Urogynecology specializes in the treatment of women with pelvic floor disorders. These disorders arise when the pelvic muscles are weakened or connective tissue is damaged due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Other contributing factors include heavy lifting, tobacco use, and genetics.
Pelvic floor disorders can lead to several issues, including:
- Incontinence
- Prolapse
- Emptying Disorders
- Pain
- Overactive Bladder
- Fistulas
You should consider consulting a urogynecologist if you experience prolapse, troublesome urinary or fecal incontinence, or if recommended by your primary doctor. Other indications for a urogynecology consultation include issues with emptying the bladder or rectum, pelvic or bladder pain, fistulas, or when specialized vaginal surgery is needed.
A urogynecologist can offer various therapies to manage or alleviate pelvic floor disorders. Treatment options are tailored to your lifestyle and goals, and may include conservative measures such as medications, pelvic exercises, behavioral or dietary modifications, and vaginal devices (pessaries). Advanced therapies might involve pelvic floor therapy with biofeedback and electric stimulation. For some conditions, safe and effective surgical options may also be recommended.