Midlife and more

Urogynecology and pelvic floor 

What is urogynecology? 

Urogynecology is the combination of urology and gynecology. Urogynecologists, "urogyns", are OB-GYNs with advanced training and expertise in the treatment of pelvic floor disorders (PFDs) in women. Women with complex pelvic floor problems are referred to urogynecologists by their primary care doctor or OB-GYN for specialized treatment. 

What are pelvic disorders? 

The pelvic floor is a group of muscles, ligaments, nerves and connective tissues that support pelvic organs (including the bladder, uterus and cervix, vagina and rectum) and help in the control of their functions. 

Women see urogynecologists to treat conditions such as: 

  • Bladder and bowel control problems (incontinence)
  • Interstitial cystitis (Bladder pain syndrome)
  • Pelvic prolapse
  • Pelvic pain
  • Prenatal and post-partum conditions (conditions during or after giving birth)
  • Recurring urinary tract infection Transvaginal mesh complications

Learning more 

Incontinence

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 through physical therapy.

For more persistent cases of incontinence, Legacy Medical Group–Urogynecology and Legacy Meridian Park Pelvic Floor Program offer thorough evaluation and both surgical and nonsurgical treatment options.

If you are concerned about bladder control, call for an evaluation: 503-305-4723.

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 gynecologist or urogynecologist is trained to recognize, treat and manage these conditions and symptoms.

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.

Pelvic health during and after pregnancy

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.

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.

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