Women's Pelvic Care

Comprehensive Gynecological Care

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Incontinence & Prolapse

Incontinence & Prolapse

Incontinence and Prolapse Treatment Options

Stress Urinary Incontinence

Stress urinary incontinence involves leakage with a cough, sneeze and exercise. The cause is a weakened and poorly supported urethra (urine tube). Treatment options include physical therapy with biofeedback, Bulkamid, a vaginal device, or surgical therapy. Our doctors will thoroughly explore which treatment is best for you. If surgery is indicated, rest assured we have performed thousands of surgical procedures to treat this condition.

Overactive Bladder

Overactive bladder is an often embarrassing condition in which a woman finds it difficult to control the urge to urinate and may lead to the involuntary loss of urine. Symptoms include urinary frequency, urgency and leakage.
Treatment options available include bladder training, diet modification, physical therapy, Axonics®
Therapy, Bladder Botox, Neurostimulation (both Urgent PC and Interstim), and medication. In addition to this, WPSC offers three third line treatment options for difficult to treat OAB.

Read more about Overactive bladder here.

Fecal Incontinence

Fecal Incontinence or accidental bowel leakage, is another pelvic floor disorder for which treatment is available, both conservative and surgical. For fecal incontinence due to nerve damage, Interstim and Axonics®
Therapy are available treatments (see below) offered at WPSC.

Pelvic Organ Prolapse

Pelvic Organ Prolapse is the dropping of the pelvic organs, the bladder, uterus, rectum and/or vagina, caused by the loss of normal support of the vaginal and pelvic organs. Symptoms include the feeling or sensation of a bulge or lump pressing or pushing through the vaginal opening. We offer all treatment options including conservative therapy, pessary, a vaginal device worn to elevate the prolapsed/dropped organs, and surgical intervention. Our doctors are fellowship trained in pelvic floor medicine reconstructive surgery and offer minimally invasive surgeries, including vaginal, laparoscopic and robotic approaches.

Treatments

Urgent PC

Urgent PC is an in non-invasive office treatment for overactive bladder that involves inserting a slim needle electrode near the ankle that is connected to a battery-powered stimulator. The impulses travel up the nerve in the leg to the pelvis and stimulates the nerve that controls bladder function. The initial series is 12 treatments about a week apart and then a treatment once per month to maintain the improvements.

Bladder Botox

Bladder Botox involves injecting Botox directly into the bladder muscle in the office to relax the muscle and decrease the symptoms of OAB.

Axonics 

Therapy provides gentle stimulation to the nerves that control the bladder and bowel, which can restore normal control and result in symptom improvement.

Interstim

Interstim is a procedure that involves placing a tiny device under your skin above the buttocks that sends mild electrical pulses to the nerves in the sacrum that control bladder and bowel function. The first step of the procedure is the nerve stimulation test that is done in the office under local anesthetic to see if the procedure is right for you. When you are pleased with the stimulation test the second step involves placing the device under the skin in the operating room. This device is indicated for overactive bladder, urinary retention and fecal incontinence.