Urogynecology at the Esprit OB/GYN Center

At Esprit OBGYN Center, our board-certified physicians provide a wide range of services for women’s health and wellness, including a specialization called urogynecology. Our providers who focus on this area help manage clinical problems associated with dysfunction of the pelvic floor and bladder.

Some statistics on Pelvic Floor Dysfunction (PFD)

  • 50 percent of women over age 50 live every day with one or more of the problems caused by pelvic floor dysfunction (PFD).i
  • 1 in 3 of those women with urinary incontinence have some degree of bowel dysfunction.
  • 60 percent of nursing home occupants suffer from fecal and/or urinary incontinence.
  • Surgical repair of prolapse is the most common inpatient procedure performed in women older than 70 years.

PFD is a range of issues that arise out of weakness, tightness or other discoordination of the muscles and supportive elements that make up the pelvic floor.

On their path to getting cured, many PFD patients will have to see a gynecologist, a urologist or even a GI specialist in order to get a treatment plan that works for them. By seeing a gynecologist who focuses on urogynecology, a woman can quickly get the answers she’s looking for because that physician understands each of these systems and the complex ways they relate to each other in patients with PFD.

Common PFD issues we treat

Urinary Incontinence:

  • Stress urinary incontinence
  • Urge incontinence
  • Overactive bladder syndrome
  • Recurrent bladder infections

Pelvic Organ Prolapse:

  • Feeling of things “falling down or out”
  • New uncomfortable bulge or fullness in the vagina
  • Known issues with pelvic support that have come back again

Issues with Bowel Movements:

  • Painful bowel movements
  • Accidental bowel leakage
  • Needing to get into different positions or press on the vagina in order to successfully have a bowel movement

Pelvic Pain:

  • Muscular tightness, weakness or dis-coordination that leads to acute or chronic pelvic pain
  • Painful intercourse

Common PFD procedures we perform

Urinary Incontinence:

  • Stress incontinence “Sling” procedure: “Gold Standard” surgery that often completely eliminates stress leaking
  • “Bladder lift” surgery (aka cystocele or anterior repair)
  • Using/fitting disposable or reusable pessaries that help with leaking
  • Medical management of urge incontinence and overactive bladder syndrome
  • Urodynamic testing to get to the bottom of difficult diagnoses

Pelvic Organ Prolapse:

  • Hysterectomy (minimally invasive technique) when necessary
  • Repair of cystocele and/or recto-cele
  • Repair of vaginal vault prolapse
  • Discussion regarding complex surgeries such a colpocleisis or sacrocolpopexy

i Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity. Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Am J Obstet Gynecol. 2002;186(6):1160.