Get care for overactive bladder and pelvic pain

You can ask your urogynecologist anything. Why am I going to the bathroom so often? Is it normal to have leaking? Why do I feel pain in my vagina? What is prolapse? We listen to your concerns and answer your questions — big and small. Urogynecologists at Ascension sites of care diagnose, treat, and help you manage pelvic floor disorders. These are common conditions that affect the female pelvic organs, including the muscles and connective tissue that support those organs.

Women’s health specialists for pelvic floor conditions

Urogynecologists specialize in diagnosing and treating pelvic floor disorders and many conditions, including:

• Incontinence (bladder/urinary and bowel/fecal)
• Overactive bladder
• Pelvic organ prolapse (bladder, uterus, vagina, bowel)
• Pelvic pain (also called uterus pain)
• Urinary tract infection (UTI)

Personalized care for pelvic floor disorders

Talk to your gynecologist about frequent urination, pelvic pain and chronic UTIs. Your doctor and care team are part of an integrated national network of experienced women’s health specialists. We work with you on a personalized care plan that may include therapeutic and surgical care. Whenever possible, minimally invasive surgery is recommended, which can help shorten recovery time. Pelvic health treatments may include:

• Behavior modification
• Biofeedback
• Medication
• Pelvic floor physical therapy
• Reconstructive surgery
• Relaxation techniques

Surgical treatment options for pelvic floor disorders

Pelvic floor disorders can be treated with physical therapy, oral medication, injections or surgery. Surgery may be recommended as part of your care plan, if you have a pelvic prolapse, incontinence, constipation or pelvic pain. A pelvic prolapse occurs when the pelvic floor muscles weaken and one or more organs (uterus, bowel or bladder) drop into or onto the vagina. Incontinence is a loss of bladder or bowel control. Constipation is when you have difficult or less frequent bowel movements.

Urogynecologists are specially trained in female pelvic medicine and reconstructive surgery. Our goal is to help relieve your pain and improve overall function. Surgical options for pelvic floor disorders may include:

• Anal sphincter repair
• Bladder prolapse (cystocele) repair
• da Vinci® sacrocolpopexy (surgery to repair organ prolapse)
• Enterocele repair (surgery to repair a vaginal hernia)
• Hysterectomy
• Labiaplasty (surgery to change the size of the labia)
• Mesh-free robotic colpopexy (repair of organ prolapse)
• Mid-urethral sling
• Post-hysterectomy vaginal prolapse repair
• Rectocele repair (surgery to strengthen the wall between rectum and vagina)
• Rectovaginal fistula repair
• Robot-assisted colpopexy (repair of organ prolapse)
• Sling made of autologous fascia lata
• Transvaginal prolapse repairs
• Urethroplasty (surgery to repair the tube that transports urine out of the body)
• Vaginal prolapse repair

If you have any questions about pelvic floor surgery, you can talk to your doctor or ask for a second opinion.

Get a second opinion from a urologist or pelvic medicine specialist

Get the confidence and peace of mind that your doctor and care plan are right for you. It's easy to get a second opinion at Ascension sites of care. We can review your medical records and healthcare history to answer your questions and discuss options. Talk with one of our doctors about a personalized care plan.

When you are facing a new diagnosis or considering therapeutic or surgical care options, there’s a lot to think about. Our urogynecologists can provide a second opinion, based on our experience and as part of an integrated national network of care.

Before your appointment, check with your insurance company to find out if a second opinion is covered. We can request your medical records from your doctor on your behalf, so that they can be shared with your care team before your arrival.

Financial assistance and support is available

We can connect you with resources and programs that may be able to help you and your family with options for financial assistance. Our team is here to listen to your concerns and work with you to help find options that meet your needs. Talk with our financial assistant as a first step, if you have questions.

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