Womens Services

Urogynecology

A holistic approach to pelvic health

Urinary incontinence, prolapsed bladder and prolapsed uterus are among the issues addressed by urogynecology.

Urogynecology, also known as female pelvic medicine, is a subspecialty within obstetrics and gynecology dedicated to the treatment of women's pelvic floor disorders, including reconstructive surgery.

The pelvic floor is the muscles, ligaments, connective tissue and nerves that help support and control the rectum, uterus, vagina and bladder. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease or surgery, and can weaken with age.

A urogynecologist takes a holistic approach to pelvic health, and has specialized training in urology and gynecology.

 

Our services

We provide help for the following conditions:

Bladder and bowel control problems (incontinence and overactive bladder) 
Do you leak when you sneeze, laugh or exercise? This condition, called stress incontinence, can be caused by childbirth, heavy exercise or other factors that weaken the pelvic floor muscles holding the bladder, uterus and other pelvic organs in place. Urinary incontinence is not a natural part of aging, and can often be successfully treated. 

For more persistent cases of incontinence, a urogynecologist offers thorough evaluation and both surgical and nonsurgical treatment options. 

Interstitial cystitis (Bladder pain syndrome)

This chronic condition causes a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in the pelvis ranging from mild to severe. Although there's no treatment that reliably eliminates interstitial cystitis, a variety of medications and other therapies offer relief. A urogynecologist is trained to recognize, treat and manage these conditions and symptoms.

 

Pelvic prolapse

Prolapse feels as if something is bulging into or from the vagina; it is caused when the muscles in the lower abdomen are too weak to hold the organs, such as the bladder, in place.  There are several treatment options to address this, from physical therapy to minimally invasive surgery.

 

Pelvic pain

Pain related to muscle strain, weakness, imbalance, or caused by a tailbone (coccyx) injury can be treated with physical therapy. Treatments may include relaxation training, soft tissue mobilization, exercises, ultrasound, electrical stimulation and biofeedback.

 

Other common causes of pelvic pain are fibroids, cysts or endometriosis, which can also result in heavy or irregular bleeding. If you are suffering from these symptoms, consult your doctor about treatment options.

 

Prenatal and post-partum conditions

Pregnancy can be physically demanding for even the fittest moms. In addition to treating muscle-joint problems associated with pregnancy, Legacy's physical therapists are skilled in facilitating the post-partum or post-cesarean healing process, and addressing pelvic floor issues, such as incontinence, caused by childbirth. For persistent problems, consult a urogynecologist.

 

Physical Therapy 

Physical therapy can be a noninvasive treatment approach for a variety of obstetrical, gynecological and post-surgical issues. Our specially trained therapists provide conservative, effective treatment for women in a caring and comfortable environment. 

 

Recurring urinary tract infections

A urinary tract infection (UTI) limited to the bladder can be painful and annoying, but when treated promptly and properly it rarely leads to complications. However, if left untreated a UTI can lead to kidney damage. Also, women who experience three or more urinary tract infections are likely to continue experiencing them. 

 

If you have recurring UTIs, it may be time to consult a urogynecologist or urologist to determine if urologic abnormalities are causing the infections.

Our provider

Audrey Curtis, MD

Our locations 

Legacy Good Samaritan pelvic floor program at Legacy Medical Group—Women's Specialties
Good Samaritan Building 2
1040 N.W. 22nd Ave., Suite 600
Portland, OR 97210
Phone: 503-413-5787
Fax: 503-413-5788
Hours: M-F, 8am - 5pm
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