BOBÌåÓý

Urogynecology is a clinical specialty of obstetrics and gynecology concerned with the health of the female pelvic area and pelvic floor disorders. Urogynecologists treat conditions—both surgically and non-surgically—including bladder incontinence, stress incontinence, overactive bladder, pelvic floor dysfunction, postpartum pelvic floor issues, and pelvic organ prolapse.

What is the pelvic floor?

The pelvic floor is a set of muscles at the bottom of the abdomen which support the organs of the pelvis. Many factors affect pelvic floor health including age, pregnancy and hereditary conditions.

Our specialty-trained experts

BOBÌåÓý's state-of-the-art Pelvic Floor Program (UFPF) brings together a highly trained care team for your pelvic medicine needs. We're experienced in the diagnosis and management of female pelvic floor disorders and pelvic health. Your care team includes various experts including:

• Gynecologist
• Pelvic surgeon
• Pelvic floor physical therapist
• Urologist
• Urogynecologist
• Nutritionist
• Behavioral health expert

Together, they work collaboratively to optimize your pelvic health and help treat your pelvic floor problems.

Conditions we treat

We provide advanced treatments for pelvic floor disorders, such as:

• Overactive bladder
• Urinary incontinence
• Stress incontinence
• Urge incontinence
• Overflow incontinence/urinary leakage
• Pelvic pain
• Pelvic organ prolapse
• Weak pelvic floor muscles
• Rectal prolapse
• Uterine prolapse
• Fistulas
• Painful bladder syndromes, including interstitial cystitis
• Recurrent urinary tract infections
• Fecal incontinence
• Constipation

Non-surgical treatments

• Behavioral and dietary modifications
• Bladder re-training to enhance bladder control
• Pelvic floor physical therapy and rehabilitation to strengthen pelvic floor muscles.
• Pessary fitting and maintenance

Surgical treatments

• Sling procedures for urinary incontinence
• Sling removal/revision
• Urethral bulking procedure for urinary incontinence
• Sacroneuromodulation (interstim)
• Urethrolysis
• Obstetrical laceration repair/revision
• Pelvic reconstructive surgery (including vaginal, laparoscopic and robotic surgery) is designed to re-establish pelvic organ support, including the bladder, rectum, uterus or vagina, addressing the root cause of pelvic floor issues. The decision to augment a surgical repair with mesh (either for incontinence or pelvic organ prolapse) is made in collaboration with patients.
• Hysterectomy (with or without removal of ovaries)
• Pelvic laparoscopy
• Vaginal and uterine suspension procedures, including uterosacral suspension, sacrospinous ligament fixation and sacrocolpopexy
• Perineoplasty
• Anal sphincteroplasty
• Restoration of normal vaginal caliber
• Labioplasty
• Mesh complication pelvic surgery (to remove previously placed mesh that has resulted in pain or other complications)
• Fistula repair (vesicovaginal, rectovaginal)
• Obliterative procedures (colpocleisis)