Urogynecology / Pelvic Reconstruction

Loss of urinary control may occur as a result of aging or more commonly following the birth of one or more children. In addition, the trauma caused by normal vaginal childbirth may cause the pelvic organs to gradually prolapse, or descend further into the vaginal canal toward the opening of the vagina. The proper medical terms for these disorders are urinary incontinence and pelvic organ prolapse.

Symptoms may vary from none at all to marked pressure and visualization of the female organs on the outside of the body at the vaginal opening. Urinary incontinence may occur only with a so-called stress phenomenon such as lifting or straining or coughing. In addition, it may occur at unpredictable times when the bladder is full. The patient may feel the urge to urinate and be unable to reach the restroom in time prior to losing some urine. This is termed urge incontinence.

The proper approach to urinary incontinence requires the physician to perform testing when indicated and carefully examine the patient to determine the type and amount of organ prolapse that is present. Our physicians are very experienced and qualified in the testing required to determine the type of incontinence and what surgical procedure or medications will benefit the patient. Often, minimally invasive or one-day surgery procedures may be used to correct these problems, thus limiting the amount of time the patient must take off work and from her family.