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 sub-specialty 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.
The urogynecology nurse practitioner has extensive knowledge and experience with routine gynecological needs and is available for preventive annuals and comprehensive birth control options and management.
At your appointment
Patients at LMG—Urogynecology who present with pelvic floor issues, such as pain, prolapse, or incontinence, will first be seen and evaluated by a board certified urogynecologist. At this visit, our doctors seek to understand the needs and goals of the patient, including treatments that have been tried previously, and develop a patient-centered plan of care. Testing may be conducted to better diagnose and understand the patient's issue and treatment options will be discussed. Not all patients will need surgery and for patients that wish to manage their issue medically, or try less invasive measures before considering surgery, our nurse practitioner is available to provide follow-up care.
The nurse practitioner at LMG—Urogynecology works with the physician to provide non-surgical treatment and patient goal-oriented management of chronic bladder issues as well as other pelvic floor disorders such as chronic pelvic pain and interstitial cystitis. The nurse practitioner provides medical management, medical therapy and can make referrals to physical therapy.
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.
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.
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 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.