approaches.

Surgical approaches to pelvic floor disorders include:

  • Sacral nerve stimulation
  • Anal sphincteroplasty
  • Artificial anal sphincter
  • Minimally invasive hysterectomy
  • Urethral reconstruction

Nonsurgical approaches to pelvic floor disorders include:

  • Medications
  • Pessaries
  • Pelvic floor physical therapy
  • Biofeedback
  • Electrical stimulation (“e-stim”)
  • Urge suppression
  • Pelvic floor re-education
  • Behavioral and medical management of urinary incontinence

 

Knowledge and Compassion

Focused on You.

Knowledge and Compassion

Focused on You.

 

At San Diego Women's Health, we are dedicated to providing the highest standard of healthcare to women, with a personal touch. Women's healthcare needs are growing increasingly complex , making it important to have a physician who is committed to keeping current with medical discoveries and technological advances.

We are proud to have the reputation of being one of the most sought after practices in the San Diego County and are thrilled to be an integral part of women's healthcare in our community.

 

Contact Us

Phone:  858-677-0777

Fax:  858-677-0666

sd.wh@outlook.com

www.sdwh.com

Location

9850 Genesee Avenue Ste 640
La Jolla, CA 92037

M/W/TH:    8:30 am - 4:30 pm
Tuesdays:  8:30 am - 3:30 pm
Fridays:      8:30 am - 1:00 pm

© 2018 All Rights Reserved. SD Women's Health.

The center for Womens health, wellness, and minimally invasive surgery

9850 Genesee Avenue - Suite 640
La Jolla, CA 92037

Phone:  858-677-0777
Fax:      858-677-0666

©2018.  All Rights Reserved.  San Diego Women's Health.

San Diego Womens Health